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Systemic Anatomy Exam III Prepared especially for the trimester one class, Fall 2003 Please place the single best answer in the space provided (unless designated by the letters MACA, which in this case mark all correct answers that apply) on your scantron sheet. The faculty will not answer any of your questions (unless you find a typo) once the exam begins, as interpretation of the question is a part of the examination. Good luck. FORM A 1) Where would I find the auditory ossicles? a) in the petrous portion of the temporal bone b) lateral to the tympanic membrane c) rostral to the glabella d) inferior to the foramen magnum e) two of the above 2) Choose the TRUE statement. a) cranial nerve 8 exits the skull via the stylomastoid foramen b) the internal acoustic meatus is located on the squamous portion of the temporal bone c) the temporal lines are located on the lateral aspect of the parietal bone and serve as the origin of the temporalis m. d) cranial nerve 9, 10 and 11 exit the skull thru the foramen magnum e) the dural sinus located in the groove for the sigmoid sinus exits the skull through the hypoglossal canal as the jugular vein 3) Choose the INCORRECT statement. a) the musculospiral groove runs superior to the deltoid tuberosity b) the lesser tubercle of the humerus is medial to the greater tubercle c) the medial epicondyle of the humerus is typically larger than the lateral epicondyle d) the semilunar notch of the ulna is proximal to the coronoid process e) the styloid process of the radius and the styloid process of the ulna are both located on the distal aspect of each respective bone. 4) Looking at the odontoid process, I find two ligaments extending from the body of the process laterally to the medial surface of the occipital condyles. Choose the TRUE statement concerning these ligaments. (MACA) a) these ligaments are called odontoid ligaments b) these ligaments are part of the cruciate ligaments c) these ligaments serve to limit rotation of the dens d) these ligaments are called alar ligaments e) these ligaments are part of the tectorial membrane 5) Choose the INCORRECT statement concerning the uncovertebral joint. a) exostosis due to chronic arthrosis of the uncovertebral joint can lead to encroachment of spinal nerves b) it is located at the lateral and posterolateral margins of the IVD c) it is a primary cartilaginous joint d) it is located between the uncinate process and a small indentation found on the inferior surface of the vertebra it articulates with e) found typically from C3 through C6 page 1, SA Exam III, Q.# 1-5 6) Choose the INCORRECT statement. a) the head of the rib 4 articulates with two vertebrae b) the costotransverse joint of rib 10 is synovial, diarthrodial, plane joint c) rib one articulates with two vertebral bodies d) the manubriosternal joint is typically a secondary cartilaginous joint e) 33% of older women have a synovial lined cavity present in the angle of Louis 7) Articular cartilage is typically hyaline cartilage. Which of the following joints have one or more of their articular surfaces covered with hyaline cartilage? (MACA) a) the temporomandibular joint b) the acromioclavicular joint c) the sternoclavicular joint d) the sacroiliac joint e) the glenohumeral joint 8) Choose the INCORRECT statement concerning the knee joint. a) classified as a double condyloid joint b) capable of flexion, extension and limited rotation c) when the knee is extended and the foot is firmly planted on the ground, the femur rotates laterally d) the patella attaches to the tibial tuberosity via the patellar ligament e) the arcuate popliteal ligament is on the posterior aspect of the knee joint 9) Choose the FALSE statement. a) the temporalis m. inserts on the coronoid process of the mandible b) muscles of mastication are innervated by the nerve that exits the skull through the foramen rotundum c) muscles of facial expression are innervated by the nerve that exits the skull through the stylomastoid foramen d) the lateral pterygoid m. is the only one of the 4 muscles of mastication that does not elevate the mandible e) the superior oblique m. rotates the eyeball so that the pupil points down and out 10) Choose the INCORRECT statement. a) the cremaster muscle is a slip off of the external abdominal oblique m. and it will raise and lower the testicles. b) the quadratus lumborum m. will laterally flex the vertebral column c) the splenius capitis m. is superficial to the semispinalis capitis m. d) the lateral most column of the erector spinae group of muscles is the iliocostalis mm. e) the longissimus mm. will extend the spine 11) What is the origin of the levator scapulae m. if its action is to laterally flex the neck? a) TP’s of cervical vertebra 1-4 b) SP’s of cervical vertebra 4-7 c) superior medial border of the scapula d) inferior angle of the scapula e) acromion of the scapula 12) What are the attachments for the rectus capitis posterior major m.? (MACA) a) TP of the atlas b) SP of the axis c) TP of the axis d) posterior tubercle of the atlas e) inferior nuchal line page 2, SA Exam III, Q.# 6-12 13) Which of the following muscles protract the scapula? (MACA) a) serratus anterior m. b) pectoralis major m. c) latissimus dorsi m. d) pectoralis minor m. e) supraspinatus m. 14) Which of the following muscles retract the scapula? (MACA) a) latissimus dorsi m. b) pectoralis major m. c) rhomboid major m. d) levator scapulae m. e) pectoralis minor m. 15) What are the attachments for the trapezius m.? (MACA) a) clavicle b) spine of the scapula c) acromion d) EOP e) spinous process of C2-C7 16) What nerves innervate the muscles that rotate the humerus laterally? (MACA) a) axillary nerve b) suprascapular nerve c) medial pectoral nerve d) musculocutaneous nerve e) thoracodorsal nerve 17) Which of the following muscles rotate the humerus laterally? (MACA) a) teres major m. b) teres minor m. c) infraspinatus m. d) pectoralis major m. e) latissimus dorsi m. 18) Which muscles rotate the humerus medially? (MACA) a) teres major m. b) teres minor m. c) pectoralis major m. d) infraspinatus m. e) deltoid m. 19) What nerves innervate the muscles that flex the elbow? (MACA) a) musculocutaneous n. b) median n. c) ulnar n. d) axillary n. e) thoracodorsal n. page 3, SA Exam III, Q.# 13-19 20) What nerve(s) innervate the muscles that extend the elbow? a) thoracodorsal n. b) long thoracic n. c) radial n. d) musculocutaneous n. e) two of the above 21) Which of the following muscles flex the humerus at the shoulder? (MACA) a) coracobrachialis m. b) triceps brachii m. c) latissimus dorsi m. d) pectoralis major m. e) teres major m. 22) Which of the following muscles extend the humerus at the shoulder? (MACA) a) latissimus dorsi m. b) pectoralis major m. c) triceps brachii m. d) teres major m. e) serratus anterior m. 23) From superior to inferior which of the following muscles attach to the medial border of the scapula? 1) latissimus dorsi m. 5) rhomboid major m. 2) teres minor m. 6) levator scapulae m. 3) teres major m. 7) long head triceps brachii m. 4) rhomboid minor m. 8) long head biceps brachii m. a) 3,2,5,6,7 b) 6,4,5,3,1 c) 6,3,1,5,4 d) 7,2,3,1 e) 7,8,2,3,1 24) Which of the following muscles flex the elbow joint? (MACA) a) coracobrachialis m. b) biceps brachii m. c) brachioradialis m. d) pronator teres m. e) latissimus dorsi m. 25) Which of the following muscles will supinate the forearm? (MACA) a) brachialis m. b) biceps brachii m. c) coracobrachialis m. d) supinator m. e) flexor carpi ulnaris m. 26) ______________________ muscles of the carpus and digits attach to the medial epicondyle of the humerus. a) flexor b) extensor page 4, SA Exam III, Q.# 20-26 27) What muscle attaches on the radial tuberosity of the radius. a) brachialis m. b) pronator teres m. c) biceps brachii m. d) brachioradialis m. e) none of the above do as the radial tuberosity is not on the radius 28) The gluteus maximus will ____________________ the femur at the hip joint. (MACA) a) flex b) extend c) rotate medially d) rotate laterally e) adduct 29) The ____________________________nerve innervates muscles that pronate the forearm. a) medial b) palmar c) median d) ulnar e) radial 30) The _______________________nerve innervates the skin of the thenar eminence. a) ulnar b) median c) radial 31) The iliacus m. will __________________________________the femur at the hip joint. (MACA) a) flex b) extend c) rotate laterally d) rotate medially e) abduct 32) What are the functions of the hamstring muscles? (MACA) a) extend the thigh b) flex the thigh c) rotate the femur d) flex the knee e) extend the knee 33) What nerve innervates muscles that adduct the hip joint? a) tibial nerve b) inferior gluteal nerve c) obturator nerve d) common peroneal nerve e) superior gluteal nerve page 5, SA Exam III, Q.# 27-33 34) What is the function of the sartorius m.? (MACA) a) flex the thigh b) extend the thigh c) flex the knee d) abduct the femur e) rotate the femur medially 35) A line drawn from the ___ to the ___ demarcates the superior border of the piriformis muscle. a) ASIS; pubic tubercle b) PSIS; ASIS c) PSIS; greater trochanter of the femur d) PSIS; ischial tuberosity e) ASIS; sacrum 36) Which of the following muscles will flex the knee joint? (MACA) a) gastrocnemius m. b) peroneus longus m. c) soleus m. d) short head of the biceps femoris m. e) flexor hallucis longus m. 37) Which of the following muscles attach at the pes anserinus? (MACA) a) sartorius m. b) semitendinosus m. c) semimembranosus m. d) gracilis m. e) tensor fasciae latae m. 38) What are the attachments for the rectus femoris m.? a) ASIS, pubic tubercle b) ASIS, patella c) AIIS, linea aspera d) ASIS, tibial tuberosity e) AIIS, tibial tuberosity 39) What is the common point of attachment for the hamstring muscles? a) tibial tuberosity b) head of the fibula c) ischial tuberosity d) pubic tubercle e) Gerdy’s tubercle 40) Where does the iliotibial tract insert? a) pes anserinus b) tibial tuberosity c) ischial tuberosity d) adductor tubercle e) Gerdy’s tubercle page 6, SA Exam III, Q.# 34-40 41) What is the action of the gluteus medius m.? (MACA) a) rotate the femur laterally b) rotate the femur medially c) adduct the femur d) abduct the femur 42) Which of the following muscles is not matched with its correct attachment? a) flexor carpi ulnaris m. – base of Mc 5 b) flexor carpi radialis m. – base of Mc 2,3 c) tibialis anterior m. – medial cuneiform and base of Mt d) flexor digitorum profundus m. – base of middle phalanx digits 2,3,4,5 e) peroneus tertius m. – base of Mt 5 43) Which of the following muscles will invert the foot? (MACA) a) tibialis posterior m. b) tibialis anterior m. c) peroneus longus m. d) peroneus brevis m. e) peroneus tertius m. 44) Which of the following muscles will evert the foot? (MACA) a) tibialis posterior m. b) tibialis anterior m. c) peroneus longus m. d) peroneus brevis m. e) peroneus tertius m. 45) Which of the following muscles will plantar flex the foot? (MACA) a) gastrocnemius m. b) peroneus longus m. c) tibialis posterior m. d) tibialis anterior m. e) peroneus tertius m. 46) What nerve innervates the muscles that dorsiflex the foot? a) tibial n. b) femoral n. c) deep peroneal n. d) superficial peroneal n. e) none of the above 47) Which of the following muscles attach to the coracoid process of the scapula? (MACA) a) short head of the biceps brachii m. b) long head of the biceps brachii m. c) pectoralis major m. d) pectoralis minor m. e) coracobrachialis m. page 7, SA Exam III, Q.# 41-47 48) Choose the INCORRECT match. a) triangular interval – radial nerve b) quadrangle space – axillary nerve c) femoral triangle – femoral vein, artery and nerve d) triangle of auscultation – latissimus dorsi, vertebral border of the scapula, trapezius m. e) triceps surae – soleus, tibialis posterior, plantaris mm. 49) What is the ulnar (medial) border of the anatomic snuff box? a) abductor pollicis longus m. b) extensor pollicis longus m. c) extensor pollicis brevis m. d) flexor pollicis longus m. e) snuffus boxis medialis m. 50) Choose the INCORRECT match. a) tinnitus – a ringing sound in the ears b) cynophobia – a fear of dogs c) edentulous – loss of teeth d) heliotherapy – the treatment of disease by exposing the body to sunlight e) idiopathic – a disease process caused by a doctor page 8, SA Exam III, Q.# 48-50 The end of exam 3. Grades will be posted on your computer by the end of the day.