MIDTERM EXAMINATION Flashcards

1
Q

A 35 year old tricycle driver sustained a fracture on the middle third of the right humerus. What nerve may be injured in this type of fracture?

A. Radial nerve
B. Ulnar nerve
C. Median nerve
D. Axillary nerve
E. Musculocutaneous nerve
A

A. Radial nerve

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2
Q

There are 2 rectal veins on the:

A. Right
B. Left

A

B. Left?

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3
Q

Which of the ff. distal row carpal bones are most prominent in a lateral projection radiograph of the wrist joint?

A. Scaphoid
B. Lunate
C. Capitate
D. Pisiform
E. NOTA
A

C. Capitate

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4
Q

The humero-ulnar joint space is best seen in which radiographic projection?

A. Lateral projection
B. Anteroposterior projection
C. Oblique projection
D. Tangential projection
E. NOTA
A

A. Lateral projection

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5
Q

Where is the pectoralis minor inserted?

A. Bicipital groove of the humerus
B. Clavicle
C. 3rd, 4th and 5th ribs
D. Coracoid process of the scapula
E. Acromion
A

D. Coracoid process of the scapula

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6
Q

A 33 year old gardener sustained an incised wound on the palmar aspect of the proximal phalanx of the ring finger. The patient could not flex his distal phalanx in the involved finger. What is the reason for this?

A. Flexor digitorum superficialis rendon has been cut
B. Flexor digitorum profundus tendon has been cut.

A

A. Flexor digitorum superficialis rendon has been cut

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7
Q

The ileopectineal line is the:

A. Superior margin of the false pelvis
B. Inferior margin of the true pelvis
C. Superior margin of the true pelvis

A

A. Superior margin of the false pelvis

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8
Q

A laundry woman who manually washes clothes of clients come to you because of pain on the thumb, 2nd and 3rd fingers with a flat thenar condition called?

A. Compression syndrome
B. Radial nerve palsy
C. Carpal tunnel syndrome
D. Erb's palsy
E. Duchenne palsy
A

C. Carpal tunnel syndrome

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9
Q

Dystocia means:

A. Difficult labor
B. Painful sexual intercourse

A

A. Difficult labor

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10
Q

Vagina receives blood supply from all of the following except:

A. Internal iliac a.
B. Vaginal a.
C. Superior rectal a.
D. Uterine a.

A

C. Superior rectal a.

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11
Q

Rectum begins anterior to:

A. S1
B. S2
C. S3
D. S4

A

C. S3

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12
Q

Sphincter vaginae is:

A. Anterior fibers of levator ani
B. Intermediate fibers of levator ani
C. Posterior fibers of levator ani

A

A. Anterior fibers of levator ani

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13
Q

Characterized as funnel-shaped pelvis with contracted outlet:

A. Gynecoid
B. Android
C. Anthropoid
D. Platypelloid

A

B. Android

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14
Q

What ca be palpated within the anatomic snuffbox?

A. Lunate
B. Radial nerve
C. Ulnar artery
D. Deep branch of radial nerve
E. Radial artery
A

E. Radial artery

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15
Q

What is true about the brachial plexus?

A. The roots of C5 and C6 unite to form the lower trunk.
B. Each trunk divides into anterior, middle and posterior divisions.
C. The anterior divisions of the upper and middle trunks unite to form the lateral cord.
D. The posterior divisions of all three trunks unite to form the medial cord.
E. The anterior division of the lower trunk continues as the lateral cord.

A

C. The anterior divisions of the upper and middle trunks unite to form the lateral cord.

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16
Q

A 34 year old mechanic complains of numbness over the skin of the hypothenar eminence and the small finger. What is involved?

A. Ulnar nerve
B. Radial nerve
C. Median nerve
D. Radial artery
E. Ulnar artery
A

A. Ulnar nerve

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17
Q

The medial epicondyle of a 65 year old female patient has been fractured and avulsed during the fall from a stairs. What nerve injury may result from this fracture?

A. Radial n.
B. Ulnar n.
C. Median n.
D. Axillary n.
E. Musculocutaneous n.
A

B. Ulnar n.

18
Q

Rounded protuberance of the distal humerus that articulates with the radial head:

a. trochlea
b. medial epicondyle
c. capitellum
d. greater tubercle
e. NOTA

A

c. capitellum

19
Q

External anal sphincter:

a. has an autonomic innervation
b. is attached to both perineal body and anococcygeal ligament
c. surrounds the upper 2/3 of the anal canal
d. AOTA

A

b. is attached to both perineal body and anococcygeal ligament

20
Q

What innervates the anterior fascial compartment of the arm?

a. radial n.
b. ulnar n.
c. median n.
d. musculocutaneous n.
e. axillary n.

A

d. musculocutaneous n.

21
Q

Prostate cancer usually affects the:

a. transition zone
b. central zone
c. peripheral zone

A

c. peripheral zone

22
Q

Which structure passes beneath the flexor retinaculum?

a. median nerve
b. ulnar nerve
c. ulnar artery
d. flexor carpi ulnaris tendon
e. palmar cutaneous branch of ulnar nerve

A

a. median nerve

23
Q

The scapular neck is best seen in which radiographic projection?

a. oblique projection
b. lateral projection
c. anteroposterior projection
d. NOTA

A

c. anteroposterior projection

24
Q

As the uterine artery passes from the internal iliac artery to the uterus, it crosses superior to which of the following structures that is sometimes mistakenly ligated during such surgery?

a. ovarian a.
b. ovarian ligament
c. uterine tube
d. ureter
e. round ligament of the uterus

A

d. ureter

25
Q

The nerve leaves the pelvis via the greater sciatic foramen and reenters via lesser sciatic foramen.

a. sciatic nerve
b. pudendal nerve
c. superior gluteal nerve
d. inferior gluteal nerve

A

b. pudendal nerve

26
Q

Which fracture results in a dinner-fork deformity?

a. fracture of the olecranon
b. Monteggia’s fracture
c. Colle’s fracture
d. Smith’s fracture
e. Galeazzi’s fracture

A

c. Colle’s fracture

27
Q

The radio-carpal joint is composed of which bones?

a. lunate
b. lunate
c. capitate
d. A and B
e. AOTA

A

D. A and B (Lunate and scaphoid)

28
Q

A young couple is having difficulty conceiving a child. Their physician at a reproduction and fertility clinic explains to them that:

a. The glans clitoris is formed from the corpus spongiosum
b. Erection of the penis is a sympathetic responsone
c. Ejaculation follows parasympathetic stimulation
d. Fertilization occurs in the infundibulum or ampulla of the uterine tube

A

d. Fertilization occurs in the infundibulum or ampulla of the uterine tube

29
Q

Pararectal lymph nodes and vessels drain into the:

a. Inferior mesenteric nodes
b. Internal iliac nodes

A

a. Inferior mesenteric nodes

30
Q

What innervates the lateral compartement of the forearm?

a. radial nerve
b. ulnar nerve
c. median nerve
d. musculocutaneous nerve

A

a. radial nerve

31
Q

All veins of he perineum accompanies an artery except:

A. Dorsal vein of the penis
B. Perineal vein
C. Pudendal vein
D. Inferior rectal vein

A

A. Dorsal vein of the penis

32
Q

Which muscle is innervated by the axillary nerve?

A. Biceps brachii
B. Deltoid
C. Teres major
E. Subclavius

A

B. Deltoid

33
Q

Lymph drainiage of urinary bladder:

A. Internal iliac nodes
B. External iliac nnodes
C. Both

A

C. Both

34
Q

Which is innervated by the ulnar nerve?

a. Pronator teres
b. Flexor carpi ulnaris
c. Flexor carpi radialis
d. Palmaris longus
e. Flexor pollicis longus

A

b. Flexor carpi ulnaris

35
Q

During thoracentesis, where a needle is inserted into the 7th rib intercostal space, which will be your landmark?

a. 7th rib
b. Spine of the 7th thoracic vertebra
c. Angle of Louis
d. Inferior angle of the scapula
e. 12th rib

A

a. 7th rib

36
Q

The following are the boundaries of the anal triangle except:

A. Ischial tuberosity
B. Coccyx
C. Ischial spine
D. Sacrum

A

C. Ischial spine

37
Q

Diagonal conjugate is the distance between:

A. Superior border of pubic symphysis and promontory
B. Inferior border of symphysis and promontory
C. Inferior border of symphysis and tip of coccyx

A

B. Inferior border of symphysis and promontory

38
Q

Tearing of the pelvic diaphragm during childbirth leads to paralysis of which of the following muscles?

A. Piriformus
B. Sphincter urethrae
C. Obturator internus
D. Levator ani
E. Sphincter ani externus
A

D. Levator ani

39
Q

An infection in the ischioanal fossa is more likely to spread to:

A. Internal iliac lymph node
B. External iliac lymph node
C. Superficial inguinal lymph node
D. Inferior mesenteric lymph node

A

A. Internal iliac lymph node

40
Q

Inferior vesical artery:

A. Is a direct branch of the posterior division of the internal iliac artery
B. Is present only in males
C. Arises from the vaginal artery, a branch of the uterine artery in females
D. NOTA

A

B. Is present only in males

41
Q

Shenton’s line is anatomic line following the contour of which structure?

a. Superior pubic ramus
b. Obturator foramen
c. Femoral shaft
d. Femoral neck
e. Iliac crest

A

d. Femoral neck