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  • Question 1 - A lad involved in a road traffic accident is rushed to casualty where...

    Incorrect

    • A lad involved in a road traffic accident is rushed to casualty where physical examination reveals that he has limited extension of his right humerus. Which of the following nerves is most likely to have been injured?

      Your Answer: Suprascapular nerve

      Correct Answer: Thoracodorsal nerve

      Explanation:

      Extension of the humerus is a function of the latissimus dorsi. This muscle is supplied by the thoracodorsal nerve which is a branch of the posterior cord of the plexus whose fibres are derived from cranial nerves V, VI and VII.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      84.1
      Seconds
  • Question 2 - During a surgical procedure involving the carotid artery, which nerve in the cervical...

    Correct

    • During a surgical procedure involving the carotid artery, which nerve in the cervical plexus of nerves that is embedded in the carotid sheath is most susceptible to injury?

      Your Answer: Ansa cervicalis

      Explanation:

      The ansa cervicalis is a loop of nerves that are part of the cervical plexus. They lie superficial to the internal jugular vein in the carotid triangle. Branches from the ansa cervicalis innervate the sternohyoid, sternothyroid and the inferior belly of the omohyoid. The superior root of the ansa cervicalis is formed by a branch of spinal nerve C1. These nerve fibres travel in the hypoglossal nerve before leaving to form the superior root. The superior root goes around the occipital artery and then descends embedded in the carotid sheath. It sends a branch off to the superior belly of the omohyoid muscle and is then joined by the inferior root. The inferior root is formed by fibres from spinal nerves C2 and C3.

    • This question is part of the following fields:

      • Anatomy
      • Head & Neck
      22.2
      Seconds
  • Question 3 - Where do the seminal vesicles lie? ...

    Correct

    • Where do the seminal vesicles lie?

      Your Answer: Base of the bladder and rectum

      Explanation:

      The seminal vesicles are two lobulated membranous pouches situated between the fundus of the bladder and rectum and act as a reservoir for the semen and secrete a fluid that is added to the seminal fluid. Each sac is pyramidal in shape but they all vary in size not only in different individuals but also in the same individuals. The anterior surface is in contact with the fundus of the bladder, extending from near the termination of the ureter to the base of the prostate. Each vesicle consist of single tube, which gives off several irregular caecal diverticula. These separate coils and the diverticula are connected by fibrous tissue.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      15.8
      Seconds
  • Question 4 - Identify which of the following muscles acts on two joints? ...

    Correct

    • Identify which of the following muscles acts on two joints?

      Your Answer: Sartorius

      Explanation:

      The sartorius muscle, the longest muscle in the body, is one of the two jointed or biarticular muscles. It originates from the anterior superior iliac spine and part of the notch between the anterior superior iliac spine and anterior inferior iliac spine and crosses both the hip joint and the knee joint. At the hip joint the sartorius flexes and rotates the thigh at the hip joint and flexes the leg at the knee joint.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      8.9
      Seconds
  • Question 5 - Regarding the venous drainage of the heart which of these is correct? ...

    Correct

    • Regarding the venous drainage of the heart which of these is correct?

      Your Answer: The great cardiac vein is the largest tributary of the coronary sinus and this vein starts at the apex of the heart and ascends with the anterior ventricular branch of the left coronary artery

      Explanation:

      Most of the veins of the heart open into the coronary sinus. This is a wide venous channel, about 2.25 cm in length, situated in the posterior part of the coronary sulcus and covered by muscular fibres from the left atrium. Its tributaries are the great, small and middle cardiac veins, the posterior vein of the left ventricle and the oblique vein of the left atrium. The great cardiac vein is the largest tributary of the coronary sinus.

    • This question is part of the following fields:

      • Anatomy
      • Thorax
      60.8
      Seconds
  • Question 6 - Which of the following arteries is the posterior branch of the external carotid...

    Incorrect

    • Which of the following arteries is the posterior branch of the external carotid artery?

      Your Answer: Occipital

      Correct Answer: Superficial temporal

      Explanation:

      The external carotid artery is a branch of the common carotid artery that supplies parts of the neck, head and face. It branches off from the common carotid artery at the level of the thyroid cartilage. The external carotid, at the level of the mandible divides into the maxillary artery and the superficial temporal. The superficial temporal artery is the posterior branch of these two arteries. It starts off, somewhat, as a continuation of the external carotid artery at the substance of the parotid gland. Anterior cerebral and middle cerebral arteries are branches of the internal carotid artery.

    • This question is part of the following fields:

      • Anatomy
      • Head & Neck
      33.8
      Seconds
  • Question 7 - Gastrocnemius, semimembranosus and semitendinosus together with which other muscle form the boundaries of...

    Correct

    • Gastrocnemius, semimembranosus and semitendinosus together with which other muscle form the boundaries of the popliteal fossa?

      Your Answer: Biceps femoris

      Explanation:

      The popliteal fossa is located at the back of the knee. It is bounded laterally by the biceps femoris above and the plantaris and lateral head of the gastrocnemius below and medially by the semitendinosus and semimembranosus above and by the medial head of the gastrocnemius below.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      12.7
      Seconds
  • Question 8 - The petrous part of the internal carotid artery is located inside of which...

    Incorrect

    • The petrous part of the internal carotid artery is located inside of which cranial bone?

      Your Answer: Sphenoid

      Correct Answer: Temporal

      Explanation:

      The petrous segment, or C2, of the internal carotid is that which is inside the petrous part of the temporal bone. This segment extends until the foramen lacerum. The petrous portion classically has three sections: an ascending, or vertical portion; the genu, or bend; and the horizontal portion.

    • This question is part of the following fields:

      • Anatomy
      • Head & Neck
      9.4
      Seconds
  • Question 9 - A 20-year old gentleman was brought to the emergency department with headache and...

    Correct

    • A 20-year old gentleman was brought to the emergency department with headache and nausea for 2 days. He also complained of intolerance to bright light and loud sounds. Lumbar puncture showed glucose < 45 mg/dl, protein > 5 mg/dl and neutrophil leucocytosis. The likely diagnosis is:

      Your Answer: Meningitis

      Explanation:

      Diagnosis of meningitis can be carried out with examination of cerebrospinal fluid (CSF) with a lumbar puncture (LP). In a case of bacterial meningitis, the CSF analysis will show:

      – Opening pressure: > 180 mmH2O

      – White blood cell count: 10–10 000/μl with neutrophil predominance

      – Glucose: < 40 mg/dl – CSF glucose to serum glucose ratio: < 0.4 – Protein: > 4.5 mg/dl

      – Gram stain: positive in > 60%

      – Culture: positive in > 80%

      – Latex agglutination: may be positive in meningitis due to Streptococcus pneumoniae, Neisseria meningitidis, Haemophilus influenzae, Escherichia coli and group B streptococci

      – Limulus, lysates: positive in Gram-negative meningitis

    • This question is part of the following fields:

      • Neurology
      • Physiology
      28.4
      Seconds
  • Question 10 - Mechanical distortion, and not K+ channels are responsible for distortion of which of...

    Correct

    • Mechanical distortion, and not K+ channels are responsible for distortion of which of the following structures?

      Your Answer: Pacinian corpuscle

      Explanation:

      Pacinian corpuscles are a type of mechanoreceptor, sensitive to deep pressure, touch and high-frequency vibration. The Pacinian corpuscles are ovoid and about 1 mm long. In the centre of the corpuscle is the inner bulb, which is a fluid-filled cavity with a single afferent unmyelinated nerve ending. Any deformation in the corpuscle causes the generation of action potentials by opening of pressure-sensitive sodium ion channels in the axon membrane. This allows influx of sodium ions, creating a receptor potential (independent of potassium channels).

    • This question is part of the following fields:

      • Neurology
      • Physiology
      8.6
      Seconds
  • Question 11 - Which of the following muscles is innervated by the inferior branch of the...

    Incorrect

    • Which of the following muscles is innervated by the inferior branch of the right recurrent laryngeal nerve?

      Your Answer: Cricothyroid

      Correct Answer: Posterior cricoarytenoid

      Explanation:

      The posterior cricoarytenoid muscle, which is the sole abductor of the vocal folds, receives its innervation from the inferior laryngeal nerve which is a continuation of the recurrent laryngeal nerve.

    • This question is part of the following fields:

      • Anatomy
      • Head & Neck
      10.7
      Seconds
  • Question 12 - A 35 year-old woman is undergoing thyroidectomy. The external laryngeal nerve may be...

    Incorrect

    • A 35 year-old woman is undergoing thyroidectomy. The external laryngeal nerve may be injured whilst ligating this artery during the procedure due to its close relationship?

      Your Answer: Inferior thyroid artery

      Correct Answer: Superior thyroid artery

      Explanation:

      The superior thyroid artery arises from the external carotid artery just below the level of the greater cornu of the hyoid bone and ends in the thyroid gland. This artery must be ligated at the thyroid when conducting a thyroidectomy. If the artery is severed, but not ligated, it will bleed profusely. In order to gain control of the bleeding, the surgeon may need to extend the original incision laterally to ligate the artery at its origin at the external carotid artery. The external laryngeal branch of the superior laryngeal nerve courses in close proximity to the superior thyroid artery, making it at risk for injury during surgery.

    • This question is part of the following fields:

      • Anatomy
      • Head & Neck
      76.4
      Seconds
  • Question 13 - Which one of the following groups of lymph nodes is most likely to...

    Incorrect

    • Which one of the following groups of lymph nodes is most likely to be inflamed due to paronychia involving the big toe?

      Your Answer: External iliac lymph nodes

      Correct Answer: Vertical group of superficial inguinal lymph nodes

      Explanation:

      Paronychia affecting the big toe will result in inflammation of the superficial inguinal lymph nodes as it drains lymph from the big toe.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      15.6
      Seconds
  • Question 14 - Which of these infectious agents tends to affect people under 20 and over...

    Correct

    • Which of these infectious agents tends to affect people under 20 and over 40 years old, can cause acute encephalitis with cerebral oedema and petechial haemorrhages, along with haemorrhagic lesions of the temporal lobe. A lumbar puncture will reveal clear cerebrospinal fluid with an elevated lymphocyte count?

      Your Answer: Herpes simplex virus

      Explanation:

      Haemorrhagic lesions of the temporal lobe are typical of Herpes simplex encephalitis (HSE). It tends to affect patients aged under 20 or over 40 years, and is often fatal if left untreated. In acute encephalitis, cerebral oedema and petechial haemorrhages occur and direct viral invasion of the brain usually damages neurones. The majority of cases of herpes encephalitis are caused by herpes simplex virus-1 (HSV-1), and about 10% of cases of herpes encephalitis are due to HSV-2, which is typically spread through sexual contact.

    • This question is part of the following fields:

      • Neurology
      • Pathology
      27.3
      Seconds
  • Question 15 - What is the likely course of a pulmonary embolism arising from the leg...

    Incorrect

    • What is the likely course of a pulmonary embolism arising from the leg veins and ending in the apical segmental pulmonary artery that supplies the superior lobe of left lung?.

      Your Answer: Inferior vena cava – right atrium – tricuspid valve – right ventricle – pulmonary trunk – left pulmonary artery – left bronchial artery – left apical segmental artery

      Correct Answer: Inferior vena cava – right atrium – tricuspid valve – right ventricle – pulmonary trunk – left pulmonary artery – left superior lobar artery – left apical segmental artery

      Explanation:

      A clot originating in the leg vein will go to the inferior vena cava, into the right atrium, through the tricuspid valve, into the right ventricle, through the pulmonary trunk, into the left pulmonary artery, into the left superior lobar artery and then finally reach the left apical segmental artery.

    • This question is part of the following fields:

      • Anatomy
      • Thorax
      90.9
      Seconds
  • Question 16 - Cranial nerve XII, the hypoglossal nerve, innervates which one of the following muscles...

    Correct

    • Cranial nerve XII, the hypoglossal nerve, innervates which one of the following muscles in the list?

      Your Answer: Hyoglossus

      Explanation:

      The cranial nerve XII, hypoglossal nerve, innervates all the intrinsic and extrinsic muscles of the tongue except the palatoglossus. The muscles of the tongue innervated by this nerve include the extrinsic muscles; hyoglossus, styloglossus, genioglossus and the intrinsic muscles; superior longitudinal, inferior longitudinal, vertical and transverse muscles. The salpingopharyngeus, palatoglossus and the palatopharyngeus muscles are innervated by the vagus nerve. The stylopharyngeus muscle is innervated by the glossopharyngeal nerve (CN IX). The mylohyoid muscle is innervated by the inferior alveolar nerve, a branch of the mandibular nerve. Finally, the geniohyoid muscle is innervated by the olfactory nerve (CN I) via the hypoglossal nerve.

    • This question is part of the following fields:

      • Anatomy
      • Head & Neck
      13.2
      Seconds
  • Question 17 - The cranial nerves of the brain provide motor and sensory innervation to the...

    Correct

    • The cranial nerves of the brain provide motor and sensory innervation to the structures of the head and neck. Which of the following cranial nerves provide only motor innervation?

      Your Answer: Abducens

      Explanation:

      The cranial nerves emerge directly from the brain and the brain stem. They provide sensory, motor or both motor and sensory innervation. Here is a summary of the cranial nerves and their function:

      Olfactory – Purely sensory

      Optic – Sensory

      Oculomotor – Mainly motor

      Trochlear – Motor

      Trigeminal – Both sensory and motor

      Abducens – Mainly motor

      Facial – Both sensory and motor

      Vestibulocochlear – Mostly sensory

      Glossopharyngeal – Both sensory and motor

      Vagus – Both sensory and motor

      Accessory – Mainly motor

      Hypoglossal – Mainly motor

    • This question is part of the following fields:

      • Anatomy
      • Head & Neck
      24.2
      Seconds
  • Question 18 - The tympanic membrane is a thin semi-transparent membrane that separates the tympanic cavity...

    Incorrect

    • The tympanic membrane is a thin semi-transparent membrane that separates the tympanic cavity from the bottom of the external acoustic meatus. The interior of the tympanic membrane is innervated by which of the following cranial nerves?

      Your Answer: Vestibulocochlear

      Correct Answer: Glossopharyngeal

      Explanation:

      The glossopharyngeal nerve, known as the ninth cranial nerve (CN IX), is a mixed nerve that carries afferent sensory and efferent motor information. The glossopharyngeal nerve has five distinct general functions:

      – The branchial motor (special visceral efferent), supplies the stylopharyngeus muscle.

      – The visceral motor (general visceral efferent), provides parasympathetic innervation of the parotid gland via the otic ganglion.

      – The visceral sensory (general visceral afferent), carries visceral sensory information from the carotid sinus and carotid body.

      – The general sensory (general somatic afferent), provides general sensory information from the inner surface of the tympanic membrane, upper pharynx (GVA), and the posterior one-third of the tongue.

      – The visceral afferent (special visceral afferent), provides taste sensation from the posterior one-third of the tongue, including the circumvallate papillae.

    • This question is part of the following fields:

      • Anatomy
      • Head & Neck
      22.3
      Seconds
  • Question 19 - The sciatic nerve does NOT supply which of the following muscles? ...

    Correct

    • The sciatic nerve does NOT supply which of the following muscles?

      Your Answer: Obturator externus

      Explanation:

      The sciatic nerve supplies both gemellae, quadratus femoris, semitendinosus, semimembranosus, both heads of the biceps femoris, the hamstring half of abductor magnus and obturator internus. Obturator externus is supplied by the obturator nerve.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      17.9
      Seconds
  • Question 20 - A 60 year old female patient who has suffered an embolic stroke that...

    Correct

    • A 60 year old female patient who has suffered an embolic stroke that affected her middle cerebral artery as revealed by a CT scan is likely to exhibit which of the following neurologic conditions?

      Your Answer: Contralateral hemiplegia

      Explanation:

      The middle cerebral artery is a major artery that supplies blood to the cerebrum. It continues from the internal carotid artery up into the lateral sulcus. The middle cerebral artery mainly supplies the lateral aspect of the cerebral cortex, anterior aspect of the temporal lobes and the insular cortices.

      Functional areas supplied by this vein are as follows:

      The motor and pre-motor areas

      The somato-sensory

      Auditory areas

      Motor speech

      Sensory speech

      Pre-frontal area

      Occlusion of the middle cerebral artery results in:

      i) A severe contralateral hemiplegia, most marked in the upper extremity and face

      ii) A contralateral sensory impairment worse in the upper part of the body.

    • This question is part of the following fields:

      • Anatomy
      • Head & Neck
      32.4
      Seconds
  • Question 21 - A 70-year-old man who was previously healthy develops a rapidly progressing neurological deficit....

    Incorrect

    • A 70-year-old man who was previously healthy develops a rapidly progressing neurological deficit. A MRI reveals a large, poorly defined mass with central necrosis in his left temporal lobe. What is the most likely diagnosis?

      Your Answer: Meningioma

      Correct Answer: Glioblastoma multiforme

      Explanation:

      Glioblastoma multiforme, or grade 4 astrocytoma, is the most common and aggressive primary brain tumour. They are formed by small areas of necrotising tissue surrounded by highly anaplastic cells. Most of them arise from the deep white matter of the brain and quickly infiltrate it, becoming very large before they are symptomatic. The most common symptom is progressive memory, personality or neurological deficit due to temporal and frontal lobe involvement. It is most common in men, and risk factors include: neurofibromatosis, tuberous sclerosis, Von Hippel-Lindau disease, Li-Fraumeni syndrome, and Turcot syndrome.

    • This question is part of the following fields:

      • Neurology
      • Pathology
      21.1
      Seconds
  • Question 22 - A 50 year old female patient with an history of chronic headache was...

    Incorrect

    • A 50 year old female patient with an history of chronic headache was scheduled for CT scan. If the CT scan revealed a tumour at the horn of the lateral ventricle, which of the following structures is most likely to be compressed by this tumour?

      Your Answer:

      Correct Answer: Fibres of the corpus callosum

      Explanation:

      The ventricular system of the brain is made up of four ventricles namely; two lateral and a third and forth ventricle. The ventricles are the site of the development of the cerebrospinal fluid. The left and right lateral ventricles are located in each of the brain’s hemispheres. The roof of the lateral ventricles are made up of the fibres of the corpus callosum. This is the structure that would be compressed by the a tumour on the roof of the lateral ventricles.

    • This question is part of the following fields:

      • Anatomy
      • Head & Neck
      0
      Seconds
  • Question 23 - Which of the following structure contains the parasympathetic pre-ganglionic nucleus that innervates the...

    Incorrect

    • Which of the following structure contains the parasympathetic pre-ganglionic nucleus that innervates the iris sphincter muscle and the ciliary muscle?

      Your Answer:

      Correct Answer: Edinger–Westphal nucleus

      Explanation:

      The Edinger–Westphal nucleus (accessory oculomotor nucleus) is the parasympathetic pre-ganglionic nucleus that innervates the iris sphincter muscle and the ciliary muscle.

    • This question is part of the following fields:

      • Anatomy
      • Head & Neck
      0
      Seconds
  • Question 24 - A 38 year-old man falls on an outstretched hand. X-rays indicate an anterior...

    Incorrect

    • A 38 year-old man falls on an outstretched hand. X-rays indicate an anterior dislocation of one of the carpal bones. Which carpal bone is most commonly dislocated?

      Your Answer:

      Correct Answer: Lunate

      Explanation:

      The scaphoid bone is the most commonly fractured carpal bone and has an increased risk of avascular necrosis.

      The lunate is the most commonly dislocated carpal bone. The displaced bone may compress the median nerve in the carpal tunnel.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds
  • Question 25 - What intrinsic muscle of the larynx is responsible for the tensing of the...

    Incorrect

    • What intrinsic muscle of the larynx is responsible for the tensing of the vocal cords?

      Your Answer:

      Correct Answer: Cricothyroid muscle

      Explanation:

      The cricothyroid muscle is the only tensor muscle of the larynx aiding with phonation. It attaches to the anterolateral aspect of the cricoid and the inferior cornu and lower lamina of the thyroid cartilage. Its action tilts the thyroid forward to help tense the vocal cords.

    • This question is part of the following fields:

      • Anatomy
      • Head & Neck
      0
      Seconds
  • Question 26 - The inferior palpebral nerve ascends behind the orbicularis oculi. What is the terminal...

    Incorrect

    • The inferior palpebral nerve ascends behind the orbicularis oculi. What is the terminal branch of the inferior palpebral nerve?

      Your Answer:

      Correct Answer: Infraorbital nerve

      Explanation:

      The inferior palpebral nerve is a branch of the maxillary nerve. It supplies the skin and conjunctiva of the lower eyelid.

    • This question is part of the following fields:

      • Anatomy
      • Head & Neck
      0
      Seconds
  • Question 27 - In the adult heart, the sinus venosus gives rise to the: ...

    Incorrect

    • In the adult heart, the sinus venosus gives rise to the:

      Your Answer:

      Correct Answer: Coronary sinus

      Explanation:

      The sinus venosus is a large quadrangular cavity which precedes the atrium on the venous side of the chordate heart. It exists distinctly only in the embryonic heart (where it is found between the two venae cavae); however, the sinus venosus persists in the adult. In the adult, it is incorporated into the wall of the right atrium to form a smooth part called the sinus venarum, which is separated from the rest of the atrium by a ridge of fibres called the crista terminalis. The sinus venosus also forms the SA node and the coronary sinus.

    • This question is part of the following fields:

      • Anatomy
      • Embryology
      0
      Seconds
  • Question 28 - A previously healthy 40-year-old housewife suddenly complains of a headache and loses consciousness....

    Incorrect

    • A previously healthy 40-year-old housewife suddenly complains of a headache and loses consciousness. A CT scan reveals subarachnoid haemorrhage. Which of the following is the most probable cause?

      Your Answer:

      Correct Answer: Ruptured berry aneurysm

      Explanation:

      Saccular aneurysms, also known as berry aneurysms, appear as a round outpouching and are the most common form of cerebral aneurysm. They are a congenital intracranial defect, and haemorrhage can occur at any age, but is most common between the ages of 40-65 years. A second rupture (rebleeding) sometimes occurs, most often within about 7 days of the first bleed.

    • This question is part of the following fields:

      • Neurology
      • Pathology
      0
      Seconds
  • Question 29 - The otic ganglion receives its preganglionic sympathetic fibres from which of the following...

    Incorrect

    • The otic ganglion receives its preganglionic sympathetic fibres from which of the following nerves?

      Your Answer:

      Correct Answer: Glossopharyngeal nerve

      Explanation:

      The otic ganglion is a small (2–3 mm), oval shaped, flattened parasympathetic ganglion of a reddish-grey colour, located immediately below the foramen ovale in the infratemporal fossa and on the medial surface of the mandibular nerve. The preganglionic parasympathetic fibres originate in the inferior salivatory nucleus of the glossopharyngeal nerve. They leave the glossopharyngeal nerve by its tympanic branch and then pass via the tympanic plexus and the lesser petrosal nerve to the otic ganglion. Here, the fibres synapse, and the postganglionic fibres pass by communicating branches to the auriculotemporal nerve, which conveys them to the parotid gland. They produce vasodilator and secretomotor effects.

    • This question is part of the following fields:

      • Anatomy
      • Head & Neck
      0
      Seconds
  • Question 30 - The muscle which has an antagonistic action to the serratus anterior muscle and...

    Incorrect

    • The muscle which has an antagonistic action to the serratus anterior muscle and is one of the retractors of the scapula is the?

      Your Answer:

      Correct Answer: Rhomboid major

      Explanation:

      Protraction is accomplished by the actions of the serratus anterior, pectoralis major, and pectoralis minor muscles. Retraction is accomplished by the actions of the trapezius, rhomboids, and latissimus dorsi muscles.

      The rhomboid major arises from the second, third, fourth and fifth thoracic vertebrae. It is inserted into a narrow tendinous arch attached to the root of the spine of the scapula and the inferior angle. By its insertion in the inferior angle of the scapula, it acts on this angle and produces a slight rotation of the scapula on the side of the chest. It also retracts the scapula by working with the trapezius muscle.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds
  • Question 31 - Dysarthria, nystagmus and a tremor worsening with directed movement are likely to be...

    Incorrect

    • Dysarthria, nystagmus and a tremor worsening with directed movement are likely to be seen in:

      Your Answer:

      Correct Answer: Cerebellar disease

      Explanation:

      The given symptoms are seen in diseases affecting the cerebellum. A cerebellar tremor is a slow tremor that occurs at the end of a purposeful movement. It is seen in cerebellar disease, such as multiple sclerosis or some inherited degenerative disorders and chronic alcoholism. Classically, tremors are produced in the same side of the body as a one-sided lesion. Cerebellar disease can also result in a wing-beating’ type of tremor called rubral or Holmes’ tremor – a combination of rest, action and postural tremors. Other signs of cerebellar disease include dysarthria (speech problems), nystagmus (rapid, involuntary rolling of the eyes), gait problems and postural tremor of the trunk and neck.

    • This question is part of the following fields:

      • Neurology
      • Physiology
      0
      Seconds
  • Question 32 - A surgeon performing a thymectomy to remove a malignant thymoma is careful to...

    Incorrect

    • A surgeon performing a thymectomy to remove a malignant thymoma is careful to avoid damaging an important nerve lying around the arch of the aorta. Which nerve is the surgeon trying to preserve?

      Your Answer:

      Correct Answer: Left Vagus

      Explanation:

      The left vagus nerve lies on the lateral surface of the aortic arch. The left recurrent laryngeal nerve arises from the vagus and loops around the arch of the aorta. This nerve is at risk of injury during surgery.

      The right and left phrenic nerves, being lateral to the vagus, do not loop around the arch of the aorta.

      The sympathetic trunks, both right and left, are located in the posterior chest; not near the aortic arch.

      The right vagus: not involved with the aortic arch.

    • This question is part of the following fields:

      • Anatomy
      • Thorax
      0
      Seconds
  • Question 33 - A tumour on the floor of the fourth ventricle is most likely to...

    Incorrect

    • A tumour on the floor of the fourth ventricle is most likely to compress which of the following cranial nerve nuclei?

      Your Answer:

      Correct Answer: Abducent

      Explanation:

      The fourth ventricle, is a cavity of the brains ventricular system in which the cerebrospinal fluid is formed. This cavity is located behind the pons and upper half of the medulla oblongata. It extends from the cerebral aqueduct, to its connection to the third ventricle, and to the obex- which is the caudal tip of the fourth ventricle. The floor of the fourth ventricle consists of three parts – superior, intermediate and inferior. This inferior aspect of the floor of the fourth ventricle has the nucleus of the abducens nerve, CN VI which is looped over by the facial nerve.

    • This question is part of the following fields:

      • Anatomy
      • Head & Neck
      0
      Seconds
  • Question 34 - A 36-year-old woman suddenly suffers from a generalized seizure. She was previously healthy....

    Incorrect

    • A 36-year-old woman suddenly suffers from a generalized seizure. She was previously healthy. An emergency CT scan reveals a mass in the posterior fossa, with distortion of the lateral ventricles. After removing the tumour, the biopsy reveals it contains glial fibrillary acidic protein (GEAP). What's the most likely diagnosis?

      Your Answer:

      Correct Answer: Astrocytoma

      Explanation:

      Astrocytomas are primary intracranial tumours derived from astrocyte cells of the brain. They can arise in the cerebral hemispheres, in the posterior fossa, in the optic nerve and, rarely, in the spinal cord. These tumours express glial fibrillary acidic protein (GFAP). In almost half of cases, the first symptom of an astrocytoma is the onset of a focal or generalised seizure. Between 60% and 75% of patients will have recurrent seizures during the course of their illness. Secondary clinical sequelae may be caused by elevated intracranial pressure (ICP) cause by the direct mass effect, increased blood volume, or increased cerebrospinal fluid (CSF) volume. CT will usually show distortion of the third and lateral ventricles, with displacement of the anterior and middle cerebral arteries. Histological diagnosis with tissue biopsy will normally reveal an infiltrative character suggestive of the slow growing nature of the tumour.

    • This question is part of the following fields:

      • Neurology
      • Pathology
      0
      Seconds
  • Question 35 - Which of these foramen is located at the base of the skull and...

    Incorrect

    • Which of these foramen is located at the base of the skull and transmits the accessory meningeal artery?

      Your Answer:

      Correct Answer: Foramen ovale

      Explanation:

      At the base of the skull the foramen ovale is one of the larger of the several holes that transmit nerves through the skull. The following structures pass through foramen ovale: mandibular nerve, motor root of the trigeminal nerve, accessory meningeal artery, lesser petrosal nerve, a branch of the glossopharyngeal nerve, emissary vein connecting the cavernous sinus with the pterygoid plexus of veins and occasionally the anterior trunk of the middle meningeal vein.

    • This question is part of the following fields:

      • Anatomy
      • Head & Neck
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  • Question 36 - What principal artery that supplies the meninges is susceptible to rupture following trauma...

    Incorrect

    • What principal artery that supplies the meninges is susceptible to rupture following trauma to the side of the head over the temporal region:

      Your Answer:

      Correct Answer: Middle meningeal artery

      Explanation:

      The middle meningeal artery normally arises from the first or mandibular segment of the maxillary artery. The artery runs in a groove on the inside of the cranium, this can clearly be seen on a lateral skull X-ray. An injured middle meningeal artery is the most common cause of an epidural hematoma.

    • This question is part of the following fields:

      • Anatomy
      • Head & Neck
      0
      Seconds
  • Question 37 - What are some of the derivatives of the second pharyngeal arch? ...

    Incorrect

    • What are some of the derivatives of the second pharyngeal arch?

      Your Answer:

      Correct Answer: Stylohyoid muscle

      Explanation:

      Also known as the hyoid arch, it forms the side and front of the neck. From its cartilage develops the styloid process, stylohyoid ligament and lesser cornu of the hyoid bone. The muscular derivatives include the muscles of facial expression, stapedius, stylohyoid and the posterior belly of the digastric. All these are innervated by cranial nerve VII but migrate into the area of the mandibular arch.

    • This question is part of the following fields:

      • Anatomy
      • Embryology
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  • Question 38 - Which of the following statements regarding the arteries in the neck are TRUE?...

    Incorrect

    • Which of the following statements regarding the arteries in the neck are TRUE?

      Your Answer:

      Correct Answer: The thyrocervical trunk typically gives rise to the inferior thyroid artery, transverse cervical artery and suprascapular artery

      Explanation:

      The thyrocervical trunk is one of the three branches of the first part of the subclavian artery and gives numerous branches which supply viscera of the neck, the brachial plexus, neck muscles and scapular anastomoses. The vertebral arteries are major arteries of the neck. They arise as branches from the subclavian arteries and merge to form the single midline basilar artery. The carotid sinus is a dilated area at the base of the internal carotid artery just superior to the bifurcation of the internal carotid and external carotid at the level of the superior border of thyroid cartilage.

    • This question is part of the following fields:

      • Anatomy
      • Head & Neck
      0
      Seconds
  • Question 39 - An old man presented with atrophy of the thenar eminence despite the sensation...

    Incorrect

    • An old man presented with atrophy of the thenar eminence despite the sensation over it still being intact. What is the injured nerve in this case?

      Your Answer:

      Correct Answer: Median nerve

      Explanation:

      Atrophy of the thenar muscles means injury to the motor supply of these muscles. The nerve that sends innervation to it is the median nerve. But the median nerve does not provide sensory innervation to the overlying skin so sensation is spared.

    • This question is part of the following fields:

      • Anatomy
      • Upper Limb
      0
      Seconds
  • Question 40 - The following structures DO NOT lie between the layers of the mesosalpinx except...

    Incorrect

    • The following structures DO NOT lie between the layers of the mesosalpinx except for the?

      Your Answer:

      Correct Answer: Fallopian tube

      Explanation:

      Mesosalpinx is the portion of the broad ligament that stretches from the fallopian tube to the ovary and contains the uterine tubes between it’s layers.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      0
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Anatomy (9/17) 53%
Upper Limb (0/1) 0%
Head & Neck (4/9) 44%
Pelvis (1/1) 100%
Lower Limb (3/4) 75%
Thorax (1/2) 50%
Neurology (3/4) 75%
Physiology (2/2) 100%
Pathology (1/2) 50%
Passmed