E3 Anatomy Flashcards

1
Q

Which of the following statements concerning the anatomy of a typical rib is CORRECT?
A. The sternal end of each rib lies at a higher level than the vertebral end.
B. The tubercle of a typical rib articulates with the transverse process of the vertebra with the same number.
C. Ribs 1-7 are referred to as vertebrochondral ribs.
D. The costal groove contains from superior to inferior: nerve, artery, vein.
E. The head of a typical rib articulates with the demifacets of its own number vertebra and the vertebra below.

A

B. The tubercle of a typical rib articulates with the transverse process of the vertebra with the same number

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2
Q
Which of the following structures would be penetrated first by a needle passing through the anterior chest wall just left of the sternum?
A. External Intercostal Muscle
B. Internal Intercostal Muscle
C. Transverse thoracis Muscle
D. Long Thoracic nerve
A

B. Internal Intercostal Muscle

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3
Q
Mammary Glands would NOT receive blood from which of the following arteries?
A. Internal Thoracic
B. Nerby Intercostal Arteries 
C. Thoracoacromial Artery
D. Lateral thoracic artery
A

C. Thoracoacromial artery

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4
Q
Which of the following heart sounds is best heard in the second intercostal space along the right side of the sternum?
A. Pulmonary
B. Bicuspid
C. Tricuspid
D. Aortic
A
D. Aortic
(He harped on changing this question) 
A. Pulmonary is on the left 2nd
B. Bicuspid is on the left 5th
C. Tricuspid is on the right 5th
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5
Q
The true intrinsic muscles of the back are innervated by dorsal (posterior) rami and are divided into three groups.. Which of the following groups of true intrinsic back muscles includes the splenius wapitis and splenius cervicus?
A. Spinotransversalis 
B. Sacrospinalis
C. Erector Spinae
D. Transversospinalis
A

A. Spinotransversalis

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6
Q

The thoracolumbar fascia is a triangular shaped sheet of tough connective tissue covering the lower back. It is the partial site of origin of the latissimus doors and abdominal oblique muscles. The fascia can be divided into three layer or laminae. Which oof the laminae attaches to the lumbar spinous processes?
A. Posterior
B. Middle
C. Anterior
D. All three layers attach to the lumbar spinous processes

A

A. Posterior

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7
Q
Which of the following muscle groups is part of the intrinsic musculature of the back?
A. Trapezius
B. Erector Spinae Group
C. Latissimus 
D. Serratus Posterior Group
A

B. Erector Spinae Group

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8
Q
Which of the following groups is lateral to the others listed below?
A. Longissimus group
B. interspinales
C. Spinalis Group
D. Transversopinalis Group
E. Iliocostalis group
A

E. Iliocostalis Group

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9
Q

Anterior sacral foramina allow the passage of which of the following?
A. Dorsal Rami of sacral spinal nerves
B. Ventral Rami of sacral spinal nerves
C. The lower thoracic nerves via cauda equina
D. The upper lumbar nerves via the cauda equina

A

B. Ventral Rami of sacral spinal nerves

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10
Q
A typical thoracic vertebra includes all of the following components except:
A. A heart shaped body
B. Inferior Articular Facets
C. Superior Costal Demifacets
D. Transverse Foramina
A

D. Transverse Foramina

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11
Q
The sacral promontory is formed by which of the following structures?
A. The centrum of L1
B. The spinous process of L1
C. The centrum of S1
D. The spinous process of S2
A

C. The centrum of S1

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12
Q
Which of the following ligaments extends along the roof of the neural canal?
A. Anterior longitudinal ligament
B. Posterior Longitudinal ligament
C. Ligamentum Flavum
D. Supraspinous ligament
A

C. Ligamentum Flavum

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13
Q

Transverse foramina are characteristics of which of the following?
A. All cervical
B. Only the first six cervical
C. All cervical vertebrae plus the first thoracic vertebra
D. Only cervical vertebrae 2-7

A

A. All cervical

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14
Q

Which of the following is a correct statement?
A. Transverse processes arise from the verb at the intersection of the lamina and the pedicel
B. The spinous process of a vertebrae arises from the intersection of the two pedicels
C. Mammillary bodies are associated with the anterior articulating processes of the lower thoracic vertebrae
D. The articular facets of the typical thoracic vertebrae are organized in a sagittal plane

A

A. The transverse processes arise from the vertebrae at the intersection of the lamina and the pedicel

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15
Q
How many cervical vertebrae are present in the human vertebral column?
A. 5
B. 6
C. 7
D. As many as you want
A

C. 7

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16
Q
An exaggeration of a secondary vertebral column curve is characterized by which of the following?
A. Mostly occurs in the thoracic region
B. Is refereed to as (hyper-)kypophysis
C. Mostly occurs in the cervical region
D. Is referred to as (hyper-)lordosis
A

D. Is referred to as (hyper-)lordosis

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17
Q
In the cervical region which of the following ligaments is referred to as the ligament nuchae?
A. Anterior Longitudinal Ligament
B. Posterior longitudinal ligament
C. Ligamentum Flavum
D. Supraspinous Ligament
A

D. Supraspinous ligament

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18
Q

The anterior longitudinal ligament of the vertebral column has which of the following characteristics?
A. It anchors the emerging spinal nerves in place
B. It limits the direction of nucleus pulpous extrusion during disk herniation
C. It narrows anteriorly to the intervertebral disc
D. It limits flexion

A

B. It limits the direction of nucleus pulpous extrusion during disk herniation

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19
Q

Which of the following statements characterizes the denticulate ligaments?
A. They are found in the oral cavity and are part of the gomphoses
B. They attach the serrates anterior to the ribs
C. They help to stabilize the spinal cord
D. They extend between the pia mater and the arachnoid layer

A

C. They help stabilize the spinal cord

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20
Q
The spinal cord proper ends at which of the following levels?
A. L5/S1
B. S5
C. L2
D. L4
A

C. L2

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21
Q
How many pairs of cervical spinals nerves are present in the human?
A. 5
B. 6
C. 7
D. 8
A

D. 8

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22
Q
Which of the following spaces or membranes around the spinal cord is superficial to all the others listed?
A. Dura Mater
B. Pia Mater
C. Epidural Space
D. Arachnoid Layer
A

C. Epidural Space

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23
Q
Which of the following levels of the spinal cord form the cervical enlargement?
A. C1-C5
B. C3 - C6
C. C3 - T1
D. C5-T2
A

C. C3 - T1

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24
Q

Lateral horns of the spinal cord are found in which of the following regions?
A. Cervical Through upper sacral
B. Lower cervical through the upper lumbar
C. Upper cervical through the lower thoracic
D. Thoracic through the upper lumbar

A

D. Thoracic through the upper lumbar

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25
Q
Cell bodies of the alpha motor neurons originate from which of the following regions of the spinal cord?
A. Posterior columns
B. Lateral Columns
C. Lateral Horns
D. Anterior Horns
A

D. Anterior Horns

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26
Q
Which of the following characteristics is NOT characteristic of autonomic preganglionic neurons?
A. Always Myelinated
B. Originate from ganglia
C. Utilize acetylcholine 
D. Synapse in ganglia
A

B. Originate from ganglia

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27
Q
The stellate ganglion is formed from which of the following fused ganglia?
A. All three cervical plus T1
B. T1 through T5
C. Middle and inferior cervical plus T1
D. Inferior cervical plus T1
A

D. Inferior cervical plus T1

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28
Q
Splanchnic nerves are composed of preganglionic fibers and visceral sensory fibers. They supply abdominal viscera. The greater splanchnic nerve synapses in which of the following regions?
A. Wall of upper GI tract
B. Aorticorenal ganglion 
C. Celiac Ganglion
D. Superior Mesenteric ganglion
A

C. Celiac Ganglion

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29
Q

The parasympathetic supply to the thoracic cavity is via which of the following?
A. Paravertebral chain ganglion pairs T1-T5
B. Splanchnic nerves
C. Vagus nerves
D. Stellate Ganglion

A

C. Vagus nerves

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30
Q
The medial arcuate ligaments of the diaphgram form the lumbocostal arches and anteriorly cross which of the following muscles?
A. Latissimus Dorsi
B. Quadratus Lumborum
C. Psoas Major
D. Transversus Thoracis
A

C. Psoas Major

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31
Q
The aortic opening of the diaphragm is located at which vertebral level?
A. T6 
B. T8
C. T10
D. T12
A

D. T12

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32
Q
Which of the following structures is/are found in both the superior and the inferior mediastinum?
A. Thymus
B. Vagus Nerves
C. Heart
D. Trachea
E. Phrenic Nerves
A

A. Thymus

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33
Q
The heart is found in which of the following locations?
A. Anterior Superior Mediastinum
B. Middle Superior Mediastinum 
C. Anterior Inferior Mediastinum
D. Middle inferior mediastinum
E. Posterior inferior mediastinum
A

D. Middle inferior mediastinum

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34
Q
Which of the following structures would NOT be found in the superior mediastinum?
A. Esophagus
B. Azygos Vein
C. Vagus Nerves
D. Thymus 
E. Trachea
A

B. Azygos Vein

35
Q
In aspirating material from the right costodiaphragmatic recess, care must be taken to not penetrate which of the following?
A. Spleen
B. The lower lobe of the right lung
C. The middle lobe of the right lung
D. The liver
E. the right ventricle of the heart
A

D. The liver

36
Q
Which of the following lobes would not be found in the right lung?
A. Upper (superior)
B. Middle 
C. Lower
D. Lingula
A

D. Lingula

37
Q

Which of the following statements is CORRECT with regard to pulmonary veins?
A. Pulmonary veins return oxygenated blood to the left atrium and are intersegmental
B. Pulmonary veins return deoxygenated blood from the lung interstitium to the right atrium and are intersegmental
C. Pulmonary veins return oxygenated blood to the left atrium and are intrasegmental
D. Pulmonary veins return deoxygenated blood from the lung to the interstitium to the right atrium and are intersegmental

A

A. Pulmonary veins return oxygenated blood to the left atrium and are intersegmental

38
Q
Which level of the tracheobronchial tree branchings supplies bronchopulmonary segments?
A. Primary Bronchi
B. Secondary Bronchi
C. Tertiary Bronchi
D. Respiratory Bronchioles
E. Terminal Bronchioles
A

C. Tertiary Bronchi

39
Q

Which of the following statements is INCORRECT regarding the vascular supply to the bronchopulmonary tree?
A. Bronchial arteries that supply the left lung are branches off the thoracic aorta
B. Bronchial veins on the right drain into the azygos vein
C. Bronchial arteries supplying the right lung are branches off the thoracic aorta
D. Bronchial veins on the left drain into the accessory hemiazygos vein

A

C. Bronchial arteries supplying the right lung are branches off the thoracic aorta

40
Q
Which of the following structures lies anterior to the arch of the aorta?
A. Left primary bronchus
B. Left Recurrent laryngeal nerve
C. Left Phrenic Nerve
D. Trachea
A

C. left Phrenic nerve

41
Q

The posterior descending artery is a branch of the right coronary artery
T/F

A

True

42
Q

Arteries supplying the AV and SA nodes are branches from the right coronary artery
T/F

A

True

43
Q
Which of the following is normally NOT a direct branch off the aortic arch?
A. Brachiocephalic 
B. Left Common carotid 
C. Left Subclavian
D. Right Subclavian
A

D. Righ Subclavian

44
Q
Which of the following veins is involved in draining the left posterior intercostal spaces?
A. Left internal thoracic
B. Azygos vein
C. Hemiazygos vein
D. Lateral thoracic vein
A

C. Hemiazygos vein

45
Q
Which of the following structures would NOT be found in both the left and right ventricles?
A. Papillary muscles
B. Moderator Band
C. Chordae Tendinae
D. Trabeculae Carnae
A

B. Moderator Band

46
Q
The fused sacral transverse processes form which of the following crests?
A. median Sacral Crest
B. Middle sacral crests
C. lateral sacral crests
D. Alae
A

C. Lateral sacral crests

47
Q
Which of the following represents the proximal attachment of the inguinal ligament?
A. ASIS
B. AIIS
C. Greater Trachanter
D. Intertrochanteric crest
E. Pubic Tebercle
A

A. ASIS

48
Q
The deep inguinal ring is formed by an evagination of the fascia of which of the following muscles?
A. Transversus
B. Internal Oblique
C. External Oblique 
D. Sartorius
E. Rectus Femoris
A

A. Transversus

49
Q
The inigual ligament is attached to the ASIS and the pubic tubercle and is the inferior border of the aponeurosis of which of the following muscles?
A. transversus
B. Internal oblique
C. External oblique
D. Sartorius
E. Rectus Femoris
A

C. External Oblique

50
Q
Remnants of the umbilical arteries are associated with which of the following landmarks on the posterior aspect of the anterior abdominal wall?
A. Falciform ligament
B. Medial Umbilical folds
C. median umbilical folds
D. lateral umbilical folds
E. ligamentum teres
A

B. Medial umbilical folds

51
Q
Which of the following "ligaments" extends from the umbilicus to the liver?
A. Lesser omentum
B. Ligamentum teres
C. Falciform
D. Greater Omentum
E. Epiploic
A

B. Ligamentum Teres

52
Q
The ligamentum teres hepatis is enclosed within which of the following ligaments?
A. Gastosplenic ligament
B. Gastohepatic ligament 
C. Hepatoduodenal ligament
D. Falciform Ligament 
E. Coronary Ligament
A

D. Falciform Ligament

53
Q
When full, the urinary bladder would be found in which of the following regions of the abdomen?
A. Right hypochondriac 
B. Epigastric
C. Hypogastric 
D. Right Lateral
A

C. Hypogastric

54
Q
Which of the following types of hernias occurs primarily in older men, does not pass through the inguinal canal, and does not extend into the scrotum?
A. Direct inguinal hernia
B. Indirect Inguinal Hernia
C. Femoral Hernia
D. Umbilical Hernia
A

A. Direct Inguinal Hernia

55
Q
The hepatic portal vein is formed by the union of the superior mesenteric vein and which of the following?
A. Inferior mesenteric vein 
B. Splenic vein
C. Left gastroepiploic vein
D. Right gastroepiploic vein 
E. Gastroduodenal vein
A

B. Splenic Vein

56
Q

Which of the following is true of the hepatic portal vein?
A. It is formed by the union of the superior mesenteric and inferior mesenteric veins
B. It receives venous blood from most of the gastrointestinal tract
C. It passes to the liver through the falciform ligament
D. It forms anterior to the head of the pancreas
E. It terminates directly into the inferior vena cava

A

B. It receives venous blood from most of the gastrointestinal tract

57
Q
A strong sphincter muscle is associated with which of the following structures?
A. fundus of the stomach
B. Body of the stomach
C. Spleen
D. Pylorus of the stomach
A

D. Pylorus of the stomach

58
Q

Which of the following is characteristic of the hepatoduodenal ligament?
A. It is part of the greater omentum
B. It is part of the lesser omentum
C. It contains the round ligament of the liver
D. It attaches to the bare area of the liver
E. It attaches to the neck of the gallbladder

A

B. It is part of the lesser omentum

59
Q
Which of the following parts of the GI tract is not suspended by a mesentery?
A. Transverse Colon
B. sigmoid colon
C. ileum
D. jejunum
E. duodenum
A

E. duodenum

60
Q
the neck of the pancreas is crossed by which of the following structures?
A. Splenic Artery
B. Left gastric artery
C. common hepatic artery
D. Abdominal aorta
E. Superior mesenteric artery
A

E. Superior mesenteric artery

61
Q
The proximal end of the duodenum begins at which of the following levels?
A. T11
B. L1
C. L2
D. L3
E. L4
A

B. L1

62
Q
The junction between the sigmoid colon and the rectum is anterior to which of the following landmarks?
A. S2
B. S3
C. S4
D. Pelvic Brim
E. Arcuate Line
A

B. S3

63
Q
The small intestine is approx. 21 feet in length. Which of the following is the longest of the three subdivisions of the small intestine is the jejunum
A. Jejunum
B. Duodenum
C. Ileum
D. Rectum
A

C. Ileum

64
Q
Taenia coli are associated with which of the following structures?
A. Ileum
Duodenum
C. Jejunum
D. Sigmoid Colon
A

D. Sigmoid Colon

65
Q
The abdominal aorta gives off three pairs of visceral branches. Which of the following would NOT be included in this group?
A. Renal
B.Gonadal
C. Middle Suprarenal
D. Phrenic
A

D. Phrenic

66
Q
The superior suprarenal arteries are branches of which of the following vessels?
A. Inferior Phrenic
B. Abdominal Aorta
C. Renal
D. Superior mesenteric
E. Inferior mesenteric
A

A. Inferior Phrenic

67
Q

The short gastric arteries are branches of the left gastric artery
T/F

A

False

68
Q
Which of the following arteries is not a direct branch of the celiac trunk?
A. Splenic Artery
B. Right Gastric
C. Common Hepatic 
D. Left Gastric
A

B. Right Gastric

69
Q
The vagus nerve pass through the diaphragm at which of the following levels?
A. T6
B. T8
C. T10
D. T12
A

C. T10

70
Q
The lesser curvature of the stomach is supplied by the:
A. left gastric artery
B. splenic artery
C. Common hepatic artery
D. greater epiploic artery
E. none of the above
A

A. left gastric artery

71
Q
The ascending colon is supplied by which of the following?
A. Celiac Trunk
B. Superior Mesenteric artery
C. Inferior mesenteric artery
D. middle colic artery
E. median sacral artery
A

B. Superior mesenteric artery

72
Q
The inferior suprarenal arteries are branches of which of the following arteries? 
A. inferior phrenic
B. common hepatic
C. left gastric
D. Abdominal aorta
E. Renal
A

E. Renal

73
Q
The bifurcation of the abdominal aorta into the common iliac is associated with which of the following landmarks?
A. L3
B. L4
C. L5
D. S1
E. S2
A

B. L4

74
Q
The inguinal ligament attaches to which pair of the following structures?
A. ASIS and AIIS
B. AIIS and ischial spine
C. ASIS and pubic tubercle
D. ASIS and inferior pubic ramus
A

C. ASIS and pubic tubercle

75
Q
The inferior vena cava passes through the diaphragm at which of the vertebral levels? 
A T6
B. T8
C. T10
D. T12
A

B. T8

76
Q

The greater splanchnic nerves pass through the diaphragm at which vertebral level?

a. T6
b. T8
c. T10
d. T12

A

D. T12

77
Q
The paired diaphragmatic crura are connected superiorly by which of the following structure(s0?
A. Pyloric sphincter
B. median Arcuate ligament
c. medial arcuate ligaments
D. Lateral arcuate ligaments
A

B. median arcuate ligament

78
Q
The right lateral arcuate ligament is formed from the deep fascia of which of the following structures?
A. Psoas major
B. Quadratus Lumborum
C. Falciform Ligament
D. Right Renal
A

B. Quadratus Lumborum

79
Q
The vermiform appendix would be found in which of the following abdominal regions?
A. epigastric
B. Left inguinal
C. Right hypogastric
D. Right Inguinal
A

D. Right inguinal

80
Q
Which of the following fascial layers of the abdominal wall is a fatty layer continuous with the fascia over the thorax and thigh?
A. Camper's
B. Transveraslis
C. Scarpa's 
D. Dartos'
A

A. Camper’s

81
Q
Which of the following arteries enters the rectus sheath posterior to the rectus abdominis muscle at the arcuate line?
A. Superior epigastric
B. Deep circumfelx iliac
C. Internal pudendal
D. Inferior epigastric
A

D. Inferior epigastric

82
Q
Which of the following would not pass through the inguinal canal in females?
A. Lymph vessels
B. Ilioinguinal ligament
C. Pampiniform plexus
D. round ligament
A

C. Pampiniform plexus

83
Q
Which of the following landmarks marks the point of bifurcation and termination of the abdominal aorta?
A. L2
B. L4
C. S1
D. S2
A

B. L4

84
Q
Which of the following structures does NOT liek inferior to the arch of the aorta?
A. left recurrent laryngeal nerve
B. Ligamentum arteriosum
C. Pulmonary trunk
D. Trachea
A

D. Trachea