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Final Exam Tophat
Terms in this set (125)
Which of the following is incorrect pertaining to herniation of the nucleus pulposus?
typically occurs at the thoracic vertebrae either anterior or posterior
Which of the following is correct pertaining to the longitudinal ligaments of the vertebral column?
the anterior limits hyperextension whereas the posterior limits hyperflexion
Spina bifida is a congenital usually associated with a defect of
Sacrum articulate with hip bone at
All of the following muscles extend the back except
Cauda equina is
terminal lumbar and sacral nerves
Which of the following is incorrect pertaining to the lumbar cistern?
it contains epidural fat
What is the point of attachment between upper limb and trunk?
The trapezius can perform all of the following except:
flex the arm
Brachial plexus originate from
C5 - T1
Fracture of the mid-shaft of the humerus might injure:
Injury to radial nerve might lead to
- function of the radial nerve is supination and extension of hand
Flexor carpi ulnaris is innervated by _______, while flexor pollicis longus is innervated by_______
ulnar nerve, median nerve
Which of the following would not be associated with a complete section of the median nerve at the elbow?
loss of ability to adduct the thumb (because of the ulnar nerve)
Which of the following is incorrect pertaining to fontanelles?
the anterior fontanelle closed earlier than posterior fontanelle
Which of the following is incorrect pertaining to the CSF?
it returns to the venous system by passing into the vertebral venous plexuses
Which of the following associations is incorrect pertaining to the blood supply of the brain?
all cerebral arteries are located in sub-dural space
Ptosis might be associated with damage to the oculomotor nerve
Which of the following pertaining the ear is incorrect?
tympanic membrane separate between middle ear and inner ear
Which of the following are normally located in the neck?
Final unit above ^
. . .
Intramuscular injection into the buttocks is most safely done:
into the superolateral quadrant
A person has a herniated disk that compress L4-S3 nerve roots. It is expected that he might experience:
more than one correct answer
- pain on the posterior aspect of the thigh
- inability to flex the knee
A medical student try to feel pulsation of the dorsalis pedis artery, he should put his fingers
in the dorm surface of the feet between the two malleoli
An injury to tibial nerve may be associated with
inability to stand on the tiptoes
Muscles of the lateral compartment of the leg include (more than one correct answer)
- peroneus brevis
- peroneus longus
Dorsiflexion is the main function of
anterior crural muscles
You have been asked to test a person's femoral nerve function. Which of the following would you do?
have the patient extend his knee against your resistance
Which of the following is incorrect pertaining to the femoral triangle?
it is bounded laterally by bicepes femoris
Which of the following is incorrect pertaining to the pelvic diaphragm?
it separates the pelvic cavity from the abdomen
Which of the following anatomical organs is not normally located at the male true pelvis?
Which of the following is incorrect pertaining to the transverse cervical (cardinal) ligament?
it provides an attachment to the labia majora
A 59-year-old woman comes to a local hospital for uterine cancer surgery... which of the following structures that is sometimes mistakenly ligated during such surgery?
Pelvic inflammatory diseases may lead to ectopic pregnancy
A young couple is having difficulty conceiving a child. Their physician at a reproduction and fertility clinic explains that fertilization occurs normally at
The recto-uterine pouch:
is a peritoneal recess
Ovaries are supplied by
Which of the following is correct
trigone is an area between two ureteral opening and urethra
Detrusor muscle is innervated by pudenal nerve
Upper part of the rectum is innervated by
pelvic spanchnic nerves
all of the above
Which of the following regarding common iliac vein is incorrect?
it has venues drainage from the kidney
Which of the following is incorrect pertaining to the pelvis?
male pelvis has wider subpubic angle than female pelvis
The suprarenal glands
are typically each drained by one vein
All of the following may lead to high blood pressure except:
occlusion of inferior mesenteric artery
Which of the following is incorrect pertaining to the kidneys?
the renal pelvis is the junction between the renal artery and the renal hilum
Renal pyramids are
found in the renal medulla
A 55-year-old man has a 90% occlusion of the inferior mesenteric artery due to atherosclerotic plaque formation at the origin of the vessel. Which of the following is the most likely outcome of this condition?
blood flow to the descending colon is affected
A 21 year old man received a penetrating knife wound in the abdomen and was successful to injure both the superior mesenteric artery and the vagus nerve. Which portion of the colon would most likely be impaired by this injury?
ascending and transverse colons
herniation of small intestine into the large intestine
Appendix is innervated by
T10 - T11
Colon has the following character
Carcinoma of head of pancreas may be associated with
all of the above
A 65 year old woman suffering sever lacerations of the spleen and must have that organ removed. In dissecting at the hilum of the spleen during the splenectomy, the surgeon must be careful to avoid damaging which of the following parts of the pancreas?
30 year old man brought emergency department following car accident. He had massive pain on the left side and holding his hand over his lower ribs. His blood pressure was extremely low, radiography revealed fractured 10 and 11 ribs. Which of the following organs is more likely to be affected?
A minor stone stuck at the hepato-pancreatic ampulla. Which of the following could happen as a consequence?
A & D
40 year old woman complaining of abdominal pain associated with gall bladder inflammation. Biliary pain is referred to which dermatome?
skin segment innervated by T5
Bile is synthesized via
An incision should be made in the membrane between stomach and liver. To avoid excessive bleeding from portal triad and blood vessels of lesser curvature, the incision should go through
Portal vein enters the liver at _______ of the visceral surface
A 5 week old male who presents to the emergency department (ED) with his parents. The parents report a several day history of vomiting, despite changing his formula. The mother states he is always hungry and vomits after nearly every bottle. He had no fever or diarrhea. Which of the following is highly likely to be the reason for her symptoms?
pyloric stenosis due to pyloric sphincter hypertrophy
35 year old previously healthy woman has sudden abdominal pain and massive vomiting. Upon asking her she said that she had lost 150 lb within 3 weeks. Which of the following is highly likely to be a reason for her symptoms?
duodenoum obstruction due to pressure of superior mesenteric vessels
Perforated ulcer was seen at the pylorus. Which of the following arteries is likely to be injured?
C and D
A direct branch of celiac artery includes
left gastric artery
Which does not describe the stomach?
has no smooth muscle layer
Inflammation of the esophagus could be identified as pain around ____ regions except
Which of the following is incorrect pertaining to the esophagus?
it is innervated by the vagal trunks and lesser splanchnic nerves
Which of the following is incorrect pertaining to the umbilicus?
the umbilicus is in the L1 dermatome
Anterior abdominal wall is a well developed and complete wall supported by abdominal muscles and fascia
Protrusion of fat or abdominal viscera through an opening is known as hernia
Which of the followings concerning deep inguinal ring is incorrect?
abdominal structure passing through it are usually medial to the inguinal vessels
Which of the followings concerning superficial inguinal ring is correct?
it is formed by external oblique muscle aponeurosis
70 year old man with chronic bronchitis and persistent cough. He told his physician that he has swelling and pain in his right groin. Swelling increase with cough. Direct hernia was diagnosed. Which of the followings is incorrect regarding direct hernia?
swelling is usually descends into scrotum
Which of the following is incorrect pertaining to the rectus abdominis muscle or rectus sheath?
the muscle runs diagonally and inserted into iliac crest and ASIS
Anterior abdominal wall (abdominal muscles and fascia) is well developed with complete wall layers with no defect
Simple mastectomy for breast cancer involves removal of
all breast tissue superficial tot he retromammary space
Lymphatic drainage of the breast:
is principally to the ipsilateral axillary nodes
A women patient complains that her breasts have a strange appearance. Upon examination, dimples in the skin of her breast was noticed (peau d' orange sign). You know that the most likely explanation for these skin changes is:
interference with lymph drainage
Which of the following is correct?
phrenic nerve supply pericardium
Which of the following is not true regarding the superior mediastinum?
it contains the heart
Which of the following is incorrect?
phrenic nerve carries only motor fibers
In the emergency room, a previously healthy patient arrived with sudden sharp chest pain that is radiated to the left shoulder. Which of the following is least likely to be associated with this patient?
defect in the AV cusps
Which of the following is not true of the SA node?
it sends impulses directly to the interventricular bundle
The mitral valve
if it is not closed during ventricular contraction, it may be associated with blood regulation into the left atrium
Normal cardiac blood flow is
right atrium, right ventricle, lung, left atrium, left ventricle
Infudibulum is a smooth wall of the _______ ventricle leads to _______ opening
right, pulmonary trunk
Pectinate muscle located in
a and b
Which of the following structures is not associated with the right atrium?
Apex of the heart is located at ______ while apex of the lung is located at ______
5th intercostal space, above the 1st rib
Apex of the heart is formed by _____ while the right border is formed by _____
left ventricle, right atrium
During cardiac surgery, ligation of pulmonary trunk and aorta can be manipulated via
Which of the followings is not innervated by Phrenic nerve?
Intra-thoracic cavity corresponds to
Pericardium is innervated by
Which of the followings is incorrect pertaining to the innervation of the lung?
bronchial smooth muscle is supplied by phrenic nerve
Which of the followings is incorrect pertaining to the anatomy of the lung and/or pleura?
The visceral pleural generally extends three ribs inferior to the lung
Characteristics of bronchopulmonary segments include
each has its own vessels and its own tertiary bronchus
Which of the following sentences regarding lung is not true?
the apex of each lung is in contact with the diaphragm
The best place to listen to the apex of the lung is
at the base of the neck or at the shoulder in the back
Central diaphragmatic pleura is innervated by
Pleura is innervated by
a, b & c
Which of the following statements is true
posterior intercostal arteries arise from the aorta
Elevation of the ribs during normal inspiration may be aided by
external intercostal muscles
The head of the ribs articulate posteriorly with the transverse processes of the thoracic vertebrae
How many pairs of ribs articulate (directly or indirectly) with the sternum?
The sternal angle can be used as an anatomical landmark to identify the position of the
second rib attachment
Thoracic inlet is bounded by T1 vertebral body, clavicles and superior border of the manubrium
Sympathetic nervous system is a division of the autonomic nervous system
Which of the followings concerning autonomic fibers is true?
postganglionic parasympathic fibers are cholinergic
Anatomical division of the nervous system consists of
CNS and PNS
Dorsal root ganglion is a _______ ganglion located ______ of PNS
sensory, within inter-vertebral foramen
Blockage at the dorsal root of T2 leads to total loss of sensation in the area supplied by this spinal nerve
Spinal nerves are either sensory or motor fibers and never contain both
B and D
An open fracture is a fracture that
occurs when a broken bone pierces through the skin
Healing of a bone fracture involves all of the following except
the ended bone formation is weaker than un-injured ones
Growth of long bone may be interrupted prematurely by fracture at
Both biceps and brachial muscles flex the forearm they are considered as
The strength of a muscles is a function of
number of interactions between the contractile fibers
Which of the folllowings is true pertaining to Langer's lines of the skin?
surgical incisions should be made parallel to these lines to minimize scaring
Lipid soluble drugs should be injected into;
superficial fascia of superficial layer
Which fascial layer that contain numerous blood vessels and nerves?
superficial layer of superficial fascia
Circumduction is a combination of which of the following movements?
flexion, extension, abduction and adduction
What action occurs at the ankle joint when a person stands on tiptoes to reach for something on a high shelf?
A coronal knife cut through the head could potentially:
separate the tip of the nose from the rest of the nose
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