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T&D- ANATOMY-I

1. Regarding the deltoid muscle – One of d. Supplied by the thoracodorsal nerve (C6,7,8)
following statement is False. e. All of the above
a. Is attached to the surgical neck of the 5. With respect to the axilla:
humerus a. The thoracodorsal nerve runs posterior to the
b. Can be paralyzed following a fracture of the mid axillary line on serratus anterior, which it
surgical neck of the humerus supplies. b. The axillary artery is divided into
c. Is paralyzed following a complete tear of the three parts by scalenus anterior
upper trunk of the brachial plexus c. The lateral wall is made up of latissimus dorsi
d. Is supplied by the posterior cord of the tendon, subscapularis, teres major
brachial plexus d. The lateral thoracic vein is connected by the
e. Supplies skin over upper lateral aspect of thoracoepigastric vein to the superficial
arm. epigastric vein, therefore bypassing the SVC in
its obstruction
2. Which of the following regarding axillary e. The axillary vein commences at the upper
artery is FALSE? border of teres major as a continuation of the
a. It is enclosed in an axillary sheath (extension basilic vein
of the prevertebral fascia)
b. 3rd part is clasped by the 2 heads of the 6. Regarding the Musculocutaneous nerve:
median nerve a. Supplies brachioradialis
c. It lies medial to the axially vein in its course in
b. Terminates as the posterior interosseous
the axilla
nerve
d. Its lateral thoracic branch is the chief arterial
supply to the breast in female c. Supplies all of the brachialis muscle
e. Its posterior circumflex humeral branch d. Contains fibers from C5, C6, C7 and C8
passes through the quadrangular space e. Arises from the lateral cord of the brachial
plexus

3. With respect to the brachial plexus:


7. Identify the marked structure -
a. Lateral cord is related to third part of axillary
artery.
b. Median nerve is the largest branch of the
whole plexus
c. Roots lie within the posterior triangle of the
neck
d. Ulnar nerve is a branch of the lateral cord
e. Musculocutaneous nerve is a branch of the
medial cord

4. True about Latissimus Dorsi :


a. Forms the posterior axillary fold
b. Acts with pectoralis major to adduct the arm a. Serratus anterior b. Pectoralis minor
c. Forms boundary of the lumbar triangle c. Pectoralis major d. Subclavius

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T&D- ANATOMY-I

8. True about Pectoralis minor: d. Profunda brachii supplies the muscles


a. Inserts into the lateral tip of the e. All of the above
intertubecular groove of the humerus
b. Is a triangular muscle 13. Regarding Pronator Teres which of the
c. Is a guide for the underlying subclavian artery following statements is correct?
d. Is inferior to the suspensory ligament of the a. It forms the lateral border of the cubital fossa
axilla b. It arises from the coronoid process and
lateral epicondyle.
e. Is supplied by the subclavian nerve
c. The Median nerve passes deep to both heads
d. It is inserted on radius above the styloid
9. The medial cutaneous nerve of the arm: process
a. Has fibers from C7,C8 and T1 e. It is the most lateral of the superficial flexors
b. Arises from the dorsal cord of the brachial of the forearm
plexus
c. Pierces the deep fascia at the middle of arm
14. Identify the pointed structure –
d. Has communications with the circumflex
nerve
e. None of the above

10. In the posterior compartment of the arm:


a. Triceps is supplied by brachial artery itself
b. Medial head lies deep to the lateral head
triceps
c. Nerve supply to triceps is C5,6
d. Radial nerve pierces medial septum to lie in a
groove behind medial epicondyle
e. Long head lies anterior to teres major &
posterior to teres minor.

a. Radial nerve
11. As it emerges from the axilla, the median
nerve lies where with regards to the axillary b. Posterior interosseus nerve
artery? c. Median nerve
a. Lateral b. Anterior d. Superficial branch of radial nerve
c. Medial d. Posterior
15. Which of the following is FALSE regarding
12. In the anterior compartment of the arm anterior compartment of forearm?
a. Muscles are supplied by the median nerve a. Superficial branch of radial nerve lies deep to
b. Median nerve travels posterior to the brachioradialis.
brachial artery b. Ulnar nerve passes between 2 hands of flexor
c. Brachial artery give rise to the superior ulnar carpi ulnaris
c. The anterior interosseous artery pierces the
collateral artery, which pierces the
interosseous membrane
medial intermuscular septum with ulnar nerve

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T&D- ANATOMY-I

d. Radial artery lies medial to tendon of flexor


carpi radialis
e. None of the above

16. Flexor pollicis longus – one of the following


statements is True -
a. Enclosed by Ulnar bursa
b. Arises from the common flexor origin
c. Pierces the flexor retinaculum at the wrist
d. Inserts into the radial border of the proximal
phalanx
a. Radial Bursa
e. Has fleshy fibers to a point, just above the
b. Ulnar bursa
wrist
c. Tendon of flexor polices longus
d. None of the above
17. Which of the following regarding the carpal
tunnel is FALSE?
a. Median nerve is medial to flexor carpi radialis 20. The superficial palmar arch:
b. Flexor carpi radialis is superficial & lateral to a. Lies level with the distal border of the
flexor pollicis longus outstretched thumb
c. Flexor digitorum superficialis tendons is b. Is formed by radial artery
arranged in 2 rows in its own synovial sheath c. Supplies the thumb
d. Flexor retinaculum is attached to scaphoid d. Lies deep to the long flexor tendons
tubercle, trapezoid ridge, pisiform & hook e. Arises proximal to the flexor retinaculum
of hamate
e. None of the above
21. Interossei muscles in the hand:
a. Flex the interphalangeal joints
18. A child has gashed the palmar aspect of her b. Assist in extension of metacarpophalangeal
wrist on some glass. Which of the following joints
would be evidence of damage to her median c. Cannot laterally deviate the middle finger
nerve? d. The palmar interossei have two heads of
a. Inability to flex the distal interphalangeal origin
joint of the index finger e. Are usually supplied by the ulnar nerve
b. Inability to flex the interphalangeal joint of
the thumb 22. Fractured shaft of humerus with radial
c. Loss of sensation to the palmar aspect of the nerve damage usually do NOT have the
little finger following feature:
d. Inability to oppose the thumb and little finger a. Wrist drop
e. Inability to abduct the index finger b. Inability to extend elbow
c. Sensory loss over posterior aspect of forearm
19. Identify the pointed structure - d. Sensory loss over lateral aspect of forearm
e. All of the above

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T&D- ANATOMY-I

23. Regarding the Posterior interosseous femur. Rupture of ligament teres may lead to
nerve: damage to a branch of which of the following
a. Is a branch of the median nerve arteries:
b. Supplies Brachioradialis muscle. a. Medial circumflex femoral
c. Supplies the skin over the lateral ½ of dorsum b. Lateral circumflex femoral
of the hand c. Obturator
d. Passes between 2 heads of the supinator d. Superior gluteal
muscle e. Inferior gluteal
e. All of the above
29. The saphenous nerve
24. Which of the following movements of a. Is a motor branch of the femoral nerve
thumb are affected in Ulnar nerve injury - b. Accompanies the short saphenous vein in the
a. Opposition b. Abduction leg
c. Adduction d. Extension c. Is the only branch of the femoral nerve that
e. Flexion extends considerably below the knee
d. Emerges through the saphenous hiatus
25. The femoral sheath - e. Is a sensory branch of the obturator nerve
a. Is found in the femoral triangle
b. Has a medially located compartment called 30. After passing through the obturator canal,
the femoral canal divisions of the obturator nerve (an anterior
c. Contains the femoral artery, vein and nerve branch and a posterior branch) pass on either
d. All of the above are correct side of which of following muscle -
e. Only a and b above are correct a. Pectineus b. Adductor brevis .
c. Gracilis d. Adductor magnus
26. Which of the following quadriceps muscles e. Adductor longus
performs flexion as well as extension –
31. Muscles in the posterior thigh
a. Vastus lateralis b. Vastus medialis
compartment are paralyzed because the sciatic
c. Rectus femoris d. Vastus intermedius
nerve has been severed. Nevertheless the
patient can still produce some flexion of the
27. The ligament important in producing the
leg at the knee due to action of which of
screw home position in full extension of the
following muscle -
knee is the
a. Sartorius
a. Anterior cruciate ligament
b. Semitendinosus
b. Posterior cruciate ligament
c. Both A and B
c. Arcuate popliteal ligament
d. Short head of biceps femoris
d. Patellar retinacula
e. Gastrocnemius

28. A 62 year old woman slips and falls on the


bathroom floor. As a result she has a posterior
dislocation of hip joint and fracture of neck of

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T&D- ANATOMY-I

32. The muscle that is not a medial rotator of b. Lies medial to the popliteal fossa
the leg is : c. Forms the floor of the popliteal fossa
a. Semimembranosus b. Semitendinosus d. Gives rise to the oblique popliteal fossa
c. Biceps femoris d. Gracilis e. Does not attach to the leg bone

33. Ilio-tibial tract is inserted on - . 38. In the popliteal fossa


a. Lower roughened part of tibial tuberosity a. The sural nerve branches from the common
b. Upper smooth part of tibial tuberosity peroneal nerve
c. Medial condyle of tibia b. The roof is formed by biceps femoris
d. Lateral condyle of tibia c. The popliteal vein lies between the popliteal
e. Upper part of medial surface of tibia. artery and tibial nerve
d. The inferomedial border is soleus
34. All the following pass through the greater e. The politeal artery runs vertically
sciatic foramen EXCEPT:
a. Piriformis muscle 39. A 20-year-old college student receives a
b. Pudendal nerve severe blow on the inferolateral side of the left
c. Sciatic nerve knee joint while playing football. Radiographic
d. Inferior gluteal vessels and nerve examination reveals a fracture of the head and
e. Obturator internus tendon neck of the fibula. Which of the following
nerves is damaged:
35. The sciatic nerve - a. Sciatic b. Tibial
a. Lies on the Ischial tuberosity c. Common peroneal d. Deep peroneal
b. Lies on the Obturator externus e. Superficial peroneal
c. Passes above Quadratus femoris
d. Emerges above the Piriformis 40. A patient experienced a prolonged stay in
e. Is comprised of L4, L5, S1, S2 one position during a recent surgery and
postoperative recovery that resulted in
36. A 45-year-old man has trouble walking. At compression of the common fibular (peroneal)
his physician's clinic, when he is asked to stand nerve against the fibular head. Which of the
on his right foot, his left hip drops. Which of following motor deficits would be most likely
the following nerves is most likely damaged, to occur:
causing his problem: a. Loss of extension at the knee
a. Left inferior gluteal b. Loss of plantar flexion
b. Right inferior gluteal c. Loss of flexion at the knee
c. Left superior gluteal d. Loss of eversion
d. Right superior gluteal e. Loss of medial rotation of the tibia
e. None of the above
41. Identify the pointed structure -
37. True about Biceps femoris muscle -
a. Lies lateral to the popliteal fossa

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T&D- ANATOMY-I

c. Is separated from the joint capsule by the


popliteus tendon
d. Is attached to some of the inserting fibers of
pes anserinus
e. Attached to tibia by coronary ligament

46. Identify the encircled tendon -

a. Tibialis anterior b. Peroneus longus


c. Peroneus brevis d. Tibialis posterior

42. Injury to the Tibial nerve in the popliteal


fossa might result in:
a. Loss of eversion
b. Diminished sensation on dorsal surface of
foot
c. Inability to stand on one's toes
c. Foot drop a. Externsor halluces longus
d. Loss of sensation between the great and b. Tibialis anterior
second toe c. Tibialis posterior
d. Peroneus tertius.
43. The medial plantar nerve innervates which
of following muscle - 47. Tibialis posterior inserts into -
a. Abductor hallucis brevis. a. Base of the 1st metatarsal
b. Abductor digiti minimi brevis b. Navicular bone
c. Adductor hallucis c. Base of 5th metatarsal
d. 2-4 lumbrical muscles d. Talus
e. None of the above
44. A 50-year-old man complained of a lump in
his groin. His physician suspected an enlarged 48. All of the following are characteristics of
superficial inguinal lymph node. What areas the sternum EXCEPT:
should be examined to find the source of the a. The manubrium articulates with the clavicle
problem? and 1st rib
a. Skin of the buttocks b. Skin of the scrotum b. The body of the sternum articulates with the
c. Both d. Neither manubrium to form the subcostal angle
c. The xiphoid process can be cartilaginous or
ossified
45. The medial meniscus:
d. Palpation of the sternal angle is location for
a. Is torn less commonly than the lateral 2nd rib
meniscus
b. It is O- shaped

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T&D- ANATOMY-I

49. Which of the following is a false rib: the left lung the bronchopulmonary segments
a. 1st rib b. 10th rib includes 2 from the superior lobe
c. 2nd rib d. 4th rib e. Pulmonary veins are intersegmental.

50. Regarding intercostal blood vessels: 54. Regarding the pericardium:


a. In each space there is a single anterior and a. Superior vena cava does not fuse with the
posterior intercostal veins fibrous pericardium
b. Right superior intercostal vein drain into the
b. Transverse sinus separates the four
brachiocephalic vein
c. Second intercostal space does not contain a pulmonary veins
posterior intercostal artery c. Parietal layer of the serous pericardium has
d. All intercostal arteries are branches of the no nerve supply
descending thoracic aorta d. Strong sternopericardial ligaments connect
e. The neurovascular space lies deep to the fibrous pericardium to upper/lower ends of
Internal intercostal muscles. sternum
e. Oblique sinus permits distension of right
51. Which is true of the first rib?
atrium
a. Scalenus medius attaches to the scalene
tubercle
b. Subclavian vein lies in the subclavian groove 55. Identify the marked structure -
c. Subclavian artery lies behind scaleneus
anterior muscle.
d. Scalenus posterior attaches lateral to the
tubercle
e. Head articulates with vertebrae C7 and T1

52. Which of the following is not true of the


surface markings of the left pleura?
a. It lies behind the sternoclavicular joint
b. It lies in the midline behind the angle of Louis
c. It lies at the level of the 6th rib in the
midclavicular line
d. It crosses the midaxillary line at the level of
the 10th rib
e. It crosses the 12th rib at the lateral border of a. Azygous vein b. Vagus nerve
the sacrospinalis muscle c. Phrenic nerve d. None of the above

53. Which of the following is FALSE of the right 56. With respect to the heart – One of the
and left lung? following is true -
a. Both lungs divide into 10 bronchopulmonary a. The inferior (diaphragmatic) surface is made
segments up of one third right ventricle and two thirds
b. Both lungs have a superior and inferior lobe left ventricle, separated by the posterior
c. The left lung differs from the right lung in that interventricular branch of the left coronary
it has 2 lobes while the right has 3 artery
d. The bronchopulmonary segments of the right b. The right border of the heart extends from
lung includes 5 from the superior lobe, while in the lower border of the right 3rd costal cartilage

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to the lower border of the right 6th costal 61. Which is true of the thoracic sympathetic
cartilage trunk -
c. The posterior surface (base) consists almost a. Passes into the abdomen behind lateral
entirely of the left atrium receiving the three
arcuate ligament
pulmonary veins
d. The left border consists of the left ventricle b. Greater splanchnic nerve comes from 3rd to
only 7th cervical ganglia
e. The right border consists mostly of the right c. 1st thoracic ganglion often fuses with the
atrium middle cervical ganglion
d. Crosses 1st rib lateral to the superior
57. Which one of the following is not intercostal artery
associated with right atrium (or auricle): e. Gives fibers to the esophageal plexus
a. Fossa ovalis
b. Atrioventricular node 62. The thoracic duct:
c. Opening of coronary Sinus a. Commences at L1
d. Musculi pectinati b. Passes through the oesophageal opening of
e. Trabeculae carnae the diaphragm (T10)
c. Enters the right side of the superior
58. Coronary Sulcus is - mediastinum
a. Anterior AV groove b. Posterior IV groove d. Does not drain the right arm
c. Posterior AV groove d. Anterior IV groove e. Terminates in the inferior vena cava
e. None of the above
63. The azygous vein:
59. Which of the following does NOT lie in the a. Begins as the union of ascending lumbar vein
superior mediastinum? with the subcostal vein on the left side
a. Left recurrent laryngeal nerve b. Arches over the right pulmonary artery
b. Right recurrent laryngeal nerve c. Receives veins from the middle third of the
c. Superior vena cava esophagus
d. Trachea d. Usually enters the brachiocephalic vein
e. Esophagus e. Lies in the left posterior mediastinum

60. With respect to the contents of the 64. True about Phrenic nerve -
posterior mediastinum, all are true except: a. Passes down through the mediastinum
a. The oesophagus extends from the level of posterior to the lung root
cricoid cartilage to traverse the diaphragm at b. Is the sole motor supply to the dome and
T10 b. The descending thoracic aorta gives off crus of diaphragm
c. Lies on the prevetebral fascia
the posterior intercostal arteries
d. Is purely motor
c. It contains the perihilar lymph nodes
e. Crossed posteriorly by transverse cervical &
d. The oesophagus is 25cm in length suprascapular artery
e. The descending aorta commences at the
lower level of T4 vertebra 65. Which of the following is not true for the
greater splanchnic nerve:

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a. Consists of preganglionic sympathetic fibers c. Aorta


b. The fibers can be found in the posterior d. Oesophagus
mediastinum
c. Branches arise from the 9th to the 10th 69. Unequal division of Truncus Arteriosus
sympathetic ganglion region results in –
d. .Fibers come from the spinal cord via white a. Transposition of great vessels
rami without synapse b. Tetralogy of Fallot
e. Fibers terminate in the celiac (prevertebral) c. Persistant Truncus Arteriosus
ganglion d. None of the above

66. The vagus nerve - 70. Double aortic arch occurs due to –
a. Arises in a series of rootlets from the pons a. Non- development of right 4th aortic arch
b. Lies outside the carotid sheath in the neck b. Non- development of left 4th aortic arch
c. Supplies muscles of the larynx via the c. Non- development Truncus arteriosus
recurrent laryngeal nerve d. Persistent distal portion of right dorsal aorta.
d. Passes in front of the root of the lung
e. Has a superior and inferior ganglion within 71. An example of a fibrous joint include:
the jugular fossa a. Sutures of the vault of the skull
b. Inter-vertebral columns
67. The diaphragm c. Pubic symphysis
a. Has the oesophageal opening opposite T8 d. Hip joint
vertebra e. Manubrio-sternal joint
b. Is supplied by the 5th, 6th and 7th cervical
72. Regarding cartilage, which is false?
nerve roots
a. They have a rich blood supply
c. Has a major role in expiration
b. Articular cartilage are hyaline
d. Has a vena caval foramen opposite T10 c. Epiglottis is elastic cartilage
vertebra d. Articular disc is white fibro cartilage
e. Has an aortic opening opposite T12 vertebra e. It is a specialized connective tissue

73. Identify the organ by Histological


appearance -
68. Identify the labelled structure – no 4

a. Duodenum b. Ileum
a. Pleuroperitoneal membrane c. Jejunum d. Colon
b. Dorsal mesentry of oesophagus

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74. Identify the type of Epithelium

a. Stratified aquamous
b. Psudostratified columnar
c. Transitional
d. Simple cubodial

75. Identify the Histological structure -

a. Tendon b. Skeletal muscle


c. Cardaic muscle d. Smooth muscle

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