Davao Medical School Foundation College of Medicine GROSS ANATOMY ANATOMY ANATOMY OF THE CARDIOVASCULAR SYSTEM
O!ECTIVES :
1.Discuss the location,size and position of the heart in the thoracic cavity. 2.Describe the structure of the pericardium,the function of each pericardial layer,the pericardial space,and the pericardial fluid. 3. ist and discuss the 3 layers of the heart !all,the cavities, and the valves. ". #race the path of blood flo! as it leaves the right side of the heart until it returns to the left side of the heart. $. Correlate structure of arteries, arterioles,veins,venules,and capillaries !ith their function. "ue#tion no$ % .#he ape% beat of the heart is normally found in the: a$&th le't inte(co#tal# #)ace b.3rd left intercostals space c."th left intercostals space d.&th left intercostals space Re'e((ence*Snell Clinical Clin ical Anato+,-. th Edition ))$./ and 01 M2L*3$1& "ue#tion no$ / .#he pericardium lies posterior to the body of the sternum and lies: a$'(o+ the #econd to the #i4th co#tal ca(tila5e b.from the "th to the &th costal cartilage c.from the 1st to the 'th costal cartilage d.from the 2nd to $th costal cartilage Re'e((ence*Snell Clinical Clin ical Anato+,-. th Edition )) 0& M2L*3$1& "ue#tion no$ 6 .#he short passage that lies on the posterior of the heart and lie bet!een the (eflection of serous pericardium around the aorta and pulmonary trun) is Called the: a$ (an#ve(#e #inu# b. obli*ue sinus c. aortic sinus d. coronary sinus Re'e((ence*Snell Clinical Clin ical Anato+,-. th Edition ))$0& M2L*3$1& "ue#tion no$ 7$ +hich of the follo!ing structures does not form the anterior surface of the heart a. right ight ven venttricl icle b. right atrium c. left eft ven ventr triicle cle d$ le't at(i t(iu+ Re'e(ence* Snell Clinical Anato+,-. th Edition )) %/0 M2L*3$1&
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"ue#tion no$ &$ +hich of the follo!ing concerning the blood supply of the heart is incorrect a. #he coronary arteries are branches of the ascending aorta b. #he right coronary artery supplies both the right atrium and the right ventricle c$ The ci(cu+'le4 8(anch o' the le't co(ona(, a(te(, de#cend# in the ante(io( inte(vent(icula( 5(oove and )a##e# a(ound the a)e4 o' the hea(t d. Coronary arteries can be classified as functional end arteries Re'e(ence* Snell Clinical Anato+,-. th Edition )) %/0 M2L*3$1& "ue#tion no$ .$ -ll of the follo!ing statements regarding the conducting system of the are true /C0# a. #he impulse for the contraction spontaneously begins in the - node b. #he atrioventricular bundle is the sole path!ay for conduction of the !aves of contraction bet!een the atria and the ventricles c$ The SA node i# '(e9uentl, #u))lied 8, the (i5ht and le't co(ona(, a(te(, d. #he sympathetic nerves to the heart slo! the rate of discharge from - node Re'e(ence* Snell:# Clinical Anato+, . th Edition ))%36 M0: .'$ "ue#tion no$ 1$ Most of the blood from the heart !all drains into the right atrium through the: a. anterior cardiac vein b. small cardiac vein c$ co(ona(, #inu# d. great cardiac vein Re'e(ence* Snell Clinical Anato+,-. th Edition )) 0; M2L* 3$1& "ue#tion no$ ;$ #he left -trioventicular orifice is guarded by a$ Mit(al valve b. #ricuspid valve c. -ortic valve d. 0ulmonic valve Re'e(ence* Snell Clinical Anato+,-. th Edition )) 0. M2L* 3$1& "ue#tion no$ 0$ +hich of the the follo!ing is not true of the pericardium a. it is a fibrous sac that encloses the heart and the roots of the great vessels b. its function is to restrict e%cessive movements of the heart c$ it lie#
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"ue#tion no$ %/$ ach of the follo!ing is related to the lumen of the right ventricle, /C0# the: a. interventricular septum b. trabeculae carneae c$ 8icu#)id valve d. anterior papillary muscle Re'e(ence* Snell:# Clinical Anato+,- . th Edition ))$ 0; M2L* 3$1& "ue#tion no$ %6$ #he left coronary artery bifurcates into the circumfle% branch and the: a. left marginal branch b. left ventricular branch c$ ante(io( inte(vent(icula( 8(anch d. right marginal branch Re'e(ence* Snell:# Clinical Anato+,- . th Edition ))$ %36 M2L* 3$1& "ue#tion no$ %7$ - patient undergoing a heart attac) usually e%periences e%cruciating pain running do!n the left upper e%tremity.this pain is relayed by the a. left recurrent laryngeal n. b. left vagus n c. left phrenic n d$ le't inte(co#to8(achial n$ Re'e(ence* Snell:# Clinical Anato+,- . th Edition ))$ %/0 M2L* 3$1& "ue#tion no$ %&$ Dissection of the coronary sulcus 4atrioventricular groove 5 of the heart demonstrate each of the follo!ing /C0# the: a. right coronary artery b. circumfle% branch of the left coronary artery c. great cardiac vein d$ co(ona(, #inu# Re'e(ence* Snell:# Clinical Anato+,- . th Edition ))$ %3& M2L* 3$1& ANATOMY OF THE RES2IRATORY SYSTEM=Tho(a4 % and / O!ECTIVES*
1.Demonstrate the normal anatomical landmar) of the respiratory tree 2.Describe the anatomic structure of the thoracic !all 3.understand the layout of the mediastinum ".Describe the anatomy of the pleural cavity $.Demonstrate the lobes and fissure of the lungs "ue#tion no$% .#he follo!ing statement concerning the thoracic inlet are true /C0#: a. #he manubrium sterni forms the anterior border b. 6n each side, the lo!er trun) of the brachial ple%us and the subclavian artery emerge through the inlet and pass laterally over the upper surface of the first rib. c$ The 8od, o' the #eventh ce(vical ve(te8(a 'o(+# the )o#te(io( 8ounda(,$ d. #he first ribs form the lateral boundary.
(eference: nell Clinical -natomy,&th dition pp "' M2L*3$1& "ue#tion no$ / . +hich of the follo!ing costal cartilages donot articulate directly !ith the bod y of the sternum a. econd c. fifth d$ ei5ht b. fourth th Re'e(ence* Snell:# Clinical Anato+,- . Edition ))$ 71 M2L* 3$1&
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"ue#tion no$ 6$ +ithin the superior mediatinum, the anterior surface of the esophagus is in connection +ith the: a$ thoracic duct 8$ trachea c$ thymus d$ arch of the aorta Re'e(ence* >ood8u(ne- E##ential o' Anato+,- 0 th Edition- ))600 M2L* 3$1& "ue#tion no$ 7$ +hich of the follo!ing statement concerning the lungs is correct a. #here are no lymph nodes !ithin the lungs b. #he right lung is in direct contact !ith arch of the aorta and the descending thoracic aorta. c$ Inhaled 'o(ei5n 8od, +o#t '(e9uentl, ente( the (i5ht lun5$ d. #he structure of the lungs receives its blood supply from the pulmonary artery. Re'e(ence* Snell:# Clinical Anato+,- . th Edition ))$ %/1 M2L* 3$1& "ue#tion no$ &$ +hich of the follo!ing statements concerning the bronchopulmonary egment is incorrect a. #he veins are intersegmental b. #he segments are separated by connective tissue septa c. #he arteries are intrasegmental d$ Each #e5+ent i# #u))lied 8, a #econda(, 8(onchu#$ Re'e(ence* Snell:# Clinical Anato+,- . th Edition ))$ %6. ? ;& M2L* 3$1& "ue#tion no$ .$ #he follo!ing statements concerning the trachea are true /C0# a. it lies anterior to the esophagus in the superior mediastinum b. in deep inspiration the carina may descend as far as the level of the si%th thoracic vertebra c$ the le't +ain 8(onchu# i# +o(e ve(tical than the (i5ht )(inci)al 8(onchu# d. the arch of the aorta lies on its anterior and left sides in the superior mediastinum Re'e(ence* Snell Clinical Anato+,- . th Edition ))$;% ? %/1 M2L* 3$1& "ue#tion no$ 1 . #he follo!ing statement concerning the right lung are true /C0# a. it posseses a horizontal and an obli*ue fissure 8$ it# cove(in5 o' vi#ce(al )leu(a i# #en#itive to )ain and te+)e(atu(e c. the lymph from the substance of the lungs reaches the hilum by the superficial and deep lymphatic ple%uses d. the bronchial veins drain into the azygos and hemiazygos veins Re'e(ence* Snell Clinical Anato+,-. th Edition )) ;6 M2L* 3$1& "ue#tion no$ ;$ -ll of the follo!ing statements concerning the mediastinum /C0# a$ #he mediastinum forms a partition bet!een the t!o pleural cavities 8$ The hea(t occu)ie# the ante(io( +edia#tinu+ c$ hould air enters the pleural cavity,the lung on the affected side immediately collapses and the mediastinum is displaced to the opposite side. d$ #he posterior mediastinum e%tend to the 12th thoracic vertebra Re'e(ence* Snell:# Clinical Anato+,- . th Edition ))$ 10 M2L* 3$1& "ue#tion no$0$ +ith a patient in the standing position,fliud in the left pleural cavity tends #o gravitate do!n to the a$ obli*ue fissure 8$ cardiac notch c$ costomediastinal recess d$ co#todia)h(a5+atic (ece## (eference: nell Clinical -natomy,&th dition pp &$7&&
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"ue#tion no$ %3$ 8n order to pass a needle into the pleural cavity in the mida%illary line #he follo!ing structure !ill have to be pierced /C0# the a$ internal intercostals 8$ levato( co#ta(u+ c$ e%ternal intercostals d$ parietal pleura Re'e(ence* Snell Clinical Anato+,-. th Edition )) .0 M2L* 3$1& ANATOMY OF THE DIGESTIVE SYSTEM AND URINARY SYSTEM ADOMEN % AND /-2ELVIS % AND / AND 2ERINEUM O!ECTIVES*
1.Discuss the size,position,divisions,curves,sphincters,layers,and glands of the stomach. 2.ocate and discuss the significance of the vermiform appendi%. 3. ocate the landmar)s of the abdomen ".8dentify and discuss the parts of the small and large intestines $.8dentify the size ,position ,shape .blood supply an d ligaments of the liver "ue#tion no$ %$ #he follo!ing concerning the appendi% are correct /C0#: a.#he appendi% is usually located in the right iliac region 8$ At it# 8a#e-the teniae coli o' the cecu+ 'u#e to 'o(+ a co+)lete lon5itudinal +u#cle la,e( in the
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"ue#tion no$ &$ #he follo!ing statement concerning ileum are true /C0#: a. #he circular smooth muscle of the lo!er ileum serves as the sphincter at the 9unction of the ileum and cecum b. #he branches of the superior mesenteric artery serving the ileum form more arcades than those serving the 9e9unum c. 0eyers patches are present in the mucous membrane of the lo!er ileum along the antimesenteric border d$ The )licae ci(cula(i# a(e +o(e )(o+inent at the di#tal end o' the ileu+ Re'e(ence* Snell:# Clinical Anato+,- . th Edition ))$ /%% M2L* 3$1& "ue#tion no$ .$ rom !hich of the follo!ing sites is primary cancer most li)ely to Metastasize to the lung by venous spread a. ileum b. appendi% c$ @idne, d. transverse colon Re'e(ence* >ood8u(ne- E##ential o' Anato+,- 0 th Edition- )) 7.0 = 713 M2L* 3$1& "ue#tion no$1$ -n occlusion of the superior mesenteric artery !ould result in necrosis of of each of the follo!ing /C0# the: a. ascending colon 8$ (ectu+ c. cecum d. ileum Re'e(ence* >ood8u(ne- E##ential o' Anato+,- 0 th Edition- )) 710 M2L* 3$1& "ue#tion no$ ;$ #he esophageal hiatus of the diaphragm transmit the esophagus and the: a. superior phrenic artery b. thoracic duct c$ va5al n(ve t(un@# d. greater sphlancnic nerve Re'e(ence* >ood8u(ne- E##ential o' Anato+,- 0 th Edition- )) 701=700 M2L* 3$1& "ue#tion no$ %3$ ach of the follo!ing characterizes the levator ani muscle /C0# a. it forms the principal part of the diaphragm b. it provides an important support for pelvic viscera c. it separates the floor of the pelvis from the ischiorectal fossa d$ it #e)a(ate# the #u)e('icial and dee) in5uinal #)ace# Re'e(ence* >ood8u(ne- E##ential o' Anato+,- 0 th Edition- ))600 M2L* 3$1& "ue#tion no$ %%$ +hich one of the follo!ing contributes to the b lood supply of the pancreas a. left gastroepiploic b. inferior mesenteric c. hepatic proper d$ #)lenic Re'e(ence* Snell Clinical Anato+,-. th Edition )) /63=/6% M2L* 3$1& "ue#tion no$%/$ urgical damage to !hich one of the follo!ing arteries !ould affect blood supply to the suprarenal gland a$ (enal b. gonadal c. superior mesenteric d. inferior mesenteric Re'e(ence* >ood8u(ne- E##ential o' Anato+,- 0 th Edition- ))600 M2L* 3$1&
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"ue#tion no$ %6$ #he deep perineal space in the male contains each of the follo!ing, /C0#: a. membranous urethra b. prostate gland c. bulbourethral gland d$ #)hincte( u(eth(ae +u#cle Re'e(ence* >ood8u(ne- E##ential o' Anato+,- 0 th Edition- )2 M2L* 3$1& "ue#tion no$ %7$ ach of the follo!ing characterizes the pudendal canal /C0# a$ it is located on the lateral !all of the ischiorectal fossa 8$ it transmits the pudendal nerve c$ it transmits the internal pudendal artery and vein d$ it t(an#+it# l,+)hatic# '(o+ the u))e( 6 (d o' the (ectu+ Re'e(ence* >ood8u(ne- E##ential o' Anato+,- 0 th Edition- ))&6& M2L* 3$1& "ue#tion no$ %&$ #he perineum receives its primary motor supply from !hich of the follo!ing nerves a$ )udendal b. inferior gluteal c. superior gluteal d. ilioinguinal Re'e(ence* Snell Clinical Anato+,-. th Edition )) /63=/6% M2L* 3$1&
THE U22ER LIM O!ECTIVES*
1.;no! the different parts of the houlder region 2.Describe and locate the a%illary structures 3.Describe the different muscular compartments of the arm and foream and its attendant blood ,nerve and lymphatic supply. ".Describe and identify the fle%or and e%tensor tendons of the finger $.#race the blood flo! from the heart going to the upper e%tremity. "ue#tion no$ %$ - penetrating )nife !ound to the posterior shoulder in thr *uadrangular space !ould damage the a%illary nerve and the a. anterior circumfle% artery 8$ )o#te(io( ci(cu+'le4 a(te(, c. subscapular artery d. lateral thoracic artery "ue#tion no$ /$ ollo!ing a hard blo! to the anterior shoulder, a !ea)ness of the fle%ion 6f the arm at the shoulder 9oint !ould suggest damage to !hich of the ollo!ing muscles a. rhomboid ma9or b. supraspinatus c. pectoralis minor d$ 8ice)# 8(achii "ue#tion no$ 6$ #he nerve most li)ely to be in9ured in fractures of the posterior humeral shaft a. median nerve b. ulnar nerve c. musculocutaneous d$ (adial "ue#tion no$ 7$ -n in9ury to the thoracodorsal nerve might affect !hich of the follo!ing movements a. lateral movement of the arm b. fle%ion of the arm c. rotation of the scapula d$ e4ten#ion o' the a(+
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"ue#tion no$ &$ 8f the entire greater tubercle of the humerus !as bro)en a!ay as a result of in9ury,!hich of the follo!ing movements of the humerus !ould be affected a$ fle%ion and abduction 8$ a8duction and late(al (otation c$ e%tension and medial rotation d$ e%tension and medial rotation "ue#tion no$ .$ ach of the follo!ing muscles form the boundary of the a%illa /C0# a$ serratus anterior 8$ subscapularis c$ pectoralis ma9or d$ #u)(a#)inatu# Re'e(ence* Snell Clinical Anato+,-. th Edition )) 607 M2L* 3$1& "ue#tion no$ 1$ Damage to the anatomic snuffbo% might be e%pected to in9ure the a$ ulnar nerve 8$ median nerve c$ ulnar artery d$ (adial a(te(, Re'e(ence* Snell Clinical Anato+,-. th Edition )) 77. M2L* 3$1& "ue#tion no$ ;$ #he cephalic vein is normally a tributary to the a$ brachial vein 8$ a4illa(, vein c$ medial brachial vein d$ subclavian vein Re'e(ence* Snell Clinical Anato+,-. th Edition )) 7/% M2L* 3$1& "ue#tion no$ 0$ #he follo!ing structure pass posterior to the fle%or retinaculum, /C0# a$ fle%or digitorum superficialis tendons 8$ median nerve c$ fle%or plollicis tendon d$ ulna( ne(ve Re'e(ence* Snell Clinical Anato+,-. th Edition )) &30 M2L* 3$1& "ue#tion no$ %3$ #he follo!ing bones form the pro%imal ro! of the carpal bones, /C0# a$ lunate 8$ scaphoid c$ pisiform d$ t(a)eiu+ "ue#tion no$ %%$ Damage to this nerve results in
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Re'e(ence* Snell Clinical Anato+,-. th Edition )) 7;/ M2L* 3$1& "ue#tion no$%6$ Most commonly fractured bone in the body a$ Clavicle b. capula c. (ib d. ?umerus "ue#tion no$ %7$ #he rotator cuff consists of the follo!ing muscle /C0# a. subscapularis b. teres minor c$ te(e# +aBo( d. supraspinatus Re'e(ence* Snell Clinical Anato+,-. th Edition )) 707 M2L* 3$1& "ue#tion no %& .#he nerve located behind the medial epicondyle of the humerus a$ ulna( ne(ve b. median nerve c. radial nerve d. musculocutaneous nerve Re'e(ence* Snell Clinical Anato+,-. th Edition )) 71/ M2L*3$1&
@uestion no.1&. +hich of the follo!ing structures does not receive innervation from branches of the pudendal nerve a. labia minora b. urethral sphincter c$ The )o#te(io( 'o(ni4 o' the va5ina d. )in of the penis or clitoris Re'e(ence* Snell Clinical Anato+,-. th Edition )) 610 M2L* 3$1&
@uestion no. 1'. +hich of the follo!ing cannot be palpated on rectal e%am in the male a. bulb of the penis b. urogenital diaphragm c. anorectal ring d$ u(ete( Re'e(ence* Snell Clinical Anato+,-. th Edition )) 61;=610 M2L*3$1&
@uestion no. 1>. Cancer from the testis !ould most li)ely metastasize to the a$ lu+8a( node# b. superficial inguinal nodes c. deep inguinal nodes d. e%ternal iliac nodes Re'e(ence* >ood8u(ne E##ential# o' Anato+,-0 th Edition )) &7& M2L* 3$1&
@uestion no. 1. #he internal spermatic fascia is derived from the a. e%ternal obli*ue aponeurosis b. internal obli*ue aponeurosis c. transversus abdominis aponeurosis d$ t(an#ve(#ali# 'a#cia Re'e(ence* >ood8u(ne E##ential# o' Anato+,-0 th Edition )) 766 M2L* 3$1&
@uestion no. 2. #he posterior boundary of the epiploic foramen is formed by the a. duodenum b. lesser omentum c. stomach d$ in'e(io( vena cava Re'e(ence* >ood8u(ne E##ential# o' Anato+,-0 th edition )) 776 M2L* 3$1& LO>ER LIM O!ECTIVES
1.Aerify the landmar)s of the gluteal region and its boundaries 2.8dentify the superficial and deep fascia of the thigh 3.Describe the different muscle of the different compartments of the thigh and legs ".;no! the boundaries of the popliteal fossa $.8llustrate the blood supply and anastomoses of blood vessels of the lo!er limb
"ue#tion no$%$ (educed blood supply to the lateral compartment of the leg result primarily from damage to the a. anterior tibial artery b. femoral artery c. lateral malleolar artery d$ 'i8ula( a(te(, "ue#tion no$ /$ - patient enters the emergency room not being able to (aise his foot.the nerve that is e%pected to be damage is a. tibial 8$ co++on 'i8ula( c. obturator d. medial plantar "ue#tion no$ 6$ -s the deep fibular nerve descends through the leg, it is 9oined By !hich one of the follo!ing arteries popliteal a. sural b. posterior tibial c$ ante(io( ti8ial "ue#tion no$ 7$ #he tibial collateral ligament 4medial ligament of the )nee5 %tends from the medial epicondyle of the femur to the lateral condyle of the tibia a$ +edial cond,le o' the ti8ia b. nec) of tibia c. articular capsule "ue#tion no$&$ #he po!erful e%tension of the thigh re*uired !hen one is tanding from the sitting position is the function of the a$ 5luteu# +a4i+u# +u#cle b. psoas ma9or muscle c. piriformis muscle d. iliacus muscle "ue#tion no$ .$ oss of function of the muscles of the posterior compartment 6f the leg and the sole of the foot is associated !ith paralysis of a. tibial nerve b. common fibular nerve c. deep fibular nerve d. superficial fibular nerve
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"ue#tion no$ 1$ #he muscles of the posterior compartment of the thigh receive Blood supply primarily by branches of the a. popliteal artery 8$ dee) 'e+o(al a(te(, c. superior gluteal artery d. inferior gluteal artery "ue#tion no$ ;$ -ll of the follo!ing statement describe the sartorius muscle /C0# a. it is innervated by the femoral nerve b. it arises from the anterior superior spine of the ilium c. it in#e(t# on the late(al #u('ace o' the ti8ia d. it forms the lateral border of the femoral triangle "ue#tion no$ 0$ ach of the follo!ing structure is located in the posterior compartment of the leg /C0#: a. posterior tibial artery b. soleus muscle c. fle%or digitorum longus d$ +edial )lanta( a(te(, "ue#tion no$%3$ #he superior boundary of the femoral triangle is formed by a. sartorius muscle b. adductor longus muscle c$ in5uinal li5a+ent d. pectineus muscle "ue#tion no$ %%$ +hich of the follo!ing nerves innervate at least one muscle that acts 6n both the hip and the )nee 9oints a$ ilioin5uinal ne(ve b. femoral nerve c. saphenous nerve d. common peroneal nerve Re'e(ence* Snell Clinical Anato+,-. th Edition )) .%3 M2L*3$1& "ue#tion no$ %/ . #he follo!ing facts concerning the dorsalis pedis artery are correct, /C0# a. it is a continuation of the anterior tibial artery b. it enters the sole of the foot by passing bet!een the t!o heads of the first dorsal interosseous muscle c. it can 8e )al)ated on the do(#u+ o' the 'oot 8et
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"ue#tion no$ %7$ #he peroneal artery is a branch of !hich artery a. anterior tibial artery b. popliteal artery c$ )o#te(io( ti8ial a(te(, d. lateral plantar artery Re'e(ence* Snell Clinical Anato+,-. th Edition )) &.6 M2L* 3$1& "ue#tion no$ %&$ 8n the adult the chief arterial supply to the head of the femur is from the a$ superficial circumfle% iliac artery 8$ obturator artery c$ inferior gluteal artery d$ 8(anche# '(o+ the +edial and late(al 'e+o(al a(te(ie# Re'e(ence* Snell Clinical Anato+,-. th edition )) &/0=&63 M2L* 3$1& "ue#tion no$ %.$ Muscles of the gluteal region /C0# a. gluteus minimus b. piriformis c$ iliacu# d. obturator internus Re'e(ence* Snell Clinical Anato+,-. th Edition ))&/% M2L* 3$1& "ue#tion no %1$ Muscles of the medial fascial compartment of the thigh /C0# a. gracilis b. adductor longus c. obturator e%ternus d$ o8tu(ato( inte(nu# Re'e(ence* Snell Clinical Anato+,-. th edition )) &6& "ue#tion no$ %; . unction as strong fle%or of the thigh a$ ilio)#oa# +u#cle b. gluteus minimus c. adductor magnus muscle d. *uadratus femoris muscle Re'e(ence* >ood8u(ne E##ential# o' hu+an Anato+,-0 th edition )) &%6 M2L* 3$1& "ue#tion no$ %0 . unctions as a medial rotator of the thigh and is an important muscle 8n loc)ing the hip9oint during !al)ing a$ 5luteu# +ediu# b. iliopsoas muscle c. gluteus ma%imus d. adductor magnus Re'e(ence* >ood8u(ne E##ential# o' hu+an Anato+,-0 th Edition )) &;;=&;0 M2L* 3$1& "ue#tion no$ /3 . #he primary !eight support function at the an)le 9oint is provided By !hich of the follo!ing bones a. fibula and talus b. fibula and tibia c. tibia and calcaneus d$ ti8ia and talu# Re'e(ence* >ood8u(ne E##ential# o' Anato+,- 0 th edition )) .7/ M2L* 3$1&
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HEAD AND NEC O!ECTIVES*
1.ive its definition and e%tent of the head and nec) region 2.Describe the blood vessel of the face in terms of origin,commencement, branches,tributaries and termination 3.;no! the parotid gland in terms of location,blood and nerve supply ".;no!,describe and identify the different nerves in the face and buccal cavity @uestion no. 1. 8n !hich of the follo!ing bones are the foramen rotundum,ovale and spinosum located a. frontal b. ethmoid c. ma%illary d$ #)henoid Re'e(ence* >ood8u(ne E##ential# o' Anato+,- 0 th edition )) 6/% M2L* 3$1& @uestion no.2. Metastatic carcinoma of the tongue !ould be e%pected to spread via #he lymphatic vessels directly into the palatine nodes a. deep cervical node b. submandibular node c. parotid node Re'e(ence* >ood8u(ne E##ential# o' Anato+,- 0 th edition )) /1. M2L* 3$1& @uestion no.3. ollo!ing a tonsillectomy, a patient noted loss of general sensation and #aste from the posterior 13 of the tongue.it could be assumed that the 8n9ured nerve !as a branch of the a$ 5lo##o)ha(,n5eal ne(ve b. facial nerve c. lingual nerve d. vagus nerve Re'e(ence* >ood8u(ne E##ential# o' Anato+,- 0 th edition )) /60 M2L* 3$1& @uestion no.". 8f a patient presented !ith a permanently dilated pupil,!hich one of the ollo!ing nerves could be assumed to be involved a. optic b. sympathetic trun) c. ophthalmic d$ occulo+oto( Re'e(ence* >ood8u(ne E##ential# o' Anato+,- 0 th edition )) /0& M2L* 3$1& @uestion no. $. +hen a patient attempts protrusion of the tongue,the tongue deviates to #he right.this !ould indicate damage to !hich of the follo!ing nerves a. right glossopharyngeal b. left accessory c$ (i5ht h,)o5lo##al d. left hypoglossal Re'e(ence* >ood8u(ne E##ential# o' Anato+,- 0 th edition )) /1& M2L* 3$1& @uestion no. &. +hich of the follo!ing muscle is primarily responsible for the protrusion of the tongu e a. styloglossus b. palatoglossus c. hyoglossus d$ 5enio5lo##u# Re'e(ence* >ood8u(ne E##ential# o' Anato+,- 0 th edition )) 161 13
@uestion no. '. -ssuming the patientEs eyesight is normal,in !hich cranial nerve is there i)ely to be a lesion !hen the direct and consensual light refle%es are absent a. trochlear nerve b. optic nerve c. abducent nerve d$ occulo+oto( ne(ve Re'e(ence* Snell:# Clinical Anato+,- . th Edition )) ;%7 M2L* 3$1& @uestion no. >. - patient is unable to taste a piece of sugar placed on the anterior part of the tongue.!hich cranial nerve is li)ely to have a lesion a. hypoglossal nerve b. vagus nerve c. glossopharyngeal nerve d$ 'acial Re'e(ence* Snell:# Clinical Anato+,- . th Edition )) ;%7 M2L* 3$1& @uestion no. . 0ulsation felt at the lo!er border of the mandible 9ust anterior to the Masseter muscle are in the a. superficial temporal artery b. lingual artery c$ 'acial a(te(, d. ma%illary artery Re'e(ence* Snell:# Clinical Anato+,- . th Edition )) ;%7 M2L* 3$1& @uestion no.1.. - severe blo! to the side of the head could fracture !hich one of the ollo!ing bones of the roof of the orbit a. palatine b. ma%illa c$ '(ontal d. zygomatic Re'e(ence* Snell:# Clinical Anato+,- . th Edition )) 1%% M2L* 3$1& @uestion no. 11. #he osseous labyrinth of the internal ear consists of the a$ ve#ti8ule b. sacculus c. semicircular duct d. utriculus Re'e(ence* Snell:# Clinical Anato+,- . th Edition )) 16/ M2L* 3$1& @uestion no. 12. #he largest structure on the medial !all of the tympanic cavity is the a. fenestra vestibule b. umbo c$ )(o+onto(, d. fenestra cochlea Re'e(ence* >ood8u(ne E##ential# o' Anato+,- 0 th edition )) 63& M2L* 3$1& @uestion no. 13. #he artery that accompanies the inferior alveolar nerve is a branch of the a. superior temporal artery 8$ +a4illa(, a(te(, c. facial artery d. lingual artery Re'e(ence* >ood8u(ne E##ential# o' Anato+,- 0 th edition )) /.0 M2L* 3$1&
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@uestion no. 1". - severe infection that obstructs the middle meatus !ould affect Drainage from each of the follo!ing sinuses /C0# the a. ma%illary sinus b. frontal sinus c$ na#olac(i+al duct d. anterior ethmoid air cells Re'e(ence* >ood8u(ne E##ential# o' Anato+,- 0 th edition )) /;%=/;6 M2L* 3$1& @uestion no. 1$. -ll of the follo!ing statements concerning the cervical vertebrae are Correct ,/C0# a. each transverse process has a foramen b. the atlas has no body and no spine c$ none o' the #)inou# )(oce## can 8e )al)ated d. most of the cervical vertebrae have bifid spines Re'e(ence* Snell:# Clinical Anato+,- . th Edition )) ;/% M2L* 3$1& @uestion no. 1&. pace bet!een the cornea and the iris and lens a$ ante(io( cha+8e( b. posterior chamber c. vitreous cavity d. a*ueos humor Re'e(ence* Snell:# Clinical Anato+,- . th Edition )) 1/6=1/7 M2L* 3$1& @uestion no. 1'. +hen testing the sensory innervation of the face,it is important to (emember that the s)in of the tip of the nose is supplied by the a. zygomatic branch of the facial nerve b. ma%illary division of the trigeminal nerve c$ o)hthal+ic divi#ion o' the t(i5e+inal ne(ve d. e%ternal nasal branch of the facial nerve Re'e(ence* Snell:# Clinical Anato+,- . th Edition )) ..7 M2L* 3$1& @uestion no. 1>. - tosillar abscess may e%tend posteriorly through the pharyngeal !all into the a. pleural cavity b. anterior triangle of the nec) c. suprasternal space d$ (et(o)ha(,n5eal #)ace Re'e(ence* Snell:# Clinical Anato+,- . th Edition )) //. M2L* 3$1& @uestion no. 1. #he superficial investing layer of the cervical fascia encloses !hich 6ne of the follo!ing muscles a. anterior scalene b. posterior scalene c$ #te(nocleido+a#toid d. sterno hyoid Re'e(ence* Snell:# Clinical Anato+,- . th Edition )) .6; M2L* 3$1& @uestion no. 2. Contents of the carotid sheath /C0# a. vagus nerve b. internal 9ugular vein c. common carotid artery d$ e4te(nal Bu5ula( vein Re'e(ence* Snell:# Clinical Anato+,- . th Edition )) .7. M2L* 3$1& END
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