GROSS ANATOMY

Final Examination Mar.19.2009

1. This layer of the scalp is also known as the dangerous area in the scalp: <Mod 47-48>
a. Skin c. galea aponeurotica
b. subcutaneous layer d. loose areolar tissue [emissary veins]

2. Origin of the blood supply to the scalp: <mod 48-49>

a. external carotid artery [superior temporal] c. both
d. neither
b. ophthalmic [supratrochlear, supraorbital]

3. Innervation of the muscles of facial expression: <”must know!” Ü>

a. mandibular c. ophthalmic
b. maxillary d. facial

4. Pulsations of the facial artery are felt over the : <mod 56>
a. inferior border of the mandible c. Both
b. 3cm anterior to the angle of the mandible d. neither

5. Nerve that conveys secretomotor fibers to the parotid gland: <Snell 787>
a. Glossopharyngeal [psy secretomotor] c. great auricular
b. facial d. maxillary

6. Peirced by the Stensen’s duct EXCEPT: <mod 54>

a. buccal mucosa opposite 2nd molar tooth c. buccinators
b. buccal fat pad d. masseter

7. Level of termination of the common carotid artery: <mod 65>

a. anterior arch of the cricoids c. hyoid
b. superior border of the thyroid cartilage d. none of the above

8. nerve that accompanies the superior thyroid artery as it descends to the apex of the thyroid gland:<mod 66>
a. external laryngeal c. inferior laryngeal
b. internal laryngeal d. recurrent laryngeal [accompanies ITA]

9. Fibers carried by the hypoglossal nerves: <”mk!”, mod 67>

a. motor c. parasympathetic
b. sensory d. all of the above

10. The internal carotid artery gives off its branches in the: <mod 66>
a. cranial cavity c. both
b. orbital cavity d. neither

11. Enclosed by the carotid sheath EXCEPT: <mod 64>

a. cervical sympathetic trunk c. internal jugular
b. common carotid d. vagus

12. Nerve supply to the infrahyoid muscles: <mod 68>

a. ansa cervicalis c. hypoglossal nerve
b. cervical branch of the facial nerve d. none of the above

13. The insthmus of the thyroid gland lies anterior to the: <mod 69>
a. cricoid cartilage c. 2nd-3rd tracheal rings
b. thyroid cartilage
d. 4th-05th tracheal rings
14. Origin of the blood supply to the thyroid gland: <mod 69>
a. arch of the aorta [thyroidea ima] c. thyrocervical trunk [inf thyroid artery]
b. external carotid [sup thyroid artery] d. all of the above

15. Venous drainage to the thyroid gland join the: <mod 69>
a. brachiocephalic veins [ITV] c. both
d. neither
b. internal jugular veins [STV, MTV]

16. The parathyroid glands are located at the posterior border of which part of the thyroid gland? <mod 70>
a. apices of the lateral lobe c. middle & base of the lateral lobe
b. isthmus d. pyramidal lobe

17. Commencement of the subclavian vein: <mod 78>

a. outer border, clavicle c. inferior border, teres major
b. outer border, 1st rib d. sternoclavicular junction

<REFERENCE!> “Mod”=Module, “mk!”=must know!, “Snell”=Snell Clin Ana by Regions, “???”=not quite sure due to chuvalers! Haha
[explanations & chuvalers! haha]
The more you understand, the less you have to remember… Fight one more round… Aja aja! Ü
GROSS ANATOMY
Final Examination Mar.19.2009

18. Common to both subclavian arteries EXCEPT: <mod 76>

a. branches c. origin [R-brachiocephalic, L-arch of aorta]
b. division d. termination

19. Foramen traversed by the vertebral artery: <mod 76>

a. 6th-1st cervical transverse foramen c. Both
b. Foramen magnum d. neither

20. Nerve that courses along the anterior surface of the scalene anterior muscle: <mod 75>
a. long thoracic c. spinal accessory
b. phrenic d. supraclavicular

21. The cervical plexus: <mod 75>

a. is located anterior to the SCM [deep to SCM]
b. formed by the posterior rami of cervical spinal nerves 1-4 [anterior rami]
c. both
d. neither
e.

22. Paranasal sinus that drains into the middle meatus EXCEPT: <mod 155>
a. anterior ethmoidal c. maxillary
b. frontal d. posterior ethmoidal

23. Elastic cartilage of the larynx: <”mk”!>

a. arytenoid c. epiglottis
b. cricoid d. thyroid

24. Innervation of the arytenoids muscles: <mod 159>

a. external laryngeal c. superior laryngeal
b. internal laryngeal d. recurrent laryngeal

25. Abductor of the vocal cords: <mod 158>

a. cricothyroid c. thyroarytenoid
b. posterior cricoarytenoid d. transverse arytenoid

26. Bifurcation of the trachea is: <mod 163>

a. at the level of the 4th-5th TV [TV 6-7] c. both
d. neither
b. marked by the carina externally [internally]

27. True of the primary bronchi: <mod 163>

a. left bronchus is wider, shorter, more vertical [right – vertical, wider, shorter]
b. right bronchus crosses over the azygous vein
c. left bronchus arches over the aorta
d. left bronchus passes in front of the esophagus

28. The “eparterial bronchus” refers to: <mod 163>

a. left primary bronchus c. right lower lobe bronchus
b. right primary bronchus d. right superior lobe bronchus

29. True of the apices of the lungs: <mod 165>

a. rise 3-4cm above the sternal end of the clavicle
b. summit is at the level of the vertebral end of 1st rib
c. both
d. neither

30. The following statement are true regarding the bronchopulmonary segments EXCEPT: <??? mod 164>
a. there are 5 BPS in the superior lobe of the left lung [4 BPS only]
b. there are 4 BPS in the superior lobe of the right ling [3 BPS only]
c. there are 9 BPS in the left lung
d. there are 10 BPS in the right lung

31. Deeper and more posterior branch of the arch of the aorta: <mod 133>
a. brachiocephalic c. left subclavian
b. left common carotid d. thyroidea ima

<REFERENCE!> “Mod”=Module, “mk!”=must know!, “Snell”=Snell Clin Ana by Regions, “???”=not quite sure due to chuvalers! Haha
[explanations & chuvalers! haha]
The more you understand, the less you have to remember… Fight one more round… Aja aja! Ü
GROSS ANATOMY
Final Examination Mar.19.2009

32. Termination of the superior vena cava: <mod 133>

a. 3rd right chondrosternal junction c. Both
b. Right atrium d. neither

33. The left recurrent laryngeal hooks under the: <”mk!”>

a. arch of the aorta c. left subclavian artery
b. left brachiocephalic vein d. none of the above

34. Attached to the pericardium: <mod 136, notes Ü>

a. central tendon of the diaphragm c. phrenic nerve
b. pericardiophrenic vessels d. all of the above

35. Innervation of the pericardium: <accdg to Snell 104 it’s b & c, so malamang AOTA!hahaÜ>
a. intercostal c. vagus
b. phrenic nerve d. all of the above

36. Forms the diaphragmatic surface of the heart: <mod 138>

a. greater part of the right ventricle c. both
b. lesser part of the left ventricle d. neither

37. The left 5th intercostal space along the midclavicular line is a landmark for the: <mod 137>
a. apex of the heart c. PMI
b. clinical mitral valve area d. All of the above

38. Origin of the left coronary artery: <mod 139>

a. right anterior aortic sinus c. right posterior aortic sinus
b. left anterior aortic sinus d. left posterior aortic sinus

39. Course along the coronary groove: <??? Mod 139-140…ano bang other name ng ‘coronary groove’?>
a. coronary sinus c. both
b. right coronary artery d. neither

40. Veins that drain into the coronary sinus EXCEPT: <mod 140>
a. great cardiac c. oblique
b. middle cardiac d. vena cordis minimae

41. The SA node is located: <mod 141>

a. at the top of the crista terminalis c. both
b. near the opening of the superior vena cava d. neither

42. The interventricular septum: <mod 143>

a. forms the oblique anterior wall of the left ventricle
b. projects into the left ventricle
c. thick and muscular superiorly
d. thin and membranous inferiorly

43. The thebesian valve guards the opening of the: <mod 141>
a. coronary sinus c. inferior vena cava
b. foramen ovale d. superior vena cava

44. Papillary muscle are attached to the: <mod 142>

a. chordae tendinae [apex attachment] c. ventricular wall [base attachment]
b. septal wall [base attachment] d. all of the above

45. The sound of the aortic valve is best heard clinically on the: <”mk!”, notes Ü>
a. left 2nd intercostal space close to the sternal border
b. right 2nd intercostal space close to the sternal border
c. left 5th intercostal space along the midclavicular line
d. xiphisternal junction

46. The deep cardiac plexus is located at the: <mod 140>

a. aortic arch c. ligamentum arteriosum
b. atrial wall d. tracheal bifurcation

47. Feature of the left ventricle: <”mk!”, mod 143>

a. bicuspid AV valve [MV @ level of 4th cs jxn] b. infundibulum

<REFERENCE!> “Mod”=Module, “mk!”=must know!, “Snell”=Snell Clin Ana by Regions, “???”=not quite sure due to chuvalers! Haha
[explanations & chuvalers! haha]
The more you understand, the less you have to remember… Fight one more round… Aja aja! Ü
GROSS ANATOMY
Final Examination Mar.19.2009

c. semilunar cavity d. smaller papillary muscle

48. Termination of the thoracic aorta: <mod 147>

a. TV 8 c. TV 11
b. TV 10 d. TV 12

49. The thoracic duct drains into: <mod 149>

a. right subclavian c. left subclavian
b. right internal jugular vein d. left internal jugular

50. The azygous vein is a tributary of the: <mod 149>

a. hemiazygous vein c. right subcostal vein
b. right ascending lumbar vein d. superior vena cava

51. The following statements concerning the superficial fascia of the anterior abdominal are true EXCEPT:
a. it has a superficial fatty layer and a deep membranous layer
b. Scarpa’s fascia fuses with the fascia lata just below the inguinal ligament
c. Camper’s fascia is continuous with the Colle’s fascia in the perineum <mod 270- Scarpa’s fascia!>
d. It is continuous with the Dartos muscle in the wall of the scrotum

52. The rectus sheath contains the following structures EXCEPT: <mod 186>
a. inferior epigastric artery c. pyramidalis muscle
b. ligamentum teres d. rectus abdominis

53. Peritoneal fold that encloses embryonic remnant: <”mk!”>

a. falciform ligament [remnant of umbilical vein] c. mesocolon
b. hepatoduodenal ligament d. omenta

54. Distinguishing internal feature of the large intestine: <mod 213>

a. appendices epiploicae c. plica semilunaris
b. haustrations d. taenia coli

55. Part of the large intestine that is retroperitoneal: <notes Ü>

a. ascending colon c. sigmoid colon
b. transverse colon d. vermiform appendix

56. The lesser omentum attaches the inferior surface of the liver to which part of the stomach: <mod 201>
a. body of the stomach c. lesser curvature
b. greater curvature d. pyloric end

57. It is the embryonic remnant of the vitelline duct: <Clin Ana, mod 210-211>
a. cysterna chylii c. Peyer’s patches
b. Meckel’s diverticulum d. Vermiform appendix

58. The common bile duct drains into which part of the duodenum: <mod 205 / 223>
a. 1st part c. 3rd part
b. 2nd part d. 4th part

59. The largest glandular gland in the body consisting of about 1/50th of the body: <”mk!”>
a. large intestine c. pancreas
b. liver d. spleen

60. Blood supply to the liver: <notes Ü>

a. hepatic artery [30%] c. both
d. neither
b. portal vein [70%]
61. Beneath the right lobe of the liver are the impressions of the following structures EXCEPT: <mod 222>
a. duodenum c. right colic flexure
b. right kidney d. spleen

62. The portal vein is formed: <mod 225>

a. at the porta hepatis c. at the left side of LV2
b. behind the neck of the pancreas d. at the triangle of Calot

63. The falciform ligament: <”mk!”>

a. divides the liver into the true left and right lobes

<REFERENCE!> “Mod”=Module, “mk!”=must know!, “Snell”=Snell Clin Ana by Regions, “???”=not quite sure due to chuvalers! Haha
[explanations & chuvalers! haha]
The more you understand, the less you have to remember… Fight one more round… Aja aja! Ü
GROSS ANATOMY
Final Examination Mar.19.2009

b. is the continuation of the round ligament

c. divides the abdominal cavity into right and left cavities
d. encloses the ligamentum teres hepatis

64. The gallbladder: <”mk!”>

a. concentrates bile
b. secretes bile
c. supplied by branches of the gastroduodenal artery
d. devoid of peritoneal covering

65. The inferior vena cava: <”mk!”>

a. directly drains blood from GIT
b. formed by the union of the external iliac veins
c. pierces the central tendon of the diaphragm at the level of TV10
d. drains into the right atrium of the heart

66. The abdominal aorta: <mod 238>

a. enters the abdomen at the level of TV12 c. has three paired anterior visceral branches
b. divides into 2 external iliac arteries d. has three terminal branches [EIA,IIA, SMSA]

67. The following structures passes thru the hilum of the kidney EXCEPT: <notes Ü>
a. renal artery c. renal vein
b. renal pelvis d. ureter

68. True of the peritoneum EXCEPT: <mod 277>

a. bounded laterally by the pubic arch and anteriorly by the symphysis pubis
b. separate from the pelvic cavity by the perineal membrane [by the pelvic diaphragm]
c. composed of the superficial and deep pouches
d. supplied by the internal pudendal artery

69. True of the uterus: <??? Mod 295-296…”anteroversoflexed ba = anteverso?? hehe”>

a. fibromuscular organ c. supplied by branches of the abdominal aorta
b. completely covered by the peritoneum d. normal position is slight anteversoflexion

70. Site of fertilization in the fallopian tube: <”mk!”>

a. interstitial c. ampulla
b. isthmus d. infundibulum

71. Forms the floor of the pelvic cavity: <mod 291>

a. coccygeus c. both [called pelvic diaphragm]
b. levator ani d. neither

72. Enfolding of the vaginal wall at its upper end: <mod 298>
a. fornix c. vesico-uterine fold
b. recto-uterine fold d. none of the above

73. Paired visceral branches of the abdominal aorta given off below the origins of the renal arteries: <mod 299>
a. lumbar arteries c. uterine arteries
b. gonadal arteries d. vaginal arteries

74. The inferior and posterior portion of the hip bone is formed by the: <mod 263>
a. acetabulum c. ischium
b. ilium d. pubis

75. The perineal membrane forms the inferior boundary of the: <mod 278>
a. deep pouch c. pelvic cavity
b. superficial pouch d. pelvic diaphragm

76. Contents of the deep perineal pouch in the male: <??? Mod 278>
a. bulb of the urethra c. internal sphincter urethra
b. duct of cowper’s gland [cowper’s included d. membranous urethra [included din]
sa notes ko]

77. The median lobe of the prostate gland is wedged between the: <mod 287>
a. ejaculatory ducts & prostatic urethra c. ureters
b. lateral lobes of the prostate d. vas deferens & seminal vesicle

78. The vas deferens passes thru the following EXCEPT: <mod 271>
a. deep inguinal ring b. inguinal cnal
<REFERENCE!> “Mod”=Module, “mk!”=must know!, “Snell”=Snell Clin Ana by Regions, “???”=not quite sure due to chuvalers! Haha
[explanations & chuvalers! haha]
The more you understand, the less you have to remember… Fight one more round… Aja aja! Ü
GROSS ANATOMY
Final Examination Mar.19.2009

c. pelvic brim d. superficial inguinal ring

79. Fatty fascial condensation between the pubis and urinary bladder: <mod 283>
a. fascia of Denonvilier c. pad of Retzius
b. fascia of Waldweyer d. pubovesical ligament

80. Average of the male urethra: <mod 286>

a. 1 cm c. 15 cm [flaccid 12-12, tumescent 15-20]
b. 3 cm d. 20 cm

81. True of the rectum: <mod 287>

a. with fat-filled pendants of peritoneum c. commences at SV 3
b. supplied by three pairs of arteries d. completely devoid of peritoneum

82. features of the ischiorectal fossa: <Snell 394>

a. spaces anterior and posterior to the anal canal [“on each side of the anal canal” – di nmn un ant/post db?]
b. wedged-shaped fat-filled spaces
c. traversed by inferior rectal neurovascular structures
d. limited superiorly by the levator ani

83. Superior boundary of the perineum: <mod 277>

a. Colle’s fascia c. Pelvic diaphragm
b. Pelvic brim d. Perineal membrane

84. Expansions of the corpus spongiosum: <??? mod 273>

a. bulb of the penis [posterior expansion]
b. fossa navicularis [perforation cia ng ant expansion which is the glans penis]
c. both
d. neither

85. Origin of the nerve supply to the scrotum: <mod 270>

a. internal pudendal c. posterior femoral cutaneous
b. ilioinguinal d. all of the above

86. Thick fibrous external covering of the testes: <mod 270>

a. external spermatic fascia c. internal spermatic fascia
b. tunica vaginalis testes d. tunica albuginea

87. Anatomic position EXCEPT: <”mk!”>

a. palms of the hands directed anteriorly c. toes pointing laterally
b. upper limbs at the sides d. standing erect

88. Which of the following structure/s is/are found in the superficial fascia: <”mk!”>
a. platysma c. dartos muscle
b. mammary gland d. all of the above

89. Surface of the urinary bladder lined by peritoneum: <mod 284>

a. superior c. posterior
b. infero-lateral d. postero-inferior

90. Division of the two folds of the labia minora in the region of clitoris form the: <mod 275>
a. frenulum of the clitoris c. both
b. prepuce of the clitoris d. neither

91. Glands that drain into the vestibule: <Snell 409>

a. paraurethral c. cervical
b. bulbourethral d. sweat

92. True of the pelvic splanchnic nerve: <Snell 327>

a. composed of preganglionic fibers [S2-S4] c. both
d. neither
b. sacral portion of the sympathetic [psy]

93. Passageway for the internal pudendal neurovascular structures: <Snell 394>
a. alcock’s canal c. lesser sciatic foramen
b. greater sciatic foramen d. all of the above

<REFERENCE!> “Mod”=Module, “mk!”=must know!, “Snell”=Snell Clin Ana by Regions, “???”=not quite sure due to chuvalers! Haha
[explanations & chuvalers! haha]
The more you understand, the less you have to remember… Fight one more round… Aja aja! Ü
GROSS ANATOMY
Final Examination Mar.19.2009

94. Condensations of the endopelvic fascia:<mod 292, 283-284>

a. levator prostatae c. pubovesical ligament
b. pubovaginalis d. all of the above

95. Articulations of the bony pelvis joined by the intervertebral disc: <??? Mod 263-265>
a. lumbosacral joint c. both
b. symphysis pubis [interpubic disc daw] d. neither

96. Which cord of the brachial plexus is formed by the anterior divisions of the upper and middle trunk? <mod
101>
a. lateral c. posterior
b. medial d. all of the above

97. Borders of the Triangle of Auscultation EXCEPT: <mod 94>

a. sloping inferior border of the trapezius c. lateral border of the erector spinae
b. inferior border of the scapula d. superior border of the latissimus dorsi

98. What structure is found in the anatomical snuff box? <Clin Ana>
a. radial artery c. median nerve
b. ulnar artery d. radial nerve

99. The weakest part of the capsule of the shoulder joint: <Snell 463>
a. anterior c. superior
b. posterior d. inferior

100. “Rotator cuff” muscles EXCEPT: <mod 99>

a. infraspinatus c. supraspinatus
b. subscapularis d. teres major

101. Innervation of the serratus anterior muscle: <mod 91>

a. internal thoracic c. intercostal
b. long thoracic d. lateral thoracic

102.Form the circumscapular anastomosis EXCEPT: <??? mod 104>

a. circumflex humeral c. suprascapular
b. circumflex scapular d. thoracoacromial [dpat thoracodorsal to! hhe]

103. The radial artery commences: <mod 114>

a. at the level of the neck of the radius c. both
b. in the cubital fossa d. neither

104. The cephalic vein: <mod 104>

a. ascends on the lateral side of the arm c. both
b. joins the vena comites of the brachial artery d. neither
[basilic vein]

105.The profunda brachii artery: <mod 107>

a. is a branch of the brachial artery
b. accompanies the radial nerve along the spiral grove
c. both
d. neither

106. Muscles of the back associated with respiration: <mod 95-97>

a. levatores costarum c. both
b. serratus posterior d. neither

107. The humerus articulates with the following EXCEPT: <mod 83>
a. clavicle c. scapula
b. radius d. ulna

108. The shortest and most mobile of the metacarpal bones: <Snell 480>
a. 1st c. 3rd
b. 2nd d. 5th

109. Branches of the sciatic in the gluteal region: <mod 324-325>

a. common peroneal c. both
b. tibial d. neither [branches seen in d popliteal region]

<REFERENCE!> “Mod”=Module, “mk!”=must know!, “Snell”=Snell Clin Ana by Regions, “???”=not quite sure due to chuvalers! Haha
[explanations & chuvalers! haha]
The more you understand, the less you have to remember… Fight one more round… Aja aja! Ü
GROSS ANATOMY
Final Examination Mar.19.2009

110. Forms the carpal tunnel: <Snell 500>

a. carpal bones c. both
b. flexor retinaculum d. neither

111. True of the venous arch in the dorsum of the hand, EXCEPT: <Snell 509>
a. drains into the basilica vein medially
b. drains into the cephalic vein laterally
c. lies distal to the metacarpophalangeal joints [lies proximal]
d. receives the metacarpal veins

112. True of the great saphenous vein, EXCEPT: <??? Mod 310-311>
a. accompanied by the saphenous nerve at the medial side of the leg
b. courses behind the medial malleolus [accdg to Snell 657: passes in front of the medial malleolus]
c. continuation of the medial end of the dorsal venous arch of the foot
d. drains into the femoral vein

113. Prolongation of the fascia transversalis and iliaca that surrounds the femoral vessels: <mod 313>
a. cribriform fascia c. femoral sheath
b. fascia lata d. superficial fascia

114. The hiatus tendineus is an opening in the attachment of: <mod 314-315>
a. adductor brevis c. adductor magnus
b. adductor longus d. popliteus

115. Arteries that form the crucial anastomosis, EXCEPT: <mod 323>
a. first perforating [ascending branch] c. medial & lateral circumflex [of deep femoral]
b. inferior gluteal [descending branch] d. superior gluteal

116. Attached to the patella: <Snell 629, mod 312>

a. ligamentum patella c. both
b. quadriceps femoris tendon d. neither

117. Muscle that originate from within the capsule of the knee joint: <mod 334>
a. gastrocnemius c. popliteus
b. plantaris d. soleus

118. Triceps surae muscles, EXCEPT: <mod 333>

a. gastrocnemius c. popliteus
b. plantaris d. soleus

119. The plantar branches of the posterior tibial artery are given off: <mod 334>
a. at the dorsum of the foot c. behind of the flexor retinaculum
b. in front of the medial malleolus d. below of flexor retinaculum

120. Bones articulating at the knee joint EXCEPT: <mod 343>

a. femur c. fibula
b. tibia d. patella

<REFERENCE!> “Mod”=Module, “mk!”=must know!, “Snell”=Snell Clin Ana by Regions, “???”=not quite sure due to chuvalers! Haha
[explanations & chuvalers! haha]
The more you understand, the less you have to remember… Fight one more round… Aja aja! Ü