GROSS ANATOMY 1st Flashcards
One of the blood supplies of the breast is the posterior intercostal artery (PIA) which
directly originate from the __________?
A. Descending aorta
B. Internal Thoracic artery
C. Musculophrenic artery
D. Superior epigastric artery
A. Descending aorta
Which statement is correct regarding External Mammary Nodes?
A. Location of the group of nodes, superiorly at inferior edge of axillary vein, medially at lateral
border of pectoralis minor muscle and laterally at medial border of subscapularis
B. Belongs to level II group of nodes
C. Located laterally at border of latissimus dorsi muscle, superiorly at inferior edge of axillary vein
and medially at medial border of subscapularis muscle
D. Located at the clavipectoral fascia
A. Location of the group of nodes, superiorly at inferior edge of axillary vein, medially at lateral
border of pectoralis minor muscle and laterally at medial border of subscapularis
Which nodes are located behind the Pectoralis Minor Muscle, the ribs
medially and Axillary Vein superiorly *
A. Rotter’s nodes
B. Central nodes
C. Lateral nodes
D. Scapular nodes
B. Central nodes
At what level are the central node group of nodes?
A. Level II nodes
B. Level III nodes
C. Level I nodes
D. Level IV nodes
D. Level IV nodes
A. Level II nodes
Which of the following is located laterally at lateral border of Subscapularis,
superiorly at inferior edge of Axillary Vein and medially at medial border of
Subscapularis Muscle? *
A. Rotter’s nodes B. Central nodes C. External Mammary node D. Lateral nodes E. Scapular nodes
E. Scapular nodes
At what level are the scapular nodes?
A. Level II nodes
B. Level III nodes
C. Level I nodes
D. Level IV nodes
Level I nodes
Group of nodes located laterally at border of Latissimus Dorsi Muscle, superiorly at
inferior edge of Axillary Vein and medially at medial border of Subscapularis Muscle? *
A. Rotter’s nodes
B. Central nodes
C. Lateral nodes
D. Scapular nodes
C. Lateral nodes
At what level are the lateral nodes? *
A. Level II nodes
B. Level III nodes
C. Level I nodes
D. Level IV nodes
C. Level I nodes
2/3 of the base of breast lies on what structure? *
A. Pectoralis minor
B. Pectoralis major
C. Serratus anterior
D. External oblique muscle
B. Pectoralis major
The lymphatics from upper part of mammary gland drain into __________. *
A. The parasternal lymph nodes.
B. Subdiaphragmatic lymph nodes.
C. Apical group of axillary lymph nodes.
D. Pectoral group of axillary lymph nodes.
Apical group of axillary lymph nodes.
A clinically positive Subclavian lymph node is __________? *
A. Level II nodes
B. Level III nodes
C. Level I nodes
D. Level IV nodes
B. Level III nodes
A clinically positive Scapular lymph node is __________? *
A. Level II nodes
B. Level III nodes
C. Level I nodes
D. Level IV nodes
Level I nodes
A clinically positive Rotter’s lymph node is __________? *
A. Level II nodes
B. Level III nodes
C. Level I nodes
D. Level IV nodes
Level II nodes
A clinically positive Central lymph node is __________? *
A. Level II nodes
B. Level III nodes
C. Level I nodes
D. Level IV nodes
Level II nodes
The Medial Mammary Artery is a branch of __________? *
A. Thoracoacromial artery from axillary artery
B. 2nd,3rd and 4th anterior intercostal artery
C. Posterior intercostal arteries
D. Axillary artery
2nd,3rd and 4th anterior intercostal artery
How many lactiferous ducts drain into nipple of the mature female breast? *
A. 25-30
B. 35-40
C. 15-20
D. .5-1
15-20
Which of the following statements is true? *
A. Dimpling of the skin occurs as a result of glandular fibrosis and shortening of cooper ligaments
B. Skin edema of breast cancer is only a result of direct skin invasion by tumor
C. Lymph node metastasis first occur in Level II and III of the axilla up to 20% of the time
D. None
Dimpling of the skin occurs as a result of glandular fibrosis and shortening of cooper ligaments
The breast spans vertically between which costal cartilages? *
A. 1st and 5th
B. 2nd and 6th
C. 3rd and 7th
D. 4th and 8th
2nd and 6th
Which of the following nodes receives the majority of the breast tissue lymph? *
A. Posterior intercostal nodes
B. Parasternal nodes
C. Infraclavicular nodes
D. Axillary nodes
Axillary nodes
Which is correct regarding the mammary gland? *
A. It has 15-20 lobules.
B. Lateral border of the breast is between lateral margin of latissimus dorsi and lateral margin of
pectoralis major
C. It has 4-8 lactiferous ducts.
D. Its most lymph drains into the parasternal lymph nodes.
Lateral border of the breast is between lateral margin of latissimus dorsi and lateral margin of
pectoralis major
Axillary artery extends from __________? *
A. The outer border of second rib to the lower border of teres major
B. The inner border of first rib to the lower border of teres minor
C. The inner border of second rib to the lower border of teres minor
D. The outer border of first rib to the lower border of teres major
The outer border of first rib to the lower border of teres major
In relation to axillary artery, MEDIAL CORD of brachial plexus with its medial pectoral
branch lies at the __________? *
A. First part anteriorly
B. First part posteriorly
C. Second part laterally
D. Third part posteriorly
First part posteriorly
In relation to axillary artery, POSTERIOR CORD of brachial plexus lies at the
__________? *
A. First part anteriorly
B. Second part posteriorly
C. Second part laterally
D. Third part posterior
Second part posteriorly
Which of the following branches of the axillary artery supplies the PECTORAL muscles
and the THORACIC WALL? *
A. Anterior circumflex humeral artery
B. Lateral thoracic artery
C. Posterior circumflex humeral artery
D. Superior thoracic artery
Superior thoracic artery
Which is the LARGEST branch of the AXILLARY Artery? *
A. Anterior circumflex humeral artery
B. Lateral thoracic artery
C. Posterior circumflex humeral artery
D. Subscapular artery
Subscapular artery
Which of the following branches of the Axillary Artery goes around the surgical NECK of the HUMERUS? *
A. Anterior circumflex humeral artery and Posterior circumflex humeral artery
B. Lateral thoracic artery and Posterior circumflex humeral artery
C. Posterior circumflex humeral artery and Subscapular artery
D. Superior thoracic artery and anterior circumflex humeral artery
Anterior circumflex humeral artery and Posterior circumflex humeral artery
The MEDIAL CORD has five branches, and four of the five branches have the word “medial” in their names. Which branch of the medial cord does NOT `HAVE the word
“MEDIAL” in its name? *
A. Lower subscapular nerve
B. Median nerve
C. Musculocutaneous nerve
D. Ulnar nerve
D. Ulnar nerve
The BRACHIAL PLEXUS is formed by \_\_\_\_\_\_\_\_\_\_? * A. C5-T1 dorsal rami B. C5-T1 dorsal roots C. C5-T1 ventral rami D. C5-T1 ventral roots
C5-T1 ventral rami
The AXILLARY Nerve is a DIRECT BRANCH of the __________? *
A. Lateral cord
B. Medial cord
C. Middle trunk
D. Posterior cord
Posterior cord
Which of the following branches of the Axillary Artery SUPPLIES the LATTISIMUS Dorsi and SERRATUS ANTERIOR ? *
A. Anterior circumflex humeral artery
B. Lateral thoracic artery
C. Subscapular artery
D. Superior thoracic artery
Subscapular artery
The QUADRANGULAR SPACE is an intermuscular space located immediately below the glenohumeral joint, and its contents are the axillary nerve and vessels. Which of the following is true regarding its BOUNDARIES? *
A) Medially- long head of the triceps and laterally: surgical neck of the humerus
B) Superiorly - capsule of the joint, Subscapularis muscle and inferiorly by Teres minor muscle
C) Medial - short head of the biceps and lateral: surgical neck of the humerus
D) Superiorly - Supraspinatus and capsule of the joint and inferiorly by the Teres Major muscle
Medially- long head of the triceps and laterally: surgical neck of the humerus
What is the normal length of the vertebral column? *
A). 75 cm
B). 70 cm
C). 65 cm
D). 60 cm
75 cm
Which of the following deep back muscles has a proprioceptive function? *
A) Rotatores
B) Interspinales
C) Intercostalis
D) Intertransversarii
Rotatores
Which of the following back muscles extends and CONTRALATERALLY rotates the head and vertebral column? *
A) Iliocostalis
B) Semispinalis
C) Multifidus
D) Rotatores
Semispinalis
Which statement best describes the LEVATORES COSTARUM Muscle? *
A). It aids in expiration.
B). It originates from the lateral process of the cervical and thoracic vertebrae.
C). It is innervated by the posterior rami of the thoracic spinal nerves.
D). It belongs to the intermediate group of back muscles.
It is innervated by the POSTERIOR RAMI of the THORACIC spinal nerves.
In a “JEFFFERSON’S FRACTURE”, which cervical vertebrae causes the ring of the ATLAS to be disrupted and the lateral mass to be displaced laterally? *
A) C1 vertebra
B) C2 vertebra
C) C3 vertebra
D) C4 vertebra
C1 vertebra
When doing a LUMBAR PUNCTURE, which of the following structures is NOT PUNCTURED by the spinal needle? *
A). Supraspinous Ligament
B). Posterior longitudinal Ligament
C). Ligamentum Flavum
D). Interspinous Ligament
Posterior longitudinal Ligament
A 56-year-old female complains of severe back pain which is radiating to the LATERAL part of LOWER LEG and DORSUM of the FOOT. What nerve root is probably
involved? *
A). S1
B). L5
C). L4
D). L3
L5
A 34 year old male patient, was brought in the Emergency room, drowsy and combative with a ligature mark on his neck. He was immediately resuscitated and
stabilized. Radiograph of Cervical spine shows a HANGMAN’s fracture (C2). What structure(s) of the cervical vertebrae are involved in this fracture? *
A). Fracture of pars interarticularis
B). Fracture of vertebral arch of the axis
C). Fracture of the dens
D). All of the above
All of the above
Mercy, a dancer, complains of muscle strain on her upper back after their daily
practice for one week. Which of the following muscles is part of the ERECTOR SPINAE
muscles of the back? *
A. Spinalis capitis
B. Interspinales
C. Semispinalis thoracis
D. Splenius cervicis
Spinalis capitis