1stAIDanasci1 Flashcards
- Damage to the lateral and medial cords of
the brachial plexus would result in altered
motor movements to each of the following
muscles EXCEPT
A. interosseus muscles.
B. thenar muscles.
C. extensor carpi ulnaris.
D. flexor carpi ulnaris.
E. flexor carpi radialis
C. extensor carpi ulnaris.
- Traumatic dislocation of the clavicle at the
sternoclavicular joint, in a posterior direction,
can cause compromise to all of the following
structures EXCEPT
A. subclavian artery.
B. brachial plexus.
C. trachea.
D. subclavian vein.
E. all of the above
E. all of the above
- The cervical plexus can also be damaged
with injury to the cervical spine. Motor
innervation to each of the following muscles
would be affected by damage to the cervical
plexus EXCEPT
A. sternohyoid.
B. stylohyoid.
C. omohyoid.
D. sternothyroid.
E. none of the above
B. stylohyoid.
Suppose a lesion compromises the lower
motor neuron of CN VII, occurring proximal
to the greater petrosal nerve and chorda tympani.
All of the following clinical signs will be
shown EXCEPT
A. ipsilateral weakness to musculature of
facial expression.
B. diminished taste sensation to the posterior
1/3 of the tongue.
C. ipsilateral dryness of eye due to lost function
of lacrimal gland.
D. compromised function of sublingual and
submandibular glands.
E. hyperacusis in ipsilateral ear.
B. diminished taste sensation to the posterior
1/3 of the tongue.
- A lesion to the upper motor neuron of CN
VII would cause which of the following?
A. Partial facial muscle paralysis on the ipsilateral
side of the lesion to the lower face
only
B. Total facial muscle paralysis on the ipsilateral
side of the lesion to the upper and
lower face
C. Partial facial muscle paralysis on the contralateral
side of the lesion to the lower
face only
D. Total facial muscle paralysis of the contralateral
side of the lesion to the upper
and lower face
C. Partial facial muscle paralysis on the contralateral
side of the lesion to the lower
face only
- Which branchial arch has its derivatives
innervated by CN VII?
A. I
B. II
C. III
D. IV
B. II
- The common facial vein receives drainage
from each of the following veins EXCEPT
A. maxillary vein.
B. anterior retromandibular vein.
QUESTIONS
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Questions: 1-14 3
C. retromandibular vein.
D. anterior facial vein.
E. internal jugular vein.
E. internal jugular vein.
- All of the following statements regarding blood
and associated vasculature is true EXCEPT
A. approximately 45% of the blood is composed
of formed elements/cellular
material.
B. blood plasma lacking fibrinogen and clotting
factors is considered serum.
C. the tunica adventitia of blood vessel walls
is the most internal layer, endothelial in
nature, and is composed of simple squamous
epithelium.
D. sinusoids are fenestrated capillaries which
allow the passage of phagocytic cells.
E. individuals with type O blood contain
erythrocytes which lack A and B antigens,
and are, thus, considered universal donors
C. the tunica adventitia of blood vessel walls
is the most internal layer, endothelial in
nature, and is composed of simple squamous
epithelium.
A 29-year-old female presents to the ED status post
blunt trauma to the back of the head. The patient
complains of severe head pain, and is sent for
imaging. MRI shows bleeding within the cranium,
and CT shows fractures of the skull
- Which of the following vessels is involved in
an epidural hematoma?
A. Anterior communicating artery
B. Posterior cerebral artery
C. Anterior cerebral artery
D. Posterior communicating artery
E. Middle meningeal artery
E. Middle meningeal artery
- All of the following structures are located
within the posterior cranial fossa EXCEPT
A. occipital lobes.
B. jugular foramen.
C. cerebellum.
D. hypoglossal canal.
E. optic foramen
E. optic foramen
- Which of the following cranial nuclei of the
thalamus are involved with mediating facial
sensation and pain?
A. Ventral posterior medial nuclei (VPM)
B. Ventral anterior nucleus
C. Lateral geniculate nucleus
D. Ventral posterior lateral nuclei (VPL)
E. Ventral lateral nucleus
A. Ventral posterior medial nuclei (VPM)
- All of the following are brainstem nuclei
involved with cranial nerve function
EXCEPT
A. superior salivatory nucleus.
B. nucleus ambiguus.
C. nucleus of the solitary tract.
D. ventromedial nucleus.
E. inferior salivatory nucleus.
D. ventromedial nucleus.
- The tricuspid valve can be auscultated at
which of the following anatomic locations?
A. Level of the 5th intercostal space, at the
midclavicular line
B. Level of the 2nd intercostal space, at the
right sternal border
C. Level of the 2nd intercostal space, at the
left sternal border
D. Level of the 5th intercostal space, left of
the sternal border
E. None of the above
D. Level of the 5th intercostal space, left of
the sternal border
- Occlusion of which of the following arteries
would most directly cause ischemia in the lateral
wall of the left ventricle?
A. Left circumflex
B. Right coronary
C. Left anterior descending
D. Acute marginal
E. Posterior descending
A. Left circumflex
- Which of the following areas of the mediastinum
contains the vagus nerve?
A. Superior
B. Posterior
C. Anterior
D. Middle
E. None of the above
B. Posterior
- Regarding the fetal circulation, oxygenated
blood bypasses the pulmonary circulation by
way of which communication?
A. Left atrium to left ventricle
B. Left atrium to right atrium
C. Right atrium to right ventricle
D. Right atrium to left atrium
E. Left atrium to left ventricle
D. Right atrium to left atrium
- Which of the following structures of the adult
heart is a remnant of the foramen ovale in
the fetal heart?
A. Crista terminalis
B. Fossa ovalis
C. Sulcus terminalis
D. Right auricle
E. Atrial appendage
B. Fossa ovalis
- Regarding the fetal circulation, which of the
following vasculature serves as a conduit
between the aorta and pulmonary artery?
A. Ductus venosus
B. Umbilical arteries
C. Ductus arteriosus
D. Portal vein
E. Umbilical vein
C. Ductus arteriosus
- Which of the following germ layer derivatives
comprise the epithelial lining of the cardiovascular
system?
A. Mesoderm
B. Endoderm
C. Ectoderm
D. All of the above
E. None of the above
A. Mesoderm
- Which TWO of the following embryonic
structures combine to form the superior vena
cava? - Bulbus cordis
- Right common cardinal vein
- Truncus arteriosus
- Right anterior cardinal vein
- Right horn of sinus venosus
A. 1 and 2
B. 2 and 3
C. 4 and 5
D. 2 and 4
E. None of the above
B. 2 and 3
2. Right common cardinal vein
4. Right anterior cardinal vein
- Which TWO of the following embryonic
structures cause an atrial septal defect if they
fail to completely fuse? - Ostium secundum
- Ostium primum
- Septum primum
- Septum secundum
- Septum spurium
A. 1 and 2
B. 2 and 3
C. 2 and 4
D. 3 and 4
E. 3 and 5
D. 3 and 4
3. Septum primum
4. Septum secundum
- Which of the following is a derivative of the
4th aortic arch?
A. Hyoid artery
B. Stapedial artery
C. Right subclavian artery
D. Common carotid artery
E. Pulmonary arteries
C. Right subclavian artery
- All of the following structures form the boundary
known as the femoral triangle EXCEPT
A. sartorius muscle.
B. inguinal ligament.
C. adductor longus muscle.
D. cremaster muscle.
E. pectineus muscle.
D. cremaster muscle.
- Which of the following statements regarding
musculature of the abdomen is FALSE?
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A. The external oblique muscle contracts to
increase abdominal pressure.
B. The internal oblique muscle is innervated
by the lower intercostal, iliohypogastric,
and ilioinguinal nerves.
C. The external oblique muscle is innervated
only by the lower intercostal nerves.
D. The transverse muscle contracts to flex
the vertebral column.
E. The rectus abdominis muscle originates
at the pubic symphysis and inserts into
the xiphoid process, as well as costal
cartilages 5-7.
D. The transverse muscle contracts to flex
the vertebral column.
- Regarding connective tissue attachments,
which of the following statements is TRUE?
A. Tendons form attachments between bone
and bone.
B. Aponeuroses are merely sheetlike layers of
tendon.
C. Nearly all connective tissue is of neural
crest origin, with head and neck regions
of connective tissue being of mesodermal
origin.
D. Ligaments form attachments between
muscle and bone.
E. None of the above are correct.
B. Aponeuroses are merely sheetlike layers of
tendon.
- Which of the following statements regarding
the thoracic region is FALSE?
A. The neurovascular bundles of the intercostal
spaces run along the costal groove
at the superior surface of each rib.
B. Musculature of respiration includes the
intercostal muscles, diaphragm, and
accessory muscles.
C. The costal groove of each rib protects the
nerve (of the neurovascular bundle) the
least when injury occurs.
D. The rib cage contains 12 ribs: ribs I-VI
are true, VII-X are false, and XI-XII are
floating.
E. Fracture of the left 10th an
A. The neurovascular bundles of the intercostal
spaces run along the costal groove
at the superior surface of each rib.
- All of the following questions pertaining to
the diaphragm are correct EXCEPT
A. blood supply to the diaphragm is via the
musculophrenic artery.
B. the aorta passes through two crura when
passing through the aortic opening.
C. the caval opening allows passage of the
superior vena cava.
D. during the act of inspiration, the
diaphragm contracts, thus, flattening out
and creating a negative intrathoracic
pressure.
E. innervation to the diaphragm is via the
phrenic nerve (C3, C4, C5).
C. the caval opening allows passage of the
superior vena cava.
- Relative to the thymus, which of the following
statements is FALSE?
A. Growth continues and peaks at puberty,
and then atrophies and is replaced by
adipose tissue.
B. Lymphatic circulation returns via afferent
vessels so that lymph may be filtered.
C. It is the site of T-cell maturation.
D. Thymic corpuscles/epithelioreticular cells
are contained within the inner medulla.
E. The outer cortex holds the largest concentration
of lymphocytes
B. Lymphatic circulation returns via afferent
vessels so that lymph may be filtered.
- Which of the following statements is TRUE
regarding vision and optic nerve fibers?
A. Left medial/nasal fibers decussate and
cross over at the optic chiasm en route
to the right primary visual cortex of the
occipital lobe.
B. Left medial/nasal fibers decussate and stay
ipsilateral at the optic chiasma en route to
the left primary visual cortex of the occipital
lobe.
C. Left lateral/temporal fibers decussate and
cross over at the optic chiasma en route to
the right primary visual cortex of the temporal
lobe.
D. Right lateral/temporal fibers decussate
and stay ipsilateral at the optic chiasma
en route to the right primary visual cortex
of the temporal lobe.
A. Left medial/nasal fibers decussate and
cross over at the optic chiasm en route
to the right primary visual cortex of the
occipital lobe
- Which of the following extraocular muscles is
innervated by abducens nerve?
A. Superior oblique muscle
B. Medial rectus muscle
C. Inferior rectus muscle
D. Lateral rectus muscle
E. Superior rectus muscle
D. Lateral rectus muscle
- Regarding the pupillary light reflex, which of
the following is TRUE?
A. When shining light onto the left eye, the
direct response elicits ipsilateral afferent
firing via CN III and subsequent ipsilateral
efferent firing via CN III to left eye.
B. When shining light onto the left eye, the
consensual response elicits ipsilateral
afferent firing via CN II and subsequent
contralateral efferent firing via CN III to
right eye.
C. When shining light onto the left eye, the
consensual response elicits ipsilateral
afferent firing via CN III and subsequent
contralateral efferent firing via CN III to
right eye.
D. When shining light onto the right eye, the
direct response elicits contralateral afferent
firing via CN II and subsequent contralateral
efferent firing via CN III to left
eye
B. When shining light onto the left eye, the
consensual response elicits ipsilateral
afferent firing via CN II and subsequent
contralateral efferent firing via CN III to
right eye.
- In order to test for patency of the trochlear
nerve, one would shine a light source directed
at the pupil, and have patient follow it in
what direction?
A. Superiorly
B. Superiorly and medially
C. Inferiorly
D. Laterally
E. Inferiorly and laterally
E. Inferiorly and laterally
- Which of the following lesions involving
vision occurring in patients with syphilis and
diabetes allows the eye to accommodate but
causes a loss of miosis function?
A. Internuclear ophthalmoplegia
B. Ophthalmoplegia
C. Marcus-Gunn/relative afferent pupil
D. Argyll Robertson/pupillary light-near dissociation
pupil
E. Horner syndrome
D. Argyll Robertson/pupillary light-near dissociation
pupil
- All of the following blood vessels comprise
the circle of Willis EXCEPT
A. middle cerebral artery.
B. posterior cerebral artery.
C. internal carotid artery.
D. posterior communicating artery.
E. anterior communicating artery.
A. middle cerebral artery.
- Which of the following small, thin-walled
vessels can rupture and, thus, are commonly
involved in stroke?
A. Left anterior cerebral
B. Right posterior cerebral
C. Lenticulostriate
D. Left vertebral
E. Left internal carotid
C. Lenticulostriate
- If damaged, all of the following bony structures
would directly alter movement of the
tongue EXCEPT
A. genial tubercles.
B. hamulus.
C. hyoid bone.
D. styloid process.
E. none of the above
B. hamulus.
- Which of the following portions of the lung
contain the lingula?
A. Middle lobe of right lung
B. Superior lobe of right lung
C. Superior lobe of left lung
D. Inferior lobe of left lung
E. Inferior lobe of right lung
C. Superior lobe of left lung
- Which of the following wraps around the ligamentum
arteriosum?
A. Right recurrent laryngeal nerve
B. Left brachiocephalic vein
C. Right subclavian vein
D. Superior laryngeal nerve
E. Left recurrent laryngeal nerve
E. Left recurrent laryngeal nerve
- Each of the following statements concerning
the foramen magnum are true EXCEPT
A. it is located in the occipital bone.
B. it allows passage of the medulla
oblongata/spinal cord.
C. it allows passage of the spinal accessory
nerve.
D. it is located in the parietal bone.
E. it allows passage of the vertebral arteries
D. it is located in the parietal bone.
- The articulating surface of the mandibular
condyle is covered with
A. dense fibrocartilage.
B. loose connective tissue.
C. elastic cartilage.
D. hyaline cartilage.
E. none of the above
A. dense fibrocartilage.