Download Tongji Univesity School of Medicine 2012

Tongji Univesity School of Medicine
2012-2013 the 1st semester
The examination paper of human anatomy II
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edition: B
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Select the one letter answer or completion that is best in each case （one choice
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one score, 50 scores）
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1. About the external oblique abdominis muscle, which of the following description is
incorrect (
)
A. In general, the direction of fleshy fibers of external oblique muscle runs inferior and
anterior
B. The inferior edge of the external oblique aponeurosis extends from the anterior
superior iliac spine to the pubic tubercle and is known as inguinal ligament
C. Lateral to the pubic tubercle, the aponeurosis of the external oblique muscle divides
into medial and lateral crura,
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D. The ring between the medial and lateral crura is deep inguinal ring.
E. The external oblique abdominis are bilaterally paired muscles in the anterolateral
abdominal wall.
2. The aponeurosis of external oblique muscle forms inguinal ligament and (
)
A. Conjointed tendon
B. posterior layer of rectus sheath
C. internal spermatic fascia
D. lacunar ligament
E. cremasteric fascia
3. Which is derived from transversalis fascia?
A. internal spermatic fascia
B. pectineal ligament
C. external spermatic fascia
D. superficial inguinal ring
E. cremaster muscle
4. Each of the following is a segment of the large intestine EXCEPT(
)
A. ascending colon
B. cecum
C. ileum
D. sigmoid colon
E. transverse colon
5. Which of the following is located beneath the diaphragm in the right upper quadrant of
the abdominal cavity?
A. Appendix
B. cecum
C. Liver
D. Spleen
E. Stomach
6. The transverse mesocolon provides a boundary between (
)
A. the greater and lesser peritoneal sacs
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B. the right and left infracolic spaces
C. the supracolic and infracolic compartments
D. the lesser sac and the paracolic gutters
E. the right and left paracolic gutters
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Skin and muscles of the anterolateral abdominal wall are supplied by following nerves
except
A. Subcostal nerve
B. iliohypogastric nerve
C. ilioinguinal nerve
D. phrenic nerve
E. T7～T11 intercostal nerves
8 If an abdominal infection spreads retroperitoneally, which of the following structures is
most likely affected?
A. Stomach
B. Transverses colon
C. Jejunum
D. Descending colon
E. spleen
9 The common hepatic duct becomes the common bile duct
A. when the right and left hepatic ducts join
B. when it is joined by the main pancreatic duct
C. When it is joined by the accessory pancreatic duct
D. when it is joined by the cystic duct
E. when it reaches the major duodenal papilla
10 Which of the following description concerning kidney is correct?
A. The left kidney lies at a slightly lower lever than the right one
B. in the renal pedicles, the renal artery is anterior to the renal vein
C. in the renal pedicles, the renal vein is anterior to the renal artery
D. in the renal pedicles, the renal pelvis is anterior to the renal artery
E. The lateral margin of kidney is concave.
11 About the duodenum, which of the following description is TRUE
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A. The duodenum is the shortest but most mobile part of small intestine
B. The first 2cm of the superior part of duodenum has no mensentery and immobile.
C. Aterial supply of duodenum is only from the celiac trunk
D. The common bile duct and pancreatic duct enter the duodenum at the horizontal part.
E. The duodenojejunal flexure attaches to the abdominal wall by the suspensory muscle
of the duodenum (Treitz ligament) .
12. Which of the following artery is an unpaired visceral branch from abdominal aorta
A. middle suprarenal artery
B. superior mesenteric artery
C. renal artery
D. ovarian artery
E. testicular artery
13 The three teniae coli come together at
A. the rectum
B. the anus
C. the duodenum
D. the cecum
E. junction between the base of appendix and cecum
14 The uterus is supported by all the following structures EXCEPT(
)
A. Obturator internus muscle
B. The levator ani muscle
C. Rectum
D. Urinary bladder
E. Vagina
15 Which is not appropriate statement concerning the position of empty bladder in adult?
A. behind the pubic symphysis
B. superior to the fascia covering the obturator internus and levator ani muscle.
C. in the greater pelvis
D. in front of seminal vesicle, ampulla ductus deferentis and rectum in males
E. in front of uterus and vagina in females.
16 The correct statement concerning hypogastric plexuses is
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A. the superior one lies in front of sacral bone
B. the superior one divides into left and right hypogastric nerve downwards.
C. the inferior one contains no parasympathetic fibers
D. the plexuses do not contain visceral afferent fibers
E. the inferior one contains no sympathetic fibers
17 Which of the following arteries is not a visceral branch of internal iliac artery?
A. umbilical artery
B. uterine artery
C. superior vesical artery
D. obturator artery
E. internal pudendal artery
18 The following descriptions about rectum are correct EXCEPT that (
)
A. it has sacral flexure
B. it has three lateral flexures
C. it has three transverse folds
D. it is covered by peritoneum completely
E. it is closed to posterior part of the fornix of vagina
19 The incorrect statement regarding trigone of bladder is that
A. it is a smooth triangular area
B. it is formed by internal urethral orifice anteriorly and two ureteric orifices laterally
C. it is lack of submucosal layer
D. it is always rough regardless of fullness or empty of urine
E. it is located at inner surface of the funds of bladder
20 The sympathetic nerves innervating the pelvic viscera include all the following EXCEPT ( )
A. inferior mesenteric plexus
B. hypogastric plexuses
C. lumbar splanchnic nerves
D. pelvic splanchnic nerves
E. pelvic plexus
21 The urethra in male is divided into the following parts EXCEPT( )
A. intramural part
B. Membranous part
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C. Cavernous (spongy) part
D. Prostatic part
E. Urethral bulb part
22 The correct description of cochlea is that
A. scala vestibuli ends round widow
B. it is full of perilymph fluid in the cochlea
C. it receives vibration only from ossicle chain in tympanic cavity
D. apparatus of balance is located in the cochlea
E. there is no communication between scala vestibuli and scala tympani
23 Which of the following statements concerning the lacrimal apparatus is CORRECT?
A. the lacrimal gland lies in the medial portion of the orbit
B. lacrimal fluid is secreted at the puncta in the medial edges of both upper and lower lids
C. the nasolacrimal duct has a blind-ending sac at its upper portion
D. the nasolacrimal duct ends at the middle meatus of the nose
E. trigeminal nerve controls secretion of lacrimal gland
24 During vaginal examination, which of the following structures may be palpated?
A . apex of the urinary bladder
B. Fundus of the uterus
C. Terminal part of the round ligament of the uterus
D. uterine tube
E. uterine cervix
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An abscess in the auditory tube may block a communication between the nasopharynx and
which of the following structures?
A. Vestibule of the inner ear
B. Middle ear
C. Semicircular canals
D. External ear
E. Inner ear
26. Which one of the following structures is located in the middle cranial fossa?
A. foramen magnum
B. jugular foramen
C. cribriform plate
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D. hypoglossal canal
E. foramen ovale
27. Would fracture of the foramen rotundum cause a lesion of which of the following nerve?
A. ophthalmic nerve
B. optic nerve
C. maxillary nerve
D. mandibular nerve
E. trochlear nerve
28. Which one of the following structures is the outstanding characteristic of the typical cervical
vertebra？
A. larger body
B. longer spinous process
C. vertebral foramen
D. transverse foramen
E. mamillary process
29. A part of diencephalon develops into the ____________ in the adult.
A. cerebellum
B. pons
C. thalamus
D. medulla
E. brain stem
30. Which of the following is not a function of the hypothalamus?
A. regulation of sleep
B. regulation of reproduction
C. regulation of vision
D. regulation of temperature
E. regulation of food intake
31. Which of the following brain structures consists of the globus pallidus and putamen?
A. cerebellum
B. basal ganglia
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C. brain stem
D. thalamus
E. spinal cord
32. The visual speech area is located in the ____________of the dominant hemisphere.
A. precentral gyrus
B. middle frontal gyrus
C. supramarginal gyrus
D. angular gyrus
E. lingual gyrus
33. How many lateral ventricles are there?
A. 1
B. 2
C. 3
D. 4
E. 5
34. Which of the following nuclei is NOT embedded in the white matter of the cerebellum?
A. dentate nucleus
B. globose nucleus
C. caudate nucleus
D. fastigial nucleus
E. emboliform nucelus
35. Which of the following symptoms is NOT typical for a cerebellar injury?
A. ataxia
B. inability of initiating a voluntary movement
C. incoordination of voluntary movement
D. nystagmus
E. intention tremor
36. Large pyramidal neurons projecting to the distal structures (e.g., brainstem and spinal cord)
are located in layer _____ of cerebral cortex.
A. II
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B. III
C. IV
D. V
E. VI
37. __________ is the largest bundle of fibers that cross the longitudinal cerebral fissure and
interconnect the cerebral hemispheres.
A. corpus callosum
B. arcuate fiber
C. anterior commissure
D. fornix
E. internal capsule
38. Which of the following combinations indicates the correct distribution of spinal nerves?
A. 7 cervical - 12 thoracic - 6 lumbar - 5 sacral - 1 coccygeal
B. 7 cervical - 12 thoracic - 5 lumbar - 6 sacral - 1 coccygeal
C. 8 cervical - 12 thoracic - 6 lumbar - 4 sacral - 1 coccygeal
D. 8 cervical - 12 thoracic - 5 lumbar - 5 sacral - 1 coccygeal
E. 8 cervical - 12 thoracic - 5 lumbar - 4 sacral - 1 coccygeal
39. Which is a part of the brainstem?
A. medulla oblongata
B. cerebellum
C. lumbosacral enlargement
D. thalamus
E. cauda equina
40. The anterior longitudinal ligament (
)
A. lies anterior to the spinal cord
B. extends from the coccyx to the atlas
C. limits flexion of the vertebral column
D. limits extension of the vertebral column
E. Lies posterior to the spinal cord
41. Sensory impulses from taste receptors are transmitted to the brain on which of the following
cranial nerves?
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A. I, II and VIII
B. III, IV and VI
C. VII, IX and X
D. only VII
E. VII and IX
42. What are the longitudinal eminence on the ventral aspect of medulla oblongata that are
involved in conscious skeletal muscle control?
A. middle cerebral peduncle
B. olives
C. pyramids
D. gracile tubercle
E. inferior peduncle
43. Which of the following cranial nerves contains only sensory fibers?
A. facial
B. vagus
C. trigeminal
D. vestibulocochlear
E. glossopharyngeal
44. The _________ is the most-specific part of the midbrain that is an integral part of the
auditory pathway.
A. corpora quadrigemina
B. superior colliculi
C. inferior colliculi
D. red nucleus
E. cerebral peduncle
45 Which cranial nerve innervates four of the six muscles that move the eye and the levator
palpebrae superioris muscle that raises the superior eyelid?
A. abducent nerve
B. oculomotor nerve
C. optic nerve
D. trochlear nerve
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E. trigeminal nerve
46 Which of the following cranial nerves does NOT connect to the brainstem?
A. abducent nerve
B. hypoglossal nerve
C. optic nerve
D. trigeminal nerve
E. facial nerve
47 The nerve fibers carrying sensory information through the cribriform plate of the ethmoid
bone are the _______ nerve.
A. accessory
B. olfactory
C. ophthalmic
D. optic
E. trigeminal
48 The spinal cord is contiguous superiorly with the
A. cerebellum.
B. medulla oblongata.
C. midbrain.
D. pons.
E. thalamus
49. The jugular foramen provides a route of passage through the cranium for which of the
following cranial nerves?
A. accessory and hypoglossal nerves
B. facial and vestibulocochlear nerves
C. olfactory and optic nerves
D. glossopharyngeal, vagus and accessory nerves
E. abducent and trochlear nerves
50. Which cranial nerve controls the muscles involved in chewing?
A. facial nerve
B. glossopharyngeal nerve
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C. trigeminal nerve
D. vagus nerve
E. hypoglossal nerve
II
Please fill the blank. （one blank one score, 40 scores）
1 The great omentum has three parts: the___________ ligament; ____________
ligament; and the_____________ ligament.
2 The transverse fissure in the middle of the visceral surface of liver is called
_________________, it gives passage to the hepatic porta vein, hepatic artery and
hepatic duct.
3 The stomach bed is formed by the left dome of diaphragm, ______________,
____________________, splenic artery and ___________________________,
______________________, ___________________.
4 The _________ artery which supplies the gallbladder runs usually through the Calot
triangle.
5 The three constrictions of ureters are ____________________, _________________,
________________________.
6 The pelvic splanchnic nerves are derived from
7 Uterine artery is about
spinal cord segments.
away from neck of the uterus and crosses the ureter superiorly.
8 The important structure to maintain uterus anteverted position is
maintaining anteflexion position of uterus is
9 The fibrous layer of eyeball includes
, while
.
and
The vascular layer supplying nutrition is called
providing shape and resistance.
.
At the fundus of the eyeball, there is an area with no photoreceptors called
lateral about 3.5 mm to it, a small oval area and yellowish in color is called
10 The lateral wall of tympanic cavity is called
tympanic cavity are called by
and
, and
.
wall, the floor and posterior wall of
, respectively.
11. The cerebellar cortex consists of the ____________ layer, the ____________ cell layer and
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the ____________ layer.
12. The medial ____________ body in the metathalamus is a relay station of the auditory
conducting pathway.
13. The surfaces of the cerebral hemispheres are separated into the frontal, ____________,
occipital ____________ lobes, and the ____________.
14. The ____________ constitutes the efferent system of the hippocampus that passes to the
mammillary bodies of the hypothalamus.
15. The bulbopontine sulcus separates the medulla and pons on the ventral surface of brain stem,
in which cranial nerves _______________, ________________and _______________are located.
16. Two conspicuous enlargements can be seen externally in spinal cord, they are
______________________ and______________________.
17. The cranial nerves which are attached to the midbrain are________________ and
__________________.
III Name 10 different structures of this coronal section of brain.（one structure one
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score, 10 scores together）
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