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Clinical Anatomy For Medical Students by Snell 6 Edition Anatomy Questions Choose The Best Answer
Clinical Anatomy For Medical Students by Snell 6 Edition Anatomy Questions Choose The Best Answer
51. Which of the following components of the respiratory tract wall increase/s in amount from
trachea to alveoli:
A. cilia B. elastic fibers C. smooth muscle D. cartilage
52. The presence of iron deposits in the cytoplasm of which of the following lung cell type is a
diagnostic feature of congestive heart failure:
A. Goblet cell C. dust cell
B. pneumocyte Type II D. Clara cell
53. In hypersensitivity reactions, this cell functions as an antigen-presenting cell in the skin:
A. keratinocyte B. Langerhan’s cell C. melanocytes D. Merkel’s cell
54. Which of the following cell types comprises the visceral layer of Bowmann’s capsule affected
in glomerular filtration disorders:
A. endothelial cell C. mesangial cell
B. juxtaglomerular cell D. podocyte
55. Which of the following hormone is most likely affected in hypothalamic tumors:
A. ADH B. ACTH C. FSH D. TSH
A. aorta C. thoracic duct
B. medium sized artery D. vena cava
57. Diarrhea may result if which of the following organs fails to carry out its primary role in
absorbing water from the feces:
A. anal canal B. colon C. jejenum D. ileum
58. Increase aqueous humor of the eye is due to the secretion by:
A. ciliary epithelium C. Schlemm’s canal
B. choriocapillary layer D. corneal endothelium
3
P 504 59. Contraction of the muscles of the forearm that commonly follows fractures of the distal
end of the humerus or fractures of the radius and ulna:
A. compartment syndrome of the forearm
B. Dupuytren’s contracture
C. Volkmann’s ischemic contracture
D. Bontonniera deformity
P 501 60. Fracture of the distal end of the radius which occurs from a fall on the back of the hand:
A. Colle’s fracture C. Monteggia’s fracture
B. Smith’s fracture D. Bennett’s fracture
P 495 61. A young boy sustained a superficial laceration in front of his right wrist which was
bleeding profusely. He had sensory loss over the palmar aspect of the medial 1 ½
fingers but normal sensation on the back of these fingers over the middle and proximal
phalanges. Which of the following statements about the patient is true:
A. the radial artery was cut in front of the flexor retinaculum
B. the loss of skin sensation was caused by the injury to the ulnar nerve as it crossed
infront of the flexor retinaculum
C. there was no sensory loss in the palm of the hand because the palmar cutaneous branch
of the ulnar nerve was cut
D. this will lead to carpal tunnel syndrome
P 412 62. Which of the following is not part of the rotator cuff muscles:
A. infraspinatus B. subscapularis C. supraspinatus D. teres major
63. Tennis elbow is characterized by pain and tenderness over the lateral epicondyle of the
humerus. It is caused by:
A. repeated friction between the anconeus and abductor pollicis longus
B. partial tearing of the extensor muscles from the lateral epicondyle of the humerus
C. supracondylar fracture of the humerus
D. dislocation of the elbow joint
P 489 64. Klumpke’s palsy is characterized by:
A. upper lesion of the brachial plexus C. Waiter’s tip position
B. lower lesions of the brachial plexus D. excessive traction or tearing of C5 & C6
P 485 65. Which blood vessel passes along the deltopectoral groove:
A. axillary artery C. cephalic vein
B. suprascapular artery D. basilica vein
P 561 66. Nerve supply of the anterior fascial compartment of the leg:
A. deep peroneal nerve C. posterior tibial nerve
B. superficial peroneal nerve D. sciatic nerve
P 622 68. A 17 year old boy was crossing a busy street when he was bumped by a car on the lateral
part of his right knee. X-ray showed a fracture of the head of the fibula. The patient was seen to
be dragging his right foot and catches his toes on the ground as he walks. Which of the following
explains this:
A. the patient injured his common peroneal nerve
B. the medial meniscus was injured
C. skin sensation on the posterior leg is lost
D. the patient will not be able to plantarflex his right foot
P 581 69. The dostalis pedis artery lies between the tendons of extensor hallucis longus and:
A. peroneus tertius C. extensor digitorum brevis
B. extensor digitorum longus D. extensor hallucis brevis
P 595 70. Arch of the foot which consists of the bases of the metatarsal bones and the cuboid and
the 3 cuneiform bones:
A. medial longitudinal arch C. transverse arch
B. lateral longitudinal arch D. posterior arch
P 129 75. Pain in myocardial infarction is referred to the areas of distribution of the following
spinal nerves:
A. C2 – C4 B. C5 – C6 C. T1 – T4 D. T5 – T9
P 111 76. In what division of the mediastinum is thoracic duct to the duct to the left side of the
vertebral column:
A. superior B. inferior C. middle D. posterior
P 130 78. A patient with cancer of esophagus develops hoarseness. This is suggestive of direct
invasion of the following structures:
A. larynx C. left recurrent laryngeal nerve
B. nasal cords D. bronchus
4
P 106 81. Sound of closure of the cardiac valve is heard best over the sternal end of right 4th
intercostal space:
A. aortic B. pulmonic C. ventral D. tricuspid
P 106 82. Apex beat has the some auscultation area as the following heart valve:
A. aortic B. mitral C. pulmonic D. tricuspid
P 287 94. Stimulation of the middle frontal cortex (area *) of the cerebral cortex would most likely
produce:
A. contraction of the muscles of the contralateral leg
B. visual agnosis
C. auditory hallucination
D. conjugate eye movements
P 322 95. The inferior angle of the trigone of the urinary bladder has opening/s for:
A. urethra B. ureters C. renal papilla D. ejaculatory ducts
P 375 96. Attached to the central tendon of perineum:
A. bulbospongiosus C. superficial transverse perineal muscle
B. external anal sphincter D. A,B,C
P363 98. The pudendal nerve and/or its branches have the following characteristics, EXCEPT:
A. traverse the pudendal (Alcock’s) canal
B. enter the perineum through the lesser sciatic foramen
C. give origin to the posterior scrotal nerves
5
D. supply the ischiocavernosus muscle
E. arise from S1, 2 and 3 spinal nerves
P 335 100. The broad ligament contains all of the following , EXCEPT the:
A. round ligament of the ovary D. uterine tubes
B. uterine artery E. ureters
C. round ligament of the uterus
2. A 70 year old chronic hypertensive patient consults with you regarding difficulty of swallowing
solid food, 3 months duration. You proceed to request for a chest X-ray and note of a 0.7 cardio-
thoracic ratio. As far as the heart is concerned, the best explanation you can give the patient
regarding her swallowing difficulty is:
A. Impingement of the vagus nerve by an overriding ascending aorta
B. Compression of the thoracis esophagus by an enlarged left atrium
C. Compression of the recurrent laryngeal nerve underneath the aorta
D. Overly stretched pericardiophrenic and pericardiosternal ligaments, compromising
swallowing
Answer B. (Clinical Anatomy, 7th ed. R. Snell, p. 113, Clinical scenario Application)
Recall
1. A 70 year old male suffered massive myocardial infarction involving the right coronary artery.
With your recent knowledge, want part/s of the heart does the right coronary artery supplies?
A. SA node D. right ventricle
B. AV node E. All of the above
C. right atrium
Answer E. (Clinical Anatomy, 7th ed. R. Snell, p. 117, Clinical scenario Recall)
2. Which of the following nerve will most likely to be injured in surgical repair of a patent ductus
arteriosus?
A. right phrenic C. left phrenic
B. right recurrent laryngeal D. left recurrent laryngeal
th
Answer D. (Clinical Anatomy, 7 ed. R. Snell, p. 117, Clinical scenario Recall)
3. If blood regurgitates back in the right atrium during systole. Which of the following valve is
most likely to be damaged?
A. Mitral C. aortic
B. Tricuspid D. pulmonic
Answer B. (Clinical Anatomy, 7th ed. R. Snell, p. 117, Clinical scenario Recall)
Recall
1. Which of the following structures prevents the spread of urine inferiorly to the thigh in case of
ruptured penile urethra due to straddle injury?
A. Camper’s fascia C. conjoint tendon
B. Scarpa’s fascia D. rectus sheath
th
Answer B.(Clinical Anatomy, 7 ed. R. Snell, p. 155, Clinical notes)
2. Which of the following structures protects an abdominal viscus from herniation into the
inguinal triangle?
A. inguinal ligament C. rectus abdominis muscle
B. conjoint tendon D. lacunar ligament
th
Answer B.(Clinical Anatomy, 7 ed. R. Snell, p. 196, Clinical notes)
3. The triangle of Calot is used to identify the:
A. hepatic artery proper C. cystic duct
B. bile duct D. cystic artery
Answer D.
1. The Celiac artery arises from the abdominal aorta approximately at the level of:
A. T6
B. T8
C. T10
D. T12
Answer: D (Page 261)
Application
7
1. A 25 year old female was hit on her left side by a car and thrown about 10 feet. Aside from
multiple fractures, the patient was diagnosed to have internal bleeding upon initial physical
exam. What organ was most likely injured?
A. Liver
B. Kidneys
C. Intestines
D. Spleen
Answer: D (Page294)
Application
1. Swallowed gas within the proximal GIT will almost always collect in this region, as appreciated
on antero-posterior X-ray views of the abdomen:
A. Esophageal hiatus C. cardia
B. Fundus D. pylorus
th
Answer B. (Clinical Anatomy, 7 ed. R. Snell, p. 234, X-ray findings Application)
Application
1. A 20-year old male was involved in a riot and was allegedly hit by a baseball bat at the
back of the head. What injury would the patient sustain?
A. Rupture of the Middle meningeal artery
B. A large tear in the Circle of Willis
C. Tearing of the Superior cerebral veins
D. Rupture of the Lenticulostriate artery
Answer: C (807)
2. A 15-year old girl consulted because of a growing abscess on the side of her nose. The
following statements are true, Except:
A. The blood in the facial vein is unable to spread upward because of the presence of
valves.
B. The danger area is drained by the facial vein
C. Cavernous sinus thrombosis can occur by the spread of infection by the venous
blood
D. The facial vein communicates with the cavernous sinus via the superior and inferior
ophthalmic veins
Answer: A (Page 820)
Given a patient problem, identify errors in development (germ cell, cell division, genetic
disorders)
Application
1. What congenital anomaly results from the failure of development of the spines and arches of
one or more vertebra?
8
A. Scoliosis
B. Anencephaly
C. Spina bifida
D. Lordosis
2. The muscle that initiates the first 15 degrees of shoulder abduction is the:
A. trapezius C. subscapularis
B. supraspinatus D. deltoid
Answer B. (Clinical Anatomy, 7th ed. R. Snell, p. 490, Clinical notes)
3. Which of the following conditions is most likely to cause a loss of the median nerve function?
A. Dupuytren’s contracture
B. Carpal Tunnel syndrome
C. Fracture of the spiral groove of the humerus
D. Fracture of the anatomical neck of the humerus
Answer B. (Clinical Anatomy, 7th ed. R. Snell, p.538 , Clinical scenario Recall)
2. If the medial border of the cubital fossa is severed by a knife, which of the following structure
most likely suffers damage?
A. radial nerve C. pronator teres
B. brachioradialis D. ulnar nerve
Answer C. (Clinical Anatomy, 7th ed. R. Snell, p.521 , Clinical scenario Application)
3. To maintain balance and prevent the hips from tilting and sagging in the unsupported side of the
pelvis while walking, the muscle involved is the:
A. gluteus maximus C. piriformis
B. gluteus medius D. quadratus femoris
Answer B. (Clinical Anatomy, 7th ed. R. Snell, p.609 , Clinical scenario Application)
Application
1. A patient suffering from “Wrist drop” is most likely caused by injury to the:
A. Median nerve
B. Ulnar nerve
C. Radial nerve
D. Lateral cutaneous nerve
Answer: C (Page482)
2. A patient suffering from “Claw hand” is most likely caused by injury to the:
A. Median nerve
9
B. Ulnar nerve
C. Radial nerve
D. Lateral cutaneous nerve
Answer: B (Page482)
Application
1. A knife wound immediately below the right 4th rib along the midclavicular line will most likely
injure the following bronchopulmonary segment:
A. apical and posterior segment C. medial basal and anterior basal
B. medial and lateral segment D. posterior basal and lateral basal
Answer B. (Clinical Anatomy, 7th ed. R. Snell, p. 72, 98, Clinical notes)
2. The driver of a van involved in a vehicular accident comes in with contusions in his anterior
chest wall. On X-ray, you check for rib fractures. The most likely portion of the rib to be fractured
is the:
A. neck C. anterior to the costal angle
B. attachments to its costal cartilages D. posterior to the costal angle
Answer C. (Clinical Anatomy, 7th ed. R. Snell, p. 60, Clinical notes)
2. The trachea extends from the lower border of the cricoid cartilage in the neck to
approximately the level of the:
A. 10th thoracic vertebra
B. Sternal angle
C. Xiphisternal joint
D. Suprasternal notch
Answer: B (Page 71)
Application
1. In females, the rectouterine pouch is best accessible to examination via:
A rectal vault C. lateral vaginal fornix
B. anterior vaginal fornix D. posterior vaginal fornix
th
Answer D. (Clinical Anatomy, 7 ed. R. Snell, p. 405, Clinical notes)
2. Having inserted approximately 11-12cm. of the catheter, you note some difficulty in insertion.
The catheter tip is most probably in what part of the urinary system?
A. Spongy urethra C. Prostatic urethra
B. Membranous urethra D. Urinary bladder
Answer B. (Clinical Anatomy, 7th ed. R. Snell, p.436 , Clinical scenario Recall)
Application
1. A 55-year old man was diagnosed to have ureteric stones. With your knowledge in the
anatomy of the ureters, the following are considered to be the anatomic narrowings,
except:
2. Which part of the pituitary gland is really a downward continuation of the hypothalamus?
A. Neurohypophysis C. both
B. Adenohypophysis D. neither
Answer: A
7. The thyroid gland synthesizes the following hormones, EXCEPT for the:
A. T3 C. calcitonin
B. T4 D. melatonin
Answer: D
Recall
1. In chronic otitis media, the part of the ossicular chain that is usually first to undergo necrosis
due to its poor blood supply is the:
A. lenticular process of the incus
B. stapes footplate
C. capitulum of the stapes
D. manubrium of the malleus
Answer A. (Clinical Anatomy, 7th ed. R. Snell, p. 839, Clinical scenario Recall)
2. What structure in the middle ear separates the tympanic cavity from the meninges and
temporal lobe of the brain?
A. Floor of the middle ear
B. Anterior wall of the middle ear
C. Tegmen tympani
D. Mastoid antrum
Answer: C (Page 834)
Application
1. Inadequate treatment of otitis media can result in acute mastoiditis due to spread via what
structure?
A. Semicircular ducts
B. Mastoid antrum
C. Petrous bone
D. Tegmen tympani
Answer: B (Page 842)
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SIMPLE MULTIPLE CHOICE. CHOOSE THE BEST ANSWER.
UPPER LIMB
1. A spiral fracture in the middle to distal third of the humerus may injure this
structure:
a. axillary artery c. radial artery
b. radial nerve d. axillary nerve
Chapter 9 Page 439
THORAX
2. Chest radiograph taken during the inspiratory phase of respiration will show a
vertically elongated cardiac shadow because :
a. the heart is compressed by the expanded lungs
b. the fibrous pericardium is adherent to the mediastinal pleura
c. parietal pericardium is fused to the central tendon of the diaphragm
d. of increased intrathoraic pressure
Chapter 3 Page 105
5. The following are features of the right primary bronchus, EXCEPT that:
a. It is shorter c. it is more vertical
b. It is narrower d. It has 3 branches
Chapter 3 Page 90
7. A blood clot detached from the right ventricular wall will likely cause obstruction to
the blood vessel that supply the following organ:
a. lungs c. brain
b. kidney d. liver
Chapter 3 Page 112
8. Deoxygenated blood from the fetus is brough back to the maternal circulation
through the following blood vessels
a. ductus venosus c. umbilical artery
b. umbilical vein d. vitteline vein
Chapter 3 Page 111
10.The following intrinsic muscles of the larynx are supplied by the recurrent
laryngeal nerve EXCEPT the:
a. oblique arytenoid c. thyroarytenoid
b. cricothyroid d. posterior cricoarytenoid
Chapter 16 Page 869
11.ACTH is release by released by the pituitary gland through the influence of:
a. thalamus c. hypothalamus
b. cerebellum d. basal ganglia
Chapter Page
12.Parathyroid hormone stimulates this cell to increase the blood calcium level:
a. Osteoclast c. chondroblast
b. Osteoblast d. chondrocyte
Chapter 11 Page 747
14.The veins which drain the tongue, tonsils and the rest of the oral cavity all drain in
the:
a. external jugular vein c. external carotid vein
b. internal jugular vein d. external carotid vein
Chapter 11 Page 847
15.The nerve supply for general sensations of the mucous membrane covering the
anterior two thirds of the tongue is the:
a. glossopharyngeal nerve c. lingual nerve
b. hypoglossal nerve d. chorda tympani branch of facial
nerve
Chapter 11 Page 847
ABDOMEN
16.Which of the following arteries supplies the lower part of the greater curvature of
the stomach?
a. left gastric artery c. left gastroepiploic artery
b. right gastric artery d. right gastroepiploic artery
Chapter 5 Page 237
18.Which of the following structures is NOT a component of the portal triad of the
liver?
a. bile ductile c. central vein
b. hepatic arteriole d. portal vein
Chapter 5 Page 266
15
19.Which cell consist monocyte – marcophage system of the liver?
a. Ito cells c. Kupffer cells
b. Fibroblast in the space of Disse d. hepatocytes
Chapter Page
20.The cells of zona glomerulosa of adrenal cortex procedure what hormone that
influences the electrolyte and water balance of the body?
a. cortisone c. aldosterone
b. vasopressin d. epinephrine
Chapter 4 Page 217
21.The renal facia is derived from the fascia of the abdominal wall
a. lumbodorsal c. psoas
b. transversalis d. diaphragmatic
Chapter 5 Page 281
23.The arrangement of the structures in the renal pedicle from anterior to posterior
is:
a. vein, artery, ureter c. ureter, vein artery
b. artery, vein ureter d. vein, ureter, artery
Chapter 6 Page 357
25.The blood vessels that conveys 70% of blood to the liver is the:
a. hepatic artery c. hepatic vein
b. portal vein d. inferior vena cava
Chapter 5 Page 267
26.Among the following tributaries, which vein joins the splenic vein to form the
portal vein
a. left gastric vein c. right gastric vein
b. inferior mesenteric vein d. superior mesenteric vein
Chapter 5 Page 277
27.Which of the following represents an internal difference between the small and
large intestines?
a. Longitudinal muscle arrangement c. plicae circulares
b. Appendices epiploicae d. intestinal sasculation
Chapter 5 Page 265
28.The part of the duodenum which is posterior to the fundus of the gallbladder,
right hepatic lobe and transverse colon and anterior to the hilium of the right
kidney is:
a. duodenal cap (superior) c. transverse part
b. descending part d. ascending part
Chapter 5 Page 245
16
29.The structure along the gastrointetinal tract that is formed from the most caudal
protion of the foregut and the most cephalic end of the midgut is the:
a. gastroesophageal junction c. iloececal junction
b. duodenum d. left colic flexure
Chapter 5 Page 239
30.The endocrine part of the testis that secretes the hormone Testosterone?
a. sertoli cells c. spermatocyte
b. Lyedig cells d. spermatogonia
Chapter 8 Page 448
31.The integrity of the blood-testis barrier is a function of which cell of the male
reproductive tract?
a. sertoli cells c. germinal epithelium
b. Leydg cells d. spermatozoons
Chapter 8 Page 469
34.The structure that maintains the normal position of the uterus is the:
a. broad ligament c. peritoneum
b. round ligament d. ureter
Chapter 4 Page 392
38.When doing hysterctomy one should be careful in cutting the following ligaments
because it contains the ovarian artery and veins and may cause bleeding if
anadvertently cut
a. broad ligaments c. round ligaments
17
b. suspensory ligaments d. ovarian ligaments
Chapter 4 Page 397
39.This uterine ligament extends from the utherus to the labia majora
a. transverse cervical ligament c. round ligament
b. uterosacral ligament d. broad ligament
Chapter 7 Page 394
42.The type of specialized connective tissue which has a rigid consistency due to
disposition of inorganic salts:
a. cartilage c. myeloid
b. bone d. blood
Chapter Page
BACK
45.The lateral coticospinal tract carry these impulses to the effector organs:
a. motor c. sympathetic
b. sensory d. parasympathetic
Chapter Page
46.Pain and temperature impulses on the left sole ascends to the thalamic are via:
a. ipsilateral lateral spinothalamic tract c. ipsilateral posterior
column
b. contralateral lateral spinothalamic tract d. contralateral posterior column
Chapter 11 Page 810
48.The fiber tract that coordinates the functions of cranial nevers II, IV and VI:
18
a. medial lemniscus c. medial longitudal fasciculus
b. fasciculus gracilis d. lateral lemniscus
Chapter Page
50.CSF flows from the 3rd ventricle to the 4th ventricle via:
a. Formina of Monro c. cerebral aqueduct
b. Foramina of Magendie d. Foramina of Luschka
Chapter 12 Page 947
51.Pain and temperature sensation from the head is received in the brainstrem by
the:
a. mesencphalic nucleus of V c. motor nucleus of V
b. trigeminal spinal nucleus d. nucleus ambigous
Chapter Page
Page 746
9. Which of the following nerves is the largest branch of the lumbar plexus and supplies all the
muscles of the anterior fascial compartment of the thigh?
A. femoral
B. sciatic
C. obturator
D. deep peroneal
Page 621
10. A 50 year old male patient sustains an injury to the lateral aspect of the right knee. Due to the
heavy impact on the injured area the nerve most likely to be injured is likely to produce:
A. plantar flexion C. dorsiflexion
B. knee flexion D. foot enversion
11. The safest area to administer intramuscular medications in the gluteal area is at the
A. upper inner quadrant C. lower inner quadrant
B. upper outer quadrant D. lower outer quadrant
Page 608
12. The medial umbilical fold in the posterior surface of the anterior abdominal wall covers the
A. internal epigastric vessels C. obliterated umbilical artery
B. remnant of the urachus D. linea alba
Page 352
Page 17
15. All of the following statements about the adrenal gland are correct EXCEPT:
A. They are retroperitoneal organs.
B. Both adrenal veins drain into the inferior vena cava.
C. The superior adrenal arteries are branches of the inferior phrenic arteries.
D. They are innervated predominantly by preganglionic sympathetic fibers.
Page 290-291
Page 929-932
17. After extensive surgical dissection in the posterior cervical triangle, drooping of the skin in the
neck was noted postoperatively. This is due to injury of what nerve?
A. trigeminal C. spinal accessory
B. hypoglossal D. facial
Page 771-773
24. Which of the following structures does not form the anterior surface of the heart?
A. right ventricle
B. right atrium
C. left ventricle
D. left atrium
Page 110
Page 261
27. Space between the cornea and the iris and lens
A. anterior chamber
B. posterior chamber
C. vitreous cavity
D. aqueos humor
20
Page 831-832
28. A severe infection that obstructs the middle meatus would affect drainage from each of the
following sinuses EXCEPT the
A. maxillary sinus
B. frontal sinus
C. nasolacrimal duct
D. anterior ethmoid air cells
Page 860
29. A patient is unable to taste a piece of sugar placed on the anterior part of
the tongue.which cranial nerve is likely to have a lesion?
A. hypoglossal nerve
B. vagus nerve
C. glossopharyngeal nerve
D. facial
Page 904
30. When a patient attempts protrusion of the tongue,the tongue deviates to the right. This would
indicate damage to which of the following nerves?
A. right glossopharyngeal
B. left accessory
C. right hypoglossal
D. left hypoglossal
Page 910
31. If a patient presented with a permanently dilated pupil, which one of the following nerves
could be assumed to be involved?
A. optic
B. sympathetic trunk
C. ophthalmic
D. occulomotor
Page 903
Page 533
34. Following a tonsillectomy, a patient noted loss of general sensation and taste from the
posterior 1/3 of the tongue. It could be assumed that the injured nerve was a branch of the
A. glossopharyngeal nerve
B. facial nerve
C. lingual nerve
D. vagus nerve
Page 904
35. A stab wound on the neck which injures the spinal root of CN XI results to the following signs
and symptoms EXCEPT:
A loss of pain sensation on the shoulder and upper chest
B. drooping of the shoulder
C. inability to elevate the shoulder
21
D. weakness and atrophy of the trapezius
Page 909-910
Page 810
41. This histologic structure of the duodenum that neutralizes the highly acidic content of the
stomach:
A. crypts of Leiberkuhn’s C. Brunner’s gland
B. microvilli D. glycocalyx
Page 660
43. The thoracic duct passes through the diaphragm through the
A. aortic hiatus C. caval foramen
B. esophageal hiatus D. sternocostal hiatus
Page 62-64
Page 262-263
45. The sternal angle is a useful landmark in counting the intercostal space and it corresponds to
the level of
A. 1st costal cartilage C. 3rd costal cartilage
B. 2nd costal cartilage D. 4th costal cartilage
Page 67
47. Damage to the anterior division of the middle meningeal artery may results into what type of
intracranial hemorrhage
A. extradural hemorrhage C. subdural hemorrhage
B. subarachnoid hemorrhage D. cerebral hemorrhage
Page 897
51. The structure that serves as a landmark in doing pudendal block anesthesia through a
transvaginal approach is the:
A. iliac crest C. ischial spine
B. ischial tuberosity D. sacral promontory
53. To what vein does the left ovarian vein drain into?
A. renal C. portal
B. IVC D. iliac vein
Page386
55. In doing thoracentesis, which of the following layers is not penetrated by the needle?
A. intercostal muscles C. superficial fascia
B. endothoracic D. visceral pleura
Page 61
59. The powerful extension of the thigh required when one is standing from the sitting position is
the function of the
A. gluteus maximus muscle
B. psoas major muscle
C. piriformis muscle
D. iliacus muscle
Page 603
Page 842
Page 121
65. A patient with an isolated injury to the mandibular division of the trigeminal nerve would
present with
A. atrophy of the temporalis muscle on the affected side
B. flattened nasao-labial fold on the affected side
C. numbness of the cheek on the affected side
D. A and C only
Page 768
66. For a soccer player to have a strong kick he must develop his
A. hamstring muscles C. quadriceps femoris
B. pes anserinus muscles D. gluteal muscles
23
Page 624
68. A massive infarction of the heart involving the septum, apex, ventricle (left) is likely due to
obstruction of the:
A. right coronary artery C. L-ant. descending artery
B. circumflex artery D. right interventricular\
Page 119-120
71. Following a hard blow to the anterior shoulder, a weakness of the flexion of the arm at the
shoulder joint would suggest damage to which of the following muscles?
A. rhomboid major
B. supraspinatus
C. pectoralis minor
D. biceps brachii
72. Loss of function of the muscles of the posterior compartment of the leg and the sole of the foot
is associated with paralysis of
A. tibial nerve
B. common fibular nerve
C. deep fibular nerve
D. superficial fibular nerve
Page 662
73. All of the following forms the boundary of the perineum, EXCEPT:
A. pubic symphysis C. coccyx
B. ischial tuberosities D. sacrospinous ligaments
Page 416
76. Which of the following muscles will be paralyzed if there is a lesion of the ulnar nerve?
A. medial two lumbricals and opponens pollicis
B. palmar interossei and adductor pollicis
C. dorsal interossei & lateral two lumbricals
D. medial and lateral lumbricals
Page 546
77. In males, the mucus-secreting glands found within the deep perineal pouch are the:
A. seminal cuneatus C. Cowper's glands
B. Skene's glands D. prostate glands
Page 435
Page 219
82. The following are sources of blood supply of the stomach; EXCEPT:
A. right gastric artery C. hepatic proper artery
B. left gastric artery D splenic artery
Page 237
Page 834
84. Paranasal sinus that communicates with the nasal cavity through its opening in the superior
meatus:
A. posterior ethmoidal C. frontal
B. anterior ethmoidal D. sphenoid
Page 863-864
Page 790
Page 627
Page397
93. A 47 y.o. man was riding his motorcycle when a jaywalker suddenly crossed his path.
His sudden brake and turn caused him to lose control and he subsequently fell hitting
the pavement with his head and shoulder. On examination his upper limb hung
limply on the side, medially rotated and forearm pronated. Diagnosis: Erb-Duchenne
Palsy. Which statement is true regarding Erb-Duchenne Palsy?
A. involves upper brachial plexus
B. caused by excessive abduction of the arm
C. there is no paralysis of the arm muscles
D. skin sensation of the whole arm is intact
Page 577
94. All of the following vessels are part of the Circle of Willis EXCEPT:
A. Posterior communicating artery
25
B. Anterior cerebral artery
C. Lateral striate arteries
D. Posterior cerebral arteries
Page 477
98. The junction between the anterior 2/3 and posterior 1/3 of the tongue is marked by the
A. circumvallate C. palatopharyngeal fold
B. sulcus terminalis D. glossoepiglottic fold
Page 846
100. In the cardiac silhouette of a radiograph the right border of the heart is formed by:
A. right ventricle C. left atrium
B. right atrium D. pulmonary trunk
Reference: Clinical Anatomy for Medical Students by Richard Snell, 7th ed.
A 2 Transection of the costocervical artery will disrupt blood flow to this artery
56
A. 2nd posterior intercostal
B. 3rd posterior intercostal
C. 2nd anterior intercostal
D. 3rd anterior intercostal
MPL:0.25
B 4 Penetrating stab wound at the root of the neck will likely injure the
74
A. arch of aorta
B. apex of lung
C. azygous vein
D. trachea
MPL:0.5
26
C 6 Embolus that forms in the left ventricle will may enter the ff: structure
EXCEPT 121
A. arch of aorta
B. brachiocephalic artery
C. left pulmonary artery
D. right subclavian artery
MPL:1
B 7 Injury or disruption of the moderator band will also disrupt this part of the
116
conducting system
A. atrio-ventricular node
B. right bundle branch
C. left bundle branch
D. D. Purkinje fibers
MPL:0.5
A 13Rectus sheath hematoma sustained from trauma to the abdomen results from
injury 164
to this vessel
A. inferior epigastric artery
B. deep circumflex iliac vein
C. superficial epigastric artery
D. superficial epigastric vein
MPL:0.33
D 15 An indirect inguinal hernia passes thru deep inguinal ring lateral to this
structure 194
A. superficial epigastric artery
B. deep circumflex iliac artery
C. rectus abdominis
D. inferior epigastric artery
MPL:.0.5
B 18 Blunt trauma to the anterior abdominal wall will most likely injure this part of
the 243
duodenum
A. first part ( superior)
B. third part (horizontal)
C. second part ( descending)
D. 4th part ( ascending)
MPL:0.25
C 19 This structure can be traced towards the base of the appendix and be used
as 246
a guide for looking for the appendix
A. haustra
B. appendices epiplocae
C. taenia coli
D. mesoappendix
MPL:0.5
A 29 Part of the urinary bladder that lie behind the upper border of the symphysis
383
pubis
A. Apex
B. base
C. neck
D. lateral surface
MPL:0.5
29
D 32 Supports the middle part of the vagina
403
A. pubocervical
B. perineal body
C. levator ani
D. urogenital diaphragm
MPL:0.33
D 34 The pulsation felt anterior to the crus of the helix of the ear is
737
A. maxillary artery
B. facial artery
C. posterior auricular artery
D. superficial temporal artery
MPL:0.33
C 36 Branch of the maxillary division of trigeminal that supplies the skin of cheek
766
and nose
A. infratrochlear
B. external nasal
C. infraorbital
D. mental nerve
MPL:0.5
B 48 The thoracodorsal nerve is derived from this part of the brachial plexus
480
A. superior trunk
B. posterior cord
C. roots of plexus
D. medial cord
MPL:0.25
C 52 The cell that secretes Calcitonin which lowers blood Calcium level by
inhibiting 315
the rate of decalcification of bone is:
A. Follicular
B. Principal
C. Parafollicular
D. Oxyphil
MPL:0.5
D 54 The phase of the Menstrual cycle that coincides with the functional activity
746
of the corpus luteum and primarily influenced by progesterone secretion:
A. Menstrual
B. Luteal
C. Proliferative
D. Secretory
MPL:0.5
A 57 What cell forms part of the Blood – Testis barrier performing protective and
334
Nutritive functions for the developing sperm cells?
A. Sertoli
B. Principal
C. Leydig
D. Spermatogonium
MPL:0.5
D 59 The part of the Adrenal gland which secretes Aldosterone that functions in
the 665
control of blood pressure is:
A. Adrenal medulla
B. Zona Fasciculata
C. Zona Reticularis
D. Zona Glomerulosa
MPL :0.33
33
D 70 The smallest of the neuroglial cells that forms part of the Mononuclear
phagocytic 297
System is:
A. Astrocyte
B. Oligodendrocyte
C. Ependyma
D. Microglia
MPL:1
C 71 Melatonin which regulates daily body rhythms and day /night cycle is
secreted by 655
What endocrine gland?
A. Pituitary
B. Thyroid
C. Pineal
D. Adrenal
MPL:0.5
C 74 In Grave’s disease, these cells are stimulated and increased in number and
size 659
leading to abnormal secretions of Thyroid hormones:
A. Parafollicular
B. Oxyphil
C. Follicular
D. Chief
MPL:0.5
B 75 The secretions of this endocrine gland prepares the body for “ fight or flight”
665
response:
A. Adrenal cortex
B. Adrenal medulla
C. Anterior Pituitary
D. Posterior Pituitary
MPL:0.5
3. An intern would like to auscultate the aortic valve. He should put his
stethoscope at which of the following areas?
A. right 2nd ICS, sternal margin C. right 5th ICS, sternal margin
B. left 2nd ICS, sternal margin D. 5th ICS, left midclavicular line
Answer: A, Clinical Anatomy, Richard S, Snell. 7th Ed., p122
4. Which of the following veins drain directly into the right atrium?
A. great cardiac C. smallest cardiac
B. small cardiac D. posterior cardiac
Answer: C, Clinical Anatomy, Richard S, Snell. 7th Ed., p121
8. The baroreceptor within the wall of the internal carotid artery is the?
A. aortic body C. carotid sinus
B. carotid body D. glomus
Answer: C, Clinical Anatomy, Richard S, Snell. 7th Ed., p738
Basic Histology: Text and Atlas, Junqueira and Carneiro. 10 th Ed., p225
35
9. Injury to which of the following layers of the arterial wall would initiate
plaque formation in atherosclerosis?
A. basement membrane C. tunica adventitia
B. smooth muscles of tunica media D. tunica intima
Answer: D, Basic Histology: Text and Atlas, Junqueira and Carneiro. 10 th Ed., p223
10. During fetal circulation, blood from the pulmonary trunk goes to the aorta
via the:
A. ductus arteriosus C. foramen ovale
B. ductus venosus D. umbilical vein
Answer: B, Clinical Anatomy, Richard S, Snell. 7th Ed., p131
13. What structure passes through the esophageal hiatus of the diaphragm?
A. azygos vein C. phrenic nerve
B. thoracic duct D. vagus nerve
Answer: D, Clinical Anatomy, Richard S, Snell. 7th Ed., p62
14. The blood vessel that bridges above the hilum of the RIGHT lung is the:
A. aortic arch C. pulmonary artery
B. azygos arch D. superior vena cava
Answer: B, Clinical Anatomy, Richard S, Snell. 7th Ed., p94
15. Chest X-ray finding of a patient having difficulty of breathing showed blunting
of the costodiaphragmatic angle. If the patient will undergo thoracentesis to
evacuate pleural fluid, the physician should insert the needle at the midaxillary
line:
A. 6th ICS, midclavicular line, superior border of the lower rib
B. 7th ICS, posterior axillary line, superior border of the lower rib
C. 7th ICS, midaxillary line, inferior border of the upper rib
D. 8th ICS, posterior to midaxillary line, inferior border of the upper rib
Answer: B, Clinical Anatomy, Richard S, Snell. 7th Ed., p61
17. What structure does NOT pass through the diaphragmatic opening at T12
level?
A. aorta C. esophagus
B. azygous vein D. thoracic duct
Answer: C, Clinical Anatomy, Richard S, Snell. 7th Ed., p62
18. The horizontal fissure of the right lung meets the oblique fissure on which line
of
orientation ?
A. anterior axillary line C. midclavicular line
B. midaxillary line D. right parasternal line
Answer: B, Clinical Anatomy, Richard S, Snell. 7th Ed., p96
19. On deep inspiration, the tracheal bifurcation descends to which of the following
vertebral levels?
A. T2 C. T6
B. T4 D. T8
Answer: C, Clinical Anatomy, Richard S, Snell. 7th Ed., p90
20. A drunken man, sitting upright, aspirates a peanut. Into which of the following
bronchopulmonary segments would it likely lodge?
A. left inferior lingular C. right posterior basal
B. left anteromedial basal D. right medial
Answer: C, Clinical Anatomy, Richard S, Snell. 7th Ed., p93
36
21. Blood from the pulmonary arteries is eventually drained from the lungs
primarily through the:
A. azygos vein C. lymphatic system
B. bronchial vein D. pulmonary vein
Answer: D, Clinical Anatomy, Richard S, Snell. 7th Ed., p100
24. An intern is trying to elicit the presence of corneal blink reflex on a patient.
Which of the following cranial nerves is the afferent arm of this reflex?
A. II C. V
B. III D. VII
Answer: C, Clinical Neuroanatomy, Richard S. Snell, 5th Ed., p337
26. A patient with tertiary syphilis has impairment of his sense of orientation and
position in space. This is indicative of a damage to the:
A. pyramidal tract C. antero-lateral spinothalamic tract
B. dorsal column pathway D. corticospinal tract
Answer: B, Clinical Neuroanatomy, Richard S. Snell, 5th Ed., p150
27. Special somatic afferent fibers are found in which of the following cranial
nerves?
A. II C. VIII
B. VI D IX
Answer: A, Clinical Neuroanatomy, Richard S. Snell, 5th Ed., p332
30. A blind-folded woman was made to guess the letter written on her palm. The
second-
order neuron of the involved sensory pathway is located at the:
A. dorsal horn C. nucleus cuneatus
B. fasciculus cuneatus D. nucleus gracilis
Answer: C, Clinical Neuroanatomy, Richard S. Snell, 5th Ed., p150-152
35. Which of the following statements is NOT TRUE about the ileum?
A. It has fewer plicae circulares.
B. It has fewer mesenteric arterial arcades.
C. It has more fat.
D. It has shorter vasa recta.
Answer: B, Clinical Anatomy, Richard S, Snell. 7th Ed., p243-244
39. Which of the following arteries may be eroded in a patient with perforated ulcer
on
37
the posterior wall of the first part of the duodenum?
A. right gastric C. gastroduodenal
B. right gastroepiploic D. splenic
Answer: C, Clinical Anatomy, Richard S, Snell. 7th Ed., p243
42. The superior mesenteric and splenic veins unite at the region of the head of
the pancreas to form the:
A. hepatic vein C. portal vein
B. azygos vein D. inferior vena cava
Answer: C, Clinical Anatomy, Richard S, Snell. 7th Ed., p262-263
43. The superior mesenteric artery was inadvertently cut and ligated. Which of the
following structures would NOT be devascularized?
A. ascending colon C. descending colon
B. jejunum D. appendix
Answer: C, Clinical Anatomy, Richard S, Snell. 7th Ed., p261
44. At the outpatient clinic, a patient came in with an anal mass. On further
examination,
bilateral inguinal lymph nodes were palpated. This mass probably originates
from
which of the following structures?
A. rectum C. lower anal canal
B. upper anal canal D. sigmoid colon
Answer: C, Clinical Anatomy, Richard S, Snell. 7th Ed., p420
45. While examining a patient with suspected appendicitis, there was tenderness
noted on the right lower quadrant. This tenderness is due to irritation of which
of the following structures?
A. parietal peritoneum C. mesocolon
B. visceral peritoneum D. A & C are correct
Answer: A, Clinical Anatomy, Richard S, Snell. 7th Ed., p251
48. Which tendon of the following muscles is tapped to illicit the knee-jerk reflex?
A. quadriceps femoris C. sartorius
B. tibialis anterior D. popliteus
Answer: A, Clinical Anatomy, Richard S, Snell. 7th Ed., p624
49. A laboratory technician not aware of the gluteal anatomy gave his friend a flu
shot at the lower aspect of the right gluteus. Afterwards, his friend noted
decreased sensation over the anterolateral aspect of the right leg and foot. Also
38
his right foot was noted to drop and drag to the floor. Which of the nerves was
probably injured?
A. common peroneal nerve C. sciatic nerve
B. tibial nerve D. obturator nerve
Answer: A, Clinical Anatomy, Richard S, Snell. 7th Ed., p711
50. Which of the following veins is often harvested as grafts for coronary arterial
bypass
procedures?
A. cephalic C. lesser saphenous
B. basilic D. great saphenous
Answer: D, Clinical Anatomy, Richard S, Snell. 7th Ed., p618
51. A 20 year old patient sustains a deep cut on the volar surface of right wrist.
Median nerve injury would affect which of the following muscles?
A. medial lumbricals C. thenar
B. dorsal interossei D. palmar interossei
Answer : C, Clinical Anatomy, Richard S, Snell. 7th Ed., p482
53. When a person’s neck and trunk are flexed, as in preparation for a spinal tap,
the spinous process of C7 becomes visible and it is for this reason that it is
called:
A. spina bifida C. vertebra prominens
B. atlas D. intervertebral disc herniation
Answer: C, Clinical Anatomy, Richard S, Snell. 7th Ed., p927
54. In patient with fracture of the middle humerus ; the following muscles will be
denervated EXCEPT:
A. triceps brachii C. extensior digitorum communis
B. abductor pollicis brevis D. supinator
Answer: B, Clinical Anatomy, Richard S, Snell. 7th Ed., p484
55. Which branch of the brachial plexus DOES NOT give off branch(es) to the
upper arm and shoulder?
A. musculocutaneous nerve C. radial nerve
B. ulnar nerve D. circumflex nerve
Answer: B, Clinical Anatomy, Richard S, Snell. 7th Ed., p483
57. Which layer of the scalp contains the muscle responsible for raising the
eyebrows in expression of surprise or horror?
A. connective tissue C. loose areolar tissue
B. aponeurotic layer D. pericranium
Answer: B, Clinical Anatomy, Richard S, Snell. 7th Ed., pp760-761
58. The flexor of the elbow joint found at the lateral fascial compartment of the
forearm is:
A. brachialis C. triceps brachii
B. brachioradialis D. biceps brachii
Answer: B, Clinical Anatomy, Richard S, Snell. 7th Ed., p536
39
59. Midline calcified bodies called corpora arenacea (brain sands) visible on skull
radiograph are structures found in which of the following organs?
A. Pineal gland C. Hypothalamus
B. Hypophysis D. Epithalamus
Answer: A, Basic Histology: Text and Atlas, Junqueira and Carneiro. 6 th Ed., p421
67. For the “fight, fright, flight” response which of the following cells would secrete
epinephrine?
A. ganglion cells of the medulla C. chromaffin
B. follicular cells of the thyroid D. pinealocytes
Answer: C, Basic Histology: Text and Atlas, Junqueira and Carneiro. 10 th Ed., p418-
419
69. Which structure/s would most likely be injured if the doctor incorrectly incised
the superior half of the tympanic membrane?
A. promontory C. cone of light
B. ossicles D. All of the above
Answer: B, Clinical Anatomy, Richard S, Snell. 7th Ed., p834-835
70. Which of the following extraocular muscles are weak if a patient has difficulty
looking straight down?
A. superior oblique - inferior rectus
B. medial rectus – superior oblique
C. superior – inferior oblique
D. lateral rectus – inferior oblique
Answer: A, Clinical Anatomy, Richard S, Snell. 7th Ed., p829
71. Optic nerves are formed by axons of neurons found in the ___ layer of the
retina.
A. ganglion C. inner nuclear
B. outer nuclear D. photoreceptor
Answer: A, Basic Histology: Text and Atlas, Junqueira and Carneiro. 10 th Ed., p476
73. Which of the following structures forms part of the vascular coat of the
eyeball?
A. choroid C. retina
B. conjunctiva D. sclera
Answer: A, Basic Histology: Text and Atlas, Junqueira and Carneiro. 10 th Ed.,
pp470-472
74. Which of the following nerves subserve/s taste sensation from the posterior
third of the tongue?
A. Vagus C. Glossopharyngeal
B. Facial D. All of the above
Answer: C, Clinical Anatomy, Richard S, Snell. 7th Ed., p847
76. Which of the following diameters is the narrowest A-P diameter of the true
pelvis?
A. obstetric conjugate C. oblique
B. interspinous D. posterior sagittal
Answer: A, Clinical Anatomy, Richard S. Snell, 7th Ed., p334-337
77. Which of the following muscles is NOT incised during a median episiotomy
done during vaginal delivery?
A. Bulbocavernosus C. superficial transverse perineal
B. external anal sphincter D. ischiocavernosus
Answer: D, Clinical Anatomy, Richard S. Snell, 7th Ed., p438
79. Which of the following structures DOES NOT form the urogenital diaphragm?
A. sphincter urethrae muscle
40
B. perineal membrane
C. deep transverse perineal muscle
D. Colle’s fascia
Answer: D, Clinical Anatomy, Richard S, Snell. 7th Ed., p435, p439
85. The modified smooth muscle cells in the tunica media of the afferent arteriole
are
called:
A. macula densa C. juxtaglomerular cells
B. mesangial cells D. juxtaglomerular apparatus
Answer: C, Basic Histology: Text and Atlas, Junqueira and Carneiro. 10 th Ed., p394
88. During dissection, M.C. noticed a dilated portion of the spongy urethra. This is
the:
A. external meatus C. urethral crest
B. fossa navicularis D. veromontanum
Answer: B, Clinical Anatomy, Richard S, Snell. 7th Ed., p436
90. Choose the CORRECT statement regarding the autonomic supply to the
bladder.
A. Sympathetic fibers come from S2, S3 & S4.
B. Parasympathetic innervation promote emptying of the bladder.
C. Both A & B
D. Neither A nor B
Answer: B, Clinical Anatomy, Richard S, Snell. 7th Ed., p375
91. Referred pain secondary to stones in the lower two-thirds of the ureter is
LEAST likely to be felt in which area?
A. Flank C. Thigh
B. Anterior abdominal wall D. Groin
Answer; B, Clinical Anatomy, Richard S, Snell. 7th Ed., p286
1. A high velocity bullet penetrates the posterior aspect of the shoulder and
severely injures the origin of the posterior cord of the brachial plexus. Each of the
following nerves might possible be affected EXCEPT the
A. upper subscapular
B. thoracodorsal
C. radial
D. medial pectoral
41
Page 477-480
2. A patient was noted to have atrophy of the temporalis and masseter muscles
on one side of the face. His corneal reflex on the affected side was normal
and he had no sensory deficit in the cheek area. This patient most probably
has a lesion involving the
A. mandibular division of CN V
B. maxillary division of CN V
C. ophthalmic division of CN V
Page 766-768
3. The following secretions are correctly paired with their cells of origin in every
pair EXCEPT
Page 394
(A)1. Neurologic examination of a 37-year old alcoholic man with clumsiness of his right
hand revealed poor dorsiflexion of the hand at the wrist. He most likely injured his:
A. median nerve
B. brachioradialis nerve
C. musculocutaneous nerve
D. radial nerve
(A)4. Which of the following statement is true regarding transection of the optic nerve?
A. direct pupillary light reflex would be unaffected
B. the affected eye will be blind
C. there would be bitemporal hemianopsia
42
D. consensual light reflex would be lost on the affected eye
®5. Which of the following reflexes is a monosynaptic reflex?
A. Achilles reflex
B. pupillary light reflex
C. corneal reflex
D. extensor plantar reflex
(I)7. Which of the following blood vessels would be most likely involved in patient
showing homonymous hemianopsia with macular sparing?
A. internal carotid artery
B. posterior cerebral artery
C. middle cerebral artery
D. anterior cerebral artery
®8. Which of the following statements is true of the middle cerebral artery?
A. it supplies the occipital and posterior portion of the temporal lobe
B. it is the continuation of the internal carotid artery
C. it supplies the portion of the motor cortex corresponding to the legs
D. it gives rise to the medial striate artery
®9. Which of the following centers is located in the frontal lobe?
A. Broca’s speech area
B. Wernike’s speech area
C. primary visual area
D. primary auditory area
(I)13. Above the arcuate line, the aponeurosis of this muscle splits to form the rectus
sheath:
A. external oblique
B. internal oblique
C. transversus abdominis
D. rectus abdominis
®21. The common boundary between the true and false pelvis is the
A. sacroiliac joint
B. symphysis pubis
C. anterior superior spine
D. iliopectineal line
®25. Which of the following amino acids is needed by the epidermal melanocytes to
produce melanin?
A. valine
B. tyrosine
C. phenylalanine
D. tryptophan
44
(A)57. The midgut loop normally herniates through the primitive umbilical ring into the
extraembryonic coelom during week 6 of development. Failure of the intestinal loops to
return to the abdominal cavity by week 11 results in the formation of
A. omphalocoele
B. anal agenesis
C. ileal diverticulum
D. intestinal stenosis
®59. The pharynx joins with the esophagus at the level of
A. C3
B. C4
C. C5
D. C6
®60. The valves of Houston are found in the
A. ileocecal junction
B. rectum
C. pylorus
D. ascending colon
(A)61. A 40 year old male sustained from a motor vehicular accident resulting to fracture
of the 9th to the 11th ribs left posterior. He is in hypovolemic shock.The most likely
organ injured is the
A. stomach
B. liver
C. spleen
D. pancreas
(A)63. A 30 year old female with history of 2 weeks fever developed peritonitis and was
diagnosed as Typhoid Fever with perforation. The organ involved is the
A. stomach
B. duodenum
C. jejunum
D. ileum
(I)65. The esophagus is related to which portion of the heart?
A. right atrium
B. left atrium
C. right ventricle
D. left ventricle
®66. The vein of Mayo is the anatomical landmark demarcating the
A. esophagus and stomach
B. stomach and duodenum
C. duodenum and jejunum
D. sigmoid and rectum
®67. The external hemorrhoidal plexus drains into the
A. pudendal vein
B. internal iliac vein
C. middle rectal vein
D. superior rectal vein
®68. Which is closely related to the fundus of the stomach?
A. jejunum
B. ileum
C. sigmoid
D. spleen
®69. The gastro-duodenal artery is a branch of the
A. right gastro-epiploic
B. hepatic
C. superior mesenteric
D. splenic
®71. As one proceeds outward from the renal medulla, the three separate functional
layers of the adrenal cortex, in correct order, are
A. zona reticularis, zona fasciculata then zona glomerulosa
45
B. zona fasciculata, zona reticularis then zona glomerulosa
C. zona glomerulosa, zona fasciculata then zona reticularis
D. zona glomerulosa, zona reticularis then zona fasciculate
®72. The normal kidney of an average-sized adult man weighs approximately
A. 150 gms
B. 300 gms
C. 600 gms
D. 1,200 gms
®73. The location of the narrowest portion of the ureter
A. ureteropelvic junction
B. across the iliac vessels
C. ureterovessical junction
D. upper third
®75. The main blood supply of the prostate gland is the
A. uperior prostatic artery
B. median vesical artery
C. inferior vesical artery
D. superior vesical artery
(A)76. A 28 year old man sustained a pelvic fracture due to a motorcycle accident. Which
portion of the urethra was most likely injured?
A. prostatic urethra
B. membranous urethra
C. bulbous urethra
D. penile urethra
®77. The motor nerves supplying the urinary bladder come mostly from
A. parasympathetic nerves
B. pelvic nerves
C. pudendal nerves
D. sympathetic nerves
®79. The Darto’s layer beneath the skin of the penis is continuous with the superficial
layer of the anterior abdominal wall fascia called the
A. fascia lata
B. camper’s fascia
C. buck’s fascia
D. scarpa’s fascia
®80. The dull whitish connective tissue covering of the ovary is called
A. tunica albuginea
B. theca externa
C. zona pellucida
D. corona radiata
®82. The right ovarian vein drains into the
A. right renal vein
B. hypogastric vein
C. inferior vena cava
D. common iliac vein
®83. Lymphatics from the vulva drain into the
A. hypogastric nodes
B. inguinal nodes
C. para-aortic nodes
D. common iliac nodes
®85. The layer of endometrium that remains to regenerate after menstruation
A. compact layer
B. spongy layer
C. functional layer
D. basal layer
®88. The male homologue of the Gartner’s duct of females
A. epididymis
B. inguinal ligament
46
C. gubernaculum testis
D. vas deferens
(I)89. Which of the following statements concerning the development of the reproductive
system in the female is correct?
A. the clitoris is analogous to the penis
B. the urethral folds fail to fuse
C. the urethral folds form the labia minora
D. All of the above
®92. Fructose, a source of energy for the spermatozoa, is primarily present in the
secretions of
A. seminal vesicle
B. epididymis
C. bulbourethral gland
D. vas deferens
®97. In which bone is the inner ear located?
A. sphenoid
B. temporal
C. parietal
D. occipital
®98. Regarding the tympanic cavity, which of the following statements is/are true?
A. an airfilled space in the petrous portion of the temporal bone
B. communicates with the pharynx via the eustachian tube
C. houses the incus, malleus and stapes
D. All of the above
®99. All are supplied by the oculomotor nerve, EXCEPT
A. superior rectus
B. medial rectus
C. inferior oblique
D. lateral rectus
®100. The inability to focus horizontally or vertically is a problem inherent to the
A. cornea
B. lens
C. vitreous humor
D. retina
47