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Question 1
Incorrect
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The external laryngeal nerve is responsible for the innervation of which of the following muscles?
Your Answer: Transverse arytenoid
Correct Answer: Cricothyroid
Explanation:The external laryngeal nerve arises from the superior laryngeal nerve and provides innervation to the cricothyroid muscle.
The other muscles mentioned receive their innervations from the recurrent laryngeal nerve.
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This question is part of the following fields:
- Anatomy
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Question 2
Incorrect
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Which structure passes through the foramen magnum?
Your Answer: Accessory nerve
Correct Answer: Spinal roots of the accessory nerve
Explanation:The structures that pass through the foramen magnum are:
Meningeal lymphatics
Spinal cord
Spinal meninges
Sympathetic plexus of vertebral arteries
Vertebral arteries
Vertebral artery spinal branches
The spinal roots of the accessory nerve.The jugular foramen contains the vagus nerve, the accessory nerve and glossopharyngeal nerve.
The vertebral veins does not pass into the skull.
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This question is part of the following fields:
- Anatomy
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Question 3
Incorrect
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The clavipectoral fascia is penetrated by the cephalic vein to terminate in which of the listed veins?
Your Answer:
Correct Answer: Axillary
Explanation:The cephalic vein is a superficial vein that runs through the forearm and the arm, before draining into the axillary vein where it terminates.
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This question is part of the following fields:
- Anatomy
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Question 4
Incorrect
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The coronary sinus is a collection of veins joined together to form a large vessel that collects blood from the myocardium. Which structure forms the largest tributary of the coronary sinus?
Your Answer:
Correct Answer: Great cardiac vein
Explanation:The coronary sinus is large venous structure located on the posterior aspect of the left atrium, coursing within the left atrioventricular groove. The function of the coronary sinus is to drain the venous blood from the majority of the heart. It opens into the right atrium between the opening of inferior vena cava, the fossa ovalis and the right atrioventricular orifice. The coronary sinus is often guarded by a thin, semicircular endocardial fold, also known as the thebesian valve.
Tributaries include: Great cardiac vein, middle cardiac vein, small cardiac vein, posterior vein of left ventricle, oblique vein of left atrium. The great cardiac vein is the largest tributary of the coronary sinus. -
This question is part of the following fields:
- Anatomy
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Question 5
Incorrect
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A 50-year-old woman is brought into the emergency department in an ambulance. She was found collapsed on the street. She has visual and oculomotor deficits on examination, but her motor function is intact.
A digital subtraction angiography is performed that shows occlusion of the basilar artery at the site where the vertebral arteries fuse to form the basilar artery.
Which anatomical landmark corresponds to this site of occlusion?Your Answer:
Correct Answer: The base of the pons
Explanation:The basilar artery is a large vessel that is formed by the union of the vertebral arteries at the junction of the medulla and pons. It lies in the pontine cistern and follows a shallow groove on the ventral pontine surface, extending to the upper border of the pons.
The basilar artery then bifurcates into the two posterior cerebral arteries that form part of the Circle of Willis.
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This question is part of the following fields:
- Anatomy
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Question 6
Incorrect
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The spinal cord tracts that transmits the sensations of pain, crude temperature, and light touch is?
Your Answer:
Correct Answer: Spinothalamic
Explanation:Dorsal column (ascending tract) – Proprioception, vibration, discriminative
Spinocerebellar (ascending tract) – Subconscious muscle position and tone
Corticospinal (descending tract) – Voluntary muscle
Rubrospinal (descending tract) – Flexor muscle tone
Vestibulospinal (descending tract) – Reflexes and muscle tone
Reticulospinal(descending tract) – Voluntary movements, head position.-
Autonomic – Descending tract.
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This question is part of the following fields:
- Anatomy
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Question 7
Incorrect
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A 53-year-old-male is being operated on for a right hemicolectomy. In the procedure, the ileocolic artery is ligated. Which vessel does this artery originate from?
Your Answer:
Correct Answer: Superior mesenteric artery
Explanation:The ileocolic artery is the terminal branch of the superior mesenteric artery. It supplies:
1. terminal ileum
2. proximal right colon
3. cecum
4. appendix (via its branch of the appendicular artery)As veins accompany arteries in the mesentery and are lined by lymphatics, high ligation is the norm in cancer resections—the ileocolic artery branches off the SMA near the duodenum.
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This question is part of the following fields:
- Anatomy
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Question 8
Incorrect
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The mandibular division of the trigeminal nerve passes through which anatomic structure?
Your Answer:
Correct Answer: Foramen ovale
Explanation:The mandibular branch of the trigeminal nerve passes through the foramen ovale. Other structures that pass through this foramen are the accessory meningeal artery, and occasionally, the lesser petrosal nerve.
These are the structures that pass through the other openings in the cranial fossa:
Foramen rotundum – Maxillary branch of the trigeminal nerve
Foramen lacerum – Greater petrosal nerve, traversed by the internal carotid artery
Superior orbital fissure – Oculomotor nerve; trochlear nerve; lacrimal, frontal and nasociliary branches of the ophthalmic branch of the trigeminal nerve; abducens nerve, superior ophthalmic vein
Stylomastoid foramen – facial nerve
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This question is part of the following fields:
- Anatomy
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Question 9
Incorrect
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Which of the following statements is true regarding the relation to the liver?
Your Answer:
Correct Answer: The caudate lobe is superior to the porta hepatis
Explanation:Ligamentum venosum is an anterior relation of the liver: The ligamentum venosum, the fibrous remnant of the ductus venosus of the fetal circulation, lies posterior to the liver. It lies in the fossa for ductus venosus that separates the caudate lobe and the left lobe of the liver.
The portal triad contains three important tubes: 1. Proper hepatic artery 2. Hepatic portal vein 3. Bile ductules It also contains lymphatic vessels and a branch of the vagus nerve.
The bare area of the liver is a large triangular area that is devoid of any peritoneal covering. The bare area is attached directly to the diaphragm by loose connective tissue. This nonperitoneal area is created by a wide separation between the coronary ligaments.
The porta hepatis is a fissure in the inferior surface of the liver. All the neurovascular structures (except the hepatic veins) and hepatic ducts enter or leave the liver via the porta hepatis. It contains the sympathetic branch to the liver and gallbladder and the parasympathetic, hepatic branch of the vagus nerve. The caudate lobe (segment I) lies in the lesser sac on the inferior surface of the liver between the IVC on the right, the ligamentum venosum on the left, and the porta hepatis in front
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This question is part of the following fields:
- Anatomy
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Question 10
Incorrect
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An 80-year-old female suffered a TIA 2 weeks ago. She has been admitted to the vascular ward as she will be undergoing carotid endarterectomy tomorrow morning. To explain the procedure and its complications, the surgeon gives her information about the procedure, telling her the artery will be tied during the operation.
She inquires about the areas supplied by the different arteries. You explain that the internal carotid artery supplies the brain while the external carotid artery ascends the neck and bifurcates into two arteries. One of these arteries is the superficial temporal artery. Which of the following is the second branch?Your Answer:
Correct Answer: Maxillary artery
Explanation:Carotid endarterectomy is the procedure to relieve an obstruction in the carotid artery by opening the artery at its origin and stripping off the atherosclerotic plaque with the intima. This procedure is performed to prevent further episodes, especially in patients who have suffered ischemic strokes or transient ischemic attacks.
The external carotid artery terminates by dividing into the superficial temporal and maxillary branches. The maxillary artery is the larger of the two terminal branches and arises posterior to the neck of the mandible.
The other arteries mentioned in the answer options branch off from the following:
Temporal arteries from the maxillary artery
Middle meningeal artery from the maxillary artery
Lingual artery from the anterior aspect of the external carotid artery
Facial artery from the anterior aspect of the external carotid artery -
This question is part of the following fields:
- Anatomy
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Question 11
Incorrect
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With regards to the internal carotid artery, which of these statements is correct.
Your Answer:
Correct Answer: Enters the skull and divides into the anterior and middle cerebral arteries
Explanation:The internal carotid artery passes through the carotid canal in the petrous part of the temporal bone into the cranial cavity. It does NOT groove the sphenoid bone.
The internal carotid artery gives off no branches in the neck and is a terminal branch of the common carotid artery.
These structures pass between the external and internal carotid arteries: the styloglossus and stylopharyngeus muscles, the glossopharyngeal nerve (CN IX), and the pharyngeal branch of the vagus.
Accompanied by its sympathetic plexus, the internal carotid artery, passes through the cavernous sinus and is crossed by the abducent nerve.
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This question is part of the following fields:
- Anatomy
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Question 12
Incorrect
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The spinal cord in a neonate terminates at the lower border of:
Your Answer:
Correct Answer: L3
Explanation:The spinal cord and the vertebral canal are as long as each other in early fetal life. The length of the cord increases faster than the growth of the vertebrae during development. By the time of birth, the spinal cord is at the level of the lower border of the 3rd lumbar vertebra, compared to its original position at the level of the 2nd coccygeal vertebra.
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This question is part of the following fields:
- Anatomy
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Question 13
Incorrect
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Which of the following structures does the vertebral artery NOT traverse?
Your Answer:
Correct Answer: Intervertebral foramen
Explanation:The vertebral artery originates from the subclavian artery and ascends through the neck in the transverse foramen of the C1-C6 vertebrae. C2 vertebra is called the axis vertebra. A part of the vertebral artery lies in a groove on the upper surface of the atlas’s (C1) posterior arch. It enters the vertebral canal below the inferior border of the posterior atlantooccipital membrane. The vertebral arteries then enter the skull via the foramen magnum.
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This question is part of the following fields:
- Anatomy
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Question 14
Incorrect
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Concerning the intercostal nerves, which one of the following is true?
Your Answer:
Correct Answer: Each is connected to a ganglion of the sympathetic trunk
Explanation:The intercostal nerves arise from the ventral rami of the first 11 thoracic spinal nerves. they course along the costal groove on the lower margin of the rib.
The twelfth intercoastal nerve is called the subcostal nerve. This is because it is below the 12th rib.
Each intercostal nerve is connected to a ganglion of the sympathetic trunk from which it carries preganglionic and postganglionic fibres that innervate blood vessels, sweat glands, and muscles.
The lateral and medial pectoral nerves innervates pectoralis major muscle.
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This question is part of the following fields:
- Anatomy
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Question 15
Incorrect
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Of the following, which is NOT a branch of the subclavian artery?
Your Answer:
Correct Answer: Superior thyroid artery
Explanation:The left subclavian artery originates from the aortic arch, while the right subclavian artery originates from the brachiocephalic artery.
The subclavian artery gives off branches on both sides of the body:
1. Vertebral artery
2. Internal thoracic artery
3. Thyrocervical trunk
4. Costocervical trunk
5. Dorsal scapular arteryThe superior thyroid artery is the first branch of the external carotid artery. The other branches of the external carotid artery are:
1. Superior thyroid artery
2. Ascending pharyngeal artery
3. Lingual artery
4. Facial artery
5. Occipital artery
6. Posterior auricular artery
7. Maxillary artery
8. Superficial temporal artery -
This question is part of the following fields:
- Anatomy
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Question 16
Incorrect
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What structure is most critical in providing support for the duodenojejunal flexure?
Your Answer:
Correct Answer: Ligament of Treitz
Explanation:The duodenojejunal flexure is the point where the duodenum becomes the jejunum.
The ligament of Treitz, which arises from the right crus of diaphragm, provides suspension for support.
Between the ileum and the caecum is the ligament of Treves.
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This question is part of the following fields:
- Anatomy
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Question 17
Incorrect
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Which one is true with respect to the first rib?
Your Answer:
Correct Answer: Scalenus anterior is inserted onto the scalene tubercle
Explanation:Specific knowledge of the anatomical relationship is required to address this examination question.
The first rib is small and thick and contains a single facet that articulates at the costovertebral joint. It consist of a head, neck and shaft but a discrete angle is deficit. Along the side the shaft is indented with a groove for the subclavian artery and the lower brachial plexus trunk. Front to the scalene tubercle is a space for the subclavian vein.
The first rib has the scalenus front muscle joined to the scalene tubercle, isolating the subclavian vein (anteriorly) from the subclavian artery (posteriorly). This anatomical relationship is of major significance with respect to subclavian vein cannulation.
The 1st rib has the following relationships:
superior: lower trunk of the brachial plexus, subclavian vessels, clavicle.
inferior: intercostal vessels and nerves
posterior and inferior: pleura
anterior: sympathetic trunk (over neck)
superior intercostal artery, ventral T1 nerve root
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This question is part of the following fields:
- Anatomy
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Question 18
Incorrect
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A 55-year-old male is diagnosed with superior vena cava obstruction. What is the number of collateral circulations that exist for alternate pathways for venous return?
Your Answer:
Correct Answer: Four
Explanation:Superior vena cava is the main vein bringing blood back to the heart. It can get partially or completely blocked by various causes, the most common being due to malignant tumours of the mediastinum.
There are collateral pathways that form in long-standing cases with 60% or more stenosis and continue venous drainage in cases of superior vena obstruction. The collaterals are classified into four as follows:
1. The azygos-hemiazygos pathway
Azygos, hemiazygos, intercostal, and lumbar veins.2. The internal and external mammary pathway
internal mammary, superior epigastric, and inferior epigastric veins and superficial veins of the thorax.3. The lateral thoracic pathway
Lateral thoracic, thoracoepigastric, superficial circumflex, long saphenous, and femoral veins to collateralize to the IVC.4. The vertebral pathway
Innominate, vertebral, intercostal, lumbar, and sacral veins to collateralize to the azygos and internal mammary pathways. -
This question is part of the following fields:
- Anatomy
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Question 19
Incorrect
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Which compound is secreted only from the adrenal medulla?
Your Answer:
Correct Answer: Adrenaline
Explanation:The adrenal medulla comprises chromaffin cells (pheochromocytes), which are functionally equivalent to postganglionic sympathetic neurons. They synthesize, store and release the catecholamines noradrenaline (norepinephrine) and adrenaline (epinephrine) into the venous sinusoids.
The majority of the chromaffin cells synthesize adrenaline. -
This question is part of the following fields:
- Anatomy
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Question 20
Incorrect
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A 41-year-old man, with symptomatic tracheal compression is scheduled for a thyroidectomy. He has previous personal history of hyperthyroidism, controlled by a carbimazole prescription.
He has previously presented to the emergency department with dyspnoea and stridor, for which the surgery is indicated. Prior to his thyroidectomy, excessive bleeding is controlled for by ligation of the superior thyroid artery.
The superior thyroid artery branches into the superior laryngeal artery which is closely related to a structure which upon injury will cause loss of sensation in the laryngeal mucosa.
What is the name of this structure?Your Answer:
Correct Answer: Internal laryngeal nerve
Explanation:The internal laryngeal nerve provides sensory innervation to the laryngeal mucosa, and injury to it will cause loss of sensation.
The internal laryngeal nerve lies inferior to the piriform recess mucous membrane, placing it at high risk of irritation or damage by objects which become lodged in the recess.
The internal laryngeal artery branches off the superior laryngeal artery accompanied by the superior laryngeal nerve, inferior to the thyroid artery which branches off the superior thyroid artery close to its bifurcation from the external carotid artery.
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This question is part of the following fields:
- Anatomy
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