GROSS/CLINICAL ANATOMY HOMEWORK (C) Inferior mesenteric artery

(D) Inferior vena cava

NAME: (E) Superior mesenteric artery

E_____1. A 50-year-old woman who works as a secretary E_____5. A 34-year-old man injures his lateral pterygoid
comes to the physician because of numbness and tingling in muscle. Which of the following activities will be adversely
her hands. On examination, the patient is found to have affected by this injury?
decreased sensation in all of her fingers except her fifth digit.
(A) Closing the jaw
Which of the following muscles is most commonly
weakened in patients with this condition? (B) Smiling

(C) Swallowing
(A) Adductor pollicis (D) Opponens digiti minimi (D) Whistling
(B) Dorsal interossei (E) Opponens pollicis (E) Yawning
(C) Lumbricals (3 and 4)

C_____6. A 75-year-old man with a 40-pack-year history of

smoking and hypercholesterolemia is diagnosed with severe
A_____2. A 40-year-old man was admitted to the neurology
atherosclerosis. Atherosclerotic occlusion of which of the
service for evaluation of persistent numbness over his left
following arteries would result in insufficient perfusion of
jaw and lower face. MRI reveals a schwannoma, which is
the urinary bladder?
compressing a cranial nerve as the nerve exits the skull. The
cranial nerve involved in this case exits the skull through
which of the following foramina?
(A) External iliac (D) Internal pudendal
(A) Foramen ovale (D) Jugular foramen
(B) Inferior epigastric (E) Lateral sacral
(B) Foramen rotundum (E) Superior orbital fissure
(C) Internal iliac
(C) Foramen spinosum

D_____7. Which of the following statements is true

E_____3. An otherwise healthy infant boy born via vaginal regarding normal tracheal anatomy and structure?
delivery has an abnormal appearance of his right upper limb.
His arm hangs by his side, pronated and medially rotated.
Which of the following muscles is still functioning in this
A. The trachea is posterior to the esophagus
patient?
B. The trachea is 4 cm long

C. The trachea is 4 cm in diameter

(A) Biceps (D) Supraspinatus
D. The trachea divides into right and left main stem bronchi
(B) Deltoid (E) Triceps
below the sternal angle
(C) Infraspinatus
E. The trachea is to the right of the midline

C______4. A 2-month-old infant is found to have a

D_____8. A 25-year-old man who has suffered blunt trauma
horse-shoe kidney. Which structure prevents this abnormal
to his head has a suspected injury to his superior rectus
kidney from occupying its appropriate position?
muscle. What eye movements might be compromised if this
indeed were the case?

(A) Aorta

(B) Celiac trunk a. Abduction only d. Adduction and elevation

b. Abduction and elevation e. Extorsion and elevation B_____14. Digastric muscles are the following EXCEPT:

c. Adduction and depression a. Occipitofrontalis

b. Sternocleidomastoid

A_____9. All of the following statements are true for c. Omohyoid

metaphysis ofbone EXCEPT:
a. It is the strongest part of bone
b. It is the most vascular part of bone
d. Muscular fibres in the ligament of Treitz
A_____15. Most common muscle to be congenitally absent
is:

c. Growth activity is maximized here a. Pectoralis major

d. It is the region favoring hematogenous spread of infection b. Teres minor

c. Semimembranosus

B_____10. All of the following statements are true for d. Gastrocnemius

metaphysis of bone EXCEPT:

a. It is the epiphyseal end of diaphysis

D_____16. Muscle with parallel fibres are all EXCEPT:
b. Growth activity is negligible here
a. Sartorius
c. It is highly vascular
b. Rectus abdominis
d. Common site of osteomyelitis in children
c. Sternohyoid

d. Tibialis anterior
C_____11. All of the following are pneumatic bones EXCEPT:

a. Frontal
D_____17. NOT true about shunt vessel is:
b. Ethmoid
a. It control temperature regulation
c. Mandible
b. It is direct communication between artery and veins
d. Maxilla
c. It is under control of local mediators

d. It is not under autonomic control

C_____12. Composite muscles include the following EXCEPT:

a. Pectineus
C_____18. All are true about thoracic duct EXCEPT:
b. Adductor magnus
a. Begins as continuation of cisterna chyli
c. Rectus femoris
b. Largest lymphatic vessel
d. Biceps femoris
c. Passes through the esophageal opening

d. Ends into junction between left subclavian and internal

C_____13. Multi-unit smooth muscle present at all EXCEPT:
jugular vein
a. Blood vessels

b. Iris
C_____19. All is true about Pecquet duct EXCEPT:
c. Gut
a. Begins at level of T12
d. Ductus deferens
b. Enters thorax through aortic opening

c. Crosses from right to left at level of T8

d. Passes the superior aperture of thorax a. Stenson’s duct c. Mullerian duct

e. Passes in posterior and superior mediastinum b. Wolffian duct d. Vitellointestinal duct

D_____20. The thoracic duct receives tributaries from all of D_____27. An infant present with an omphalocele at birth.
the following EXCEPT: Which of the following applies to this condition?

a. Bilateral ascending lumbar trunk a. It is also seen in patients with congenital aganglionic

b. Bilateral descending thoracic trunk megacolon

c. Left upper intercostal duct
d. Right bronchomediastinal lymphatic trunk
B_____21. Bochdalek hernia occurs in:
a. Anterolateral part of the diaphragm
b. It results from herniation at the site of regression of the
right umbilical vein
c. It is caused by a failure of recanalization of the midgut
part of the duodenum
d. It is caused by failure of the midgut to return to the
abdominal cavity after herniation into the umbilical stalk

b. Posterolateral part of diaphragm

c. Retrosternal area A_____28. Most common site of ectopic pancreatic tissue is:

d. Posterior to diaphragm a. Stomach c. Appendix

b. Jejunum d. Hilum of spleen

C_____22. Which one of the following ligaments contains

splenic artery?
A_____29. Most common congenital anomaly of the
a. Gastrosplenic ligament c. Splenorenal ligament pancreas is:

b. Splenocolic ligament d. Splenophrenic ligament a. Pancreas divisum c. Ectopic pancreas

b. Pancreatic cysts d. Inversion of pancreatic ducts

B_____23. Spleen develops from:

a. Ventral mesogastrium c. Hindgut mesentery D_____30. A child complains of fluid coming out of
umbilicus on straining. The diagnosis is:
b. Dorsal mesogastrium d. Midgut mesentery
a. Patent vitellointestinal duct c. Umbilical hernia

b. Gastroschisis d. Urachal fistula

A_____24. Which of the following structure develop in
ventral part of ventral mesentery of stomach?

a. Falciform ligament c. Lesser omentum A______31. Mesonephric derivatives are all EXCEPT:

b. Hepatogastric ligament d. Splenogastric ligament a. Glomerulus c. Vas deferens

b. Para-oophoron d. Epididymis

C_____25. Regarding Meckel’s diverticulum all are true

EXCEPT:
B_____32. Ascent of horseshoe-shaped kidney is prevented
a. At anti-mesenteric border c. 3” long by:

b. Vitello-intestinal duct remnant d. Pain at umbilicus a. Superior mesenteric artery

b. Inferior mesenteric artery

D_____26. Meckel’s diverticulum is a remnant of: c. Superior mesenteric vein

d. Inferior mesenteric vein a. Ulnar border of forearm c. Radial border of forearm

b. Fibular border of leg d. None of the above

D_____33. Testes completely descend in the scrotum by the

age of:
C_____40. What is the persistent remnant of axial artery of
a. End of 7th month of intrauterine life upper limb:

b. End of 8 month of intrauterine life a. Radial artery c. Anterior interosseus artery

c. End of 9 month of intrauterine life b. Ulnar artery d. Posterior interosseous artery

d. After birth

A_____41. A person showing two cell lines derived from two

different zygotes is known as:
B_____34. Vaginal epithelium is derived from:
a. Chimerism c. Segregation
a. Endoderm of genital ridge
b. Mosaicism d. Pseudo dominance
b. Endoderm of urogenital sinus

c. Mesoderm of genital ridge

B_____42. Corpus callosum is which type of fibres?
d. Mesoderm of urogenital sinus
a. Projection fibers b. Commissural fibers

c. Association fibers d. None

B_____35. Regarding genital development, which is TRUE:

a. Y chromosome is associated with ovary development

D_____43. Association fibers are all EXCEPT:
b. Genital ridge starts developing at 5th week
a. Uncinate b. Cingulum
c. Male genitals develop earlier than female genitals
c. Longitudinal fasciculus d. Forceps major
d. External Genital development is complete by 10th week

C_____44. All of these arises from neuroepithelial cells

C_____36. Which is derived from wolfian duct:
EXCEPT:
a. Appendix of testis c. Appendix of epididymis
a. Neuron b. Oligodendrocyte
b. Uterus d. Hydatid of margagni
c. Microglial cells d. Ependymal cells

C______37. Which of the following is a derivative of

B_____45. First commissure develops from:
paramesonephric duct in males:
a. Corpus callosum c. Hippocampus
a. Trigone of bladder c. Prostatic utricle
b. Anterior commissure d. None of the above
b. Paraphoron d. Gartner’s duct

A_____46. All are disorders due to non-migration of neural

D______38. Lumber hemivertebra results due to the
crest cells all EXCEPT:
abnormal development of:
a. Porencephaly c. Microgyria with ballooning
a. Dorsal sclerotome c. Notochord
b. Lissencephaly d. Schizencephaly
b. Intermediate cell mass d. Ventral sclerotome

A_____47. TRUE about cerebrospinal fluid is:

C______39. Preaxial border of limb is:
a. Produced by choroid plexus C_____54. Tensor tympani is supplied by the nerve:

b. Travels from sub-arachnoid space to the fourth ventricle a. Facial c. Trigeminal

c. Absorbed by arachnoid villi b. Glossopharyngeal d. Vagus

d. Drains into the dural venous sinuses

e. Aqueductal stenosis dilates 4th ventricle A_____55. Tongue muscles develops from:

B_____48. All are seen in the floor of 3rd ventricles EXCEPT: a. Occipital somites c. Neural crest cells

a. Infundibulum b. Oculomotor nerve b. Hypobranchial eminence d. Pharyngeal pouches

c. Mammillary body d. Optic chiasma

D_____56. The parafollicular C cells of thyroid develops

from:
A_____49. Facial colliculus located at:
a. 1st and 2nd pharyngeal pouch
a. Pons b. Medulla
b. 2nd and 3rd pharyngeal pouch
c. Mid brain d. Interpeduncular fossa
c. 3rd and 4th pharyngeal pouch

d. 4th and 5th pharyngeal pouch

B_____50. Diagram of fourth ventricle is given with the
facial colliculus marked. Damage to the structure producing
the elevation marked leads to paralysis of which of the
D_____57. All are of adult size at birth EXCEPT:
following muscle?
a. Mastoid antrum c. Tympanic cavity
a. Lateral rectus c. Levator palpebrae superioris
b. Ear ossicles d. Maxillary antrum and orbit
b. Risorius d. Superior oblique

A_____58. Suture present between parietal and occipital

C_____51. Which of the following is a complete sulcus?
bones is:
a. Lunate sulcus b. Lateral sulcus
a. Lambdoid suture c. Sagittal suture
c. Collateral sulcus d. Calcarine sulcus
b. Coronal suture d. Metopic suture

B_____52. Reid’s line extends from:

B_____59. All of the following are pneumatic bones EXCEPT:
a. Infraorbital margin to superior margin of external acoustic
a. Maxilla c. Ethmoid
meatus
b. Parietal d. Mastoid
b. Infraorbital margin to center of external acoustic meatus

c. Infraorbital margin to inferior margin of external acoustic

meatus D_____60. Mass in jugular foramen may result in all EXCEPT:
d. None of the above a. Difficulty in swallowing

b. Hoarseness
A_____53. Sylvian point is related to which part of temporal c. Difficulty in turning the neck to opposite side
bone:
d. Tongue deviates to same side
a. Squamous part c. Tympanic part

b. Petrous part d. Mastoid part

B______61. All of the following structures pass through
lesser sciatic foramen EXCEPT:
a. Pudendal nerve a. Ilio-psoas c. Sartorius

b. Obturator internus muscle b. Pectineus d. Semitendinosus

c. Internal pudendal vessels

d. Nerve to obturator internus B_____68. Pes anserinus includes following three muscles
EXCEPT:

a. Semitendinosus c. Gracilis
D_____62. Structure passing through both greater and
lesser sciatic foramen are all except: b. Semimembranosus d. Sartorius

a. Pudendal nerve

b. Internal pudendal vein D_____69. Clergyman’s knee is an inflammation of:

c. Nerve to obturator internus a. Anserine bursa c. Suprapatellar bursa

d. Tendon of obturator internus b. Pre-patellar bursa d. Infrapatellar bursa

C_____63. True about linea aspera:
a. Forms lateral border of femur
b. Forms medial border of femur
c. Continues as gluteal tuberosity
B_____70. A healthy young athlete sitting at table with knee
at 90-degree flexion. What will happen when he fully
extends the knee?
a. Movement of tibial tuberosity towards medial border of
patella

d. Present on the posterior surface of femur b. Movement of tibial tuberosity towards lateral border of
patella

c. Movement of tibial tuberosity towards centre of patella

B_____64. Angle of the neck of femur to shaft is:
d. No change in relationship
a 110° c 135°

b 125° d 100°
D_____71. False about clavicle:

a. Ossifies in membrane
D_____65. All of the following are true about upper end of
tibia except: b. Horizontal bone

a. Ossification centre for the upper end fuses by 18 years c. No medullary cavity

b. Meniscal cartilage is attached to the intercondylar area d. Most common site of fracture is the junction of medial
1/3rd with lateral 2/3rd
c. Gives attachment to semimembranosus

d. Posterior aspect of patella articulates with upper end of

tibia laterally D_____72. The following muscles are attached to the
coracoid process of the scapula EXCEPT:

a. Coracobrachialis c. Pectoralis minor

C_____66. Nutrient artery to tibia arises from which of the
following arteries: b. Short head of biceps d. Long head of triceps

a. Popliteal artery c. Posterior tibial artery

b. Anterior tibial artery d. Peroneal artery A_____73. Contents of bicipital groove are:

a. Synovial membrane of shoulder joint

D_____67. Hip flexion is done by all EXCEPT: b. Ascending branch of anterior circumflex artery
c. Ascending branch of posterior circumflex artery D_____79. Which are NOT the flexors of forearm?

d. Radial artery a. Pronater teres

e. Coracobrachialis muscle b. Brachialis

c. Brachioradialis

D______74. Muscle NOT inserted on greater tubercle: d. Anconeous

a. Teres minor c. Infra-spinatus e. Flexor pollicis longus

b. Supra-spinatus d. Subscapularis

A_____80. Abduction of Hand is caused by:

B_____75. About radius bone TRUE is: a. Flexor carpi radialis

a. Radial groove is present b. Flexor carpi ulnaris

b. Major contributor to wrist joint c. Flexor digitorum profundus

c. Radial artery lies medial to styloid process of radius d. Flexor digitorum superficialis

d. Medial bone of forearm

D_____81. Which of the following structure is not present in

transpyloric plane?
B_____76. The structure that lies lateral to distal radial
tubercle: a. First lumbar vertebra c. Hilum of right kidney

a. Extensor pollicis longus b. Fundus of gallbladder d. Inferior mesenteric vein

b. Extensor carpi radialis longus

c. Brachioradialis C_____82. All are true about Thoracolumbar facia EXCEPT:

d. Extensor carpi ulnaris a. Attached to spinus process of lumbar vertebra

b. Attached to transverse process of lumbar vertebra

D_____77. All the pairs about bony attachments around c. The fascia lies posterior to posterior abdominal wall
shoulder joint are correctly matched EXCEPT: muscles.

a. Latissimus dorsi: Floor of intertubercular sulcus d. Gives attachment to Transverse abdominal and internal

b. Short head of biceps: Tip of coracoid process oblique

c. Subscapularis: Lesser tubercle

d. Teres major: Greater tubercle D_____83. Posterior wall of rectus sheath below the level of
anterior superior iliac spine is formed by?

a. Internal oblique c. Lacunar ligament

A_____78. TRUE about abduction at shoulder joint:
b. Transversus abdominis d. Fascia transversalis
a. Supraspinatus initiates abduction

b. Serratus anterior and trapezius also help in abduction

C_____84. Lymphatic drainage of umbilicus is towards:
c. Multipennate deltoid clavicular fiber is main abductor
a. Axillary lymph nodes only
d. Axillary nerve injury has no effect on abduction
b. Inguinal lymph nodes only
e. Musculotendinous cuff stabilizes shoulder joint
c. Both axillary and inguinal lymph nodes

d. Coeliac lymph nodes

e. Aortic lymph nodes

E_____90. During cardiopulmonary resuscitation the

posterior surface of the heart was compressed by which of
B_____85. In first stage of labour the referred pain from
the following structures?
uterus is carried to the dermatome:
A. The body of the sternum
a. T-10, 11
B. The heads of the ribs
b. T-12; L-1
C. The tracheal bifurcation
c. L-1, 2
D. The inferior vena cava
d. S-2, 3
E. The bodies of the vertebrae

C_____86. ‘Dropped shoulder’ occurs due to paralysis of:

D_____91. Lymphatic spread of carcinoma of the fundus of
a. Deltoid c. Trapezius
the stomach is likely to metastasize to the
b. Teres major d. Serratus anterior
A. internal iliac nodes.

B. superior mesenteric nodes.

B_____87. Strongest layer of esophagus is:
C. inferior mesenteric nodes.
a. Mucosa c. Muscular externa
D. celiac nodes.
b. Submucosa d. Serosa
E. right gastroepiploic nodes.

D._____88. When passing a needle through the chest wall

A_____93. Infection from an inflamed appendix is likely to
and into the pleural cavity in the midaxillary line, the
spread via the lymphatics to the
following structures will be pierced except which?
A. superior mesenteric nodes.
A. The external intercostal muscle
B. celiac nodes.
B. The skin
C. splenic nodes.
C. The parietal pleura
D. inferior mesenteric nodes.
D. The levator costarum
E. right internal iliac nodes
E. The internal intercostal muscle

B_____94. When tapping a hydrocele (collection of fluid in

D_____89. Pericardiocentesis is best performed by passing a
the tunica vaginalis), the cannula must pierce the following
needle through
structures except which?
A. the fourth intercostal space.
A. The skin
B. the sixth intercostal space at the left paravertebral
B. The fatty subcutaneous tissue
border.
C. Dartos muscle
C. the second intercostal space at the midclavicular
D. The cremasteric fascia
line.
E. The external and internal spermatic fasciae
D. the subcostal angle.

E. the second intercostal space at the right sternal

A_____95. The spermatic cord contains the following
Angle structures except which?
A. The scrotal arteries and veins A. posterior fornix of the vagina.

B. The vas deferens B. anterior fornix of the vagina.

C. The pampiniform plexus C. anterior rectal wall.

D. The testicular artery D. lateral fornix of the vagina.

E. Autonomic nerve E. posterior wall of the cavity of the uterine body

C_____96. Assuming the duodenal ulcer had perforated the c_____100. During defecation, the levator ani muscles
posterior wall of the first part of the duodenum, name the
A. are completely inactive.
artery that is
B. do not support the uterus and vagina.
most likely to have been eroded.
C. relax (puborectalis portion) with the anal
A. The splenic artery
sphincters.
B. The right gastric artery
D. do not support the sigmoid colon.
C. The gastroduodenal artery
E. do not support the bladder
D. The right gastroepiploic artery

E. The right renal artery

d_____97. A carcinoma of the skin of the glans penis is likely

to spread via the lymphatics into the

A. external iliac nodes.

B. internal iliac nodes.

C. internal and external iliac nodes.

D. superficial inguinal nodes.

E. para-aortic nodes at the level of the first lumbar

Vertebra

b_____98. A carcinoma of the prostate is likely to spread via

the lymphatics into the

A. internal and external iliac nodes.

B. internal iliac nodes.

C. para-aortic nodes.

D. superficial inguinal nodes.

E. inferior mesenteric nodes.

a_____99. The rectouterine pouch (pouch of Douglas) can

be most efficiently entered by a surgical incision through

the: