Notes in Anatomy | 2023 MCQ J) The cricoid cartilage lies at this vertebral level A.C3 B.C4 C6 D.C8 2) All the pharyngeal muscles EXCEPT the stylopharyngeus muscle receive their motor innervation by this nerve A. Facial B. Glossopharyngeal C. Vagus D. Trigeminal 3) The ascending pharyngeal artery is a branch of the A, Lingual A B. Ascending cervical C. External carotid A D. Facial A 4) The thyrohyoid membrane is pierced by this artery A. Inferior thyroid B. Superior thyroid C. Inferior laryngeal D. Superior laryngeal 5) Regarding the pharynx, which one of the following statements is true? A. The superior constrictor muscle is attached to the lateral pterygoid plate. B. the inferior constrictor muscle is attached to mandible. C. The superior constrictor attached to pterygomandibular raphe D. The vagus nerve innervates all muscles of the pharynx 9 Which of the following statements is correct? ‘A. The auditory tube opens in oropharynx B. The stylopharyngeus muscle supplied by vagus N C. The palatine tonsil is located in laryngeopharynx . D. Pharyngeal tonsil is located in nasopharynx. 7) The muscular wall of the pharynx has attachment to: A. Mandible B. Cervical vertebrae C. Lateral pterygoid plate D. Hard palate E. Petrous part of temporal bone 8) Which muscle is anterior to palatine tonsil? A. Levator palate muscle B. Palatoglossus C. Palatopharyngeus D. Styloglossus oC. 2C 3. C 4D 5c 6D 7A &B Respiratory Module Page 15Notes in Anatomy 2023 9) The communication between pharynx and the oral cavity is known as the: A. Aditus B. Pharyngeal isthmus C. Oropharyngeal isthmus D. Piriform recess 10)Which muscle forms the posterior border of the tonsillar fossa? A. Palatoglossus B. Palatopharygeus muscle C. Salpingopharyngeal muscle D. Transverse arytenoids muscle 1)Surgeon decides to remove the pharyngeal tonsils, he has to search for it A. Inthe tonsillar fossa B. Inthe pharyngeal recess C. Inthe piriform recess D. Inthe roof of the nasopharynx 12)The middle constrictors muscle: A. Supplied by glossopharyngeal nerve B. Attached to styloid process C. Attached to stylohyoid ligament D. Attached to medial pterygoid process 13)The sensory nerve supply of nasopharynx is : 4. External laryngeal nerve B. Mandibular nerve C.Maxillary nerve D.Internal laryngeal nerve. 14) The parasympathetic supply of pharynx is: A.Recurrent laryngeal nerve B External laryngeal nerve C.Glossopharyngeal nerve D.Facial nerve 15)The sensory nerve supply of oropharyn 1s: ‘A. Glossopharyngeal nerve B. External laryngeal nerve C. Maxillary nerve D.Vagus nerve 19 The superior constrictor muscle: A. Originate from lateral pterygoid process B. Inserted in pharyngeal tubercle only C.Supplied by glossopharyngeal nerve D.lnserted in pharyngeal tubercle and pharyngeal raphe oC T wey WoT BCT BC] wD | IA 76D Respiratory Module Page 16Notes in Anatomy 2023 17The muscle most responsible for the abduction of the vocal folds is the: A, Arytenoid B. Cricothyroid C. Lateral cricoarytenoid D. Posterior cricoarytenoid 18) Chief Adductor of the vocal folds is; A. Aryepiglottic muscle B. Lateral cricoarytenoid muscle C Posterior cricoarytenoid muscle D.Thyroepiglottic muscle 19)The vocal folds are formed by si ‘A. Upper border of cricothyroid membrane . B. Upper border of quadrangular membrane C.Lower border of quadrangular membrane D.Lower border of cricotracheal membrane 20) The vestibular folds are formed by, A. Upper border of quadrangular membrane B. Lower border of quadrangular membrane C.Upper border of cricotracheal membrane D.Lower border of cricotracheal membrane 21) Which of the following muscle can shorten the vocal folds? ‘A. Transvers arytenoids. B. Oblique arytenoids. C.Lateral cricoarytenoid. D.Vocalis 22)Regarding the larynx... # A. It terminates at the level of the ‘ower border of th cervical vertebra. B. Allof its muscles are supplied by the vagus nerve. C. Its sensory innervation is carried only by vagus nerve D. All of the above 23)The hiatus semilunaris is located 4 a ‘A. In the lateral wall of nasopharynx B. Between the middle and inferior concha C. Superior to the superior concha D. Between the superior and middle concha 24)The nasolacrimal duct drains tear into A. Inferior meatus B. Middle meatus C. Superior meatus D. Lacrimal sac 25)Regarding openings in the lateral wall of the nose: A. The frontal sinus drains into the middle meatus. B. The sphenoid sinus drains into the superior meatus. C. The maxillary sinus drains into the inferior meatus. D. The nasolacrimal duct drains into the middle meatus. U7 D 78. B [19.4 20. B 21. D 22.D 23. B 24. A |25. A Respiratory Module Page 1720Regarding the maxillary air sinus: A. Open above middle concha B. Open below middle concha in semilunar hiatus C.Open below middle concha over bulla ethmoidalis D.Open in maxillary recess 27) Which statement about nerve supply of nose is correct? A. Olfactory nerve arises from brain stem and supply nose B. Olfactory nerve arises from olfactory epitheliun in roof of nose C. Maxillary nerve responsible for special sensations from nose D. Olfactory nerve responsible for general sensations from nose 28)The following normally drain into the spheno-ethmoidal réces# of the nose: A. Frontal sinus B. Anterior ethmoidal air cells C. Middle ethmoidal air cells D. Sphenoidal sinus 29) Regarding the larynx, all the following are triie EXCEPT” ” ve A. The recwrrent laryngeal nerve is motor B. The internal laryngeal nerve is sensory C. The vocalis muscle stretches the vocal cord D. The cricoid cartilage is a complete ring 30) Concerning the true VO8al fo02i, all 670 Vite ERCEPT SONOLME PTAN A. Itis formed by the lower free edge of the quadrangular membrane B. Itis abducted by posterior cricoarytenoid muscle C. Itis tensed by contraction of cricothyroid muscle D._Its upper half is innervated by sensory fibers of internal laryngeal nerve 431) The laryngeal muscle most responsible for stretching (elongating) the Voeal ligament is A. Lateral cricoarytenoid B. Cricothyroid C. Thyroarytenoid D. Cricoarytenoid 32) The cricothyroid muscle is innervated by) 4. Internal branch of superior laryngeal nerve B. Glossopharyngeal nerve C. External branch of superior laryngeal nerve D. Inferior laryngeal nerve 33) Concerning the thyroid cartilage, all are true\EXCEPT \* A. Itarticulates with the cricoid cartilage B. Consists of two laminae C. The vocal cords are attached to it D_ Show an oblique line on the inner surface 34) Concerning the larynx, all are false EXCEPT") © ® A. The vocal ligament is the lower border of the quadrangular membrane B. The rima vestibul is the fissure between the vocal folds Its vestibule lies between the vestibular and vocal folds D. The vocal fold is the upper border of cricothyroid membrane [26B_ [27 B [28D [29 C730 A [3B [32C +33, Di 34. D ——— Respiratory Module Page 18 JOTOISERDA, Uraaa SOLAR SALANSNotes in Anatomy 2023 35) Sustained tension of vocal cords is best achieved through action of muscle supplied by ‘A. Internal laryngeal nerve B. Recurrent laryngeal nerve C. External laryngeal nerve D. Superior laryngeal nerve 36) The laryngeal muscle most responsible for abduction of the vocal cords is ‘A. Lateral cricoarytenoid B. Thyroarytenoid C. Transverse arytenoid D. Pasterior cricoarytenoid 37) The laryngeal muscle most responsible for adduction of the yocal cords is A. Thyroarytenoid B. Transverse arytenoid C. Cricothyroid D. Posterior cricoarytenoid E, Lateral cricoarytenoid 38) Regarding the laryngeal muscles, all are true EXCEPT ‘A. The cricothyroid stretches the vocal cords B. The posterior crico-arytenoid opens the rima glottidis C. All muscles of larynx are supplied by the recurrent laryngeal nerve D. Aryepiglottig muscle close laryngeal inlet 39) This muscles control the inlet of the larynx ‘A. Posterior cricoarytenoid B. Aryepiglottic C. Lateral cricoarytenoid D. Thyroarytenoid 40) The pharyngeal plexus supplies the following muscles EXCEPT A. Inferior constrictor B. Superior constrictor C.salpingeopharyngeus muscle D. stylopharyngeus 41) The following muscle of the pharynx attached to hyoid bone A. Palatopharyngeus B. Superior constrictor muscle C. Inferior constrictor muscle D. Middle constrictor muscle 42) All of the following structures are present in the different parts of the pharynx EXCEPT ‘A. Pharyngeal tonsil B. Palatine tonsil C. Piriform fossa D. Ventricle 43) The palatine tonsil lies between which of the following pairs of muscles ‘A. Superior pharyngeal constrictor and stylopharyngeus B. Stylopharyngeus and styloglossus C. Palatopharyngeus and palatoglossus D. Palatoglossus and stylopharyngeus 35 C 36. D1 37_D_ 138 C 39. B 40_D. 41D 42D | 43. C Respiratory Module Page 19A. Internal carotid artery B. Facial artery C. Superior laryngeal artery D. Lingual artery 45) The following are muscles of the pharynx EXCEPT A, Superior constrictor B. Palatopharyngeus C. Stylopharyngeu D. Stylohyoid is 2023 40 The constrictor muscles of the pharynx receive their motor nerve supply from A. Glossopharyneal nerve B. Hypoglossal nerve C. Spinal accessory nerve D. Vagus nerve 47) These structures are seen in the nasopharynx EXCEPT A. Pharyngeal recess B. Auditory tube C. Palatopharyngeal fold D. Tubal elevation 48) The anterior ethmoidal sinuses drain into A. Middle meatus of the nose B. Lacrimal sac C. Superior meatus of the nose D. Sphenoid sinus 49) The nasolacrimal duct drains into A. Lacrimal sac B. Inferior meatus of the nose C. Superior meatus of the nose D. Middle meatus of the nose 50) The middle ethmoid sinuses drain into A. Middle meatus of the nose B. Superior meatus of the nose C. Sphenoethmoidal recess D. Inferior meatus of the nose 51) The posterior ethmoid sinuses drain into A. Middle meatus of the nose B. Superior meatus of the nose C. Sphenoethmoidal recess D. Inferior meatus of the nose 52) Most paranasal sinuses and/or air cells drain directly or indirectly into A. Inferior meatus B. Superior meatus C. Middle meatus D. Nasal vestibule 4A 45,_D. 46. D 47. 48. 49. 50_A Sl. B 52.C_] Respiratory Module Page 20Notes in Anatomy 2023, 53) All of the following structures open in the middle meatus of the nose EXCEPT: A. Posterior ethmoidal air sinus B. Anterior ethmoidal air sinus C. Middle ethmoidal air sinus D. Maxillary air sinus 54) Concerning the nose, one of the following statements is wrong, A. Itupper part contains olfactory receptors B. Its inferior concha is a separate bone C. Supplied by ophthalmic and mandibular nerves D. Supplied by ophthalmic and maxillary artery 55) All the following sinuses open into semilunar hiatus of nose EXCEPT: A. Middle ethmoidal air sinus B. Anterior ethmoidal sinus C. Frontal air sinus D. Maxillary air sinus 56) Where does the nasolacrimal duct communicate with the nasal cavity? A, Below superior concha B. Below middle concha C. Below inferior concha D. Sphenoidal sinus 57) Which of the following is a separate bone? \ ‘A. Superior nasal concha B. Middle nasal concha C. Inferior nasal concha D. Glabella 58) Which of the following is NOT innervated by the recurrent laryngeal nerve? A. Transverse arytenoids B. Oblique arytenoids C. Posterior cricoarytenoid D. Cricothyroid 59) Which of the following open the laryngeal inlet? A. Cricothyroid B. Thyroepiglottic C. Aryepiglottic D. Posterior cricoarytenoid 60) Which of the following close the rima glottidis? A. Vocalis B Lateral cricoarytenoid C. thyroarytenoid D. Thyroarytenoid 61) Which of the following is the sensory nerve of the vestibule of larynx? A. External laryngeal nerve B. Recurrent laryngeal nerve C. Internal laryngeal nerve D. Paratracheal nerve 53.A 54, C |55_A 56. C 57._C 58_D 59. B 60._B | 61. C — Respiratory Module Page 212023 62) Which of the following are commonly referred to as the adenoids? A. Pharyngeal tonsils B. Submandibular glands C. Palatine tonsils D. Lingual tonsils 63) An endotracheal tube is passed through an opening between the vocal folds. What is the name of this opening? A. Piriform recess B. Vestibule C. Ventricle D. Rima glottides 64) An 11-year-old boy is examined by an ENT doctor for his swollen palatine tonsils. The Palatine tonsils are located between the anterior and posterior tonsillar pillars. Which of the Following muscles form these pillars? A. Levator veli palatini and tensor veli palatini B. Palatoglossus and palatopharyngeus C. Styloglossus and stylopharyngeus D. Palatopharyngeus and salpingopharyngeus 65) 56 A 35-year-old female is under general anesthesia. Prior to laryngealintubation the rima glottidis is opened by which pair of muscles? A. Posterior cricoarytenoids B. Lateral cricoarytenoids C. Thyroarytenoids D. Transverse arytenoids 66) Radiographic examination reveals a carcinoma inthe nasal cavity.In which of the following locations would the carcinoma block the hiatus of the maxillary sinus? A. Inferior meatus B. Middle meatus C. Superior meatus D. Nasopharynx 67) Otoscopic examination reveals fluid in the middle ear cavity. Hypertrophy of which of the following structures would be most likely to compromise the drainage of the auditory tube? ‘A. Lingual tonsil B. Palatine tonsil C. Pharyngeal tonsil D. Uvula 68) Examination shows a permanently adducted vocal foldon the right side. Surgical trauma to the innervation of which of the following muscles is most likely to be cause? A. Aryepiglottic B. Posterior cricoarytenoid C. Thyroarytenoid D. Transverse arytenoids 62._A 63D [64 B [65.4 66.B [67_C 68._B Respiratory Module Page 22Notes in Anatomy 2023 69) It was observed that the patient had lost the ability to notice the presence of foreign objects in the laryngeal vestibule following nerves was most likely injured? 4. Internal laryngeal nerve B. External laryngeal nerve C. Glossopharyngeal nerve D. Recurrent laryngeal nerve 70) If a particular nerve is injured bilaterally, there is significant risk of asphyxiation postoperatively unless the patient is intubated or the airway is opened surgically. Which of the following muscle pairs opens the airway? 2 A. Cricothyroids B. Posterior cricoarytenoids C. Arytenoideus D. Lateral cricoarytenoids 71) Two months postoperatively the patient suffers from loss of sensation within the larynx from the vocal folds upwardto the entrance into the larync, allowing for aspiration of liquids into the airway. Which of the following nerves is most likely injured? A. Internal laryngeal nerve B. External laryngeal nerve C. Glossopharyngeal nerve D. Recurrent laryngeal nerve 72) Physical examination reveals that the patient has focal inflammation, with mucosal edema in the inferior nasal meatus, Drainage from which of the following structures is most likely to be obstructed by this inflammation and edema? A. Anterior ethmoidal air cells B. Frontonasal duct C. Maxillary sinus D. Middle ethmoidal air cells E. Nasolacrimal duct @A_|70.B |71. A |72.E Respiratory Module Page 23Notes in Anatomy 2023, MCQ A, Ectoderm B. Endoderm C. Paraxial mesoderm D. Lateral plate mesoderm A. Pericardial cavity: B. Pericardio-peritoneal canals C. Peritoneal cavity D. Septum transversum ‘A. Ectoderm B. Paraxial mesoderm C. Splanchnic lateral plate mesoderm D. Somatic lateral plate mesoderm A. Ectoderm B. Paraxial mesoderm C. Splanchnic lateral plate mesoderm D. Somatic lateral plate mesoderm . Pericario pleural canal ABA B. Pleuro-pericardial canal x ait C. Pericardio-peritoneal canal \ D. Pleuro- peritoneal canal A. Pleuro-peritoneal membrane B. Pleuropericardial membrane mols C. Suprapleural membrane D. Diaphragm A. Anterior aspect of pharynx B. Anterior aspect of midgut C. Anterior aspect of hindgut D. Anterior aspect of foregut (1.D 2B [3c [4D [5c [6A 7.D Respiratory Module oat Page 29Notes in Anatomy 2023 Epithelial lining of the bronchi. B. Epithelial lining of the alveolar sac . Smooth muscles D. Type Icells A. The end of Embryonic Period B. Full term ©. Byears old D. Puberty A. Type I pneumocyte development B. Type II pneumocyte development C. Diaphragm D. Paraxial mesoderm A. Congenital lung cyst. B. Accessory lung lobe. C. Hyaline membrane disease. D. Phocomelia A. Additional bronchi are formed till only I year after birth. B. Surfactant material is essential for the divisions of bronchi, C. The surfactant begins to appear at about the 32™ week. D. Fetuses born prematurely at 28 weeks may survive. A. Paraxial mesoderm B. Intermediate mesoderm C. Intraembryonic celom D. Endoderm 14 The epithelium of nose is derived from igpbiaided A. Endoderm B. Ectoderm C. Lateral plate mesoderm D. Paraxial mesoderm &C 3c [TB lic [2D ]Bc.[4 8B | 2s Respiratory Module Page 30Notes in Anatomy 2023 15) The epithelium of trachea is derived from A. Endoderm B. Ectoderm C. Lateral plate mesoderm D. Paraxial mesoderm 16) The surfactant is produced by ‘A. Type II pnewnocyte B. Type I pneumocyte C. Lining of trachea D. Lining of main bronchi 17) Incomplete development of tracheoesophageal septum result in ‘A. Esophageal sinus B. Tracheal duplication C. Tracheal shift D. Tracheoesophageal fistula 18) At which stage does the primitive alveoli is formed A. Pseudo glandular stage B. Canalicular stage C. Saccular stage D. Alveolar stage 19) The terminal bronchioles is formed at ... ‘A. Pseudo glandular stage B. Canalicular stage C. Saccular stage D. Alveolar stage 20) The repiratory bronchioles is formed At se so. oss 0» see A. Pseudo glandular stage B. Canalicular stage C. Saccular stage D. Alveolar stage 15. A 16. A 17. D [18 C 19. A 20. B —— Respiratory Module Page 31Notes in Anatomy 2023 McQ 1, The manubrium forms synovial joint with the: A. Clavicle. B. I" costal cartilage. C. 3 costal cartilage. D. I" thoracic vertebra. 2. Which one of the following synovial joints is “saddle” type? A. Sternocostal joint. B. Costovertebral joint. C. Costotransverse joint. D. Sternoclavicular joint 3. Which one of the following joints is considered as primary cartilaginous joint? A. Intervertebral joint. B. I" sternocostal joint C. Costovertebral joints. D. Manubriosternal joint. 4. Which one of the following is located posterior to the lower part of the manubrium? A. The arch of the aorta. B. The superior vena cava. C. Left brachiocephalic vein. D. Right brachiocephalic vein. 5. The sternal angle (angle of Louis) is located at the level of lower border of : A. 73. B T4. Cc 1. D. 16. 6. Which of the following costal cartilages forms a synovial joint with body of sternum: A. Ist. B. 2nd. C. bth D. 9th. 7. Which structure is located posterior to the upper half of body of the sternum: A. Aortic valve B. Tricuspid valve. C. Ascending aorta, D. Pulmonary trunk. 8. Which one of the following ribs articulates only with one vertebra? A. st rib B. Sth rib, C. 7th rib. D. 9th rib. 9. Which one of the following ribs has no articulation with the transverse process of the corresponding vertebra? A. 4th rib. B. 8th rib. C. 10th rib, D. 12th rib Respiratory Module Page 66owes in Anatomy 2023 Jo.Which one of the following ribs is clas “true” rib? ‘A. 7th rib, B. 8th rib. C. 9h rib. D. 1th rib. LA groove posterior to scalene tubercleon the superior surface of first rib lodges the: ‘A. Subclavian vein. B. Subclavian artery. C. Internal jugular vein. D. Brachiocephalic trunk. 12, The neurovascular bundle that runs in the costal groove of a rib is situated: ‘A. Deep to the internal intercostal muscle. B. Deep to the external intercostal muscle. C. Deep to the innermost intercostal muscle. D. Between external and internal intercostal muscles. 13.The posterior intercostal arteries are branches of: A. The thoracic aorta. B. The inferior thyroid artery. C. The internal thoracic artery. D. The superior epigastric artery. 14.The 9th anterior intercostal artery i ‘A. The subcostal artery. B. The subclavian artery. C. The musculophrenic artery. D. The internal thoracic artery. 15. The 1" posterior intercostal artery is a branch from: _ ‘A. The subcostal artery. B. The costocervical trunk. C. The common carotid artery. D. The musculophrenic artery. 16.The Left superior intercostal vein drains mainly into the: A. Azygos vein. B. Left subclavian vein. C. Left brachiocephalic vein. D. Accessory hemiazygos vein. 17.The azygos vein: A. Drains into the accessory hemiazygos vein. B. Is the continuation of the left subcostal vein. C. Terminate in superior vena cava D. Passes close to the left side of the vertebral column. 18.The part of pleura that covers medial aspects of lungs is named A. Costal. B. Cervical. C. Mediastinal. D. Diaphragmatic. pleura: Respiratory Module Page 67Notes in Anatomy 2023 19.The right and left pleurae come in contact anteriorly at the level of the: A. Ast rib. B. 2nd costal cartilage. C. 6th costal cartilage. D. 8th rib. 20. The parietal pleura: A. Is insensitive to pain. B. Dips into the lung fissures. C. Is attached adherently to the lung surfaces. D. Joins the visceral pleura at the hilum of the lung. 21.4n accidently inhaled object will most likely be located in the? A. Left main bronchus. B. Right main bronchus. C. Left lower segmental bronchiole. D. Left inferior segmental bronchiole. 22. Which one of the following structures passes superior to the right lung roots? A. The azygos vein. B. The arch of the aorta. C. The pulmonary ligament. D. The pulmonary autonomic plexus. 23.lung roots are located at the level of A. 2nd to 3rd. B. Sth to 7th. C. 9th 10 11th, Dz Ith to 12th. 24.Which of the following impression’ on the mediastinal surfaces of both lungs? A. The esophagus. B. The arch of azygos. C. The arch of the aorta, D. The superior vena cava. 25.Regarding the blood siipply to the chest wall; mark the most correct aécount: A. The posterior intercostal arteries all arise from descending thoracic aorta. B. The neurovascular bundle passes between internal and innermost intercostals C. Arises from descending aorta only D. Arises from internal thoracic artery only. 26.Regarding the intercostal arteries, which of the following statements is correct: ‘A. The upper two posterior intercostal arteries are branches of the thyrocervical trunk. B. The anterior intercostal arteries give branches to the spinal cord C. Inthe costal groove, the intercostal artery runs above the accompanying vein, D. Each anterior intercostals space contains two anterior intercostals arteries. 27.Regarding the thoracic skeleton, which of the following state ments is correct: A. The jugular notch of the manubrium lies atthe level of the disc between Tl andT2. B. The sternal angle lies at the level of the disc between T3 and T4 C. The typical rib articulates with corresponding vertebra and the vertebra below D. The xiphisternal junction lies opposite the body of T9. thoracic vertebrae: —————— Respiratory Module Page 68powinanatony | ‘Ji Regarding the thoracic skeleton, which of the following statements is correct.- "A. The tubercle of the first rib coincides with its angle B. The first rib articulates with the first and second thoracic ver tebrae C. The typical thoracic vertebra articulates with the corresponding rib and rib above D. The typical thoracic vertebrae are from 3” to P 29, Regarding vessels of the thoracic wall, which of the following statements is correct. ‘A. Ist anterior intercostal artery is direct brancheof costocervical trunk. B. The 2" posterior intercostals veins drain inta the brachiocephalic veins C. The azygos vein arises usually from the left renal vein. D. All the venous drainage of the thoracic wall drains into S.¥.C. 30.Regarding external intercostal muscle, which of the following statements is correct: ‘A. Itis a muscle of expiration. B. ts fibers are directed downward and backward. C. Itextends from the neck of the rib to the stermom. D. Itis supplied by the corresponding intercostal nerve. 41.Regarding the intercostal nerve, mark ONE correct statement: ‘A. Itruns between the internal and innermost intercostal muscles. B. It gives motor branches to the plewa. C. The fifth intercostal nerve has a thoraco-abdominal course. D. It passes in the costal groove between the intercastal artery and vein. 32.Regarding the thoracic vertebrae, which of the following statements is correct: ‘A. The 6th thoracic vertebra articulates with the 6th and Sth ribs. B. The 10th thoracic vertebra articulates with the 10th &9* ribs. C. The bodies of the adjacent thoracic vertebrae are joined by Iry cartilaginoss joins. D. The neural arch consists of two pedicles and two laminae. 33.Regarding the neurovascular bundle in the intercostal space, mark ONE correct: ‘A. All intercostal nerves are the anterior rami of thoracic spinal nerves B. All posterior intercostal arteries are branches from descending thoracic aorta C. All anterior intercostal veins drain into azygos vein. D. All posterior intercostal veins on the right side drain into hemiazyzos vein. 34. Concerning the intercostal and subcostal arteries, which of the following is correct? ‘A. They lie highest in the costal groove. B. Posterior intercostal arteries are indirect branches of thyrocervical runt. C. All anterior intercostal arteries are direct & indirect branches of internal thoracic 4 D. Subcostal artery is a direct branch from abdominal aorta. 35. The spinal nerves of the thoracic and upper lumbar regions are unique in that they possess A. Dorsal primary rami B. White rami communicants . Gray rami communicants D. Dorsal roots of the spinal nerves 36.The sternal angle serves as a landmark for locating: - A. First rib B. Second rib C. Third rib D. Fourth rib oo! Respiratory Module Page 69Notes in Anatomy 2023 37. The arrangement of neurovascular structures in costal groove’ (from above downwards). A. Vein, artery, nerve B. Vein, nerve, artery C. Artery, vein, nerve D. Nerve, artery, vein 38. The typical intercostal nerve gives which of the following branches: A. Posterior cutaneous branches B. Pericardial branches C. Rami communicants with sympathetic trunk D. Muscular branches to the anterior abdominal wall 39. The intercostal veins drain’ in: A, Azygos veins B. Hemiazygos veins C. Brachiocephalic veins D. All of the above 40.The right superior intercostal vein drains into A. Internal thoracic vein B. Subclavian vein C. Superior hemiazygos vein D. Azygos vein 41. Concerning the posterior intercostal veins:~ A. left th posterior intercostal vein drains in superior hemiazygos vein B. right 4th posterior intercostal vein drains into arch of vena azygos C. left 3rd posterior intercostal vein drains in superior hemiazygos vein D. left 2nd posterior intercostal vein drains into the left superior intercostal vein 42.Neck of the 1" rib is'related anteriorly to: : he y A. First posterior intercostal artery B. First posterior intercostal vein C. Superior intercostal vein D. First thoracic nerve E. 2nd thoracic sympathetic ganglion 43.The first rib is related to the following vessels:~ A. Superior intercostal artery B. Subclavian artery C. Subclavian'vein D. All of the above E, Non of the above 44. The second sternocostal joint is: A. primary cartilaginous B. synovial plane C. secondary cartilaginous D. synovial saddle 45. The sternal angle is present:~ A. opposite the intervertebral disc between first and second thoracic vertebra B. opposite the intervertebral disc between third and fourth thoracié vertebra. C. opposite the intervertebral disc between fourth and fifth thoracic vertebra. D. opposite the intervertebral disc between fifth and sixth thoracic vertebra Respiratory Module Page 70Notes in Anatomy 2023 46. Which of the following statements about the surface anatomy of the chest is correct? ‘A. The manubrium sterni ts at the level of T4T5. B. The body of the sternum is at the level of TS-17. C. Suprasternal notch is at the level of the intervertebral dise between T2 and T3. D. Manubriosternal joint is at the level of intervertebral disc between T3 and T4. 47.The third rib articulates with:- "A. The body of the third thoracic vertebra only ‘B. The transverse process of the second thoracic vertebra C. The body of the third and fourth thoracic vertebrae D. The body of the second and third thoracic vertebrae 48.The tubercle of the 7th rib articulates with which structure? ‘A. Body of vertebra T7 B. Body of vertebra T8 C. Transverse process of vertebra T6 D. Transverse process of vertebra 17 49.The trachea bifurcates into right and left primary bronchi at the level of the: A. Sternal angle B. Suprasternal (or jugular) notch CC. First rib D. Seventh cervical vertebra 50.Regarding pleurae, which of the following statements is correct: ‘A. Visceral pleura is sensitive to pain. B. Visceral pleura is supplied by intercostal and phrenic nerves C. Pleural cavity is the space outside the parietal pleura. D. Pulmonary ligament extend below the hilum of the lungs. 51. Regarding the suprapleural membrane, which of the following statements is correct: ‘A. It is a thickened part of parietal pleura. B. It is attached to the inner border of the second rib. C. Cover the costal pleura. D. It prevents the upward push of the apex of the lung during inspiration. 52. The costomediastinal recess of the pleurais occupied by which of the following parts of the lung during full inspiration: A. Posterior border B. Posterior border C. Anterior border D. Inferior border 53. The costomediaphragmatic recess of the pleurais occupied by which of the following parts of the lung during full inspiration: ‘A. Posterior border B. Posterior border C. Anterior border D. Inferior border 54, Consider the surface markings of the pleura, which of the following is correct? A. The apex of the pleura is at the same level with the clavicle. B. The right pleura passes across the 8th rib in the midaxillary line. C. The left pleura arches laterally at the level of the 4th costal cartilage. D. The pleura terminates above the level of the 1th rib. Respiratory Module Page 71Notes in Anatomy 202 55.The visceral and parietal layers of the pleura are continuous with each other at A. Inferior margin of plewa B. Hilum of lung C. posterior margin of pleura D. Apex of the lung 56.The following structure is not lined with costal pleura: A. Back of the sternum B. Castal cartilages C. Intercostal spaces D. Diaphragm 57.Jn the midaxillary line the rib level of the inferior border of the pleura is: A. Sixth B. Eighth C. Tenth Dz Twelfth 58. Which of the following statements concerning the root of the right lung is correct: A. The right phrenic nerve passes posterior to the lung root B. The right pulmonary artery lies posterior to the principal bronchus C. The right vagus nerve passes anterior to the lung root D. Lung root is enclosed by a cuff of pleura. 59. Which of the following statements concerning the left lung is correct: A. Itpossesses a horizontal and an oblique fissure. B. There were 2 bronchial arteries in the hilum C. Two bronchit is seen in its root D. The pulmonary veins drain into the azygos and hemiazygos vein. 60. The right lung has: A. Cardiac notch. B. One bronchus at the hilum C. Two lobes D. One bronchial artery at the hilum 61:Regarding the root of the lung which is correct: A. It lies opposite the bodies of T3, 4, 5 vertebrae B. Itisnot relatedto nerves. C. That of left lung lies anterior to the arch of aorta D. Cardiac impression lies anterior to it 62.Regarding the lungs, which of the following statements is correct: ‘A. The pulmonary arteries supply nutrition to the lung tissue. B. Epiarterial bronchus of the right lung supplies both the upper and middle lobes. C. The upper lobe of the right lung has three bronchopulmonary segments D. Apex ofeach lung projects into root of neck above lateral 1/3 of clavicle. 63.Regarding the lungs, which of the following statements is correct: ‘A. The right lung is shorter and broader than the left. B. The left lung possesses two lobes and two fissures. C. The right lung has a cardiac notch. D. The right lung is related to the descending thoracic aorta. —_— Respiratory Module Page 72Notes in Anatomy [ 202. 3 64. Which of the following are bronchopulmonary segments of the lingula of A. Superior and inferior. B. Anterior and posterior. C. Medial and lateral. D. Anterior basal and posterior basal, 65.Concerning the bronchopulmonary segments, which statement is correct : A. Each segment has a secondary bronchus B. The right lung has 8 segments C. Each segment has an intersegmental artery D. Each segment has an intersegmental vein 66.Regarding the right lung, which of the following statements is correct: A. Its horizontal fissure begins at the level of the 6th costal cartilage. B. Its upper lobe has five bronchopulmonary segments. C. Its anterior border is vertical down to the 6th costal cartilage. D. It is related to the right ventricle. 67.The mediastinal surface of the left lung is related to: A. Superior vena cava B. Aortic arch C. Vena azygos vein D. Inferior vena cava E. Right atrium 68.Regarding the blood supply of the lungs, mark ONE correct statement: A. Bronchial arteries supply oxygenated blood to the lung tissues. B. Pulmonary veins carry deoxygenated blood to them. C. Pulmonary arteries carry oxygenated blood for the lung: D. Alveoli are surrounded by a network of capillaries from bronchial arteries. 69.Structure passing posterior to the root of the lung: A. Hemiazygos vein B. left phrenic nerve C. Right phrenic nerve D. Thoracic aorta 70.The cardiac notch is present in: A. Anterior border of the right lung B. Anterior border of the left lung C. Inferior border of the right lung D. Inferior border of the left lung 71. The hilum of the left lung contains: A. Two pulmonary arteries B. One pulmonary plexus C. Two bronchial arteries D. One bronchial artery 72. The mediastinal surface of the right lung is related to: A. Descending aorta. B. Arch of aorta C. Pulmonary trunk D. Trachea -> Respiratory Module Page 73Notes in Anatomy _| 2023 73.The mediastinal surface of the left lung is related to: A. Arch of vena azygos. B. Ascending aorta C. Left subclavian artery D. Trachea 74. Which of the following striuctures is present in the hilum of the left lung: A. Eparterial bronchus B. Inferior tracheobronchial lymph nodes CC. One Pulmonary vein D. Two Bronchial arteries 75.In the midaxillary line the trib level of the inferior border of the lung is: A. Fourth B. Sixth C. Eighth D. Tenth E, Twelfth 76.Regarding the trachea, mark ONE correct statement: A. It begins at the level of the lower border of C6. B. Arch of the aorta lies posterior to the trachea. C. Itdivides at the level of the 6th thoracic vertebra. D. An inhaled foreign body passes usually to the left bronchus. E__Itlies posterior to the esophagus T [4 2. |B a [D 61 [D 2, |D 22. [A @_|D 62_|C 3. |B 23. |B 8 (D 63 [A 4 [4 24. [A “4 |B 64 |A 5_[B 25. |B 4 (Cc 65 |D 6|B 26. [D 46 (Cc 66 |C 7c 27_[D 7 |D_ |o7 |B & [4 28. [A 4% |D_ [68 [4 9. |D 29, |D a \A 69 |D T0.[A 30. |D 50 |D 70 |B T[B 31. [A 51_|D WJC. DJA 32. |D Tei|.G. 2 [D B.A 33. [4 33 ([D 73 [Cc T4[C 4 (C Em 74_|D i5|B 35. |B 35_ |B 7m |C 16.[C 56. |B 56_|D 76 |4 WC 37.[A 37_|c 77 B.C 38. [C 58 [D 78 19.|B 39. [C 59 |B 79 20.[D 40. |D 60 |D [80 Respiratory Module Page 74