ANATOMY Flashcards

1
Q

Where is the location of the urethral opening in relation to vagina?

Anterior
Posterior
Medial
Lateral

A

Anterior

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2
Q

One of the following vaginal fornices is in close proximity to the pouch of Douglas hence, blood & pus that collect into the pouch are best drained by a needle puncture through this space:

Anterior vaginal fornix
Posterior vaginal fornix
Left lateral vaginal fornix
Right lateral vaginal fornix

A

Posterior vaginal fornix

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3
Q

Which of the following is the funnel-shaped lateral end of the uterine tube?

Ampulla
Fimbriae
Isthmus
Infundibulum

A

Infundibulum

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4
Q

What is the normal position of the uterus in the pelvic cavity?

Anteversoflexion
Retroversoflexion
Lateversoflexion
Medioversoflexion

A

Anteversoflexion

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5
Q

Lymph vessels from the fundus of the uterus drain into which of the following group of nodes?

Superficial inguinal
Para-aortic
Internal iliac
External iliac

A

Para-aortic

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6
Q

Which of the following ligament of uterus passes through the inguinal canal and ends at the labia majora?

Broad ligament
Round Ligament
Suspensory Ligament
Transverse Cervical Ligament

A

Round Ligament

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7
Q

Trauma injuring the pelvic splanchnic nerves would compromise this muscle’s ability to contract:

Detrusor
External Anal sphincter
Levator ani
Internal urethral sphincter

A

Detrusor

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8
Q

The integrity of this muscle is critical for support of the pelvic viscera

Detrusor
External urethral sphincter
Internal urethral sphincter
Levator ani

A

Levator ani

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9
Q

Contraction of this muscle expels the last few drops of urine from the male urethra:

Cremaster
Bulbospongiosus
External urethral sphincter
Levator ani

A

Bulbospongiosus

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10
Q

This muscle is a derivative of one abdominal wall muscles

Cremaster
Ischiocavernosus
Detrusor
Compressor urethrae

A

Cremaster

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11
Q

Close proximity with the right kidney, anteriorly

Stomach
Diaphragm
Liver
Pancreas

A

Liver

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12
Q

Which of the following statements is correct?

The right renal vein is shorter than the left renal vein.
The renal artery lies anterior to the renal veins.
Both the given statements are correct.
None of the given choices are correct.

A

Both the given statements are correct.

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13
Q

Which of the following structures completely covers a synovial joint?

Articular cartilage
Synovial membrane
Fibrous capsule
Joint ligaments

A

Fibrous capsule

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14
Q

Muscles that form the rotator cuff of the shoulder joint

Deltoid, supraspinatus, infraspinatus, teres major
Supraspinatus, latissimus dorsi, teres minor, subscapularis
Supraspinatus, infraspinatus, teres minor, subscapularis
Supraspinatus, infraspinatus, teres major, subscapularis

A

Supraspinatus, infraspinatus, teres minor, subscapularis

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15
Q

Which of the following is a branch of the brachial artery that goes with the radial nerve through the spiral groove of the humerus?

Radial
Ulnar
Artery
Profunda brachii

A

Profunda brachii

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16
Q

Which of the following arch gives rise to the cephalic and basilic veins?

Superficial palmar arch
Deep palmar arch
Dorsal venous arch
Deep palmar venous arch

A

Dorsal venous arch

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17
Q

Which of the following is the largest branch of the brachial plexus?

Radial
Ulnar
Median
Axillary

A

Radial

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18
Q

Branch of the lateral cord of the brachial plexus that pierces coracobrachialis as it leaves the axilla

Musculocutaneous
Radial
Axillary
Lateral Pectoral

A

Musculocutaneous

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19
Q

Which of the following forms the inferior boundary of the lumbar triangle?

Latissimus dorsi
Iliac crest
External oblique
Lumbar vertebrae

A

Iliac crest

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20
Q

Until puberty, each hip bone consists of three separate bones yet to be fused by which structure?

Acetabular cartilage
Triradiate cartilage
Sacrotuberous ligament
Symphysis pubis

A

Triradiate cartilage

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21
Q

Which of the following occupies the medial compartment of the femoral sheath within the femoral triangle?

Femoral artery
Femoral canal
Femoral vein
Femoral nerve

A

Femoral canal

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22
Q

Which tarsal bone gives attachment to the Achilles tendon?

Talus
Cuboidal
Calcaneus
Navicularis

A

Calcaneus

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23
Q

Which of the following forms the posterior wall of the adductor canal?

Adductor Longus
Adductor Magnus
Vastus Lateralis
Sartorius

A

Adductor Magnus

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24
Q

Which of the following bones articulate with the femur to form the knee joint?

Tibia
Tibia and patella
Tibia and fibula
Tibia, fibula, and patella

A

Tibia and patella

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25
What is the common nerve supply to the muscles of the lateral compartment of the leg? Tibial Deep peroneal Common fibular Superficial peroneal
Superficial peroneal
26
Which muscle is responsible for “unlocking” the knee? Popliteus Gastrocnemius Biceps Femoris Plantaris
Popliteus
27
These groups of muscles provide the main forward propulsive force in walking and running. Biceps femoris, semitendinosus, semimembranosus, adductor magnus Rectus femoris, vastus lateralis, vastus intermedius, vastus medialis Soleus, gastrocnemius, plantaris Flexor digitorum longus, tibialis posterior, popliteus, flexor halluces longus
Soleus, gastrocnemius, plantaris
28
What are the contents of the femoral sheath? Femoral nerve, femoral artery, femoral vein, femoral' canal Femoral artery, femoral vein, femoral canal Femoral nerve, femoral artery, femoral vein, great saphenous vein, femoral canal Femoral artery, femoral vein, femoral canal, great saphenous vein
Femoral artery, femoral vein, femoral canal
29
Where is the common point of insertion of the muscles of the gluteal region? Lesser trochanter Intertrochanteric fossa Greater trochanter Femoral neck
Greater trochanter
30
The intercostal vessels and nerves pass in between which layers of the chest wall? Between the parietal pleura and the endothoracic fascia Between external intercostal and the endothoracic fascia Between the internal intercostal and innermost intercostal muscles Between the innermost intercostal and endothoracic fascia
Between the internal intercostal and innermost intercostal muscles
31
This serves as a useful surface landmark in external marking the location of the tracheal bifurcation Sternal Angle of Louis Suprasternal notch Xiphisternal junction Nipple
Sternal Angle of Louis
32
Which of the following boundaries of the divisions of the mediastinum is incorrectly paired? Anterior border of the superior mediastinum - manubrium sterni Posterior border of superior mediastinum - T1 vertebra Anterior border of inferior mediastinum - body of sternum Posterior border of inferior mediastinum - lower 4 thoracic vertebra
Posterior border of inferior mediastinum - lower 4 thoracic vertebra
33
patient diagnosed with cardiac tamponade (fluid in the pericardium) has to undergo pericardiocentesis in order to aspirate the fluid. Based on what you learned in anatomy as a medical student, what would be the best way to access the fluid? Anteriorly, through the 5th or 6th intercostal space at the left sternal border Laterally, through the 6th intercostal space at the left axillary line Posteriorly, just below the left scapular angle All are the best ways
All are the best ways
34
Which of the following structures is found in the posterior part of the mediastinum? Ascending aorta Trachea Esophagus Pulmonary artery
Esophagus
35
The laryngeal cartilage that forms a complete ring around the airway: Thyroid Cricoid Arytenoid Aryepiglottic fold
Cricoid
36
The costal margin is formed anteriorly by the cartilages of which of the following ribs? 7th, 8th, 9th and 10th 8th, 9th, 10th 9th, 10th, 11th, and 12th 9th, 10th, 11th
7th, 8th, 9th and 10th
37
A man sustained a penetrating stab wound at the 5th right intercostal space along the parasternal line into the pleural cavity. Which of the following layers of the thoracic wall were penetrated? External and internal intercostal muscles, innermost intercostal, transversus throacis, parietal pleura External intercostal membrane, internal intercostal muscle, transversus throacis, parietal pleura External and internal intercostal membranes, transversus throacis, parietal pleura Skin, subcutaneous tissue, external and internal intercostal membranes, transversus throacis, parietal pleura
External intercostal membrane, internal intercostal muscle, transversus throacis, parietal pleura
38
Which is the posterior boundary of the nasal cavity? Vestibule Choanae Vomer Nasopharynx
Choanae
39
72-year-old woman vomited and then aspirated some of the vomitus while undergoing general anesthesia. An endoscopic luminal visualization of the bronchus (bronchoscopy) revealed presence of partially digested food blocking the origin of the right superior lobar bronchus. Which of the following groups of broncho-pulmonary segments will be affected by this obstruction? Superior, medial, lateral, medial basal Apical, anterior, posterior Posterior, anterior, superior, lateral Apical, lateral, medial, lateral basal
Apical, anterior, posterior
40
A 42-year-old man was admitted due to persistent retrosternal pain. CT scan of the chest revealed a malignant growth at the right main stem bronchus. Which of the following lymph drainage nodes of the lungs will be most likely to be the first to be infiltrated by cancerous cells? Tracheobronchial nodes Pulmonary nodes Bronchopulmonary nodes Broncho mediastinal nodes
Pulmonary nodes
41
Which of the following is NOT true of the surfaces of the heart? The sternocostal surface is formed mainly by the right atrium and right ventricle The base is formed mainly by the left atrium The diaphragmatic surface is formed mainly by the left ventricle and left atrium The apex is formed by the left ventricle
The diaphragmatic surface is formed mainly by the left ventricle and left atrium
42
Which of the following surface of the heart are formed by both ventricles? Apex Sternocostal surface Base Diaphragmatic surface
Diaphragmatic surface
43
Which of the following cardiac veins would cross over the right coronary artery and right AV groove as it travels from the right ventricle to the right atrium? middle cardiac anterior cardiac great cardiac small cardiac
anterior cardiac
44
Which of the following is true of the pericardium? A cavity is formed between the fibrous and serous layers Epicardium is part of the pericardium The pericardium is attached to the diaphragm at the base The fibrous part has 2 layers
Epicardium is part of the pericardium
45
Which of the following drains most of the blood from the cardiac wall? Anterior Cardiac Vein Middle Cardiac Vein Coronary Sinus Great Cardiac Vein
Coronary Sinus
46
A 55-year-old executive is to undergo a coronary bypass procedure. The artery of concern is the vessel that supplies much of the left ventricle and right and left bundle branches of the cardiac conduction system. Which artery is the surgeon most concerned about? Circumflex Anterior Interventricular Artery Left Marginal Posterior interventricular
Anterior Interventricular Artery
47
Which of the following structures prevents prolapse of the mitral valve into the left atrium? Trabeculae carneae Chorda tendineae Pectinate muscles Papillary muscle
Papillary muscle
48
Which surface of the pericardium attaches to the central tendon of the diaphragm? Serous Parietal Fibrous Visceral
Fibrous
49
Which of the following accompanies the small cardiac vein as it travels along the inferior border of the heart? Anterior interventricular artery Marginal Artery Posterior interventricular artery Right coronary artery
Marginal Artery
50
Which of the following is true regarding the left ventricle of the heart? It has the thickest endocardium Has 3 papillary muscles Its atrioventricular opening is guarded by the tricuspid valve Absence of moderator band
Absence of moderator band
51
Which of the following veins pierces the posterior wall of the superior vena cava before it enters the pericardium to drain into the right atrium? Azygos vein Right superior intercostal vein Hemiazygos vein Right Brachiocephalic vein
Azygos vein
52
Which of the following arrangements of blood vessels would allow blood to flow sequentially from the aorta to the right hand? Brachial artery -> R. Radial Artery -> R. Brachiocephalic artery -> R. Subclavian artery-> R. Axillary artery Subclavian artery-> R. Brachiocephalic artery -> R. Axillary artery -> R. Brachial Artery Brachiocephalic artery -> R. Subclavian artery-> R. Axillary artery -> R. Brachial artery -> R. Radial Artery Subclavian artery-> R. Axillary artery -> R. Radial artery -> R. Brachial Artery
Brachiocephalic artery -> R. Subclavian artery-> R. Axillary artery -> R. Brachial artery -> R. Radial Artery
53
Which of the correct route that the blood will take from the left inferior posterior surface of the thoracic wall up to the heart? Accessory hemiazygos -> internal thoracic v. ->, brachiocephalic v. -> SVC -> right atrium Hemiazygos v. -> azygos v. -> brachiocephalic v. -> SVC -> right atrium Accessory hemiazygos v. -> azygos v. -> SVC -> right atrium Hemiazygos v. -> azygos v. -> SVC -> right atrium
Hemiazygos v. -> azygos v. -> SVC -> right atrium
54
Which of the following comprise the true thoracic wall muscles? External, internal, innermost intercostals Pectoralis major, minor, internal and innermost intercostals, transversus thoracis External and internal intercostals, transversus thoracis, levatores costarum, serratus posterior, subcostal Pectoralis major, minor, intercostalis, transversus thoracis, diaphragm
External and internal intercostals, transversus thoracis, levatores costarum, serratus posterior, subcostal
55
Part of the nasal cavity that is largely formed by the vomer. Roof Floor Septum Lateral Wall
Septum
56
Found only on the left lung Apex Costal surface Anterior border Cardiac notch
Cardiac notch
57
The following are true of barium swallowing except It uses gas-forming crystals to distend esophagus Is the main radiological method of assessing colon Used to evaluate pharyngeal motility during swallowing It uses barium sulfate as contrast agent to coat mucosa
Is the main radiological method of assessing colon
58
In the diagnosis of polycystic ovaries, which of the following is correct? Transvaginal ultrasound is the gold standard. Increased follicle per ovary (FNPO) with a “string of pearls” appearance. Both statements are correct. None of the statements are correct.
Both statements are correct.
59
Which of the following is the gold standard in the evaluation of the cerebral arteries and is indicated in the diagnosis of aneurysm and vascular abnormalities? cranial CT scan Head of Mri cerebral angiography MR angiography
cerebral angiography
60
In the imaging of patient with head trauma, which of the statements is correct? MRI offers faster imaging in trauma than CT scan CT is superior to MRI in the assessment of head injury CT scan is contraindicated in patients with metallic implants and pacemakers MRI offers more superior details about bony details
CT is superior to MRI in the assessment of head injury
61
Which of the following is correct? In MRI, the tissues that contain ferrous atoms are made to emit radiological signals which are detected by the scanner MRI is superior in the posterior fossa and parasellar regions for the assessment of multiple sclerosis, epilepsy and tumors CT scan uses powerful magnetic fields and radio frequency pulses to produce detailed pictures of organs and other internal structures CT scan demonstrates subtle differences between different kinds of soft tissues
MRI is superior in the posterior fossa and parasellar regions for the assessment of multiple sclerosis, epilepsy and tumors
62
In a hangman’s fracture, what x-ray view would you request initially? Skull APL X-ray Cervical spine APL Odontoid Swimmer’s
Odontoid
63
This radiographic sign refers to the normal appearance of the lumbar spine when seen on oblique radiographic projection: Scotty Pippen Sign Scottish Dog Sign Scottie Dog Sign Scattie Dog Sign
Scottie Dog Sign
64
Knowledge of this layer of the scalp allows the Native American Indian to perform "scalping" to the battlefield captive because this layer of the scalp allows other layers to glide freely over the pericranium. Epicranial aponeurosis Dense connective tissue Pericranium Loose connective tissue
Loose connective tissue
65
The middle coat of the eyeball includes which of the following? Iris and ciliary body Retina and choroid Choroid and sclera Cornea and sclera
Iris and ciliary body
66
Which of the following are components of the inner ear? Auditory tube and canal Ear ossicles Tympanic membrane Membranous and osseous labyrinth
Membranous and osseous labyrinth
67
Which of the following best describes Parathyroid Glands? It is separate from the thyroid gland by a connective tissue Found In the lateral lobes of the thyroid gland Supplied by the superior thyroid artery Consist of 3 glands
Supplied by the superior thyroid artery
68
This structure allows air pressure to equalize between the middle ear and the outside ear? External auditory meatus Internal auditory meatus Eustachian tube Aditus to the mastoid
Eustachian tube
69
This nerve passes down the neck within the carotid sheath: Phrenic Nerve Vagus nerve Glossopharyngeal nerve Spinal Accessory nerve
Vagus nerve
70
The carotid sheath is a condensation of which layers of the deep cervical fascia? Prevertebral layer only Pretracheal and investing layers Prevertebral and pretracheal layers Pretracheal, prevertebral, and investing layers
Pretracheal, prevertebral, and investing layers
71
Which of the following statements is TRUE regarding the common carotid artery? Both left and right common carotid arteries arise from the aortic arch It is found lateral to the internal jugular vein in the carotid sheath Apart from its two terminal branches, it gives off no other branch in the neck It runs upward through the neck under the cover of the trapezius muscle
Apart from its two terminal branches, it gives off no other branch in the neck
72
The intermediate tendon of this muscle is held to the hyoid bone by facial sling Omohyoid Sternothyroid Sternohyoid Digastric
Digastric
73
The scalp wound sustained by the above-named patient bleeds profusely because of the extensive vascularity that runs through which of the following layers? Loose connective tissue Galea aponeurotica Subcutaneous connective tissue Pericranium
Subcutaneous connective tissue
74
The cricoid cartilage is an important landmark in the neck because it lies at the: Lies at the level of C5 vertebra Lies at the joining of pharynx and esophagus Location of thyroid isthmus Location where recurrent laryngeal nerve enters the neck
Lies at the joining of pharynx and esophagus
75
Blood and pus spreading downward into the superior mediastinum of the thorax most likely come from which fascial space of the neck? Visceral Submandibular Retropharyngeal Pretracheal
Retropharyngeal
76
Which is the nerve supply to the muscles of mastication? Ophthalmic division of trigeminal nerve Mandibular division of trigeminal nerve Maxillary division of trigeminal nerve Facial nerve
Mandibular division of trigeminal nerve
77
Which of the following is true about the iliacus muscle? It is innervated by the femoral nerve It balances the trunk It inserts into the lesser tuberosity of the femur together with the psoas muscle All of the given choices are true
It is innervated by the femoral nerve
78
What vein is a tributary of the portal circulation which passes in front of the third part of the duodenum and joins another posterior abdominal wall vein to form the portal vein? Inferior mesenteric Splenic Superior mesenteric Inferior pancreaticoduodenal
Superior mesenteric
79
A penetrating stab wound at the level of the umbilicus will most likely injure the: Large intestine Small intestine Transverse colon Urinary bladder
Small intestine
80
Which of the following forms the floor (posterior wall) of the inguinal canal? Inguinal ligament Internal oblique muscle External oblique muscle Transversalis fascia
Inguinal ligament
81
A dome shaped structure found at the left of the esophagus Cardia Pylorus Fundus Body
Fundus
82
Which of the ff. best describes the pancreas? venous drainage is directly into the IVC lies in the right hypochondriac region of abdomen related posteriorly to the lesser sac main duct opens into 3rd part of duodenum
related posteriorly to the lesser sac
83
Which of the following abdominal regions is bounded superiorly by the transtubercular plane and laterally by the mid-clavicular plane? Epigastric Hypogastric Umbilical Iliocostal
Hypogastric
84
What muscle of the anterior abdominal wall contributes to the formation of the cremasteric fascial layer of the spermatic cord? Internal oblique External Oblique Transversus Abdominis Rectus Abdominis
Internal oblique
85
Folds of the peritoneum that connects the liver to the stomach Greater omentum Lesser omentum Mesocolon Mesentery
Lesser omentum
86
Which of the following pelvic structures traverses both the greater and lesser sciatic foramina? Sciatic nerve Superior gluteal artery Internal pudendal artery Piriformis
Internal pudendal artery
87
A 48-year-old woman was admitted due to rectal bleeding. PE of the anal canal via anoscopy revealed an abnormal mass below the pectinate line of the anal canal. Biopsy revealed the mass to be an anal cancer. From which of the following group of lymph nodes would you expect the cancer to initially spread? Internal Iliac nodes Pararectal nodes External Iliac nodes Superficial Inguinal nodes
Superficial Inguinal nodes
88
Contraction of this muscle prevents retrograde movement of semen into the bladder during ejaculation External urethral sphincter Deep transverse perineal muscle Detrusor muscle Internal urethral sphincter
Internal urethral sphincter
89
Which of the following muscle encloses the bulb of the penis: Ischiocavernosus Superficial transverse perineal muscle Deep transverse perineal muscle Bulbospongiosus
Bulbospongiosus
90
Inclusion is best described as A. Nonmembrane bound structure B. Participate in metabolic activity C. ATP dependent D. temporary
A. Nonmembrane bound structure
91
A large structure in the cell enclosed by a double membrane and contains chromatin A. Nucleus B. Golgi apparatus C. Mitochondria D. Endoplasmic reticulum
A. Nucleus
92
Which of the following vein pierces the posterior wall of the superior vena cava before it enters the pericardium to drain into the right atrium? A. Azygos vein B. Right superior intercostal vein C. Hemiazygos vein D. Right brachiocephalic vein
A. Azygos vein
93
Which of the following is true of epithelial tissue? A. Function determines cell size & morphology B. Cell shape classify the tissue C. ECM found in apical pole D. Rich vascular supply
A. Function determines cell size & morphology
94
The collagen type content on the reticular lamina A. III B. IV C. VI D. V
A. III
95
The epithelial cell of the oviduct and larynx has this surface specialization. A. Microvilli B. Stereo-cilia C. Cilia D. Flagella
C. Cilia
96
The epithelial lining of conjunctiva A. Transitional B. Pseudostratified columnar C. Stratified squamous D. Stratified columnar
D. Stratified columnar
97
Which of the following is true about intercalated discs? A. They serve as electrical synapses B. Not unique to cardiac muscles C. Regular, steplike discs that are composed of many desmosomes D. The less abundant, longitudinally oriented regions of each intercalated disc run parallel to the myofibrils and are filled with tight junctions
A. They serve as electrical synapses
98
Which of the following 3 muscle fibers undergo mitotic division? A. Skeletal B. Cardiac C. Smooth D. Skeleta, Cardiac, Smooth
C. Smooth
99
Moderate amount of ground substance, fibroblasts & collagen predominate, & randomly distributed describe which connective tissue proper type? A. Dense regular B. Loose C. Dense irregular D. Adipose
C. Dense irregular
100
Which of the following best describes thin skin A. Layers are of equal thickness B. Very thin Stratum Lucidum C. Shallow dermal papillae D. Capillary-rich epidermis
C. Shallow dermal papillae
101
True of keratinocytes A. made up of same histologic types in all layers B. accumulates keratin along its transit C. becomes stellate shaped up until the stratum corneum D. mitotic activity until stratum corneum
B. accumulates keratin along its transit
102
The epidermal layer which plays a role in the function of the skin as a permeability barrier. A. Stratum corneum B. Stratum dysjunction C. Stratum lucidum D. Malpighian layer
A. Stratum corneum
103
True of platelets A. Cell derived from megakaryocytes B. Discoid in shape C. All of the above
C. All of the above
104
Which of the following is/are calculated from hemoglobin and red cell count? A. MCV and MCHC B. MCH and MCHC C. MCHC only D. MCH only
D. MCH only
105
Which of the ff best describe lymph node sinuses? A. Receives lymph from efferent lymph B. Has discontinuous endothelium C. Supported by collagen fibers D. Where WBC pass thru
B. Has discontinuous endothelium
106
At what stage does RBC lose their nuclei A. Normoblast B. Pronormoblast C. Progenitor cell D. Reticulocyte
D. Reticulocyte
107
This organ’s mucosa has both respiratory, and nervous epithelia, and serous glands A. Larynx B. Nasal cavity C. Trachea D. Paranasal sinuses
B. Nasal cavity
108
This cardiac layer contains adipose tissue, a fibroelastic CT and mesothelium. A. Parietal epicardium B. Visceral epicardium C. Endocardium D. Myocardium
B. Visceral epicardium
109
Common tissue type in both endocardium and epicardium: A. Simple Squamous B. Dense regular connective C. Fibroelastic D. Smooth muscle
A. Simple Squamous
110
The membrane junction that connects the muscle cells in the tunica media of arteries permitting vasoconstriction and vasodilation? A. Desmosome B. Tight junction C. Gap junction D. Hemidesmosome
C. Gap junction
111
These extracellular matrix proteins affects the permeability of vascular walls: A. Connective tissue components B. Elastic Lamellae C. Glycoproteins D. Hyaluronate
D. Hyaluronate
112
Lip surface which is hairless and devoid of glands A. outer cutaneous B. vermillion border C. mucocutaneous junction D. transition zone
B. vermillion border
113
Which of the following is true of the muscularis mucosae of the small intestines? A. It thickens from duodenum to ileum B. Responsible for the peristaltic movement of the GI tract C. Its contraction propels lymph from lacteals to the submucosa D. Its fibers insert into the microvilli to increase intestinal absorption
C. Its contraction propels lymph from lacteals to the submucosa
114
Which layer of the muscularis in the anus forms the internal anal sphincter? A. Outer circular B. Inner circular C. Outer longitudinal D. Inner longitudinal
B. Inner circular
115
Which of the following is true of the Hepatic Sinusoids? A. Continuous type of capillary B. Regularly arrange peripheral branches C. (+) fenestration and sparse basal lamina D. Supported by collagen and elastic fibers
C. (+) fenestration and sparse basal lamina
116
Renin is produced by which of these cells A. Juxtaglomerular cells B. Intraglomerular mesangial cells C. Macula Densa D. Lacis cells
A. Juxtaglomerular cells
117
The functional structure of the liver detailing bile secretion: A. Classic hepatic lobule B. Portal lobule C. Hepatic acinus D. Portal acinus
B. Portal lobule
118
Cowper's gland are group into A. Acinar B. Tubuloacinar C. Tubular D. Coiled tubular
B. Tubuloacinar
119
Supporting tissue of the Vas Deferens and Ejaculatory Ducts: A. Loose B. Dense Irregular C. Smooth Muscle D. Fibroelastic
C. Smooth Muscle D. Fibroelastic
120
The follicle that consists of primary oocytes and surrounded by one layer of flattened cells A. Primordial follicle B. Primary follicle C. Antral follicle D. Secondary follicle
A. Primordial follicle
121
The cells of this layer of the adrenal cortex are the smallest & are arranged in irregular cords forming an anastomosing network A. Zona glomerulosa B. Zona fasciculata C. Zona reticularis D. Medulla
C. Zona reticularis
122
Which of the following is a histologic feature of chromophobes A. More cytoplasm than chromophils B. Strong cytoplasmic affinity to acids C. Differentiated D. Agranulated or degranulated
D. Agranulated or degranulated
123
The adrenal medulla is characterized by A. Its parenchyma is arranged in layers B. Cells surrounded by sinusoidal capillaries C. Abundance of spongiocytes D. Presence of modified neurons
D. Presence of modified neurons
124
What is the part of the vascular layer of the eye which is made up of muscle tissue, ridges, fibers and fluid-secreting cells? A. Uvea B. Iris C. Choroid D. Ciliary body
D. Ciliary body
125
The middle ear is line in the: A. Simple Columnar B. Stratified Squamous C. Pseudostratified Columnar D. Stratified Cuboidal
C. Pseudostratified Columnar
126
The forehead is formed from which of the ff prominence? A. Frontonasal B. Medial Nasally C. Maxillary D. Mandible
A. Frontonasal
127
This cell is responsible for dentin production A. Cementoblast B. Ameloblast C. Odontoblast D. Keratinocytes
C. Odontoblast
128
The pharyngeal pouches from where the parathyroid gland is derived A. 1 and 2 B. 2 and 3 C. 3 and 4 D. 4 and 1
C. 3 and 4
129
Formation of uteroplacental circulation occurs this days A. 6-7 B. 8-9 C. 10-11 D. 12-13
Day 11-12
130
Type II pneumocytes first appear and begin to secrete surfactant at A. Week 26 B. Week 28 C. Week 30 D. Week 32
A. Week 26 (actual answer 24th)
131
When respiration begins at birth, most of the fluid in the lungs is rapidly absorbed by the _____ and_____ A. Arterioles and capillaries B. Blood and lymph capillaries C. Lymph capillaries and veins D. Blood and respiratory epithelium
B. Blood and lymph capillaries
132
Growth and differentiation of the lung is continued in the presence of: A. BMP B. IL-1B C. TBX4 D. Retinoic acid
C. TBX4
133
Tracheoesophageal septum appears during this week to separate trachea from the esophagus A. 4th B. 5th C. 6th D. 3rd
A. 4th
134
Mesenchymal transition of somites form which of the following A. Somitomeres B. Myotome C. Sclerotome D. Dermatome
C. Sclerotome
135
The stroma of digestive glands originate from this germ layer: A. Paraxial mesoderm B. Ectoderm C. Visceral Mesoderm D. Endoderm
D. Endoderm
136
Striations of the esophagus rises from: A. Splanchnic mesoderm B. Endoderm C. Ectoderm D. Visceral mesoderm
D. Visceral mesoderm
137
In which week does the stomach develop from the foregut A. 3rd B. 4th C. 5th D. 6th
B. 4th
138
A 41-year-old female was admitted to the ER complaining of a severe, sharp well-localized pain over the chest wall. The X-ray revealed presence of a pleural effusion on the anterior chest wall. The nerve responsible for mediating this sensation is the: A. Posterior rami of the thoracic spinal nerve B. Sympathetic pulmonary plexus C. Ventral rami of the thoracic spinal nerve D. Parasympathetic pulmonary plexus
C. Ventral rami of the thoracic spinal nerve
139
Deepest layer of the thoracic wall for effective penetration of anesthesia A. Endothoracic fascia B. Parietal pleura C. Intercostal muscles D. Visceral pleura
B. Parietal pleura
140
A 61 y/o cerebrovascular accident (CVA) px develops a right lower lobe pneumonia after an episode of vomiting. Which of the following is the best reason why this type of pneumonia most commonly affects right lower lung lobe? A. The pulmonary resistance is greater in the right lung than the left lung B. The right main bronchus is straighter than the left main bronchus C. The right main bronchus is longer than the left main bronchus D. The right main bronchus is narrower than the left main bronchus
B. The right main bronchus is straighter than the left main bronchus
141
Which of the following marks the commencement of the Trachea? A. Lower border of the thyroid cartilage B. Lower border of the cricoid cartilage C. Suprasternal notch D. Sternal Angle of Louis
B. Lower border of the cricoid cartilage
142
Which of the following vein pierces the posterior wall of the superior vena cava before it enters the pericardium to drain into the right atrium? A. Azygos vein B. Right superior intercostal vein C. Hemiazygos vein D. Right brachiocephalic vein
A. Azygos vein
143
Branch of the thoracic aorta A. Bronchial artery B. Internal thoracic artery C. Left subclavian artery D. Pericardiophrenic artery
A. Bronchial artery
144
Which of the following describes the anatomic location of the aortic valve? A. Left of the sternum opposite to the 4th costal cartilage B. Right of the sternum opposite to the 3rd intercostal space C. Medial end of the 3rd left costal cartilage D. Left of the sternum opposite to the 3rd intercostal space
C. Medial end of the 3rd left costal cartilage
145
Which of the following constitutes a visceral layer of serous pericardium? A. Myocardium B. Endocardium C. Epicardium D. Ectocardium
C. Epicardium
146
Which part of the heart is formed mainly by the left atrium A. Apex B. Left border C. Base D. Right border
C. Base
147
Part of the mediastinum that contains the pericardium aorta heart A. Anterior B. Posterior C. Middle D. Superior
C. Middle
148
The lower eight thoracic vertebrae forms the posterior boundary of the which of the following: A. Superior Mediastinum B. Inferior Mediastinum C. Posterior Mediastinum D. Middle Mediastinum
B. Inferior Mediastinum
149
Which of the following is the widest segment of the mediastinum? A. Middle Mediastinum B. Posterior Mediastinum C. Superior Mediastinum D. Anterior Mediastinum
A. Middle Mediastinum
150
Which of the following forms the inferior boundary of the lumbar triangle? A. Latissimus dorsi B. Iliac crest C. External oblique D. Lumbar vertebra
B. Iliac crest
151
Foramina of the cervical vertebra that transmits the vertebral artery A. Vertebral B. Transverse C. Intervertebral D. Articular
B. Transverse
152
Which of the following muscles is a boundary to the triangle of auscultation? A. Levator scapulae B. Teres major C. Trapezius D. Rhomboid major
C. Trapezius
153
Which of the following gives attachment to the ligamentum nuchae? A. Superior nuchal line B. Mastoid process C. Inferior nuchal line D. External occipital protuberance
D. External occipital protuberance
154
During the performance of a tracheostomy (opening of the anterior wall of upper trachea) for an upper airway obstruction, which of the following parts of the thyroid gland would be transected A. Right lobe B. Left lobe C. Isthmus D. Pyramidal lobe
C. Isthmus
155
A. Biker had an accident and was brought to the operating room for a midline tracheostomy. As a medical doctor, what vessels should you be vary of when performing such a procedure? A. Thyroid ima and superior thyroid vein B. Middle thyroid vein and superior thyroid artery C. Superior thyroid artery and superior thyroid vein D. Inferior thyroid vein and inferior thyroid artery
A. Thyroid ima and superior thyroid vein
156
Which muscle of mastication is inserted into the coronoid process of the mandible? A. Temporalis B. Masseter C. Medial pterygoid D. Lateral pterygoid
A. Temporalis
157
Which of the following best describes the parathyroid gland? A. It is separated from the thyroid gland by a connective tissue capsule B. Found entirely in the lower poles of the thyroid gland C. It is supplied by the superior and inferior thyroid arteries D. It usually lies close to the inferior border of the thyroid cartilage
C. It is supplied by the superior and inferior thyroid arteries
158
A 37-year-old woman complains of a recurrent right upper quadrant pain for several days. PE and ultrasound confirm the initial suspicion of acute cholecystitis (inflammation of the gallbladder). A cholecystectomy is planned. Which of the following anatomical landmarks will best describe the precise location of the gallbladder relative to the anterior abdominal wall? A. Intersection of the right linea semilunaris with the costal margin B. RUQ C. Four fingerbreadths below the costal margin D. Intersection of the right linea semilunaris with the subcostal plane
A. Intersection of the right linea semilunaris with the costal margin
159
This structure serves as the hilum of the liver and is located on the posteroinferior surface between the caudate and quadrate lobe A. Bare area B. Ligametum teres C. Porta hepatis D. Impression of the gallbladder
C. Porta hepatis
160
Which part of the pancreas lies in front of the take off of both portal artery and superior mesenteric artery? A. Head B. Body C. Uncinate process D. Neck
D. Neck
161
Which of the following best describes the pancreas? A. Its body and tail received their blood supply from the superior mesenteric artery B. Its main duct opens into the medial wall of the 3rd part of the duodenum C. It lies in the right hypochondriac region extending to the epigastrium D. It is a retroperitoneal organ
D. It is a retroperitoneal organ
162
Which bound the “bare area” of the liver? A. Falciparum B. Triangular C. Coronary D. Ligamentum teres
C. Coronary
163
Which joint permits circumduction movement: A. Tibiofibular B. Gleno-humeral C. Temporomandibular D. Tibiofemoral
B. Gleno-humeral
164
Which allows supination pronation movement? A. Wrist B. Radioulnar C. Uniaxial joints D. Condyloid Joints
B. Radioulnar
165
Type of synovial joint where humero-ulnar joint belongs: A. Hinge B. Pivot C. Ellipsoid D. Condylar
A. Hinge
166
Which part of the pleura is supplied by the phrenic nerve? A. Cervical pleura B. Costal pleura C. Visceral pleura D. Mediastinal pleura
D. Mediastinal pleura
167
Part of the mediastinum, that contains the ascending aorta, pericardium, and the heart. A. Anterior B. Superior C. Inferior D. Middle
D. Middle
168
Which if the following structures traverse both superior mediastinum and posterior mediastinum? A. Esophagus and trachea B. Aorta and esophagus C. Thymus D. Branches of arch of aorta
B. Aorta and esophagus
169
What is the largest single lymphoid mass in the body? A. Thymus B. Bone marrow C. Liver D. Spleen
D. Spleen
170
What is considered as the “dangerous area of the scalp”? A. Epicranial aponeurosis B. Dense connective tissue C. Loose connective layer D. Pericranium
C. Loose connective layer
171
This provides a pathway for the spread of infection from the so called "dangerous area of the face" to the cavernous sinus A. Supraorbital vein B. Facial vein C. Superior ophthalmic vein D. Supratrochlear vein
C. Superior ophthalmic vein
172
Contraction of this muscle raises eyebrows as an expression of surprise. A. Corrugator supercilii B. Nasalis C. Occipitofrontalis D. Orbicularis oculi
C. Occipitofrontalis
173
Which of the following nerves supplies the muscle of mastication? A. Maxillary nerve B. Facial nerve C. Vagus nerve D. Glossopharyngeal nerve
A. Maxillary nerve (Trigeminal Nerve)
174
The intermediate tendon of this muscle is held to the hyoid bone by fascial sling: A. Omohyoid B. Thyrohyoid C. Sternohyoid D. Digastric
D. Digastric
175
This nerve passes through the neck within carotid sheath. A. Phrenic Nerve B. Glossopharyngeal C. Vagus Nerve D. Spinal Accessory Nerve
C. Vagus Nerve
176
Which of the following structures is located within the renal sinus? A. Renal pelvis B. Renal columns C. Renal pyramid D. Renal papillae
B. Renal columns
177
Contraction of this muscle prevents retrograde movement of the semen into the bladder during ejaculation A. External urethral sphincter B. Internal urethral sphincter C. Detrusor muscle D. Deep transverse perineal muscle
B. Internal urethral sphincter
178
What is the usual position of the uterus? A. Anteverted and anteflexed B. Retroverted and retroflexed C. Lateroverted and laterally flexed D. Medialy verted and medially flexed
A. Anteverted and anteflexed
179
Referred to as the cardinal ligament of the uterus: A. Uterosacral ligament B. Pubocervical ligament C. Transverse cervical ligament D. Pubovesical ligament
C. Transverse cervical ligament
180
One of these spaces is in close proximity to the pouch of Douglas. Blood and pus are best collected when the needle punctures? A. Anterior vaginal fornix B. Posterior vaginal fornix C. Lateral vaginal fornix D. Cervical os
B. Posterior vaginal fornix
181
Which of the following completely covers a synovial joint? A. Articular cartilage B. Synovial membrane C. Joint ligament D. Fibrous capsule
D. Fibrous capsule
182
Part of the ulna that forms the prominence of the elbow A. Coronoid B. Olecranon process C. Coracoid process D. Styloid process
B. Olecranon process
183
Which of the following comprises the hamstring group of muscles? A. Gracilis, semitendinosus, semimembranosus, biceps femoris B. Semitendinosus, semimembranosus, biceps femoris, vastus lateralis C. Semitendinosus, semimembranosus, biceps femoris, vastus mediatus D. Semitendinosus, semimembranosus, biceps femoris, vastus longus
A. Gracilis, semitendinosus, semimembranosus, biceps femoris
184
Which of the following is commonly a direct branch of the femoral artery? A. Lateral femoral circumflex artery B. Medial femoral circumflex artery C. Profunda femoris artery D. Perforating artery
D. Perforating artery
185
Which part of the hip bone intervenes between the greater and lesser sciatic notches? A. Ischial spine B. Ischial tuberosity C. Iliac spine D. Ischial body
A. Ischial spine
186
What is the most common border of the tibia known as the shin? A. Anterior border B. Lateral border C. Posterior border D. Interosseous border
A. Anterior border
187
What is the largest branch of the lumbar A. Inferior Gluteal nerve B. Superior Gluteal nerve C. Femoral nerve
C. Femoral nerve
188
What is composed of the erector spinae muscles? A. Semispinalis, spinalis, longissimus B. Iliocostalis, semispinalis, spinalis C. Longissimus, spinalis, semispinalis D. Iliocostalis, spinalis, longissimus
D. Iliocostalis, spinalis, longissimus
189
Which process is characteristically long in vertebra prominens? A. Accessory B. Articular C. Spinous D. Transverse
C. Spinous
190
How many paired ribs are directly attached to the sternum? A. 7 B. 12 C. 9 D. 10
A. 7
191
The intercostal vessels and nerve pass in between which layers of the chest wall A. Between the parietal pleura and endothoracic fascia B. Between the external intercostal and internal intercostal muscle C. Between the internal intercostal and innermost intercostal muscle D. Between innermost intercostal muscle and endothoracic fascia
C. Between the internal intercostal and innermost intercostal muscle
192
Which of the following muscle are included in quiet respiration? A. External intercostal muscles and diaphragm B. External and internal intercostals C. Diaphragm and internal intercostals D. Diaphragm, external and internal intercostals
A. External intercostal muscles and diaphragm
193
Visceral pleura that covers which of the following surface A. Diaphragm B. Inner surface of ribs C. Interlobular fissure D. Principal bronchus
C. Interlobular fissure
194
Which of the following drains directly to the anterior chest wall? A. Pericardiophrenic vein B. Brachiocephalic vein C. Azygos vein D. Internal thoracic vein
D. Internal thoracic vein
195
Which of the following anatomical impressions is only found in the mediastinal surface of the right lung? A. groove for the esophagus B. groove for the aortic arch C. groove for the descending thoracic aorta D. cardiac impression
A. groove for the esophagus
196
The number of bronchopulmonary segments in each lungs A. 5 B. 10 C. 15 D. 20
B. 10
197
This form the immediate lateral boundary of the mediastinum A. phrenic nerve B. mediastinal pleura C. lungs D. pleural cavity
B. mediastinal pleura
198
Part of the mediastinum that contains the descending aorta, azygos vein and esophagus A. superior B. anterior C. middle D. posterior
D. posterior
199
Which of the following constitutes the visceral layer of the serous pericardium? A. Endocardium B. Myocardium C. Epicardium D. Fibrous skeleton of the heart
C. Epicardium
200
Surface of the heart formed by the right atrium and right ventricle. A. Sternocostal surfaces B. Diaphragmatic surface C. Base D. Apex
A. Sternocostal surfaces
201
Which branch of the right coronary artery lies at the posterior interventricular groove? A. Right marginal artery B. Posterior descending branch C. Right atrial branch D. Right conus branch
B. Posterior descending branch
202
Which auscultation site is located in the left 5th intercostal space, midclavicular line? A. Aortic B. Tricuspid C. Mitral D. Pulmonic
C. Mitral
203
Which of the following takes origin from the aortic arch A. Right common carotid artery B. Right and left coronary arteries C. Right subclavian artery D. Brachiocephalic artery
D. Brachiocephalic artery
204
Which of the following contributes to the formation of the brachiocephalic vein? A. Common carotid B. Superior vena cava C. Internal jugular D. External jugular
C. Internal jugular
205
Which of the following part of the aorta that gives origin to the coronary arteries: A. Conus arteriosus B. Ascending C. Arch D. Descending thoracic
B. Ascending
206
Which of the following regions of the abdomen is bounded superiorly by the transtubercular plane and laterally by the mid-clavicular planes? A. Hypogastric B. Iliac C. Umbilical D. Epigastric
A. Hypogastric
207
The level of the rectus sheath formation where there is splitting of the internal oblique aponeurosis: A. Between the level of costal margin and the anterior superior iliac spins B. Between the level of anterior superior iliac spine and pubis C. Below the anterior superior iliac spine D. Above the costal margin
A. Between the level of costal margin and the anterior superior iliac spins
208
This refers to the vertical fibrous band in the midline of the abdomen formed by the fusion of the aponeuroses of the muscles of the anterior abdominal wall A. Linea splendens B. Linea alba C. Arcuate line
B. Linea alba
209
A muscle of anterior abdominal wall that takes origin from the lower eight ribs A. External oblique B. Transversus abdominis C. Internal oblique D. Pyramidalis
A. External oblique
210
This structure marks the boundary between the duodenum and jejunum A. Neck of the pancreas B. Ligament of Treitz C. Emergence of the superior mesenteric artery and vein below the pancreas D. Point of termination of inferior mesenteric vein into the splenic vein
B. Ligament of Treitz
211
Refers to the deep membranous layer of the superficial fascia of the abdomen A. Scarpa's fascia B. Fascia transversalis C. Camper's fascia D. Inguinal canal
A. Scarpa's fascia
212
Which of the following structures provide a natural route of communication between the lesser sac and the greater sac? A. Epiploic foramen B. Subphrenic space C. By opening thru the greater omentum D. By opening thru the lesser omentum
A. Epiploic foramen
213
When there is no discrete line demarcating the jejunum from the ileum, the ileum can be distinguished by the following except A. ileum tends to be larger caliber than jejunum B. ileal mesentery contains more fat C. ileum contains abundant Peyer patches D. ileum tends to be lighter in color than the jejunum
A. ileum tends to be larger caliber than jejunum
214
Which of the following is the origin for the quadratus lumborum? A. inferior border of the 12th rib B. iliac crest C. lateral arcuate ligament D. T12-L5
B. iliac crest
215
In the renal hilum, which structure lies anteriorly? A. Renal artery B. Renal column C. Renal vein D. Renal pelvis
C. Renal vein