Download Tongji Univesity School of Medicine 2011

Tongji Univesity
School of Medicine
2011-2012 the 2nd term
Question paper for human anatomy
Name :
No
I
edition: A
NO:
II
III
IV
Total cores
cheker
scores
I
Select the one letter answer that is best in each case（one choice one score, 64）
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1
a knife wound penetrates the superficial vein that terminates in the popliteal vein, bleeding
occurs from which of the following vessels?
(A) posterior tibial vein
(B) anterior tibial vein
1
(C) Peroneal vein
(D) Great saphenous vein
(E) Lesser saphenous vein
2
Pus in the adductor canal damages the enclosed structures. Which of the following structures
remains intact?
(A) Femoral artery
(B) Femoral vein
(c ) saphenous nerve
(D) Great saphenous vein
(E) Nerve to the vastus medialis
3 Hypertrophy of the extensor muscles of the leg may cause ischemia due to compression of
which of the following arteries?
(A) Popliteal
(B) Deep femoral
(C) Anterior tibial
(D) Posterior tibial
(E) peroneal
4 a 24-year-old woman complains of weakness associated with extending her thigh and rotating it
laterally. Which of the following muscles is paralyzed?
(A) Sartorius
(B) Gluteus maximus
(C) semitendinosus
(D) Gluteus medius
(E) Biceps femoris
5 A lesion of the obturator nerve most likely causes complete paralysis of which of the following
muscles?
(A) Vastus medialis
(B) Gracilis
(C) adductor magnus
(D) Pectineus
(E) Sartorius
2
6 a patient presents with impaired dorsiflexion of the foot. Which of the following nerves is most
likely damaged?
(A) Superficial fibular
(B) Deep fibular
(C ) sural
(D) Tibial
(E) saphenous
7 A patient is unable to prevent posterior displacement of the femur on the tibia when the
knee is extended. Which of the following ligaments is most likely damaged?
(A)
Anterior cruciate
(B)
Fibular collateral
(C)
Patellar
(D) Posterior cruciate
(E) Tibial collateral
8
The femoral triangle contains the following structures except
(A) femoral nerve
(B) Femoral artery
(c) femoral vein
(D) Femoral canal
(E) Lateral femoral cutaneous nerve
9 A 35-year–old man has difficulty in dorsiflexing the foot, which of the following muscles is most
damaged?
(A) Tibialis posterior
(B) Flexor digitorum longus
(C) Tibialis anterior
(D) Peroneus longus
(E) Peroneus brevis.
10 The obturator and femoral nerves both innervate which of the following muscles?
(A) Semitendinosus
(B) Biceps femoris
3
(C) Pectineus
(D) Adductor magnus
(E) Adductor longus
11
a patient with a severely damaged radial nerve in the radial groove of the humerus
eventually experiences which of the following?
(A) loss of wrist extension, leading to wrist drop
(B) Weakness in pronating the forearm
(C) Sensory loss over the ventral aspect of the base of the thumb
(D) Inability to oppose the thumb
(E) Inability to abduct the fingers
12 Which of the following is false about description of the femoral vein?
(A) It is formed by as a continuation of the popliteal vein at the adductor hiatus
(B) it passes through the adduct canal
(C ) it lies lateral to femoral nerve in the femoral triangle.
(D) It receives blood from greater saphenous vein
(E) it is terminated as an external iliac vein above inguinal ligament.
13 a patient is incapable of abducting the arm because of paralysis of which of the following
muscles?
(A) Teres minor
(B) infraspinatus
(C) Subscapularis
(D) Teres major
(E) deltoid
14 Which of the following arteries does not arise from axillary artery?
(A) Lateral thoracic artery
(B) Supscapular artery
(C) Anterior humeral circumflex artery
(D) Posterior humeral circumflex artery
(E) Vertebral artery
15 A man injures his wrist on broken glass. Which of the following structures entering the palm
superficial to the flexor retinaculum may be damaged?
4
(A) ulnar nerve and median nerve
(B) median nerve and flexor digitorum profundus
(C) Median nerve and flexor pollicis longus
(D) Ulnar nerve and flexor digitorum superficialis
(E) ulnar artery and ulnar nerve
16 A lesion of the median nerve produces a paralysis of which of the following muscles?
(A) brachioradialis
(B) Biceps brachii
(C) flexor carpi ulnaris
(D) Pronator teres
(E) Brachialis
17 Inability to supinate the forearm could result from an injury to which of the following nerves?
(A) Suprascapular and axillary
(B) musculocutaneous and median
(C) Axillary and radial
(D) Radial and musculocutaneous
(E) Median and ulnar
18 A patient complains of sensory loss over the anterior and posterior surfaces of the medial
third of the hand and the medial one and onehalf fingers. Which of the following nerve is
injured?
(A) Axillary
(B) Radial
(C) Median
(D) Ulnar
(E) musculocutaneous
19 Damage to the ulnar nerve at the elbow most likely results in paralysis of which of the
following muscles?
(A) Flexor digitorum superficialis
(B) Flexor pollicis longus
(C) Pronator teres
(D) supinator
5
(E) Flexor carpi ulnaris
20
Which of the following nerves supplies the skin over distal part of the anterior surface of the
leg?
(A) Common fibular nerve
(B) Deep fibular nerve
(C) superficial fibular nerve
(D) Tibial nerve
(E) Sural nerve
21 A 10 year–old boy falls off his bike and fractures the surgical neck of his humerus.
This
accident most likely leads to damage of which of the following arteries?
(A) Axillary
(B) Deep brachial
(C) Posterior humeral circumflex
(D) brachial artery
(E) Scapular circumflex
22
A 17-year-old boy suffers a fracture of the shaft of the humerus as the result of an
automobile accident. Which of the following nerves is most likely damaged?
( A)
Axillary nerve
(B) Radial nerve
(C) Musculocutaneous nerve
(D) Median nerve
(E) Ulnar nerve
23 which of the following muscles is able to dorsiflex and invert the foot ?
(A) Extensor digitorum longus
(B) Tibialis anterior
(C) Tibialis posterior
(D) peroneus longus
(E) Peroneus brevis
24 The obturator and sciatic nerves both innervate which of the following muscles?
(A) Semitendinosus
6
(B) Biceps femoris
(C) pectineus
(D) Adductor magnus
(E) Adductor longus
25 Which of the following arteries does not arise from axillary artery?
(A) Lateral thoracic artery
(B) Supscapular artery
(C) Anterior humeral circumflex artery
(D) Posterior humeral circumflex artery
(E) Vertebral artery
Question 26-28
A 20-year old college student receives a severe blow on the inferolateral side of the left knee joint
while playing football. Radiographic ecamination reveals a fracture of the head and neck of the
fibula.
26 which of the following nerves is damaged
(A) Sciatic
(B) tibial
(c)
common peroneral(fibular)
(D) Deep peroneal(fibular)
(E) Superficial peroneal
27 Following injury to this nerve, which of the following muscles could be paralyzed?
( A) Gastrocnemius
(B) Popliteus
(C ) Extensor hallucis longus
(D) Flexor digitorum longus
(E) Tibialis posterior
28 Which of the following arteries could also be damaged by this fracture?
(A) Popliteal
(B) Posterior tibial
(C ) Anterior tibial
(D) Peroneal
7
(E) femoral
29 Which is the most abundant type of cartilage in the bud?
(A) Elastic cartilage
(B) Fibrocartilage
(C) Reticular cartilage
(D) Hyaline cartilage
(E) Vasclar cartilage
30 Which is the accessory structure of synovial joint?
(A) articular surface, articular disc, ligament
(B) ligament , articular capsule, articular surface
(C) ligament, articular cavity, articular disc
(D) articular cavity,synovial fold, synovial bursa
(E) articular labrum, ligament, synovial fold
31 Which of the following are biaxial joints?
(A) hinge joints
(B) saddle joints
(C) plane joints
(D) pivot joints
(E) socket joints
32 Which of the following statements concerning spinal nerves is NOT correct?
(A) the cell bodies of the dorsal root fibers are in the dorsal root ganglion
(B) the cell bodies of the anterior root fibers are in the anterior and lateral horns of the spinal
cord
(C) the anterior roots contain postganglionic sympathetic fibers
(D) each spinal nerve consists of anterior and posterior roots
(E) most of anterior primary rami form plexus
33 Which of the following structures would most likely be absent in the spinal cord at the L4
spinal cord level?
(A) Dorsal horn
8
(B) Lateral horn
(C) Ventral horn
(D) Gray matter
(E) White matter
34 Which blood vessel or group of vessels carries richly oxygenated blood to the heart?
(A) Superior vena cava
(B) Pulmonary arteries
(C) pulmonary veins
(D) Ascending aorta
(E) Coronary sinus
35 Normal, quiet expiration is achieved by contraction of the
(A) Elastic tissue in the thoracic wall and lungs
(B) Serratus posterior muscles
(C) Pectoralis minor muscles
(D) Serratus anterior muscles
(E) Diaphragm
36 Where should a physician place the stethoscope to listen to the sound of the mitral valve?.
(A) Over the medial end of the second left intercostal space
(B) Over the medial end of the second right intercostal space
(C) In the left fourth intercostals space at the midclavicular line
(D) In the left fifth intercostals space at the midclavicular line
(E) Over the right half of the lower end of the body of the sternum
37 The largest portion of the sternocostal surface of the heart seen on a posterior-anterior chest
radiograph is composed of the.
(A) left atrium
(B) right atrium
(C) left ventricle
(D) right ventricle
(E) base of the heart
38 An artificial cardiac pacemaker is implanted in a 54-year-old patient. Which of the following
9
conductive tissues of the heart has a defective function?.
(A) Atrioventricular bundle
(B) Atrioventricular node
(C) Sinoatrial node
(D) Purkinje fiber
(E) Moderator band
39 In a 78-year-old patient with an advanced cancer in the superior mediastinum, which of the
following structures may be spared?.
(A) Brachiocephalic veins
(B) Trachea
(C) Lower portion of the left common carotid artery
(D) Arch of the aorta
(E) Hemiazygos vein
40 The left primary bronchus.
(A) Has a larger diameter than the right primary bronchus
(B) Often receives more foreign bodies via the trachea than the right primary bronchus
(C) Gives rise to the eparterial bronchus
(D) Is longer than the right primary bronchus
(E) Runs under the arch of the azygos vein
41 The hemiazygos vein.
(A) Receives the left superior intercostals vein
(B) Receives the lower left posterior intercostals veins
(C) Empties into the superior vena cava
(D) Is connected to the inferior vena cava
(E) Enters the thorax through the esophageal opening
42 Which of the following structures would most likely articulate with the third rib?.
(A) Manubrium of the sternum
(B) Body of the second thoracic vertebra
(C) Spinous process of the third thoracic vertebra
(D) Body of the fourth thoracic vertebra
(E) Transverse process of the second thoracic vertebra
10
43 Which of the following structures loops around the arch of the aorta near the ligamentum
arteriosum?.
(A) Left vagus nerve
(B) Left phrenic nerve
(C) Left sympathetic trunk
(D) Left recurrent laryngeal nerve
(E) Left greater splanchnic nerve
44 The right atrium.
(A) Receives blood from the oblique cardiac veins
(B) Associated with the apex of the heart
(C) Contains the sinoatrial node
(D) Enlarges briefly in response to coarctation of the aorta
(E) Contains trabeculae carneae
45 When the diaphragm contracts, which of the following conditions most likely occurs?
(A) Decreased thoracic volume
(B) Increased abdominal volume
(C) Increased lung volume
(D) Air flow out of the bronchi
(E) Increased thoracic pressure
46 The phrenic nerve passes by which of the following structures in the neck?
(A) Anterior to the subclavian vein
(B) Posterior to the subclavian artery
(C) Deep to the anterior scalene muscle
(D) Medial to the common carotid artery
(E) Superficial to the anterior scalene muscle
47 After tonsillectomy, a 7-year-old boy is unable to distinguish the sensation of taste on the
posterior one-third of his tongue. Which of the following nerves most likely has been injured?
(A) Internal laryngeal nerve
(B) Lingual nerve
(C) Lingual branch of the glossopharyngeal nerve
11
(D) Greater palatine nerve
(E) Chorda tympani
48 The anterior scalene muscle
(A) Inserts on the second rib
(B) Is innervated by th phrenic nerve
(C) Passes anterior to the subclavian vein
(D) Descends posterior to the subclavian artery
(E) Runs anterior to the roots of the brachial plexus
49 Which of the structures listed below does not involved in the formation of the superior
thoracic aperture?
(A) T1 vertebra
(B) First ribs and their costal cartilages
(C) Manubrium
(D) Clavicles
(E) None of above
50 All the lingual papillae have taste buds, except .
(A) Vallate papillae
(B) Foliate papillae
(C) Filiform papillae
(D) Fungiform papillae
(E) None of above
51 The parotid glands are the largest of the major salivary glands, which empties into the
(A) Vestibule of the oral cavity opposite the second maxillary molar tooth.
(B) Each side of the lingual frenulum.
(C) The floor of the mouth alongside the lingual folds.
(D) Oral cavity proper through numerous small ducts.
(E) None of the above.
52 Which paranasal sinuses are the largest?
(A) Frontal sinuses
(B) Middle ethmoidal sinuses
12
(C) Posterior ethmoidal sinuses
(D) Sphenoidal sinuses
(E) Maxillary sinuses
53
Which artery does not originate from the first part of subclavian artery?
(A) Superior thyroid artery
(B) Thyrocervical trunk
(C) Vertebral artery
(D) Internal thoracic artery
(E) None of above
54 Typically, the left coronary artery supplies:
(A) The left atrium
(B) Most of the left ventricle
(C) Part of the right ventricle
(D) most of the interventricular septum
(E) All of the above
55
Which of the following triangles of the anterior cervical region are unpaired.
(A) submandibular triangle
(B) carotid triangle
(C) muscular triangle
(D) submental triangle
(E) muscular triangle
56 Bleeding comes from the vein that is accompanied by the posterior interventricular artery.
Which of the following veins is most likely to be ruptured?
(A) Great cardiac vein
(B) Middle cardiac vein
(C) Anterior cardiac vein
(D) Small cardiac vein
(E) Oblique veins of the left atrium
57 Which is true about the teeth .
(A) there are 32 deciduous teeth
13
(B) has enamel covered by dentine
(C) has dentine covered by a crown
(D) has dentine covered by enamel
(E) none of the above
58 Which of the following cranium bones are paired .
(A) frontal
(B) maxilla
(C) mandible
(D) vomer
(E) none of the above
59 The azygous and hemiazygous veins and esophageal plexus are found in the .
(A) anterior mediastinum
(B) superior mediastinum
(C) middle mediastinum
(D) posterior mediastinum
(E) middle mediastinum
60 Patient presents with infection localized to the nasopharynx, upon physical examination
which of the following findings are most likely to be noted.
(A) inflammation of the palatine tonsils
(B) impaired deglutition
(C) inflammation of the pharyngeal tonsils
(D) impaired voice production
(E) all of the above
61 The right common carotid and right subclavian arteries arise from .
(A) brachiocephalic vein
(B) left common carotid
(C) brachiocephalic trunk
(D) arch of aorta
(E) ascending aorta
62 The retropharyngeal space .
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(A) is found anterior to the trachea
(B) a common site for objects to get lodge while passing through the esophagus
(C) is a primary pathway for the spread of infection
(D) contains common carotid artery and internal jugular vein
(E) none of the above
63 Which of the following does not describe the vestibular folds.
(A) extend between the thyroid and arytenoid cartilages
(B) control sound production
(C) found in the laryngeal cavity
(D) formed by vestibular ligament covered by mucous membrane
(E) none of the above
64 Which of the following arteries are not found in the neck .
(A) occipital
(B) superior thyroid
(C) lingual
(D) facial
(E) none of the above
II
Please fill the blanx. （one blanx one score, 30）
1
Deep palmar arch is formed by the
and
arteries.
2
deep brachial artery arises from
3
shoulder joint is articulated by
4
the structures which pass through both the greater and lesser sciatic foramina include
,
and
and
5
the muscles which pronate forearm include
6
Femoral triangle is bounded by
.
and
,
and
7 Associated structues of the fascia lata include
8 The
ceases.
.
and
are eventually replaced by bone at each of its two sides when growth
9 Visceral motor innervations include
vessel carrying blood away from the
and
. Artery is a
.
15
10 At the level of the superior border of the
, the common carotid artery divides
into the internal and external carotid arteries. At this bifurcation, the
Is a baroreceptor and the
is a chemoreceptor.
11 Typical intercostals spaces contain three layers of intercostal muscles. They are
muscles,
muscles and
12 Coronary sinus lies between
the heart, and opens into
13 Left coronary artery gives off
III
and
muscles.
in the posterior surface of
.
and
two terminal branches.
What do1-6 stand for in the following pictures? （ one blanx one score, 6）
1.
2.
3.
4
16
6
5
5
,
6
17