IMDC MOCK ANATOMY CA1 19-07-16

IVCU MEDICAL AND DENTAL CLUB (IMDC) MOCK TEST

ANATOMY CA1 – LOWER LIMB, ABDOMEN, PELVIS AND PERINEUM

SECTION A – pick the best op on

1. The approaches to studying gross anatomy include all of the following except:
a. regional
b. stressful
c. systemic
d. clinical

2. According to the Rule of Nines, what percentage of the en re body does the lower limb make up?
a. 9%
b. 18%
c. 36%
d. 54%

3. Large collec ng vessels called lympha c trunks unite to form two ‘ducts’ namely:
a. le lympha c and thoracic
b. le lympha c and subclavian
c. right lympha c and subclavian
d. right lympha c and thoracic

4. What is the most common route for dissemina on of carcenomas?

a. blood vessels
b. signaling
c. lympha cs
d. ssue fluid

5. What nerve segments form the lumbosacral trunk?

a. L5,S1
b. L4-S1
c. L5-S2
d. L4,L5

6. The dermatome surrounding the knee is innervated by what nerve segment?

a. L2
b. L3
c. L5
d. S1

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7. What is the primary func on of the sympathe c nervous system?

a. fight or flight
b. decrease the heart rate
c. open sphincters
d. regulate blood vessels

8. The following are all components of circumduc on except:

a. extension
b. medial rota on
c. flexion
d. abduc on

9. Which of the following types of joints allow biaxial movement?

a. plane and saddle
b. saddle and hinge
c. hinge and condyloid
d. condyloid and saddle

10. The anastomosis of the knee joint is formed by

a. 6 arteries
b. 4 arteries
c. 9 arteries
d. none of the above

11. The landmark muscle of the gluteal region is

a. obturator internus
b. the superior germillus
c. the inferior germillus
d. the gluteus maximus

12. The following bursae communicate with the knee joint

a. prepatellar
b. suprapa elar
c. subcutaneous infrapatellar
d. semimembranosus

13. The popliteal vein

a. originates at the adductor hiatus
b. is formed at the distal border of the popliteus muscle
c. receives blood from the descending genicular vein
d. all of the above

14. The bia

a. gives a achment to the interosseous membrane
b. contains a rough diagonally oriented ridge known as the soleal line on its anterior surface
c. all of the above
d. none of the above

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15. The nerve root of the superficial peroneal nerve is from:

a. L4, 5
b. L4 only
c. L4, 5, and S1
d. S1 only

16.Diver culosis is commonest in the

a. ascending colon
b. transverse colon
c. descending colon
d. sigmoid colon

17. The following are related posteriorly to the pancreas except

a. inferior vena cava
b proximal part of right renal vein
c. terminal part of right renal vein
d. right crus of diaphragm

18. Which of the following fossae house the inferior mesenteric vein?
a. superior duodenal fossa
b. Jonnesco’s fossa
c. inferior duodenal fossa
d. paraduodenal fossa

19. The epicholoductal plexus is formed by

a. the cys c artery
b. the pancrea coduodenal artery
c. gastroduodenal artery
d. all of the above
e. none of the above

20. The following content are correct for the fold below except
a. uterine tube – round ligament of the uterus
b. fallopian tube – broard ligament of the uterus
c. ovarian vessels – suspensory ligament of the ovary
d. obliterated umbilical vein – falciform ligament

21. The sites of porto-systemic anastomoses:

a. lower third of oesophagus
b. half way down the anal canal
c. paraumbilical veins
d. A and B only
e. A, B and C

22. Which of the following is true of the pelvic wall

a. body of pubis forms part of the lateral wall
b. piriformis forms the anterior wall
c. obturator externus forms part of the lateral wall
d. public symphysis forms part of the anterior wall
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23. The following are the branches of the anterior division of the internal iliac artery except
a. superior gluteal artery
b. superior rectal artery
c. vaginal artery
d. internal pudendal artery

24. The broad ligament contains the following structures except

a. fallopian tube
b. ovary
c. tes cular artery
d. uterine and ovarianvessels

25. The median sacral artery is a branch of the

a. abdominal aorta
b. internal iliac
c. external iliac
d. superior rectal

26. The following are varia ons in the pelvic shape except
a. anthropoid
b. android
c. platypelloid
d. conjugoid

27. A 75-year old man with a 40-peak year history of smoking and hypercholesterolemia has sever atherosclerosis.
Occlusion of which of the following arteries would result in insufficient perfusion of the urinary bladder?
a. external iliac
b. inferior epigastric
c. internal pudendal
d. superior vesical

30. The following are true of the ureter except:

a. it is 25cm long
b. it comprises the pelvis of the ureter, abdominal, pelvic and intravesical por ons
c. the abdominal ureter lies on the medial edge of psoas major
d. ureteric calculus is likely to lodge at ureteric orifice
e. pelvic brim is not one of the narrowed parts

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SECTION B – indicate true (T) or false(F) beside each op on

31. The superficial fascia:

a. is also known as the subserous fascia
b. contains loose connec ve ssue and stored fat
c. is beneath the epidermis
d. varies with site and can be modified according to necessity

32. Concerning the skeletal and a ricular systems:

a. synchondrosis joints contain hyaline and fibrocar lage
b. intramembranous ossifica on involves two types of skeletal ssue
c. the limbs contain long, regular bone types
d. there are two classes of joints

33. In the nervous system:

a. afferent fibres are responsible for movement
b. the posterior root gives rise to sensory fibres
c. myeotomes and dermatomes of a given muscle and covering skin arise from the same spinal sec on
d. the ANS consists of thoracolumbar and craniosacral divisions

34. Concerning anatomical planes:

a. they divide the body into two axes
b. coronal planes divide the body into le and right
c. saggital is the same as transverse
d. they are best appreciated when the body is in the anatomical posi on

35. The superficial inguinal lymph nodes receive lymph from

a. the perineum
b. th skin between the toes
c. the lower abdominal wall
d. A and B only

36. Concerning the foot

a. the first metatarsal bone bears two sesamoid bones
b. an accessory bone occurs frequently near the base of the 5 th metatarsal bone
c. it has 14 phanges
d. the longest vein in the body originates here

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37. The scia c nerve

a. always originates below wthe piriformis
b. is in contact with bone
c. innervates the gluteal muscles
d. is the nerve of the ischium

38. The lateral femoral cutaneous nerve

a. o en arises directly from the lumbar plexus
b. has a posterior branch which supplies up to the gluteal region
c. has an anterior branch which contains only L2 fibres
d. is associated with meralgiaparaesthe ca

39. The following arteries are given off at the indicated levels

a. celiac trunk – T12
b. inferior mesenteric – L2
c. superior mesenteric – L1
d. tes cular – L2

40. Concerning the appendix

a. it does not have mesentry
b. it is lined by simple squamous epithelium
c. retrocaecal is its commonest site
d. arterial supply to it is from anterior caecal branch of ileo-colic artery

41. The gall bladder

a. lies adherent to the undersurfae of the liver in the transpyloric plane
b. has the duodenum and transverse colon behind it
c. its neck opens into the bile duct
d. the most significant source of arterial supply is the cys c artery

42. Concerning the muscles of the anterior abdominal wall

a. rectus muscle is enclosed within the aponeurosis of the muscles of the anterior abdominal wall
b. are external oblique and pyramidalis
c. external oblique and internal oblique only
d. pyramidalis is a constant muscle in the lower part or the rectus sheaths

43. Concerning the peritoneum

a. space between the parietal and visceral layers of the peritoneum has no poten al cavity
b. the free surface of the membrane is not smooth, but covered by a layer of fla ened mesothelium
c. that which is reflected over the contained viscera cons tutes the parietal por on of the peritoneum
d. appendices and epiploicae are small pouches of the peritoneum filled with fat and situated along the colon and upper
part of the rectum

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44. The sacral plexus

a. is formed in the substance of the piriformis
b. the pudendal nerve comes from the anterior division
c. the superior gluteal comes from the anterior division
d. none of the above

45. The pelvic splanchnic nerves

a. contain sympathe c fibres only
b. contain parasympathe c fibres only
c. innervate the descending and sigmoid colon
d. arise from the ventral rami of the inferior 3 sacal spinal nerves

46. Concerning the female reproduc ve system

a. the cervic of the uterus is the least mobile part
b. the vagina is about 6-9cm long
c. the body of the uterus has 3 surfaces: intes nal, perineal and vesical
d. passive support for the uterus is form the pelvic diaphragm while ac ve support is by the urinary bladder

47. The following are branches of the anterior division of the internal iliac artery
a. superior rectal artery
b. superior gluteal artery
c. vaginal artery
d. internal pudendal artery

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IMDC MOCK ANATOMY CA1 19-07-16
SECTION C
- Answer ques ons one and two
- Answer two ques ons from ques ons three to five

1. Write an essay on the origin, course, rela ons, distribu on and clinical importance of the popliteal artery.

2. Write short notes on:

a. The adductor canal
b. The sole of the foot
c. The course of the short saphenous vein

3. Describe a detailed summary of innerva ons of abdominal viscera

4. A 45-year old man who was reported to be a heavy drinker reported with:
i. protruding abdomen
ii. caput medusa
iii. esophageal varices seen during esophagoscopy
a. describe the anatomical basis of each of the compliants – what is the condi on?
b. Suggest what can be done to rec fy the situa on where possible

5. A resident doctor is asked to perform a digital rectal examina on on a 65-year old Ijesha man. Upon examina on, he
feels a hard and irregular protrusion on the anterior wall of the rectum. He tells the a ending consultant he felt an
enlarged prostate gland.
a. what lobule of the prostate gland did feel?
b. what clinical symptoms do you think this pa ent will present with?
c. which lobule is likely to be largely responsible for the hypertrophy?

Addi onal:
1. The popliteal fossa
2. The hip joint
3. The urinary bladder
4. Differences btw Jejunum and ileum
5. Neurovasculature and anterolateral abdominal wall
6. The 6 arteries to the stomach and their sources
7. The transpyloric plane
8. The biliary tree
9. Planes that divide the liver