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Review 4 Anatomy
Review 4 Anatomy
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D. extending from the sternal angle to the intervertebral disc
between the 3rd and 4th thoracic vertebrae.
E. extending from the sternal angle to the intervertebral disc
between the 4th and 5th thoracic vertebrae.
Answer: ___E__
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C. the internal jugular vein
D. the trachea
E. the phrenic nerve
Answer: __E___
During the laboratory sessions, after you removed the heart and
pericardium, which organ did you observe in front of the vertebral
column?
A. the trachea
B. the pulmonary artery
C. the sympathetic trunk.
D. the esophagus
E. the descending aorta
Answer: __D___
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A. The parietal pleura covers the mediastinum.
B. The parietal pleura is the external membrane of the lung.
C. The parietal pleura is continuous with the parietal layer of the
pericardium.
D. The parietal pleura is not continuous with the visceral pleura.
E. The parietal pleura is fully limited within the thoracic cavity.
Answer: __E__
At which of the following levels does the adult spinal cord usually
end?
A. the T12 level
B. the L1/L2 level
C. the L5 level
D. the S2 level
E. the S5 level
Answer: _B____
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A. The thoracic aorta is continuous with the ascending aorta.
B. The thoracic aorta begins at the lower edge of the 4th thoracic
vertebra.
C. The thoracic aorta gives off the internal thoracic artery.
D. The thoracic aorta is the inferior segment of the descending
aorta.
E. The thoracic aorta passes through the superior mediastinum.
Answer: _B____
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C. a left and a right pleural cavity, and mediastinum.
D. the diaphragm, mediastinum and pleural cavities.
E. a left and a right pleural cavity, and thoracic wall.
Answer: _C__
Which of the following structures demarcates the trunk and lower
limb?
A. the interior margin of the gluteus maximus
B. the superior margin of the gluteus maximus
C. the upper border of the sacrum
D. a horizontal line at the level of the anterior superior iliac spine
E. the inguinal ligament
Answer: __E___
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D. the pudendal nerve
E. the sciatic nerve
Answer: __B___
Case 1
A 57-year-old man fell off the porch and then was confirmed a
fracture of his right humerus. Several weeks later, a typical clinical
sign called “wrist-drop” was shown, that is inability to extend the
wrist and fingers at the metacarpophalangeal joints.
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26. What nerve was injured to induce the “wrist-drop”?
A. the median nerve
B. the radial nerve
C. the ulnar nerve
D. the musculocutaneous nerve
Answer: __B___
Case 2
A 42-year-old male executively complains of abdominal pain that
began about 6 months previously, is constant in nature especially
after meals, and located in the upper midabdomen superior to the
umbilicus. He also reports some “heartburn” that has been
occurring during the previous year. He has been under a lot of job-
related stress and has been self-medicating himself with over-the-
counter antacids, which some relief. He states his stools have
changed in color over the previous 2 months and now are
intermittently dark and tarry in consistency. The physician tests the
patient’s stool and finds occult blood. Based on mentioned –
above, the patient‘s diagnosis is peptic ulcer disease.
29. If the patient’s peptic ulcer has not been controlled, the
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perforation of stomach wall would be happened. So if the posterior
wall of the stomach is perforated, gastric contents will accumulate
in which of the following areas?
A. The left paracolic gutter
B. The left paravertebral gutter
C. The right paravertebral gutter
D. The omental bursa
E. The hepatorenal recess
Answer: D_____
30. Ligation of the common hepatic artery will eliminate the gastric
blood supply through which of the following arteries?
A. the left gastric and short gastric arteries
B. the short gastric and right gastro-omental arteries
C. the right gastro-omental and right gastric arteries
D. the right gastric and left gastric arteries
E. the left gastric and left gastro-omental arteries
Answer: __C___
Case 3
A 31-year-old woman is in her physician’s office for a fitting for an
intrauterine contraceptive device. The physician performs a pelvic
examination to ensure that the device is placed in the correct
direction. The physical examination shows that the uterine body is
tipped anteriorly.
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A. Anteverted, anteflexed
B. anteverted, retroflexed
C. retroverted, anteflexed
D. retroverted, retroflexed
E. In the center of perineal cavity
Answer: _A____
Case 3 follow-up
2 years later, this woman and her husband want a baby. So she
goes to her physician’s office for taking the contraceptive device
out from her uterus. After several months, she feels faint
sometimes. On one day, she feels painful in the left iliac region
and is transferred to the ER. After the basic examination in ER, the
doctor places a 20-gauge spinal needle through the vagina to
assess whether there is blood in the peritoneal cavity.
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Answer: __A___
Case 4
A 44-year-old man complains of discomfort in his right upper thigh
over the past 6 months. He works in the garden department of a
home improvement center. On examination, there is tenderness at
the right inguinal area. When the patient performs a Valsalva
maneuver (bearing down to increase intra-abdominal pressure), a
bulge appears superior to the inguinal crease near the pubic bone.
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E the aponeurosis of the transversus abdominis
Answer: _____
Part II: Please name the structures indicated with English letters
(one mark each).
Figure. A E
A
F
C
D
Answers:
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A. _Duodenum_______________________
B. ___Ascending colon_____________________
C. _Appendix_______________________
D. _illeum_______________________
E. __Stomach______________________
F. ____Pancrease____________________
G. ____superior mensentric artery____________________
H. __jejunum______________________
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Figure B
Answers:
A. _Submandibular triangle_______________________
B. __sternocleidomastoid muscle______________________
C. _carotid triangle_______________________
D. __posterior triangle______________________
E. ___trapezius muscle_____________________
F. __submental triangle______________________
G. __hyoid______________________
H. _____muscular triangle___________________
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Figure C
Answers:
A. ________________________
B. ________________________
C. ________________________
D. ________________________
E. ________________________
F. ________________________
G. ________________________
H. ________________________
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