Anatomy Samplex 1st Year

UST FMS - Department of Anatomy

FIRST SHIFTING EXAMINATION

October 13, 2015

I.

A if statement is correct

B if statement is incorrect

True of the SCALP

A 1. Cutaneous innervation comes from the branches of the cervical plexus

and trigeminal nerve

A 2.Muscles are inserted to the skin and galea aponeurotica

B 3. Wounds bleed profusely because of the rich elastic fibers surrounding

blood vessels

A 4. Infection of the skin would spread to the meninges via the emissary vein

What anatomical terms can be used in transverse planes

A 5. Anterior and posterior B 7. Distal and proximal

A 6. Shoulder A 8. Ipsilateral and

contralateral

Synovial joints are exemplified by the following joints

A 9. Intercarpal B 11. Sutures

A 10. Shoulder B 12. Symphysis

The following terms are used to describe the veins

B 13. Branches A 15. Termination

A 14. Origin A 16. Sinusoid

Structures innervated by the autonomic nervous system

A 17. Cardiac muscles B 19. Skeletal muscles

A 18. Glands A 20. Smooth muscles

Structures that are enclosed by carotid sheath

B 21. Phrenic nerve A 23. Internal carotid

artery

B 22. External carotid artery A 24. Internal jugular vein

Both Common Carotid arteries

B 25. Have the same commencement, origin, and termination

A 26. Are related to the internal jugular vein medially in the neck

A 27. Gave no branches except in the termination

A 28. Enclosed by the carotid sheath from its commencement to its

termination

True of the salivary glands

A 29. The parotid gland is covered by the investing layer of the deep cervical

fascia

A 30. The submandibular duct terminates at the floor of the mouth

B 31. The mylohyoid divides the parotid gland into superficial and deep part

B 32. All are innervated by nerves carrying sympathetic fibers

True of the cervical plexus

A 33. The cutaneous branches are distributed to the scalp, face, and neck

B 34. It is formed by the posterior rami of cervical spines 1-4

A 35. Has branches that supply the deep muscles of the neck

B 36. Conveys motor, sensory, and parasympathetic fibers

True of the thyroid gland

A 37. The isthmus lies anterior to the tracheal rings of 2-4

B 38. It is supplied by 3 pairs of the thyroid veins

B 39. It is covered by the suprahyoid muscles

B 40. It secretes hormones conveyed by the thyroid arteries to systemic

circulation

The internal jugular vein

A 41. Is a continuation of the sigmoid sinus

A 42. Joins the subclavian vein to form the brachiocephalic vein

A 43. Drains the deeper veins of the head, the face and the thyroid gland

B 44. It is located deep to the internal carotid artery

Standard anatomical position

B 45. Body erect, head flexed

A 46. Arms on the side with thumbs directed laterally

A 47. Palms facing anteriorly

B 48. Toes directed medially

True of the shoulder joint

A 49. Type: ball and socket

B 50. Nerve supply: axillary and subscapular nerve

A 51. Stabilizing muscles: Teres major and minor

B 52. Articulating bones: humerus, scapula, clavicle

True of the veins of the upper limb

A 53. The deep veins comprise the vena comitantes

B 54. The cephalic vein enters the deep fascia at the mid arm

B 55. The basilica vein drains the lateral end of the dorsal venous arch

A 56. Both basilic and cephalic veins drain into the axillary vein

Muscles that move the scapula

B 57. Deltoid A 59.

Rhomboid muscles

B 58. Pectoralis minor B 60. Teres

major

II. Multiple choice

61. Carotid sinus is

A. located at the origin of the external carotid artery

B. innervated by the facial nerve

C. a chemoreceptor

D. stimulated by changes in blood pressure

62. True of the mammary gland

A. it lies beneath the deep pectoral fascia

B. it is divided into lobes by the suspensory ligament of Spence

C. its blood supply comes from the penetrating branches of external…

D. All of the above

63. Forms a fibrous covering that protects the apex of the lungs

A. Apex C.

Endothoracic fascia

B. Cupola D.

Sibson’s fascia

64. Endothelial lined tubes/spaces capable of containing blood EXCEPT:

A. Dural sinuses C.

Paranasal sinuses

B. Liver sinusoids D. Penile

cavernous sinus

65. Muscle pierced by the parotid duct

A. Buccinator C.

Risorius

B. Masseter D.

Zygomaticus major

66. Part of the vertebral artery that enters the transverse foramen

A. 1

_{part C. 3}

part

B. 2

_{part D.}

4

_part

67. Which laryngeal nerve pierces the thyrohyoid membrane?

A. Superior laryngeal C.

Internal laryngeal

B. External laryngeal D.

Inferior laryngeal

68. This part of the nervous system is formed when one or more spinal nerve

joins one another

A. rami communicantes C.

sympathetic ganglion

B. plexus

D. cauda equina

69. The parasympathetic fibers are formed from the fibers coming from the

spinal nerves of the

A. Cervical C. Lumbar

B. Thoracic D. Sacral

70. The following are irregular bones:

A. Vertebra C.

Phalanges

B. Talus D. Frontal

71. The posterior axillary fold is formed by the

A. lower border of the pectoralis major

B. lower border of the pectoralis minor

C. tendon of the latissimus dorsi and teres major

D. tendon of the latissimus dorsi and teres minor

72. The triangular space contain/s:

A. Axillary nerve C. Anterior

circumflex humeral a.

B. Circumflex scapular artery D. Posterior

circumflex humeral a.

73. The pulsation of the facial artery is felt at this part of the mandible:

A. Angle of the mandible C. Superior

margin of the body

B. Inferior margin of the body D. Upper

border of the thyroid cartilage

74. Cranial nerve that passes thru the jugular foramen EXCEPT:

A. Glossopharyngeal C. Spinal

accessory

B. Vagus D.

Hypoglossal

75. True of the anterior scalene muscle EXCEPT:

A. Phrenic nerve descends on its anterior surface

B. Thyrocervical trunk is lateral to the muscle

C. Subclavian vein passes anteriorly

D. is considered as an accessory muscle of respiration

76. The lateral border of the cubital fossa

A. Brachialis muscle C. Extensor carpi

radialis longus

B. Brachioradialis muscle D. Pronator

teres muscle

77. This nerve becomes superficial as it passes behind the medial epicondyle

on its way to the forearm

A. Axillary nerve C. Radial nerve

B. Musculocutaneous nerve D. Ulnar nerve

78. A structure that can easily be injured during ligation of the superior

thyroid artery is the

A. External branch of the superior laryngeal nerve

B. Superior parathyroid gland

C. Internal branch of the superior laryngeal nerve

D. Carotid sinus

A. anteriorly C.

laterally

B. medially D. superiorly

80. The branch of the vagus nerve that loops around the subclavian artery to

form the

A. Left recurrent laryngeal nerve C. Inferior

laryngeal nerve

B. Right recurrent laryngeal nerve D. Superior

laryngeal nerve

81. The layer of encircling cervical fascia that spilts to enclose

sternocleidomastoid and trapezius muscle

A. Superficial fascia C. Paravertebral

fascia

B. Superficial layer of the deep fascia D. Pretracheal

fascia

82. Which of the following hyoid muscles is an important landmark in the

anterior and posterior angle of the neck?

A. geniohyoid C. mylohyoid

B. omohyoid D.

stylohyoid

83. Difference between the left and right subclavian vein

A. Commencement C. Tributaries

B. Length D. Termination

84. Characteristics of the elbow joint

A. innervated by the median nerve and ulnar nerve

B. It is a gliding joint

C. Articulation occurs between trochlea and capitulum of humerus and

trochlea of radial

Head of the ulna

D. The ligaments impose strict limitations on abduction, adduction

and axial rotation rotation of shoulder

85. The most important of the glenohumeral ligament because it prevents

extreme range of motion

A. superior C. inferior

B. middle D. posterior

86. Movement of the joint around an axis

A. Circumduction C. Abduction

B. Rotation D. Adduction

87. Borders of the dangerous area of the face

A. Base – Ala of the nose C. Lateral – anterior

border of parotid gland

B. Apex – Glabella D. All of the

above

88. Which of the following tendon is continuous with the glenoid labrum?

A. long head of the biceps C. short head of

the triceps

B. long head of the triceps D. short head of the

biceps

III. MATCHING TYPE

Match the following structures in Column B to the area in the humerus

A 89. Radial groove A. Profunda Brachii

Artery tendon

B 90. Surgical neck B. Posterior

circumflex humeral artery

C 91. Intertubercular sulcus C. Long head biceps

D 92. Medial epicondyle D. Ulnar nerve

Which of the following nerve in Column B would be involve if the following

action in Column A becomes affected?

A 93. Abductor of the arm A. Axillary nerve

B 94. Adductor of the arm B. Medial and Lateral

pectoral nerve

C 95. Extension of the elbow C. Radial nerve

D 96. Flexion of the elbow D. Musculocutaneous

nerve

Classification of synovial joint

C 97. Shoulder joint A. Pivot

B 98. Elbow joint B. Hinge

A 99. Allantoaxial joint C. Ball and socket

D 100. Sternoclavicular D. Plane

UST FMS - Department of Anatomy

LONG QUIZ 1

September 1, 2015

B 1. Cranial nerves VII, IX and X carries sympathetic fibers

A 2. Sympathetic fibers are distributed to the sweat glands, blood vessel and erector pili of the skin

A 3. The spinal cord terminates between LV1 to LV2 B 4. The spinal nerve exits thru the spinal canal True of the scalp:

B 5. Sensory innervation is provided by both cranial nerves V and VII

A 6. Blood supply originates from branches of the external carotid artery and ophthalmic artery

A 7. The loose areolar layer contains the emissary veins B 8. The pericranium is loosely attached to the sutural lines Route of the parotid duct

A 9. Passes anterior to the masseter A 11. Pierces the buccinators B 10. Crosses the facial vessels B 12. Opens in the second molar tooth

The muscles of facial expressions:

A 13. Has bony origin and dermal insertion

B 14. Is innervated by the facial nerve including its overlying skin A 15. Is grouped according to the orifices found in the face

B 16. Is covered by deep fascia True of the parotid gland:

A 17. The secreto-motor innervation is thru the otic ganglion A 18. Covered by the parotidomasseteric fascia

A 19. Located in the ramus of the mandible, infraauricular area and anterior to the sternocleidomastoid

A 20. The terminal branches of the facial nerve is found within its substance The common carotid arteries:

B 22. Give off branches within the carotid sheath A 23. Has its carotid sinus at its terminal end

A 24. Are medial to both the vagus nerve and internal jugular vein in the neck

The nerves that are closely related to the thyroid gland and can be damaged during surgery:

B 25. Internal branch of the superior laryngeal nerve A 26. External branch of the superior laryngeal nerve A 27. Recurrent laryngeal nerve

B 28. Ansa cervicalis True of the ansa cervicalis

B 29. Innervates the omohyoid, sternohyoid and thyrohyoid A 30. Lies anterior to the carotid sheath

B 31. It is formed by the hypoglossal nerve and branches from C1 to C3 cervical plexus

A 32. Carries motor fibers II. Choose the best answer

33. What vein connects the facial vein to the superior ophthalmic vein? A. superior temporal C. angular

B. supraorbital D. lateral nasal 34. What branches of the facial nerve is given off as it exits from the stylohyoid foramen?

A. posterior auricular C. lesser occipital B. cervical nerve D. nerve to the anterior belly of digastric

35. The muscle used when smiling is the

A. Buccinator C. Depressor labi superioris

B. Procerus D. Zygomaticus major

36. In the anatomical position

A. arms are pronated C. face looking forward

B. feet everted D. body in supine position

37. The term used for the movement of a joint away from midline is

B. Pronation D. Retraction 38. The term for the landmark used to connote the beginning of an artery A. Commencement C. Formation B. Origin D. Branches 39. The facial bones are classified as:

A. short C. irregular B. sessamoid D. flat

40. The distal and movable part of the muscle is the

A. origin C. insertion B. belly D. ligament 41. The right lymphatic duct drains which of the following regions

A. Abdomen C. Right upper extremity

B. Thorax D. Right lower extremity

42. What cranial never carries purely sensory fibers

A. optic C. occulomotor B. facial D. trigeminal

43. an example of a pivolt joint is the

A. hip C. carpometacarpal of the thumb

B. elbow D. allanto-axial 44. What is the anterior boundary of the middle cranial fossa?

A. orbital plate C. cruciate eminence B. lesser wing of the sphenoid D. cerebellar fossa 45. Which of the following is an unpaired bone of the viscerocranium

A. inferior nasal conchae C. mandible

B. lacrimal bone D. zygomatic bone 46. True of the retromandibular vein

A. lies parallel to the parotid duct

B. drains into the internal and external jugular veins C. divides the parotid gland into superficial nad deep lobes D. formed by the posterior auricular and occipital veins 47. The secretions of the thyroid gland are conveyed by the?

B. thyroid veins D. lymphatic vessels 48. What superficial lymph nodes lies along the external jugular vein?

A. superficial cervical C. submental B. anterior cervical D. submandibular 49. Which structure divides the submandibular gland into superficial and deep lobe? A. digastric muscle C. mylohyoid

B. hyoglossus D. stylohyoid

50. The derivative of the pretracheal fascia that attaches the thyroid gland to the cricoid and upper tracheal rings is the

A. buccopharyngeal fascia C. Ligament of Berry B. cricothyroid ligament D. prethyroid lamina

UST FMS - Department of Anatomy

LONG QUIZ 2

September 29, 2015

Areas of distribution of the branches of the cervical plexus

A 1. Skin of scalp behind ear A 3. Infrahyoid muscles

A 2. Respiratory diaphragm A 4. Pericardium

True of the muscles of the back

A 5. Superficial muscles like the trapezius muscles are connected to the shoulder girdle

A 6. intermediate muscles like the serratus posterior are associated with movements of the thoracic cage and respiration

B 7. The spinalis muscle is the most lateral component of the erector spinae A 8. The deep muscles are innervated by the dorsal rami of the spinal nerves True of cubital fossa:

A 9. The roof is formed by skin and fascia and reinforced by bicipital aponeurosis A 10. The median nerve is medial to the brachial vessels

A 11. The brachial artery divides into its terminal branches B 12. The medial boundary is the supinator muscle

True of the mammary gland

A 13. Retromammary space separates the breast from the fascia of the pectoralis major

B 14. Innervated by the 1st _{to 7}th _{iontercostal nerves}

B 15. Located in the deep fascia

A 16. Lymph drainage: lateral quadrant into axillary nodes and the medial quadrant into the parasternal nodes

The brachial plexus

A 17. Is formed by the anterior rami of C5 C6 C7 C8 and T1 B 18. Conveys motor, sensory, and parasympathetic fibers A 19. Innervates the upper extremities

B 20. Has roots, trunks, cords, related to the lower posterior triangle of the neck True of the cervical sympathetic trunk

B 21. Located behind the carotid sheath and enclosed by the pretracheal fascia A 22. Contains the preganglionic and postganglionic sympathetic fibers and cell bodies of postganglionic sympathetic fibers

A 23. Innervates the heart, pharynx, thyroid, and parathyroid gland including the blood vessels in the head and neck

B 24. Receives both gray and white rami communicantes in the cervical region Contents of the axillary sheath

A 25. Subclavian artery A 27. Axillary artery

B 26. Subclavian vein A 28. Axillary vein

True of the scalene muscles

B 29. Brachial plexus and subclavian artery pass anterior to the scalene anterior A 30. Covered by the prevertebral fascia

A 31. Accessory muscles of respiration

A 32. Originate in the transverse process of cervical vertebrae The following muscles stabilize/s the shoulder joint

A 33. Supraspinatus B 35. Subclavius

B 34. Teres major A 36. Subscapularis

True of the structures in the posterior triangle of the neck

B 37. The apex of the lung projects posterior to trunks of the brachial plexus

A 38. The phrenic nerve has motor and sensory fibers distributed to the respiratory diaphragm

A 39. The vertebral artery supplies the posterior part of the brain A 40. The subclavian vein receives the major lymphatic vessels II. Choose the best answer

41. True of the boundaries of the axilla

A. Medial – serratus anterior C. Anterior – biceps brachii

B. laterally – head of the humerus D. Posterior – trapezius

42. Which of the following muscles abduct the shoulder joint?

A. Deltoid, supraspinatus C. Serratus anterior, pectoralis minor

B. Pectoralis major, latissimus dorsi D. Subscapularis, teres minor

43. Which of the following neurovascular structure maybe injured in a fracture of the surgical neck of the humerus?

A. Profunda brachii artery/Radial artery

B. Circumflex scapular artery/Dorsal scapular nerve

C. Anterior circumflex humeral artery/Thoracodorsal nerve D. Posterior circumflex humeral artery/Axillary nerve

44. Which of the following arteries would supply blood to the profunda brachii artery if it is ligated at its origin?

A. Lateral thoracic C. Posterior humeral circumflex

B. Subscapular D. Superior ulnar collateral

45. Which of the following muscles is innervated by a nerve that arises from the brachial plexus?

A. Biceps brachii C. Serratus anterior

B. Latissimus dorsi D. Triceps brachii

46. The following vessels directly supply the mammary gland EXCEPT A. Perforating branches of the internal thoracic

B. Intercostal arteries of the superior epigastric C. Lateral thoracic

D. Medial pectoral

47. Which of the following muscles does NOT move the elbow joint?

A. Biceps brachii, long head C. Corachobrachialis

B. Brachialis D. Triceps brachii, long head

48. The anterior bundle of the sympathetic trunk connecting the middle cervical ganglion to the inferior cervical ganglion:

A. ansa subclavia C. stellate ganglion

B. ansa cervicalis D. stellate trunk

49. The brachial artery

A. begins at the lower border of the teres minor B. branches into radial and ulnar artery C. terminates opposite the olecranon

D. at its commencement is bounded medially by the median nerve

50. Which of the following muscle is innervated by both the radial and musculocutaneous nerve?

A. Biceps muscles C. Brachioradialis

B. Brachialis D. Triceps muscle

51. The radial nerve enters the anterior compartment of the forearm:

A. just above the lateral epicondyle C. as it leaves the axilla

B. at the radial groove D. at the mid arm

52. Which of the following best describes the quadrangular space? A. Bounded above by the supraspinatus muscle

B. Bounded below by the teres minor muscle C. Bounded laterally by the humeral shaft

D. Axillary nerve passes through it 53. Which of the following is true of the scapular anatomy A. Lies between T2 and T7

B. The lateral end of the scapular spine froms the coracoid process C. Lateral to the base of the coracoid process is the suprascapular notch D. The acromion projects upward and forward above the glenoid fossa 54. Which statement is/are true of the humerus

A. The epicondyles serves as the inferior boundary of the cubital fossa

B. The radial nerve and profunda brachii artery winds around the surgical neck C. The humeral head articulates with the coracoid process

D. The capitulum, trochlea, and olecranon fossa forms part of the elbow joint

55. Which of these superficial veins perforates the deep fascia of the arm? A. Cephalic C. Basilic

B. Median cubital D. Vena comites of the Brachial artery