ANATOMY 2010 Medboard
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ANATOMY Physician’s Licensure Examination May 28, 2010; 8:00am 12:00nn
1. A patient with an isolated occulomor nerve paralysis would present with the following findings on the affected side A) constricted pupils C) weakness of eyelid closure B) eyelid deviated laterally D) all of the above 2. Reproductive adaptations noted in the female true pelvis include the following EXCEPT A) greater pubic angle C) longer pelvic cavity B) wider sacrosciatic notches D) cylindrical pelvic cavity 3.A high velocity bullet penetrates the posterior aspect of the shoulder and severely injures the origin of the posterior cord of the brachial plexus. Each of the following nerves might possible be affected EXCEPT the A) upper subscapular C) thoracodorsal B) radial D) medial pectoral 4.During the proliferative phase of the menstrual cycle, one can observe that A) the endometrium thickens largely because of edema B) glycogen disappears in the basal cytoplasm of the glandular epithelium C) there is a two to threefold increase in the thickness of the endometrium
D) the endometrial glands become quite tortuous 5. Bile formed by hepatic cells is first secreted into the A) bile canaliculi C) space of Disse B) bile ducts D) hepatic duct 6. A patient with an isolated injury to the mandibular division of the trigeminal nerve would present with A A) atrophy of the temporalis muscle on the affected side B) flattened nasaolabial fold on the affected side B C) numbness of the cheek on the affected side D)A and C only 7. The landmark structure noted during the dissection of the gluteal area A) gluteus medius C) quadratus femoris B) piriformis D) obturator externus 8.Semen is composed of products produced by all of the following EXCEPT the A) seminiferous tubules C) bulbourethral glands B) seminal vesicles D) rete testis 9. True ribs include A) 5th
B) 7th
C) 8th
D) A and B
10. A patient was noted to have atrophy of the temporalis and masseter muscles on one side of the face. His corneal reflex on the affected side was normal and he had no sensory deficit in the cheek area. This patient most probably has a lesion involving the A) mandibular division of CN V
B) maxillary division of CN V C) ophthalmic division of CN V D) terminal branches of CN VII
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ANATOMY Physician’s Licensure Examination May 28, 2010; 8:00am 12:00nn
11. The primary hip flexor is the A) sartorius B) rectus femoris
C) iliopsoas
D) pectineus
12. The following secretions are correctly attached with their cells of origin in every pair EXCEPT A) glucagon pancreatic alpha cells B) intrinsic factor parietal cells of the stomach C) insulin pancreatic beta cells D) hydrochloric acid chief cells of the stomach 13. A patient presented with complete paralysis of one side of the face with intact lacrimation and taste sensation (anterior 2/3 of tongue) The cranial nerve involved in this case most probably has a tension at the level of the A) internal auditory meatus C) sytlomastoid foramen B) geniculate ganglion D) external auditory meatus 14. This structure is highly vulnerable in surgical manipulation of the ductus arteriosus A) esophagus C) left vagus nerve B) left bronchus D) left recurrent laryngeal nerve 15. The three types of granulocytes usually can be distinguished best under the light microscope on the basis of A) nuclear morphology and cell size B) nuclear morphology only C) cell size only D) staining reaction of cytoplasmic granules 16. The liver is anatomically divided into right and left unequal halves along the fissure of the A) ligamentum venosum C) falciform ligament B) inferior vena cava D) porta hepatic 17. Both skeletal and smooth muscle can be found in the muscularis externa of the A) stomach C) colon B) duodenum D) esophagus 18. This structure is highly vulnerable in cancerous growth in R pulmonary hilum and posterior mediastinum A) trachea C) vagus nerve B) superior intercostal vein D) pulmonary ligament 19. During erection of the penis, the volume of the blood occupying the spaces of the cavernous sinuses is increased by A) contraction of the musculature of the dorsal artery of the penis B) relaxation of the musculature of the dorsal artery of the penis C) contraction of the musculature of the helicine arteries D) relaxation of the musculature of the helicine arteries
20.The granules found in the cells of the adrenal medulla consist of A) hydrocortisone C) epinephrine 2
ANATOMY Physician’s Licensure Examination May 28, 2010; 8:00am 12:00nn
B) glucocorticoids
D) mineralocorticoids
21. The deep perineal space in the male contains each of the following EXCEPT A) membranous urethra C) bulbourethral glands B) prostate gland D) sphincter urethrae muscle 22. Loss of extension of the knee would result from damage to the A) femoral nerve C) tibial and common fibular B) tibial nerve D) obturator nerve 23. Which of the following epithelia can usually be found in the normal female reproductive system? A) stratified squamous and simple columnar B) transitional and stratified squamous C) simple columnar and transitional D) simple columnar and pseudostratified 24. By inserting the finger into the rectum, the following can be readily felt and examined A) enlarged seminal vesicles C) A and B B) prostate gland D) none of the above 25. The ventral rami of the brachial plexus are seen at the A) posterior cervical triangle C) submandibular triangle B) carotid triangle D) muscular triangle 26. The function of the interstitial endocrine cells of the testis is to A) form acrosome B) secrete testosterone
C) support the germinal epithelium D) supply nutrients to the sex cells 27. The vermiform appendix is best located by following the A) anterior cecal artery B) descending branch of the right colic artery C) ileum to the ileocolic juncture D) teniae coli of the ascending colon 28. From which of the following sites is primary cancer most likely to metastasize to the lung by venous spread? A) ileum C) kidney B) appendix D) transverse colon 29. Simple cuboidal epithelium is usually found in A) parietal layer of Bowman’s capsule B) descending limb of the loop of Henle C) rete testis
D) single layer on the free surface of the ovary
30. The roof of the adductor canal is formed by the A) rectus femoris C) adductor longus B) vastus medialis D) sartorius 31. Trauma to the sternocostal surface of the heart would more likely damage the
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ANATOMY Physician’s Licensure Examination May 28, 2010; 8:00am 12:00nn
A) right atrium B) right ventricle
C) left ventricle D) left atrium
32. Interruption of blod flow in the internal iliac artery would affect blood flow to each of the following EXCEPT the A) medial thigh muscles B) ductus deferens C) lower abdominal wall and rectus abdominis muscle
D) rectum 33. A child suspected of aspirating a small button is seen in the ER. While there is no complain of pain, there is frequent coughing. Physical examination showed absence of breath sounds. Aspirated small objects tend to lodge in the right inferior lobar bronchus for all the following reasons EXCEPT A) left main stem ( primary) bronchus is more horizontal B) right inferior lobar bronchus nearly continues the direction of the trachea C) right lung has no middle lobe D) right main stem(primary) bronchus is of greater diameter than the left 34. This structure separates the perineum from the pelvic cavity A) ischiorectal fossa C) pelvic diaphragm B) urogenital diaphragm D) urogenital triangle 35. Drug detoxification occurs in the A) Golgi apparatus B) smooth endoplasmic reticulum
C) rough endoplasmic reticulum D) lysosomes
36. The ligament that prevents C1 vertebrae from translating against C2 is A) alar ligament C) transverse ligament B) tentorial ligament D) posterior longitudinal ligament 37. The scala vestibuli of the inner ear communicates with the scala tympani via the A) modiolus C) cecum cupulare B) helicotrema D) aqueduct 38. The Haversian canals of bone tissue A) contain chondrocytes B) are lined by cement lines C) form the central structure of a Haversian system D)run perpendicular to the long axis of the bone 39. The hepatic portal vein is correctly described by each of the following EXCEPT A) it drains most of the venous blood from the gastrointestinal tract B) it forms by the confluence of the superior mesenteric and splenic veins C) it is located in the hepatoduodenal ligament A) it forms posterior to the head of the pancreas
40. The internal spermatic fascia is derived from the A) external oblique aponeurosis B) peritoneum C) transversus abdominis aponeurosis D) transversalis fascia
41. The vagus nerve enters the abdominal cavity through the
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ANATOMY Physician’s Licensure Examination May 28, 2010; 8:00am 12:00nn
A) aortic hiatus B) esophageal hiatus
C) sternocostal hiatus D) vena caval aperture
42. The part of the uterine tube which is removed during fimbriectomy A) cornua C) ampulla B) isthmus D) infundibulum
43. Pressure developing deep to the flexor retinaculum would affect each of the following EXCEPT the A) median nerve B) ulnar nerve C) tendons of the flexor digitorum superficialis muscle D) tendons of the flexor pollicis longus muscle 44. A patient enters the emergency room not being able to raise his foot. The nerve that is suspected to be damaged is the A) tibial C) obturator B) common fibular D) medial plantar 45. Sinusoids are correctly described by each of the following EXCEPT A) they have a irregular tortuous lumen B) they are lined by endothelial cells C) they have a dense connective tissue wall D) they have no phagocytic elements
46. The opening into the lesser sac is through the A) foramen of Bochdalek B) foramen of Winslow
C) foramen of Morgagni D) foramen transversarium
47.Damage to the obturator nerve on the lateral wall of the pelvis would affect the function of each of the following muscles EXCEPT the A) sartorius C) adductor longus B) gracilis D) pectineus 48. When removing the right lung, the surgeon has to be careful to protect which of the following structures passing posterior to the root of the lung? A) hemiazygos vein C) right phrenic nerve B) right vagus nerve D) thoracic aorta 49. Which muscle is responsible for expelling the last drops of urine in the male A) sphincter urethrae C) sphincter vesicae B) bulbocavernosi D) ischiocavernosi 50. At the hepatoduodenal ligament, the structure that occupies a medial location is the A) common bile duct C) inferior vena cava B) portal vein D) hepatic artery
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ANATOMY Physician’s Licensure Examination May 28, 2010; 8:00am 12:00nn
51. The thoracic duct enters the venous circulation at the junction of A) superior vena cava and right atrium B) left subclavian and left internal jugular vein C) left and right brachiocephalic vein D) right subclacian and right internal jugular vein 52. The axillary artery may be ligated at this point without compromising the blood supply to the upper extremity A) proximal to the thyrocervical trunk B) distal to the subscapular artery C) between the thyrocervical trunk and subscapular artery D) none of the above
53. Separates the submandibular triangle from the carotid triangle A) posterior belly of digastric C) sternohyoid B) omohyoid D) hyoid bone 54. An occlusion of the superior mesenteric artery would result in necrosis of each of the following EXCEPT the A) ascending colon C) ileum B) rectum D) cecum 55. Occupies the tracheoesophageal groove A) vagus nerve B) sympathetic trunk
C) recurrent laryngeal nerve D) phrenic nerve
56. A woman’s inability to supinate the forearm could result from an injury to which of the following pair of nerves A) axillary and radial C) radial and musculocutaneous B) median and ulnar D) suprascapular and axillary 57. Following tonsillectomy, a patient noted loss of general sensation and taste from the posterior one third of the tongue. It could be assumed that the injured nerve was a branch of the A) glossopharyngeal nerve B) facial nerve
C) lingual nerve D) hypoglossal nerve
58. The median cubital vein is a communication between the A) cephalic and basilic C) cephalic and axillary B) basilic and axillary D) axillary and subclavian 59. Fenestrated capillaries have A) extremely attenuated areas of endothelium with pores B) thickened areas with pores C) diaphragm that have the same thickness as unit membranes D) pores that are evenly spaced over the entire surface of the endothelium 60. A severe blow to the side of the head could fracture which one of the following bones in the roof of the orbit? A) palatine C) frontal 6
ANATOMY Physician’s Licensure Examination May 28, 2010; 8:00am 12:00nn
B) maxilla
D) zygomatic
61. Occupies a medial location within the carotid sheath A) internal jugular vein C) vagus nerve B) ansa cervicalis D) common carotid artery 62. Each of the following characterizes the levator ani muscles EXCEPT A) it forms the principal part of the pelvic diaphragm B) it separates the floor of the pelvis from the ischioanal fossa C) it arises from the inner surface of the superior ramus of the pubis D) it separates the superficial and deep inguinal spaces
63. A basketball player who trips and falls, landing on his outstretched hand will most likely fractures which carpal bone? A) trapezium C) scaphoid B) capitate D) hamate
64. Lymphatic nodules are found in each of the following EXCEPT A) lymph nodes C) tonsils B) thymus D) walls of urinary tract 65. A spleen may be ruptured in traumatic injuries to the chest if these ribs are fractured and displaced A) 5th, 6th, 7th level of the posterior axillary line B) 7th, 8th , 9th level of the midaxillary line C) 9th, 10th, 11th level of the left posterior axillary line D) 10th, 11th, 12 anteriorly 66. A diastolic murmur coming from a stenosed mitral valve in patient with RHD is best heard or auscultated at the A) 5th ICS left midclavicular line B) 4th ICS left parasternal border C) 2nd ICS left parasternal border D)4th ICS right parasternal border 67. Surgically, it is important to locate which one of the following structures located immediately posterior to the second part of the duodenum A) transverse colon C) hilum of right kidney B) left lobe of the liver D) gallbladder 68. Podocytes are associated with which of the following parts of the urinary system A) distal convoluted tubule C) major calyces capsule
B) thick limb of loop of Henle
D) visceral layer of Bowmans
69. A baby sustained a lower brachial plexus injury due to traumatic childbirth (forceful pulling on the arm). The following is/are true statements regarding this type of injury A) results in loss of abduction, flexion and lateral rotation of the shoulder B) results in clawhand deformity C) leads to sensory deficit in the lateral aspect of the upper extremity 7
ANATOMY Physician’s Licensure Examination May 28, 2010; 8:00am 12:00nn
D) all of the above 70. Which of the following layers in the wall of a medium sized artery contains smooth muscle A) internal elastic membrane C) tunica adventitia B) external elastic membrane D) tunica media 71. A lesion of the lingual nerve immediately after it receives the chorda tympani nerve could result in each of the following EXCEPT A) loss of sublingual gland secretion B) sensory loss from lower teeth
C) loss of taste from anterior two thirds of the tongue D) loss of submandibular gland secretion 72. The superior vena cava could be damaged by a stab wound deep to the A) right first costal cartilage C) right sternoclavicular joint B) right fourth costal cartilage D) left second costal cartilage
73. All of the following statements concerning the uterus are correct EXCEPT A) the broad ligament reflects from the posterior surface of the uterus to the rectum to form the rectouterine pouch B) the round ligament connects the uterus to the ovary
C) the broad ligament extends from the anterior surface of the uterus onto the bladder forming the vesicouterine pouch D) the uterine tubes enter the uterus in the superior border of the broad ligament 74. A 58yearold man presented with a year history of chest pain. The attacks were increasing in frequency and were only relieved by rest. Cardiac catheterization revealed an area of occlusion of the circumflex branch of the left coronary artery. The damage to the heart would probably involve the A) left atrium and left ventricle C) right and left ventricles B) right atrium and left ventricle D) apex of the heart 75. A severe infection that obstructs the middle meatus would affect drainage from each of the following sinus EXCEPT the A) maxillary sinus C) nasolacrimal duct B) frontal sinus D) anterior ethmoid air cells 76. Plicae circulares is most abundant in what part of the gastrointestinal tract A) duodenum C) ileum B) jejunum D) large intestine 77. A woman on her 3rd trimester of pregnancy developed paresthesia of the hands. She has difficulty in doing her crossstitch hobby. Her most likely problem affects the A) median nerve C) radial nerve B) ulnar nerve D) axillary nerve 78.A 9yearold boy fell hitting his elbow. Physical examination showed weakness in wrist flexion and loss of adduction. Loss of sensation was noted on the medial side of his hand. What nerve was most probably injured
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ANATOMY Physician’s Licensure Examination May 28, 2010; 8:00am 12:00nn
A) musculocutaneous B) ulnar
C) radial D) median
79. Carcinoma of the _____part of the pancreas usually shows itself first by painless progression jaundice with enlargement and distention of the gall bladder A) head C) body B) neck D) tail 80. Sperms found in these structures are capable of fertilizing ova A) seminiferous tubules C) ductuli efferentes B) rete testis D) epididymis 81. A myocardial infarction that damages the heart muscle in the anterior two thirds of the interventricular septum would result primarily from occlusion of the A) posteiror interventricular artery B) marginal branch of the right coronary artery C) marginal branch of the left coronary artery D) anterior interventricular artery 82. The horizontal fissure of the right lung separates the A) superior and middle lobe C) inferior and middle lobe B) superior and inferior lobe D) superior lobe from cardiac notch 83. In Dupuytren’s contracture, the flexion of the MCP joints is actually due to A) compression of the median nerve at the wrist, leading to atrophy of the muscles of opposition B) inflammation of the synovium of the long flexor tendons, leading to scarring C) atrophy of the lumbrical muscles due to disuse D. fibrosis of the digital slips of the palmar aponeurosis
84. It would be difficult for a gallbladder infection to easily reach which one of the following viscera A) liver C) cystic duct B) third part of the duodenum D) transverse colon 85. After leaving the trabecular sinuses of a lymph node, lymph passes directly into the A) afferent lymphatic vessels C) subscapular sinuses B) efferent lymphatic vessels D) medullary sinuses 86. A vertical incision through the midline of the anterior abdominal wall will traverse the A) rectus abdominis C) internal oblique B) external oblique D) linea alba 87. The contents of an indirect inguinal hernia enters the inguinal canal ______ to the inferior epigastric artery A) lateral C) inferior B) medial D) none of the above 88. A penetrating knife wound to the posterior shoulder in the quadrangular space would damage the axillary nerve and the A) anterior circumflex humeral artery C) subscapular artery 9
ANATOMY Physician’s Licensure Examination May 28, 2010; 8:00am 12:00nn
B) posterior circumflex humeral artery
D) superior thoracic artery
89.A tumor involving the fifth to twelfth thoracic vertebrae could affect each of the following structures in the posterior mediastinum EXCEPT the A) thoracic duct C) azygos vein B) phrenic nerve D) descending aorta 90. Damage to the anatomic snuffbox might be expected to injure the A) ulnar nerve C) ulnar artery B) capitate bone D) radial artery 91. The cerebral arterial circle (circle of Willis) is formed by branches of the internal carotid artery and the A) external carotid artery C) basilar artery B) vertebral artery D) middle meningeal artery 92. AS a result of an injury to the ulnar nerve in the arm, all of the following changes in the hand will be noted EXCEPT A) sensory loss on the little finger and one half of the ring finger B) the thumb is strongly adducted C) loss of flexion of the distal interphalangeal joints of the fourth and fifth digits D) marked wasting in the hypothenar eminence
For questions 9395 A 63 year old woman shows a fine, pillrolling tremor in both upper extremities, with tremors at rest. There is an overall poverty of movements. The patient’s gait is shuffling and motor performance is delayed. 93. The most likely diagnosis is A) Wilson’s disease B) Parkinson’s disease
C) Benedikt’s syndrome D) Liverbrain disease
94. Dysfunction of this structure is implicated in the above disease A) substantia gelatinosa C) substantia nigra B) red nucleus D) cerebellum 95. Treatment involves administration of A) dopamine B) Ldihydroxyphenylalanine
C) acetylcholine D) serotonin
96. The powerful extension of the thigh required when one is standing from a sitting position is the function of the A) gluteus maximus C) psoas major B) iliacus muscle D) piriformis 97. Ejaculatory fluid is composed of products produced by all of the following EXCEPT the A) seminiferous tubules C) bulbourethral glands B) seminal vesicles D) rete testis 10
ANATOMY Physician’s Licensure Examination May 28, 2010; 8:00am 12:00nn
98. Respiratory distress syndrome occurs most commonly because A) too few mature alveoli have developed B) surfactant production is insufficient
C) the lungs are partially filled with amniotic fluid D) type I alveolar epithelial cells produce a greatly thickened basement membrane For question 99100 A 55yearold woman complained of numbness in the legs, which spread to involve her hands. There were sudden sharp pains, variable in location, but usually localized to one or the other leg. On examination, her pupils were of unequal size. ArgyllRobertson pupils and Romberg’s sign were present. Although the patient’s strength was normal she was areflexic in all limbs. 99. The most likely diagnosis is A) Brown Sequard syndrome B) tabes dorsalis
C) multiple sclerosis D) meningiona
100. Above findings is the result of
B) degeneration of posterior columns
A) upper motor neuron damage B) cerebellar disease C) degeneration of basal ganglia
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