Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
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) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 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 . 14 (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