POST-TEST ANATOMY a. Fibrous c.

Pivot

b. Plain d. Cartilaginous

NAME:

A_____9. Muscle having double nerve supply:

A_____1. Endochondral ossification is/are seen in: a. Digastric muscle d. Thyrohyoid muscle

a. Long bones d. Mandible b. Omohyoid muscle e. Adductor magnus

b. Flat bones of skull e. Nasal bones c. Trapezius

c. Clavicle

C_____10. Longest muscle in the body:

A_____2. Nutrient artery runs: a. Biceps c. Sartorius

a. Towards metaphysis c. Away from epiphysis b. Triceps d. Quadriceps

b. Away from metaphysis d. None

C_____11. A 50-year-old female has undergone mastectomy

for Ca Breast. After mastectomy, patient is not able to
D_____3. Mastoid process is which type of epiphysis?
extend, adduct and internally rotate the arm. Nerve supply
a. Pressure c. Atavistic to which of the following muscles is damaged?

b. Aberrant d. Traction a. Pectoralis major c. Latissimus dorsi

b. Teres minor d. Long head of Triceps

B_____4. Pisiform is which type of bone?

a. Pneumatic bone c. Accessory bone C_____12. Which muscle originates from tendon of other
muscle?
b. Sesamoid bone d. Long bone
a. Palmaris longus c. Lumbricals

b. FCR d. Adductor pollicis

C_____5. Pubic symphysis is which type of joint?

a. Synovial c. Cartilaginous
C_____13. ‘Dropped shoulder’ occurs due to paralysis of:
b. Fibrous d. None of the above
a. Deltoid c. Trapezius

b. Teres major d. Serratus anterior

B_____6. Atlanto-occipital joint is of synovial variety:

a. Trochoid c. Condylar
C_____14. The muscle that crosses both shoulder and elbow
b. Ellipsoid d. Saddle joint is:

a. Coracobrachialis c. Biceps brachii

A_____7. The type of joint between the sacrum and the b. Medial head of triceps d. Brachialis
coccyx is a:

a. Symphysis c. Synchondrosis
B_____15. Strongest layer of esophagus is:
b. Synostosis d. Syndesmosis
a. Mucosa c. Muscular externa

b. Submucosa d. Serosa
A_____8. What kind of a joint is syndesmosis?
 E_____20. During cardiopulmonary resuscitation the
posterior surface of the heart was compressed by which of
C_____16. The following events occur on inhalation except
the following structures?
which?
A. The body of the sternum
A. The diaphragm descends.
B. The heads of the ribs
B. The external intercostal muscles contract.
C. The tracheal bifurcation
C. The abdominal muscles contract and push the abdominal
D. The inferior vena cava
viscera cranially.
E. The bodies of the vertebrae
D. The ribs are raised.

E. The vertical dimension of the thoracic cavity increases.

D._____17. When passing a needle through the chest wall
and into the pleural cavity in the midaxillary line, the
following structures will be pierced except which?
C____21. Pain arising in the heart is commonly referred to
the following skin areas except which?
A. Up into the neck and jaw
B. Down the medial side of the arm

A. The external intercostal muscle C. The point of the shoulder

B. The skin D. The epigastric area

C. The parietal pleura E. Over the sternum

D. The levator costarum

E. The internal intercostal muscle C_____22. Pain due to a gastric ulcer may be referred to the

A. umbilical region. D. penis or clitoris.

E_____18. The following structures open into the right B. right iliac region. E. None of the above
atrium except which?
C. epigastric region.
A. The superior vena cava D. The inferior vena cava

B. The coronary sinus E. The right pulmonary veins

B_____23. Pain caused by appendicitis may first be referred
C. The anterior cardiac vein to the

A. right iliac region.

D_____19. Pericardiocentesis is best performed by passing a B. umbilical region.

needle through
C. point of the shoulder.
A. the fourth intercostal space.
D. epigastric region.
B. the sixth intercostal space at the left paravertebral
E. below the right shoulder blade
border.

C. the second intercostal space at the midclavicular

D_____24. Intermittent pain (colic) in the small intestine
line. may be

D. the subcostal angle. referred to

E. the second intercostal space at the right sternal A. the epigastric region. D. the umbilical region.

Angle B. the left iliac region. E. None of the above

C. just above the symphysis pubis.

 A. through the vena caval hiatus

D_____25. Pain caused by the passage of a stone down the B. through the aortic hiatus
lower end of the left ureter may be referred to the
C. between the slips of origin of the diaphragm from
A. umbilical region. D. penis or clitoris.
the ribs
B. right iliac region. E. None of the above
D. through the esophageal hiatus
C. epigastric region.
E. through the perforation is the crura

B_____26. The gastroduodenal artery originates from the

C_____31. The obturator nerve, a branch of the lumbar
A. splenic artery. D. right renal artery. plexus, emerges from the psoas muscle on its

B. hepatic artery. E. celiac artery. A. anterior surface. D. upper border.

C. superior mesenteric artery. B. posterior surface. E. lateral side

C. medial side.

C_____27. The left gastroepiploic artery originates from the

A. inferior mesenteric artery.
B. superior mesenteric artery.
C. splenic artery.
D. celiac artery. D_____32. Lymphatic spread of carcinoma of the fundus of
the stomach is likely to metastasize to the
E. left renal artery
A. internal iliac nodes.
B. superior mesenteric nodes.

C. inferior mesenteric nodes.

D_____28. The jejunum receives sympathetic nerves from
the D. celiac nodes.

A. vagus nerves. E. right gastroepiploic nodes.

B. pelvic splanchnic nerves.

C. spinal cord segments L1 and 2. A_____33. Infection from an inflamed appendix is likely to
spread via the lymphatics to the
D. greater splanchnic nerves and lesser splanchnic
A. superior mesenteric nodes.
nerves.
B. celiac nodes.
E. spinal cord segments S2, 3, and 4.
C. splenic nodes.

D. inferior mesenteric nodes.

A_____29. The azygos vein passes __________ in the
diaphragm. E. right internal iliac nodes

A. through the aortic hiatus

B. through the esophageal hiatus B_____34. Lymphatic spread of carcinoma of the sigmoid
colon is likely to metastasize to the
C. through the vena caval hiatus
A. left common iliac nodes.
D. through perforations in the crura
B. inferior mesenteric nodes.
E. between the slips of origin of the diaphragm from
C. superior mesenteric nodes.
the ribs
D. celiac nodes.

E. para-aortic nodes
D_____30. The vagus nerves pass––––- in the diaphragm?
 C_____39. The following structures are connected to the
liver except which?
B_____35. The skin of the umbilicus receives its sensory
innervation A. The falciform ligament

from B. The coronary ligament

A. T7. C. The greater omentum

B. T10. D. The ligamentum teres

C. L1. E. The ligamentum venosum

D. T12.

E. L2. A_____40. The spermatic cord contains the following

structures except which?

A. The scrotal arteries and veins

D_____36. The lacunar ligament is:
B. The vas deferens
A. formed from the conjoint tendon.
C. The pampiniform plexus
B. part of the posterior wall of the rectus sheath.
D. The testicular artery
C. not continuous with the inguinal ligament.
E. Autonomic nerve
D. an important medial relation to the femoral ring of

the femoral sheath.

C_____41. The following structures pass through the
F. attached to the inferior ramus of the pubis
esophageal hiatus in the diaphragm except which?

A. The left vagus nerve

B_____37. The following structures could be eroded as the
B. Branches of the left gastric artery
result of perforation of an ulcer in the posterior wall of the
C. The left phrenic nerve
stomach except which?
D. The right vagus nerve
A. The splenic artery
E. A tributary of the portal vein
B. The right kidney

C. The pancreas
B_____42. The rectus sheath contains the following
D. The left kidney
structures except which?
E. The spleen
A. The pyramidalis muscle (when present)

B. The ligamentum teres

C_____38. The lesser omentum contains the following
C. The inferior epigastric artery
important structures except which?
D. The T7 to 12 anterior nerve rami
A. The left gastric artery
E. The rectus abdominis muscle
B. The portal vein

C. The inferior vena cava

A_____43. In a patient with cancer of the stomach who
D. The bile duct
requires a total gastrectomy, the following arteries must be
E. The common hepatic artery ligated except which?

A. The common hepatic artery

B. The short gastric arteries

C. The left and the right gastroepiploic arteries

D. The right gastric artery D_____48. The following veins drain directly into the inferior
vena cava except which?
E. The left gastric artery
A. The hepatic veins

B. The renal veins

E_____44. The following statements concerning the
epididymis are correct except which? C. The lumbar veins

A. It lies within the scrotum. D. The inferior mesenteric vein

B. It is partially covered by the tunica vaginalis. E. The right testicular (ovarian) vein

C. It is easily palpated through the scrotal wall.

D. It is supplied by the testicular artery. C_____49. Assuming the duodenal ulcer had perforated the
posterior wall of the first part of the duodenum, name the
E. Its lymph drains into the superficial inguinal nodes
artery that is

most likely to have been eroded.

B_____45. When tapping a hydrocele (collection of fluid in
A. The splenic artery
the tunica vaginalis), the cannula must pierce the following
structures except which? B. The right gastric artery

A. The skin C. The gastroduodenal artery

B. The fatty subcutaneous tissue D. The right gastroepiploic artery

C. Dartos muscle E. The right renal artery

D. The cremasteric fascia

E. The external and internal spermatic fasciae B_____50. The lymphatic drainage of the labia majora is into
the

A. internal iliac nodes.

D_____46. The following structures are present in the porta
hepatis except which? B. superficial inguinal nodes.

A. Lymph nodes C. inferior mesenteric nodes.

B. The right and left branches of the portal vein D. internal and external iliac nodes.

C. The right and left hepatic ducts E. para-aortic nodes at the level of the first lumbar

D. The right and left hepatic veins vertebra.

E. The right and left branches of the hepatic artery

d_____51. A carcinoma of the skin of the glans penis is likely

to spread via the lymphatics into the
A_____47. The right kidney has the following important
relationships except which? A. external iliac nodes.

A. It is related to the neck of the pancreas. B. internal iliac nodes.

B. It is anterior to the right costodiaphragmatic recess. C. internal and external iliac nodes.

C. It is related to the second part of the duodenum. D. superficial inguinal nodes.

D. It is related to the right colic flexure. E. para-aortic nodes at the level of the first lumbar

E. It is anterior to the right twelfth rib. Vertebra

b_____52. A carcinoma of the prostate is likely to spread via C. left external iliac vein.
the lymphatics into the
D. inferior vena cava.
A. internal and external iliac nodes.
E. left inferior suprarenal vein
B. internal iliac nodes.

C. para-aortic nodes.
e_____57. The uterus receives its blood supply from the
D. superficial inguinal nodes.
A. superior vesical artery.
E. inferior mesenteric nodes.
B. middle rectal artery.

C. ovarian artery.
e_____53. The left ovarian artery originates from the
D. uterine artery.
A. external iliac artery.
E. uterine and ovarian arteries
B. internal iliac artery.

C. left renal artery.

e_____58. In a woman with ovarian cancer, it is judicious to
D. left common iliac artery. examine the:

E. abdominal part of the aorta. A. peritoneal cavity for evidence of excessive fluid

(ascites).

c_____54. The sphincter urethrae receives its innervation B. superficial inguinal lymph nodes.
from the
C. para-aortic nodes at the level of the first lumbar
A. vagus nerve.
vertebra.
B. obturator nerve.
D. external iliac lymph nodes.
C. pudendal nerve.
E. para-aortic lymph nodes and evidence of excessive
D. inferior rectal nerve.
peritoneal fluid (ascites).
E. hypogastric plexuses

d____59. The narrowest part of the male urethra is the

c_____55. The levator ani muscle receives its innervation
A. membranous part.
from the
B. prostatic part.
A. pudendal nerve.
C. penile part.
B. hypogastric plexuses.
D. external meatus on the glans penis.
C. pudendal nerve and the perineal branch of S4.
E. none of the above.
D. obturator nerve.

E. inferior rectal nerve

b____60. Erection of the penis is a response to the activity
of the:
a_____56. A patient was examined with a left-sided
A. sympathetic nerves.
varicocele; the
B. parasympathetic nerve.
left testicular vein drains into the
C. sympathetic and parasympathetic nerves.
A. left renal vein.
D. ilioinguinal nerves.
B. left internal iliac vein.
E. none of the above. c_____65. During defecation, the levator ani muscles

A. are completely inactive.

c_____61. Ejaculation is the response to the activity of the B. do not support the uterus and vagina.

A. obturator nerves. C. relax (puborectalis portion) with the anal

B. perineal branch of S4. sphincters.

C. sympathetic nerves. D. do not support the sigmoid colon.

D. parasympathetic nerves. E. do not support the bladder

E. sympathetic and parasympathetic nerves

e_____66. The broad ligament contains all of the following

c_____62. The pelvic outlet is bounded posteriorly by the except which?

coccyx, laterally by the sacrotuberous ligaments and the
A. The round ligament of the ovary
________, and anteriorly by the pubic arch.
B. The uterine artery
A. ischial spines
C. The round ligament of the uterus
B. piriformis muscle
D. The uterine tubes
C. ischial tuberosities
E. The ureters
D. perineal membrane

E. obturator foramen
d______67. Malignant tumors of the trigone of the bladder
spread (metastasize) to which of the following lymph nodes?

c_____63. The urogenital diaphragm is attached laterally to A. Lumbar

the
B. Sacral
A. tip of the coccyx.
C. External iliac only
B. ischial spine.
D. External and internal iliac
C. inferior ramus of the pubis and the ischial ramus.
E. Superficial inguinal
D. ischial tuberosities.

E. obturator internus fascia

b_____68. In males, traumatic injury to the perineum may
rupture the bulb of the penis or the penile urethra. The
resulting leakage of blood or urine may be found in all of the
a_____64. The rectouterine pouch (pouch of Douglas) can
be following areas except which?

most efficiently entered by a surgical incision through A. The anterior abdominal wall

the B. The ischiorectal fossa

A. posterior fornix of the vagina. C. The scrotum

B. anterior fornix of the vagina. D. The penis

C. anterior rectal wall. E. The superficial perineal pouch

D. lateral fornix of the vagina.

E. posterior wall of the cavity of the uterine body.

b_____69. Support for the uterus, either directly or c____73. Cutting the dorsal scapular nerve would most likely
indirectly, is provided by the following structures except result
which?
in paralysis of the
A. The perineal body
A. supraspinatus muscle.
B. The mesosalpinx
B. deltoid muscle.
C. The transverse cervical (cardinal) ligaments
C. rhomboid major muscle.
D. The levator ani muscles
D. trapezius muscle.
E. The pubocervical ligaments
E. infraspinatus muscle.

c_____70. The following part or branch of the brachial

C_____74. A shoulder separation that involves the lateral
plexus receives contributions from the C8 spinal nerve.
end of the clavicle sliding onto the superior aspect of the
A. Lateral cord
acromion would most likely result from damage to the
B. Lateral pectoral nerve
A. costoclavicular ligament.
C. Posterior cord
B. sternoclavicular ligament.
D. Nerve to the rhomboid muscles
C. coracoclavicular ligament.
E. Suprascapular nerve
D. glenohumeral ligament.
F. Nerve to subclavius muscle
E. coracoacromial ligament

c_____71. The following part of the brachial plexus has

b____75. The synovial sheath of the flexor pollicis longus
branches that supply the extensor muscles of the arm.
muscle forms the
A. Lateral cord
A. thenar space.
B. Medial cord
B. radial bursa of the wrist.
C. Posterior cord
C. midpalmar space.
D. Thoracodorsal nerve
D. ulnar bursa of the wrist.
E. Lateral and medial cords
E. digital synovial sheath for the index finger.
F. None of the above

d_____76. The quadrangular space in the region of the

d_____72. After injury to a nerve at the wrist, the thumb is shoulder transmits the following structures except which?
laterally rotated and adducted. The hand looks flattened and
A. The axillary nerve
apelike. The nerve that has been damaged is the
B. The posterior circumflex humeral artery
A. anterior interosseous nerve.
C. The lymphatic vessels
B. ulnar nerve.
D. The radial nerve
C. deep branch of the radial nerve.
E. The posterior circumflex humeral vein
D. median nerve.

E. superficial branch of the radial nerve.

e_____77. Collateral circulation around the shoulder joint
would involve the following except which?
A. The subscapular artery B. iliofemoral ligament.

B. The superficial cervical artery C. ischiofemoral ligament.

C. The suprascapular artery D. pubofemoral ligament.

D. The anterior circumflex humeral artery E. ligament of the head of the femur.

E. The lateral thoracic artery F. None of the above

b_____78. The proximal row of carpal bones includes all the b_____82. The long head of the biceps femoris muscle is
following carpal bones except which? innervated by the

A. The pisiform A. obturator nerve.

B. The capitate B. tibial portion of the sciatic nerve.

C. The lunate C. femoral nerve.

D. The triquetral D. common peroneal nerve.

E. The scaphoid E. sural nerve.

a_____79. Regarding a “winged scapula,” the following facts d_____83. The gracilis muscle is innervated by the
are correct except which?
A. femoral nerve.
A. The spinal part of the accessory nerve is damaged.
B. common peroneal nerve.
B. The inferior angle of the scapula projects
C. sural nerve.
backward.
D. obturator nerve.
C. The serratus anterior muscle may be wasted.
E. tibial portion of the sciatic nerve.
D. The long thoracic nerve is damaged.

E. The scapula can no longer be pulled anteriorly

a_____84. The gluteus maximus muscle is innervated by the
around the chest wall (as in thrusting the upper
A. inferior gluteal nerve.
limb anteriorly when reaching).
B. nerve to quadratus femoris.

C. obturator nerve.
f_____80. Flexion of the hip joint (with the knee extended)
D. superior gluteal nerve.
is limited by the
E. nerve to obturator internus.
A. iliofemoral ligament.

B. anterior abdominal wall.

b_____85. The hamstring portion of the adductor magnus
C. ischiofemoral ligament.
muscle is innervated by the
D. pubofemoral ligament.
A. common peroneal nerve.
E. anterior superior iliac spine.
B. tibial portion of the sciatic nerve.
F. None of the above.
C. obturator nerve.

D. femoral nerve.
d_____81. Abduction of the hip joint is limited by the
E. nerve to the pectineus muscle.
A. pectineus muscle.
 d_____90. Rupture of the tendo calcaneus results in an
inability to do what?
a_____86. A malignant melanoma (cancer) of the skin
covering the buttock is likely to spread via lymphatics to the A. Dorsiflex the foot

A. horizontal group of superficial inguinal nodes. B. Evert the foot

B. vertical group of superficial inguinal nodes. C. Invert the foot

C. posterior axillary nodes. D. Plantar flex the foot

D. popliteal nodes. E. None of the above

E. internal iliac nodes

c_____91. A sprained ankle resulting from excessive

eversion most likely demonstrates that which structure is
b_____87. The sciatic nerve enters the gluteal region
torn?
through
A. The talofibular ligament
which foramen?
B. The tendo calcaneus
A. Posterior sacral
C. The deltoid ligament
B. Greater sciatic
D. The interosseous ligament
C. Anterior sacral
E. The peroneal retinaculum
D. Lesser sciatic

E. Obturator
d_____92. If the foot is permanently dorsiflexed and everted,
which nerve might be injured?
a_____88. In children, the chief arterial supply to the head
A. The deep peroneal nerve
of the femur is derived from which artery or arteries?
B. The superficial peroneal nerve
A. The obturator artery.
C. The common peroneal nerve
B. The internal pudendal artery.
D. The tibial nerve
C. Branches from the medial and lateral circumflex
E. The obturator nerve
femoral arteries.

D. The deep circumflex iliac artery.

c_____93. The dermatome present over the lateral side of
E. The superficial circumflex iliac artery.
the foot is which of the following?

A. S5
d_____89. To lift the left foot off the ground while walking,
B. L3
which of the following muscles plays an important role?
C. S1
A. The left gluteus medius muscle
D. L4
B. The left gluteus maximus muscle
E. L5
C. The right adductor longus muscle

D. The right gluteus medius muscle

c_____94. Which of the following muscles everts the foot?
E. None of the above.
A. The tibialis posterior muscle

B. The flexor hallucis longus muscle

C. The peroneus longus muscle

D. The tibialis anterior muscle a______99. A patient has a boil on the tip of her nose. To
which lymph nodes does the lymph from the skin of the
E. The flexor digitorum longus muscle
infected area drain?

A. Submandibular nodes
e_____95. Injury to the common peroneal nerve results in
B. Submental nodes
which condition?
C. Parotid nodes
A. Inability to invert the foot
D. Superficial cervical nodes
B. Inability to plantar flex the ankle
E. Tracheobronchial nodes
C. Inability to feel skin sensation on the medial side of

the leg
c_____100. A 64-year-old man was seen by his physician for
D. Inability to plantar flex the big toe
a hardbased ulcer on the right lateral edge of the anterior
E. Inability to evert the foot two thirds of the tongue. Which group of nodes should be
examined by the physician for possible evidence of
metastases?
e_____96. The following structures are transmitted through A. Superficial cervical nodes
the lesser sciatic foramen except which?
B. Submental nodes
A. The tendon of the obturator internus muscle
C. Submandibular nodes
B. The internal pudendal vessels
D. Parotid nodes
C. The nerve to the obturator internus muscle
E. Buccal nodes
D. The pudendal nerve

E. The inferior gluteal artery

c_____97. The sphenoid sinus drains into the

A. superior meatus of the nose.

B. inferior meatus of the nose.

C. sphenoethmoidal recess.

D. nasolacrimal duct.

E. middle meatus of the nose.

d____98. The muscles or nerves that are responsible for

adducting the eyeball (rotating the cornea medially) include

the following except which?

A. The superior rectus muscle

B. The medial rectus muscle

C. The oculomotor nerve

D. The inferior oblique muscle

E. The inferior rectus muscle