Download Tongji Univesity School of Medicine

Tongji Univesity School of Medicine
2012-2013 the 1st semester
The examination paper of human anatomy II
Name :
No
I
edition: A
NO:
II
III
IV
Total scores
checker
scores
I
Select the one letter answer or completion that is best in each case （one choice
one score, 50 in all）
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
1. A patient sustains severe blunt trauma to the left upper abdomen and requires
surgery. The most probably involved body organ is the __________
A. appendix
B. gallbladder
C. pancreas
1
D. urinary bladder
E. spleen
2. Bile enters the gastrointestinal tract at the
A. horizontal part of duodenum
B. descending part of duodenum
C. ileocecum
D. jejunum
E. pyloric sphincter
3 ___ links the right and left sagittal fissures of the liver.
A. porta hepatis
B. portal vein
C. hepatic artery
D. hepatic nerve plexus
E. gall bladder fossa
4. Which one is the most superficial of the abdominal wall?
A. parietal peritoneum
B. deep membranous layer (Scarpa fascia)
C. superficial fatty layer (Camper fascia)
D. extraperitoneal fat
E. transversalis fascia
5. Rectus abdominis is described as __________
A. The paired rectus muscles lie bilateral to the median line
B. The rectus abdominis muscles are fully enclosed in the rectus sheath
C. Tendinous intersections are firmly attached to the posterior layer of the rectus
sheath
D. The anterior layer of the rectus abdominis is only formed by the aponeurosis of
external and internal oblique abdominis.
E. The posterior layer of the rectus abdominis is formed by the aponeurosis of
external and internal oblique abdominis .
6. The anterior and posterior vagal trunks pass through the diaphragm at __________
2
A. caval opening
B. esophageal hiatus
C. aortic hiatus
D. the level of T8 vertebra
E. the level of T12 vertebra
7. Which one of the following runs through within the rectus sheath?
A. superior mesenteric artery
B. superior mesenteric vein
C. superior epigastric artery
D. external iliac artery
E. internal iliac artery
8. Which is the remnant of the umbilical vein and is enclosed by falciform ligament?
A. the median umbilical folds
B. the medial umbilical folds
C. the lateral umbilical folds
D. the round ligament of liver
E. the umbilical fossa
9. The organ without mesentery is __________
A. appendix
B. cecum
C. small intestine
D. transverse colon
E. rectum
10.The gastrohepatic ligament and hepatoduodenal ligament make up__________
A. falciform ligament
B. round ligament
C. greater omentum
D. lesser omentum
E. gastrocolic ligament
11. The jejunum and ileum are distinguished by all these characteristics except
3
that__________
A. color of jejunum is deeper red compared with ileum
B. wall of jejunum is thicker compared with ileum
C. arterial arcades of jejunum are a few larger loops than those of ileum
D. the vasa recta of jejunum are shorter compared with ileum
E. caliber of jejunum is larger compared with ileum
12. Which one mainly supplies the transverse colon?
A. celiac trunk
B. middle colic artery
C. right and left colic artery
D. inferior mesenteric artery
E. sigmoid artery
13. Which of the following vein is NOT a direct tributary of inferior vena cava(IVC)
A. left renal vein
B. the left testicular vein
C. the right renal vein
D. the right testicular vein
E. hepatic veins
14. During surgical removal of the uterus, which of the following would be found
immediately inferior to the cardinal ligament?
A.
B.
C.
D.
E.
ovarian neurovascular bundle
uterine tube
round ligament of the uterus
ureter
obturator artery
15. The sympathetic nerves innervating the pelvic viscera include all the following
EXCEPT
A.
B.
C.
D.
E.
__________
inferior mesenteric plexus
hypogastric plexus
lumbar splanchnic nerves
pelvic splanchnic nerves
pelvic plexus
4
16. Tearing of the pelvic diaphragm during child-birth leads to paralysis of which of
the following muscle?
A.
B.
C.
D.
E.
Piriformis
obturator internus
levator ani
sphincter urethrae
sphincter ani externus
17. Which one usually gives off the middle rectal artery?
A.
B.
C.
D.
E.
lateral sacral artery
inferior gluteal artery
internal iliac artery
internal pudendal artery
superior gluteal artery
18. Which one is the inappropriate description of the pelvic splanchnic nerve?
A. this nerve is preganglionic fiber
B. this nerve comes from S2-S4 spinal cord segments.
C. this nerve is postganglionic fiber
D. this nerve enters pelvic plexus
E. this nerve supplies pelvic viscera.
19. If a stab wound injures structures that leave the pelvis above the piriformis muscle,
which of the following structures is most likely to be damaged?
A. Sciatic nerve
B. internal pudendal artery
C. Superior gluteal nerve
D. Inferior gluteal artery
E. Posterior femoral cutaneous nerve
20. Which of the following statements is correct?
A. The ovaries are enclosed in the broad ligament
B. The position of the uterus changes with the degree of fullness of the bladder and
rectum
C. The ureter crosses superior to the uterine artery near the uterine cervix
D. The normal position of the uterus is retroflexed and anteverted
5
E The uterus is enclosed completely by peritoneum
21. Sacral plexus is formed by the__________
A.
B.
C.
D.
E.
anterior rami of S1-S4 nerves
anterior rami of L4 and L5 spinal nerves
the lumbosacral trunk
anterior rami of S1-S4 nerves and the lumbosacral trunk
anterior ramus of coccygeal nerve
22. All the following structures support the uterus except __________
A.
B.
C.
D.
E.
uterosacral ligament
Ovarian ligament
Road ligament of uterus
Broad ligament of uterus
Cardinal ligament of uterus
23. Which of following lobes of the prostate gland is commonly involved in benign
hypertrophy and obstructs the prostatic portion of urethra?
A. Anterior lobe
B. Middle lobe
C. Right lateral lobe
D. Left lateral lobe
E. Posterior lobe
24. During vaginal examination, which of the following structures may be palpated?
A . apex of the urinary bladder
B. Fundus of the uterus
C. Terminal part of the round ligament of the uterus
D. uterine tube
E. uterine cervix
25. An abscess in the auditory tube may block a communication between the
nasopharynx and which of the following structures?
A.
B.
C.
D.
Vestibule of the inner ear
Middle ear
Semicircular canals
External ear
6
E. Inner ear
26. Which one of the following structures is located in the middle cranial fossa?
A. foramen magnum
B. jugular foramen
C. cribriform plate
D. hypoglossal canal
E. foramen spinosum
27. Fracture of the foramen rotundum would cause a lesion of which of the following
nerve?
A. ophthalmic nerve
B. optic nerve
C. maxillary nerve
D. mandibular nerve
E. trochlear nerve
28. Which one of the following structures is the outstanding characteristic of the
typical cervical vertebra？
A. larger body
B. longer spinous process
C. vertebral foramen
D. transverse foramina
E. mamillary process
29. The infundibulum connects the pituitary gland to the __________.
A. midbrain
B. cerebrum
C. hypothalamus
D. thalamus
E. epithalamus
30. The pineal gland is a part of __________.
A. thalamus
B. hypothalamus
C. subthalamus
7
D. epithalamus
E. metathalamus
31. Which of the following nuclei in hypothalamus produces a hormone called
vasopressin that is involved in preventing dehydration?
A. paraventricular nucleus
B. preoptic nucleus
C. arcuate nucleus
D. dorsomedial nucleus
E. ventromedial nucleus
32. The ridges that are found on surface of the brain are called __________.
A. gyri
B. sulci
C. ganglia
D. fissures
E. gray matter
33. The basal ganglia includes corpus striatum, the claustrum, and_________
A. caudate nucleus
B. lenticular nucleus
C. dentate nucleus
D. pontine nucleus
E. amygdaloid body
34. Which of the following is correct regarding the internal capsule?
A. It is V-shaped
B. it contains the descending fibers of the upper motor neurons
C. it contains the ascending fibers from thalamus
D. it includes the optic radiation to the visual area in cerebral cortex
E. all of the above
35. Induced by the development of intracranial hypertension, ______ of cerebellum
may be extruded into the foramen magnum of occipital bone.
A. vermis
8
B. flocculus
C. tonsil
D. cortex
E. anterior lobe
36. The visual area lies in the cortex of __________ sulcus and adjacent gyri.
A. angular
B. circular
C. postcentral
D. calcarine
E. collateral
37. The Purkinje cells receive direct inputs from __________ fibers in the cerebellar
cortex.
A. mossy
B. climbing
C. parallel
D. both B and C
E. none of the above
38. Which of the following structures is not a part of limbic lobe?
A. hippocampus
B. cingulate gyrus
C. insula
D. lingual gyrus
E. subcallosal gyrus
39. The abducent nerve innervates _________
A. The lateral rectus muscles.
B. All the muscles of facial expression.
C. Muscles derived from gill arches.
D. Postganglionic parasympathetic neurons.
E. Striated muscle for lateral gaze.
9
40. Severance of the occulomotor nerve can cause which of the following conditions?
A. Complete ptosis
B. Abduction of the eyeball
C. A constricted pupil
D. Impaired lacrimal secretion
E. Paralysis of the ciliary muscle
Which of the following cranial nerves contains only sensory fibers?
A. facial nerve
B. vagus nerve
C. trigeminal nerve
D. vestibulocochlear nerve
E. glossopharyngeal nerve
41. Cell bodies of the sensory neurons of the spinal nerves are located in ________.
A. dorsal root ganglia of the spinal nerve
B. ventral root ganglia of the spinal cord
C. thalamus
D. sympathetic ganglia
E. parasympathetic ganglia
42. Which of the spinal nerves compose the cauda equina?
A. coccygeal nerve
B. lumbar, sacral and coccygeal nerves
C. sacral nerve
D. sacral and coccygeal nerves
E. lumbar nerve
43. Neurons that control the skeleton muscles in spinal cord located in ________
A. anterior horn of gray matter.
B. lateral horn of gray matter.
C. interneurons.
D. posterior horn of gray matter
E. gray matter laminae V of spinal cord
10
44. The nerves containing parasympathetic fibers are ________
A. Abducent nerve
B. Accessory nerve
C. Trochlear nerve
D. Hypoglossal nerve
E. Facial nerve
45. Neural tract in spinal cord that convey kinesthetic(sense of position and
movement) sense of limb and trunk is
A. anterior spinothalamic tract
B. reticulospinal tract
C. fasciculus gracilis and fasciculus cuneatus
D. posterior spinothalamic tract
E. corticospinal tract
46. To sample cerebrospinal fluid in vertebral column, where is a relatively safe point
for needle insertion?
A. Between C-7 and T-1 vertebrate.
B. Between L-3 and L-4 vertebrate.
C. Between L-1 and L-2 vertebrate .
D. Between T-12 and L-1 vertebrate.
E. Between S2 and S4 vertebrate
47. Which cranial nerve controls the muscles involved in masticatory muscles?
A. facial nerve
B. glossopharyngeal nerve
C. trigeminal neve
D. vagus nerve
E. abducent nerve
48. Sensory impulses from taste receptors are transmitted to the brain by which of the
following cranial nerves?
A. I, II and VIII
B. III, IV and VI
C. VII, IX and X
11
D. VII and IX
E. only IX
49. The jugular foramen provides a passageway through the cranium for which of the
following cranial nerves?
A. accessory and hypoglossal
B. facial and vestibulocochlear
C. olfactory and optic
D. glossopharyngeal, vagus and accessory
E. oculomotor, trochlear and abducent
50. Death may result from bilateral severance of which of the following nerves?
A. Trigeminal nerve
B. Facial nerve
C.Vagus
D. Spinal accessory nerve
E. Hypoglossal nerve
II
Please fill the blank. （one blank one score, 36scores in all ）
1. The deep inguinal ring is an evagination of the____________ fascia; and the
superficial
inguinal
ring
is
a
slit-like
opening
of
the
aponeurosis
of_______________________ muscle.
2. The omental bursa communicates with the greater sac through the ______________
foramen.
3. The hepatic portal vein formed by the union of the_______________ vein and the
_______________vein.
4. The duodenum has four parts, they are____________ part, _______________ part,
_________________part, and_______________ part, respectively.
____________________ supports the duodenojejunal flexure to the abdominal wall.
5. The three layers of kidney coverings are________________, _______________,
___________________.
12
6. Structures supporting ovary contain
and ligament of ovary.
7 Terminal line (linea terminalis) forms the pelvic inlet, and the cavity inferior to the
terminal line is called
.
8. The anterior wall and medial wall of tympanic cavity is called
respectively；The scala tympanus communicates with the
the apex of the cochlea and ends at the
and
at
window.
9. The vestibulocerebellum plays an important role in the maintenance of body
____________.
10．In the dorsal thalamus, the ventral posteromedial nucleus receives the fibers of
____________ lemniscus; the ventral posterolateral nucleus receives the fibers of
____________ lemniscus and ____________ lemniscus.
11. The primary somatic sensory area is located in the ____________ gyrus and
posterior part of paracentral lobule.
12. The lamina VII of spinal cord contains the
_
______nucleus in thoracic and
upper lumbar region, and these neurons send preganglionic sympathetic fibers. The
____
___nucleus occupies a corresponding position in the lateral part of lamina
VII of segments S2-S4 spinal cord, and the neurons there are parasympathetic
preganglionic neurons.
13. On the surface of the spinal cord, six long longitudinal grooves can be observed,
the deep one is ____________ and a shallow one is __________, two pairs of lateral
grooves are ___________ and ____________.
14. On the dorsal aspect of lower part medulla, on each side of the posterior median
sulcus there are two elongated swellings. The medial one is ___________which is
produced by the underlying ___________ nucleus. The lateral one is the
___________which is produced by the underlying ___________nucleus.
III Name 10 different structures of this coronal section of brain.（one structure one
score, 10 scores in all）
13
IV Please write structures indicated by the following letters(6 scores)
A：
B：
C：
D：
E：
F：
14