Download SA04su2a

Systemic Anatomy Exam II
Prepared especially for the trimester one class, summer 2004
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.
FORMA
1) To tell a bone was right radius, the styloid process would be located?
a) distal and right lateral
b) distal and left lateral
c) distal and right medial
d) distal and left medial
2) Choose the INCORRECT statement concerning ossification centers in vertebra.
a) each typical vertebra has 5 primary ossification centers
b) 5 secondary ossification centers develop during puberty in each typical vertebra
c) secondary ossification centers become fused by age 25
d) lumbar vertebra have secondary ossification centers for mammillary processes as well
e) the axis has 5 primary ossification centers and 2 secondary ossification centers
3) The linea aspera is on the __ aspect of the tibia.
a) anterior
b) medial
c) lateral
d) posterior
e) it is not located on the tibia
4) Choose the INCORRECT match of bone and its associated anatomic structure.
a) temporal bone - external acoustic meatus
b) sphenoid bone - pterygoid plates
c) ethmoid bone - jugum
d) occipital bone - hypoglossal canal
e) vomer bone - inferior aspect of nasal septum
5) Choose the INCORRECT match.
a) auscultation - to listen
b) blepharospasm - twitching of the lips
c) nyctalopia - night blindness
d) mydriasis - dilation of the pupil
e) anosmia - loss of the sense of smell
6) In the Haversian system, perforating canals ________.
a) run perpendicular in long bones
b) are small canals which connect lacunae with the central canal
c) are small spaces where osteocytes reside
d) are also called central canals
e) connect lacunae to lacunae
page 1, SA Exam II, Q. # 1-6
7) Primary spinal curves
a) are kyphotic curves
b) are found in the cervical and lumbar regions of the spine
c) develop around 3 months of age
d) are anterior curves
e) two of the above are correct
8) Choose the INCORRECT match.
a) myringotomy - to make a surgical puncture into a body cavity
b) rhinoplasty - a plastic surgical reconstruction of the nose
c) laminectomy - a procedure used to remove pressure off of the spinal cord
d) presbycusis - loss of hearing acuity in the elderly
e) ankylosis - to surgically fuse a joint
9) Choose the INCORRECT match.
a) ataxia - loss of coordination
b) palsy - weakness or paralysis
c) syncope - two structures joined together
d) ischemia - loss of arterial blood supply
e) diuretic - a drug or agent which increases the production of urine
10) When ever you are classifying a joint the very first thing you have to determine is
a) if there is movement there or not
b) what bones are involved in the formation of the joint
c) what method is used to unite the boney components
d) the kinesiology of the joint
e) the presence or absence of a joint cavity
11) Understanding the joints of the body will help you to better be able to _____.
a) understand the biomechanics of motion
b) determine and understand subluxations
c) understand rehabilitation procedures
d) explain joint injuries to patients
e) all of the above
12) In a sutural joint, what type of material joins the boney ends?
a) hyaline cartilage
b) fibrocartilage
c) fibrous connective tissue
d) chondrocytes
e) two of the above
13) The lambdoidal suture is an example of a __ suture.
a) serrate
b) squamous
c) plane
d) gomphotic
page 2, SA Exam II, Q. # 7-13
14)) Which of the following classifications apply to the joint present between two adjacent vertebral bodies?
(MACA)
a) amphiarthrosis
b) plane joint
c) synchondrosis
d) symphysis
e) diarthrosis
15) Which of the following classifications apply to the joint present between the superior articular processes of C3
and the inferior articular processes of C2? ( MACA)
a) diarthrosis
b) symphysis
c) plane joint
d) synchondrosis
e) symphysis
16) What is present in a synovial joint that is not present in a fibrous or cartilaginous joint?
a) hyaline cartilage
b) fibrous connective tissue
c) two bones which do not touch
d) a joint cavity
e) two of the above
17) The primary difference in a secondary cartilaginous joint and primary cartilaginous joint is that a secondary
cartilaginous joint has a ____.
a) fibrous connective tissue joint capsule
b) a plate of hyaline cartilage
c) a joint cavity occupied by cartilage
d) a plate of fibrocartilage
e) diarthrosis where as a primary joint has an amphiarthrosis
18) Which of the following joints would be classified as uniaxial?
a) metacarpophalangeal joint
b) radiocarpal joint
c) proximal radioulnar joint
d) carpometacarpal j oint of the thumb
e) sternoclavicular joint
19) A joint with an oval convex surface that fits into a concave depressed surface would be classified as a _.
a) gliding joint
b) condyloid joint
c) trochoid joint
d) ginglymus
e) two of the above
20) A joint in which the two articular surfaces are both convex in one plane and concave in the other would
typically have which of the following planes of movement?
a) uniaxial
b) biaxial
c) multiaxial
page 3, SA Exam II, Q# 14-20
21) Why is the knee joint classified as a modified hinge joint?
a) because it is capable of limited abduction
b) because it is capable of limited adduction
c) because it is capable of limited rotation
d) because it is capable of translation movement
e) none of the above
Which of the following classifications is INCORRECT.
a) atlanto-occipital joint - ginglymus
b) sacroiliac joint - diarthrodial
c) temporomandibular joint -multiaxial
d) costotransverse joint - plane
e) manubriosternal joint - synchondrosis
23) Choose the INCORRECT statement.
a) there are 26 intervertebral discs in the adult human
b) in areas of lordotic curves the IVD is thicker anteriorally
c) the IVD forms the inferior half of the wall of the IVF
d) the IVD's attach to the anterior and posterior longitudinal ligaments
e) the center of the disc is called the nucleus pulposus
24) Which of the following connective tissue structures attach to the occipital bone? (MACA)
a) apical ligament
b) tectorial membrane
c) alar ligaments
d) cranial crus of the cruciform ligament
e) anterior atlanto-occipital membrane
25) Which of the following ligaments attaches to both lateral masses of the atlas?
a) alar ligaments
b) apical ligament
c) transverse ligament of the atlas
d) anterior atlanto-occipital membrane
e) nuchal ligament
26) The head of a typical rib forms an articulation with __ vertebra.
a)l
b) 2
c) 3
d)4
27) In a typical dislocation injury of the shoulder joint, the head of the humerus will displace __ and
then __ due to the ____.
a) inferior; lateral; push of the muscles of the rotator cuff
b) inferior, medial; pull of the muscles of the rotator cuff
c) superior; lateral; push of the muscles of the rotator cuff
d) superior; medial; pull of the muscles of the rotator cuff
page 4, SA Exam II, Q.# 21-27
28) Which of the following is considered an intrinsic ligament?
a) "y" ligament of Bigelow
b) ligamentum teres
c) ischiofemoral ligament
d) sacrotuberous ligament
e) pubofemoral ligament
29) You are examining a patient and upon palpation of the tibiofemoral joint you notice an abnormal
laxity in which you are able to move the tibia in an anterior direction in relationship to the distal femur.
You suspect an injury to which of the following?
a) torn patellar ligament
b) torn patellar tendon
c) torn posterior cruciate ligament
d) torn anterior cruciate ligament
e) torn oblique popliteal ligament
30) During flexion of the knee joint the __ is pulled tight and the __ is lax (not pulled tight).
a) PCL; ACL
b) ACL; PCL
31) Which one of the following is NOT part of the deltoid ligament of the foot?
a) posterior tibiotalar ligament
b) tibiocalcaneal ligament
c) tibionavicular ligament
d) calcaneofibular ligament
e) anterior tibiotalar ligament
32) The ___ horn of the __ meniscus is the more commonly damaged of the two menisci of the knee.
a) posterior; lateral
b) posterior; medial
c) anterior; lateral
d) anterior; medial
33) The ability of a muscle to respond to a stimulus is called ____?
a) irritability
b) contractility
c) extensibility
d) elasticity
34) ____ connect muscles to bone.
a) tendons
b) ligaments
35) The temporalis muscle would be classified as a __ muscle.
a) multi pennate
b) convergent
c) sphincter
d) parallel
e) strap
page 5, SA Exam II, Q.# 28-35
36) The end of the muscle that is the less movable end of the two points of attachment is considered the _ of
the muscle.
a) origin
b) insertion
37) Which of the following muscles wilbdepress the mandible? (MACA)
a) temporalis m.
b) digastricus m.
c) platysma m.
d) lateral pterygoid m.
e) medial pterygoid m.
38) Choose the INCORRECT statement.
a) lateral rectus m. - moves eye so pupil points laterally - innervated by the abducens nerve
b) levator palpebrae superioris m. - raises upper lid - innervated by the facial nerve
c) superior oblique m. of the eye - moves eyeball so pupil points down and out - innervated by CNIV
d) inferior rectus m. - moves eyeball so pupil points inferior - innervated by the oculomotor nerve
e) inferior oblique m. of the eye - moves eyeball so pupil points up and out - innervated by CN III
39) Choose the INCORRECT statement.
a) the genioglossus m. will protract the tongue
b) the styloglossus m. is innervated by the hypoglossal nerve
c) the platysma m. is innervated by the facial nerve
d) the sternocleidomastoid m. will flex the neck and extend the head
e) the brachial plexus and the phrenic nerve exit between the posterior and middle scalene mm.
40) Which of the following muscles attach to the mastoid process of the temporal bone? (MACA)
a) digastricus m.
b) longissimus capitis m.
c) splenius capitis m.
d) semispinalis capitis m.
e) sternocleidomastoid m.
41) Choose the INCORRECT statement.
a) the infrahyoid mm. will depress the hyoid bone
b) the rectus abdominis muscle will flex the vertebral column
c) the posterior rectus sheath is non existent superior to the arcuate line
d) the confluence of the external and internal abdominal oblique mm. and the transverses
abdominis m. form the rectus sheath
e) the inguinal ligament attaches on the pubic tubercle and the ASIS
42) Choose the CORRECT statement.
a) the erector spinae group of muscles will flex the spine
b) the iliocostalis group of muscles is the most medial of the erector spinae group
c) the multifidus mm. is the largest group of muscle fibers to cross the lumbosacral junction.
d) the iliocostalis lumborum mm. attaches on the lower 6 ribs and the upper 6 ribs
e) the short rotator mm. attach on the transverse process of one vertebra and insert on the spinous
process of the 2nd vertebra superior to its origin
page 6, SA Exam H, Q.# 36-42
43) Choose the CORRECT statement.
a) the rectus capitis posterior major m. attaches to the spinous process of the atlas and the occipital bone
b) the obliquus capitis inferior m. attaches to the transverse process of the axis and the spinous process of the
atlas
c) the muscles of the suboccipital triangle are innervated by the ventral ramus of Cl
d) the muscles of the SOT will flex the head on the atlas
e) the obliquus capitis superior m. attaches from the transverse process of the atlas to the occipital bone
44) Choose the INCORRECT statement.
a) the levator scapulae m. attaches to the IP's of C1-4 and to the superior medial border of the scapula
b) the rhomboid minor m. is superior to the rhomboid major m.
c) the serratus anterior m. is innervated by the long thoracic nerve and will retract the scapula
d) the deltoid m. is innervated by the axillary nerve and will abduct the humerus at the shoulder
e) the teres minor m. and the infraspinatus m. will rotate the humerus laterally at the shoulder
45) Which of the following muscles DOES NOT attach to the vertebral border of the scapula.
a) teres major m.
b) teres minor m.
c) rhomboid major m.
d) rhomboid minor m.
e) levator scapulae m.
46) The pectoralis major m. will _______. (MACA)
a) abduct the humerus
b) adduct the humerus
.
c) medially rotate the humerus
d) laterally rotate the humerus
e) flex the humerus
47 j Which of the following muscles will flex the elbow joint? (MACA)
a) coracobrachialis m.
b) biceps brachii m.
c) brachioradialis m.
d) pronator teres m.
e) brachialis m.
48) Will severing the musculocutaneous nerve prevent flexion of the elbow joint?
a)yes
b) no
49) Will severing the radial nerve prevent extension of the elbow joint?
a) yes
b)no
50) Choose the INCORRECT statement.
a) within the confines of the quadrangle space you can visualize the axillary nerve
b) the rotator cuff muscles are the teres minor, supraspinatus, infraspinatus and the subscapularis mm.
c) the long head of the triceps brachii muscle will extend the humerus at the shoulder joint
d) the pectoralis minor m. will retract the scapula
e) the triangle of auscultation has as its borders the latissimus dorsi m. the rhomboid major, the vertebral
border of the scapula and the trapezius m.
page 7, SA Exam II, Q. # 43-50 End of Exam II
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A
A (3)
E (ON FEMUR)
C
B
A
A
A
C
C
E
C
A
A,D
A,C
D
D
C
B
B
C
E
A (23)
A,B,C,D,E
C
B
B
B
D
A
D
D
A
A
B
A
B,C,D
B (CN3)
E
A,B,C,E
C
C
E
C (PROTRACTS AND DEPRESSES)
B
B,C,E
B,C,D,E
B
A
D