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★★★★★ Human Anatomy — Biology 255 Exam #2 Please place your name and I.D. number on the back of the last page of this exam. You must answer all questions on this exam. Because statistics demonstrate that, on average, between 2-5 questions on every 100-point exam are ambiguous enough to come out “aberrant” on an item analysis, the total number of points possible on this exam is 106. However, grades will be calculated out of a possible 100 points, assuming that 2—3 questions on this exam are aberrant. Section 1: Questions dealing with the spinal cord and spinal nerves. Answer the following questions by placing the most correct letter in the space provided. (2 points each) _____ 1. If you were to cut the dorsal root of the 4th lumbar spinal nerve you would damage a. somatic motor output b. parasympathetic motor output c. sympathetic motor output d. somatic sensory input e. a and d f. a and b g. a and c h. a, b and c k. a, b and d l. a, c and d m. a,b,c and d _____ 2. If you were to cut spinal nerve C7 proximal to the gray communicating ramus you would damage a. somatic motor output b. parasympathetic motor output c. sympathetic motor output d. somatic sensory input e. a and d f. a and b g. a and c h. a, b and c k. a, b and d l. a, c and d m. a,b,c and d ★★★★★ 2 _____ 3. If you were to cut the ventral ramus of the 7th thoracic spinal nerve you would damage a. somatic motor output b. parasympathetic motor output c. sympathetic motor output d. somatic sensory input e. a and d f. a and b g. a and c h. a, b and c k. a, b and d l. a, c and d m. a,b,c and d _____ 4. If you were to cut the ventral ramus of S3 you would damage a. somatic motor output b. parasympathetic motor output c. sympathetic motor output d. somatic sensory input e. a and d f. a and b g. a and c h. a, b and c k. a, b and d l. a, c and d m. a,b,c and d _____ 5. If you wanted to cut the dorsal ramus of the 3rd cervical spinal nerve you would a. cut the nerve inferior to C3 which would result in damage to motor output to structures of the posterior body wall b. cut the nerve superior to C3 which would result in damage to motor output to structures of the posterior body wall c. cut the nerve inferior to C3 which would result in damage to sensory input from structures of the posterior body wall d. cut the nerve superior to C3 which would result in damage to sensory input from structures of the posterior body wall e. cut the nerve inferior to C3 which would result in damage to motor output to structures of the ventral body wall f. cut the nerve superior to C3 which would result in damage to motor output to structures of the ventral body wall g. cut the nerve inferior to C3 which would result in damage to sensory input from structures of the ventral body wall h. cut the nerve superior to C3 which would result in damage to sensory input from structures of the ventral body wall i. none of the above, as none of the above statements are totally correct ★★★★★ 3 Section 2: “Think Section” Carefully read the scenario below. Within it are several anatomical statements. In the space below you are to (a) one-by-one list the anatomical statements, (b) state whether or not the statements are true or false, and (c) if any of the statements are false state why they are false. (20 points) 6. You are sitting on the sofa with your significant other watching NCIS. In the current scene “Ducky” the medical examiner is talking to Special Agent Jethro Gibbs about how the individual on the autopsy table died. Ducky: “This is a strange one Jethro. No definitive wounds that would have killed our Marine here, but lots of interesting wounds and pathologies. Gibbs: “Such as?” Ducky: Well, the knife wound on his back was caused by a serrated knife. It cut through the serratus posterior, which would have made it difficult for the Marine to inhale, and it cut through the entire group of true back muscles in the lower lumbar region of the vertebral column, which would have made it difficult for him to extend his vertebral column or rotate to either direction. In addition, he has severe blockage in two of the branches of his coronary arteries: the right marginal branch and the right posterior interventricular branch. Because of these blockages his left atrium, right and left ventricles would have been starved of oxygen. Gibbs: “And?” Ducky: “In addition Jethro he had some neurological damage. ne of the roots of the brachial plexus — the one coming off of the 5th cervical spinal nerve — was damaged, which would have made usage of all of the musculature in his arm, forearm and hand useless.” a. Serratus posterior statement b. Statement about cutting the entire group of true back muscles c. Statement about the right marginal branch of the RCA d. Statement about the right posterior interventricular branch of the RCA e. Statement about brachial plexus ★★★★★ 4 Section 3: Multiple uglies dealing with the Autonomic Nervous System, Somatic Nervous System, Brachial Plexus and Lumbosacral plexus. Circle the letter in front of each and every correct statement. (1 point each) 7. The parasympathetic nervous system (6 points) a. exits from the CNS by cranial nerves III, V, VII, IX and X b. exits from the spinal cord from spinal nerves S1 to S4 c. has long pre-ganglionic neurons and short post-ganglionic neurons d. is not involved in the “fight or flight” reaction e. is involved in the preparation for sexual activity f. is involved in allowing you to relax in preparation for sleep 8. The sympathetic nervous system (5 points) a. exits from the CNS by spinal nerves T1 to L3 b. has long pre-ganglionic neurons and short post-ganglionic neurons c. is not involved in the “fight or flight” reaction d. is involved in the preparation for sexual activity e. is involved in allowing you to relax in preparation for sleep 9. The brachial plexus (8 points) a. The roots are formed from the dorsal rami of spinal nerves C5 to T1 b. All four trunks of the brachial plexus will divide into anterior and posterior divisions. c. The lateral cord is formed from the anterior divisions of the middle and lower trunks d. The medial cord is formed from the anterior divisions of the middle and lower trunks. e. The posterior cord is formed by the union of all four of the posterior divisions. f. The posterior cord gives rise to the axillary and radial nerves. The radial nerve innervates all of the extensor muscles of the arm and forearm, while the axillary nerve innervates the deltoid and teres major muscles. g. The lateral cord gives rise to the median nerve and part of the musculocutaneous nerve. The musculocutaneous nerve innervates the flexors of the arm, while the median nerve innervates most of the flexors of the anterior surface of the forearm and some of the muscles of the hand. h. The median cord gives rise to the ulnar nerve and part of the musculocutaneous nerve. The musculocutaneous nerve innervates the flexors of the arm, while the ulnar nerve innervates most of the flexors of the anterior surface of the forearm and some of the muscles of the hand. 10. In the lumbosacral plexus (3 points) a. The sciatic nerve is formed from spinal nerves L3 to S2 b. The obturator nerve is formed from the anterior fibers from spinal nerves L1 to L4 – with a small contribution from L5 c. The femoral nerve is formed from the posterior fibers from spinal nerves L1 to L4 – with a small contribution from L5 ★★★★★ 5 Section 4: Figure interpretation. Below is a cross section of thorax at the level of T3. 11. True or False: The diagram, as printed below, is anatomically correct in every aspect? (2 points) 12. If your answer to number 11 above is “True” write your name below for 5 points. However, if your answer to number 11 above is “False” give a detailed explanation, in the space provided, explaining your answer to number 11 above. (5 points) Section 4: ★★★★★ 6 Questions dealing with the musculature of the thoracic cavity, the thoracic cavity and anatomical structures contained within it. If the following statements are true place a (+) in the space provided; if the statements are false place a (O) in the space provided. (2 points each) _____ 13. The parietal pleural membrane covers the organs of the thoracic cavity. _____ 14. The external intercostal muscles have their origin on the rib above and their insertion on either the rib immediately below or on the rib two ribs below. As the external internal intercostals pass from origin to insertion they pass inferiorly and posteriorly. _____ 15. The levator costarum muscles are secondary muscles of respiration, and are utilized during forcible inhalation. They originate from the 7th cervical vertebra to the 11th thoracic vertebra, and insert onto the costal cartilages and ribs. _____ 16. The serratus posterior and internal intercostals are secondary muscles of respiration, and are used during forcible inhalation. _____ 17. The right lung has three lobes. The oblique fissure separates the inferior and middle lobes, while the horizontal fissure separates the superior and middle lobes. The left lung, in contrast, has only two lobes. The upper and lower lobes are separated by the horizontal fissure. _____ 18. All of the following structures would be found only within the superior mediastinum of the thoracic cavity: brachiocephalic trunk; left common carotid artery; left subclavian artery; superior vena cava; aortic arch; junction of the azygos vein with the superior vena cava. _____ 19. All of the following structures would be found only within the inferior mediastinum of the thoracic cavity: left ventricle; left atrium; inferior vena cava; right and left primary bronchi; descending (thoracic) aorta. _____ 20. The pericardial sac is subdivided into two parts: the visceral pericardium (which is also termed the epicardium), which lies closest to the heart, and the parietal pericardium. _____ 21. The smooth portion of the walls of the right ventricle is termed the conus arteriosus, and is found where the aorta exits the right ventricle of the heart. _____ 22. Relax – collect two free points by drawing the best possible picture of your professor in the space provided. _____ 23. The right coronary artery is typically the larger of the two coronary arteries. _____ 24. The left posterior interventricular branch (LPD) of the left coronary artery supplies only the right and left ventricles with blood. _____ 25. The left anterior descending branch of the left coronary artery supplies only the right ventricle, left ventricle and the interatrial septum with blood. _____ ★★★★★ 7 26. The circumflex branch of the left coronary artery supplies (assuming that the LPD is present) supplies only the left ventricle, left atrium, and interventricular septum with blood. _____ 27. The hemiazygos vein drains the inferior left half of the thoracic cavity. _____ 28. For two more free points sign your initials in the space provided. Section 5: Spinal cord and spinal nerves. In the space provided below draw and label a cross section of the spinal cord at the level of C1 and the formation of the spinal nerve up to and including the division into dorsal and ventral rami. (15 points)