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.

.
.
.
. TABLE OF CONTENTS
.
. GROSSANATOMY
.
. GENERAL 1-80
.
. HEAD & NECK 81-459
.
. THORAX 460-643
.
ABDOMEN 644-852
.
. PELVIS & PERINEUM 853-988
.
. BACK 989-1047
.
. UPPEREXTREMITY 1048-1237
.
La WER EXTREMITY 1238-1457

EMBRYOLOGY

,t EARL Y DEVELOPMENT

PLACENTA
1458-1563

1564-1591

HEAD & NECK 1592-1693

THORAX & V ASCULA TORE 1694-1790

DIGESTIVE & UROGENITAL 1791-1918

MUSCULOSKELETAL 1919-1960

NEUROLOGY 1961-2000
.-
..
.
. Indicatethe ~ statement: D
. A. the integumentarysystemis comprisedonly of lungsandbronchialtubes
B. the differencebetweena rarity anda monstrosityis that a personborn with a rarity cannotlive,
. while personsborn with a monstrositycan survive for a long time
. C . thereareonly threerecognizedfactorsof variation:age,biotype,andrace
D. longitype is a classificationof biotype characterizedby long memberand shorttrunk
. E. in an anatomicalsense,normal is consideredto be in conformity with 40% of the population

2 Anatomicaltermsarederivedbasicallyfrom the: A
A. skeleton
B. musclesystem
. C. abdominalplane
. D.
E.
anteriorbisection
inferior axis
.
. 3 When describingdirection andposition, a synonymfor "ulnar" is: B
. A.
B.
medium
medial
. C. median
D. middle
E. midline
I:
'.
I.
. 4. The mediansagittalplane:
A.
B.
C.
divides superiorandinferior sectionsof the body
extendsin the laterolateraldirection
is the anteroposteriorextensionof the vertical axis of the body
c

. D.
E.
relatesthe volar anddorsalaspectsof the hand
providestheplaneof referencefor the designations"cranial"and"caudal"
.
. 5 Indicatethe ~ statement:
c
. A. the skeletalsystemis studiedin splanchnologyand arthrology
B. myology is the studyof the myocardium,pericardiumandvisceralmiddle layers
. C. the locomotorsystemis constitutedby the skeletalandmuscularorgans
. D. angiology meansthe studyof the spleen,vessels,lymph nodes,and endocrines
E. the circulatorysystemincludesarteries,veins,capillaries,pulmonaryalveoli, and cerebral
. sinuses
.
6
. A synonymfor the inferior planeof the trunk would be:
D
A. proximal
. B. sagittal
. C. frontal
D. caudal
. E. tibial
.
. 7. Indicatethe ~ statement:
A
A. an abnonIlalityor anomalyinvolvesa severedeviationwith an alteredfunction of the affected
. part
. B. an ileal diverticulumappearsin 10%of humansand is a monstrosity
. C. thymus is not a variationwhen found in a child
D. a longitype, shouldhe becomementally ill, will usuallybe aggressive,hard to manage,and will
. perishof coronarydiseasefar moreoften thana brachytype
.
.
.
.
.
.
.
. 16. Which of the following areusually consideredto participatedirectly in the fomlation of plexuses
c
relatedto the limbs:
. A. ventralroots of spinalnerves
. B. dorsalroots of spinalnerves
. C. ventralprimary rami of spinalnerves
D. dorsalprimary rami of spinalnerves
. E. all of the above(A-D)
.
17 Indicatethe ~ statement: D
. A. when studyinganatomyin the orderof circulatorysystem,endocrine,etc.,we areusing a
. regionalor topographicapproach
. B. whenreferringto a structureasintermediate,we aresayingthat the structurelies betweentwo
structures,one of which is anteriorandthe otherposterior
. C . inferior is to caudalas anterioris to posterior
. D. anteroposteriorplanesand sagittalplanesarethe same
E. plantarandinferior areantonyms
.
. 18. Metamerismis a principle of constructionthat shows: D
. A. bilateral symmetryof eachorgan
B. zygomorphismof the trunk andmember
. C. stackingfrom anteriorto posterior
. D. stackingfrom inferior to superiorin the body
E. concentriclayersin tubularorgans
.
. 19. Which of the following statementsis/are~: D
. A. a dermatomemay be includedin morethanonecutaneousnervearea
B. a cutaneousnerveareamay includeportionsof morethanone dermatome
. C. a dorsalroot ganglionsuppliesmore thanonedermatome
. D. both A and B
. E. all of the above(A-C)

. 20. Indicatethe ~ statement: E


. A. "oral" and "aboral" aresynonymsandoppositein meaningto "exoral"
. B.
C.
"medial" and "median" areusuallysynonymousterms
"median"and "paramedian"haveidenticalmeaningsin the upright posture
. D. "intermediate"appliesto an organon the midline betweenanteriorandposteriorplanes
. E. distal is the oppositeof proximal and cannotbe usedfor the digestivesystem

. 21 Synovial fluid (synovia) is found: E


. A. in synovialjoints
;. B.
C.
in tendonsheaths
in bursae
. D. both A and B
. E. all of the above(A-C)

. 22. Anatomicalnormality is: c


. A. a definite structureand function for eachorganwhich is the samefrom personto persofi
. B.
C.
nonexistent
the statisticallymost commonstructureand function of an organ
. D. slight deviationof morphology
. E. the absenceof pain and diseasein individuals,family and community

.
.
~ .
.
.
.
. 30. The elbow and wrist joints areconsideredhingejoints: B

. A. true
B. false
.
. 31 Synovial joints:
D

. A. sometimeshavea doublecavity
B . containcartilage
. C. includethe anteriorjoints of the vertebralcolumn
. D. both A and B
E. all of the above(A-C)
.
. 32 Maturearticularcartilageis: E

. A. avascular
B. usually calcified adjacentto the boneit covers
. C. nourishedby synovial fluid
. D. both A and C
. E. all of the above(A-C)

. 33 Cerebrospinalfluid is found in which of the following spaces: c


. A. epidural
. B.
C.
subdural
subarachnoid
. D. subpial
. D
34. What arethe threelimiting planes:
. A. frontal, cranial,distal
. B. dorsal,inferior, sagittal
. C.
D.
intermediate,cephalic,ventral
superior,plantar,lateral
. E. caudal,nuchal,radial
. A patient lying on a table with a scarnearthe umbilicus. This scaris considered: c
35
.
A. superior
. B. inferior
. C. anterior
D. posterior
. E. lateral
. c
Indicatethe ~ statement:
. 36.
A. rudimentaryorgansarefully developedin the adult
. B. osteologyis the study of bones,cartilage,andmuscle
. C.
D.
pneumaticbonesand sesamoidboneshavecavitiescalledsinusesfilled with blood and lymph
bonesaremore numerousin the old individual than in the newborn
. E. anatomyis to physiologywhat geographyis to history
. E
. 37 Symphysialjoints:
A. containcartilage
. B. pennit somemovement
. C. may havea nucleuspulposis
D. both A and C
. E. all of the above(A-C)
.
.
.
.
.
.
. 45 Preganglionicneuronslocatedin spinalnerve: c
. A. sympatheticportion of autonomicnervoussystem
B. parasympathetic portion of the nervoussystem
. C. both A andB arecorrect
. D. neitherA nor B arecorrect
. 46 Indicatethe~ statement: c
. A. thejugular artery in the neckcarriesblood from the head
. B. the first drawing of anatomywas found in England
C. the word cadaverwasderivedfrom the phrase"carodatavermibus"andusedasa codeword to
. deceivethe police
. D. anatomywas originally the dissectionof rich peoplewho donatedtheir bodies
E. the remainsof a cadaverthat hasbeencrematedarecalled"cartos."
.
. 47 Fibrousjoints are found in the: E
. A. skull
. B.
C.
theforeann
the leg
. D. both A and C
. E. all of the above(A-C)

. 48 The planesof limitation of the body are: c


. A. frontal, sagittal,posterior,inferior
B. cranial,medial,posterior,longitudinal,dorsal
. C. posterior,lateral (right andleft), anterior,plantar,cephalic
. D. sagittal,plantar,frontal, transversal,ventral
E. plantar,posterior,horizontal,transversal,right, and left
.
. 49. Which is a division of anatomyaccordingto age: c
. A. cytology
. B.
C.
topographic
fetology
. D. systemic
. E. histology

. 50. The morphophysiologyof the nonnal agedindividual is studiesin: E


. A. nipiological anatomy
. B. geriatrogenicanatomy
C. matureanatomy
. D. adult anatomy
. E. gerontological

. 51 In a radiograph, fat appearsmore radiolucent (darker) than air: B


. A. true
. B. false

. 52. A primary controller of vascularsmoothmuscle: A


. A. sympatheticportion of autonomicnervoussystem
. B. parasympatheticportion of the nervoussystem
C. both A and B
. D. neitherA nor B
.
.
.
60. Indicatethe ~ statement: D
A. the ankle is proximal to the knee
B. the ring finger is radial to the index finger
C. a sagittalplaneseparates the body into anteriorandposteriorparts
D. the headis superiorto the neck
E. the little toe is medial to the big toe

61 The coronalplanedividesthe body into: D


A. right and left halves
B. superiorand inferior portions
C. caudalandcephalicportions
D. anteriorandposteriorportions
E. anteriorandventralportions

62 The following joints all contain articular discs: D

A. sternoclavicular
B. acromioclavicular
C. distal radioulnar
D. all of the above (A-C)
E. none of the above (A-D)

63. Indicatethe ~ statement: E


A. necrologyis the methodto study cytology
B. autopsyis the methodusedto study histology
C. thanatoscopyis the studyof radiology
D. necroscopyis the studyof anatomyand embryology
E. dissectionis one of the methodsto study grossanatomy

64. The knee "joint": E


A. is classifiedas both a ginglymusjoint and a diarthrodialjoint
B. is classifiedasa condylarjoint
C. doesnot includethe fibula
D. both Band C
E. all of the above(A-C)

65, Which of the following is/arenQ1(a) synovialjoint(s): B


A. the sternoclavicularjoint
B. the anteriorintervertebraljoints
C. the posteriorintervertebraljoints
D. the talocruraljoint
E. both A and C

66. Indicatethe ~ statement: c


A. the direction of the heartin the diastolicposition is inferior-superior,medial-lateral,anterior-
posterior
B. in the anatomicalposition,the transverseplaneof the foot is parallel to the caudalplane
C. if the superoinferioraxis wasmadeto cut the body in the laterolateraldirection, a coronalsection
would result
D. if the laterolateralaxis wasmadeto cut the body in the superioinferior direction, what would
result would be a caudalsection
E. if the palmarplanewererotated900aboutthe medial-medialaxis, it would be perpendicularto
the plantarplane
.
.
.
. 74. The tenDteratologyrefersto: D

. A.
B.
the studyof cardiovasculardiseases
the study of anatomicalterritoriesof the body
. C. the studyof anatomyusing the aid of a transmissionelectronmicroscope
. D. the studyof embryologicalbirth defects
E. the study of the relation and integrationof tendons
.
. 75. Indicatethe ~ statementpertainingto the caudalplaneof the body: c
. A. it is synonymouswith the sagittalplane andpasseslongitudinally throughthe body
B. it is a vertical planethat lies parallel to the coronalplane
. C. it is a horizontalplanethat lies tangentiallyto the tip of the coccyx
. D. it is synonymouswith the superiorlimiting plane
E. it is a planethat passeshorizontally throughthe neckregion
.
. 76. The distaljoint betweenthe tibia and fibula is an exampleof a syndesmoticand synarthroticjoint: A

. A. true
B . false
.
The studyof typesof construction(physique)of the humanis: E
. 77,

A. systemicanatomy
. B. physio-anatomy
. C. regionalanatomy
D. topographicanatomy
. E. constitutionalanatomy
. The fibrous categoryof joints (synarthroses)
includes: E
. 78.

A. sutures
. B. syndesmoses
. C.
D.
gomphoses
both A and C
. E. all of the above(A-C)
. 79. Therearethreeaxis of the body. They are: E
. A. cephalic/plantar,
superior/inferior,ventraVdorsal
. B. anterior/posterior,superior/inferior,lateraVmedial
C. superior/inferior,lateraVmedian, lateraVlateral
. D. ventraVdorsal,anterior/posterior,lateral!medial
. E. superior/inferior,ventraVdorsal,lateraVlateral
. 80 Relativeto dermatomes: A
. A. areaof skin suppliedby one spinalnerveand its spinalganglionis a dermatome
. B.
C.
an areaof skin suppliedby a peripheralnerveis a dermatome
both A and B
. D. neitherA nor B
.
.
.
.
.
.
.
.
.
.
.
.
.
. 81 Branchesof the cervicalplexusincludeall except: A

. A. accessory
B. transversecervical
. C. greaterauricular
. D. lesseroccipital
E. phrenic
.
. 82 Synapsesnonuall~ occurin the: D

. A. sympatheticchain ganglia
B. parasympathetic tenuinalganglia
. C. trigeminal ganglia
. D. both A and B
E. all of the above(A-C)
8
. 83 The scalenusanteriormuscle: A

. A. separates the subclavianvein from the subclavianartery


B. lies posteriorto the roots of the brachialplexus
. C. both A and B
. D. neitherA nor B
. 84. The roots of the brachialplexusemergebetween: c
. A. scalenusposteriorandmedius
. B. scalenusposteriorandanterior
. C.
D.
scalenusmediusandanterior
levator scapulaeandscalenusmedius
.
Which of the following gangliais nQ!associatedwith sensorycell bodies: E
;8 85.

. A.
B.
nodoseganglion
geniculateganglion
. C. inferior glossopharyngeal
ganglion
. D. trigeminal (semilunar)ganglion

. 86. Branchesof the secondpart of the axillary arteryincludethe: A


. A. lateralthoracic
. B.
C.
subscapular
both A and B
. D. neither A nor B
. E
Which of the following musclesopensthe rima glottidis:
. 87.
A. oblique arytenoidmuscle
. B. thyroarytenoidmuscle
. C.
D.
cricothyroidmuscle
lateralcricoarytenoidmuscle
. E. posteriorcricoarytenoidmuscle
. All of the following statementsaboutthe scalenusanteriormusclesaretrue ~ it: D
. 88
A. is anteriorto roots of the brachialplexus
. B. divides the subclavianarteryinto threeparts
. C. is innervatedby muscularbranchesof the cervicalplexus
D. insertson the secondrib
. E. originatesfrom anteriortuberclesof the transverseprocesses
of the cervicalvertebrae
.
..
.
.
.
.
. 97 If both the left andright recurrentlaryngealnervesaresevered,which of the following laryngeal
D
muscleswill still be innervatedandcontractile:
.
A. posteriorcricoarytenoidmuscle
. B. lateralcricoarytenoidmuscle
. c. thyroarytenoidmuscle
D. cricothyroidmuscle
. E. transversearytenoidmuscle
. B
Which one of the following statementsis~:
. 98.
A. thyrocervicaltrunk comesoff the secondpart of the subclavianartery
. B. costocervicaltrunk comesoff the secondpart of the subclavianartery
. C.
D.
superiorthyroid arteryis a branchof the thyrocervical
suprascapular arteryis often a branchof the costocervicaltrunk
. E. internalthoracicartery is a branchof the third part of the subclavianartery
. D
Eachof the following structuresis found (in part) within the posteriortriangle of the neck~:
. 99.
A. accessory nerve
. B. transversecervicalartery
. C. subclavianvein
D. internaljugular vein
. E. occipitalartery
.
c
. 100. Selectthe ~ statement:
A. the submandibularduct lies within the fimbriatedfold on the inferior surfaceof the tongue
. B . the deeplingual vein primarily drainsthe dorsumandpharyngealpartsof the tongue
. C . the lingual tonsil is locatedin the pharynx
D. the sublingualpapilla lies superiorto the frenulumof the tongue
. E. all of the above(A-D)
.
E
. 101 All of the following are found in the pharynx~:

. A.
B.
pirifonn recess
palatinetonsil
. C. glossopharyngeal nerve(IX)
. D.
E.
lateral glossoepiglotticfold
all of the above(A-D) arefound in thepharynx
.
E
. 102, The cell bodiesfor the preganglionicsympatheticnervefibers to the hardpalatearelocatedin the:

. A. pterygopalatineganglion
B. brainstem
. C. superiorcervicalganglion
. D.
E.
otic ganglion
spinalcord
.
. 103 Selectthe ~ statement: D

. A. the laryngopharynxextendsfrom the tip of the soft palateto the level of the cricoid cartilage(C-
6)
. B. the salpingopharyngeus muscleis innervatedby the glossopharyngeal (IX)
. C.
D.
the pharyngealconstrictormuscleshavea commonorigin from the medianraphe
the pharyngealtonsils lie in the nasopharynx
. E. the levatorpalati muscleinsertsinto the palateafter passingbetweenthe superiorandmiddle
. pharyngealconstrictormuscles

.
.
.
.
.
.
. 112. The palatineaponeurosisis the expandedtendonof the levatorvelum palatini muscle: B

. A. true
B. false
.
. 113 The submandibularganglioncontainscell bodiesof postganglionicparasympathetic
neurons: A

. A. true
B. false
.
. 114. The specialsenseof tasteis conveyedfrom the anteriortwo-thirdsof the tongueby the chorda
B
tympani, a branchof cranialnerveV:
.
A. true
. B. false
.
All musclesof the palate(levatorvelum palatini, tensorvelum palatini, palatoglossus,
. 15
palatopharyngeus,andmusculusuvulae)areinnervatedby the pharyngealplexus: B
. A. true
. B. false
. 116. Middle ethmoidair cells emptiesinto the: c
. A. laryngopharynx
. B. nasopharynx
. C.
D.
middle meatus
superiormeatus
.
E
. 117. Regionalgroupsof lymphaticsthat nonnallx drain the tongueincludethe:

. A. submentalandretropharyngeal
nodes
B . submandibular and parotid nodes
. C . parotidandretropharyngeal
nodes
. D. submentalandretroauricularnodes
E. submandibularand submentalnodes
.
. 118. Torus tubariusis locatedin the: c
:8 A. laryngopharynx
B. oropharynx
. C. nasopharynx
. D.
E.
middle meatus
superiormeatus
.
. 119. Rotation of the head: A

. A.
B.
is limited by the alar ligament
occurswhenthe odontoidprocesspivots on the anteriormarginof the foramenmagnum
. C. both A and B
. D. neither A nor B

. 120. Salpingopharyngeal
fold is locatedin the: c
. A. laryngopharynx
. B. oropharynx
C. nasopharynx
. D. middle meatus
. E. superiormeatus
.
.
.
.
.
.
. 128 Selectthe ~ pairing: D

. A. pharyngealtonsil - oropharynx
B. maxillary sinus- superiormeatus
. C. posteriorethmoidair cells - middle meatus
. D. middle ear- nasopharynx
E. sphenoidsinus- hiatussemilunaris
.
. 129. The foramenrotundumtransmitsthe maxillary division of the fifth cranialnerveto the: A

. A. pterygopalatinefossa
B. infratemporalfossa
. C. orbit
. D. foramenlacerum
E. temporalfossa
.
. 130. The following structurescanbe found in the pterygoidcanal: A

. A. preganglionicparasympathetic
fibers
B. postganglionicparasympathetic
fibers
. C. both A and B
. D. neitherA nor B
. 131 The muscles that are innervated by the external laryngeal and the recurrent laryngeal nerves receive
. their blood supply from arteries arising from: c
. A. the superior thyroid artery
. B.
C.
the thyrocervical trunk
both A and B
. D. neither A nor B
. Eachof the following contributeto the lateralwall of the nasalcavity~: B
132.
. A. lacrimalbone
. B. lateralpterygoidplate
. C.
D.
palatinebone
ethmoidbone
. E. medial pterygoidplate
. The action(s)of the lateralpterygoidmuscleinclude: A
133
. A. lateraldisplacementof the mandible
. B. elevationof the mandible
. C.
D.
both A and B
neitherA nor B
.
. 134, The scaphoidfossa: A

. A.
B.
is part of the sphenoidbone
is a groovein the petrousportion of the temporalbone
. C. both A and B
. D. neitherA nor B

. 135 Concerningthepalate: A
. A. the tensorpalati muscleis innervatedby the trigeminalnerve
. B. the bony palateis formedpartially by the perpendicularplate of the palatinebone
C. both A and B
. D. neitherA nor B
.
.
.
.
.
.
.
. 143 Regardingthe eyelids: A

. A.
B.
the palpebralconjunctivalines the deepsurfaceof the eyelid
a sty or sebaceouscyst usuallypresentsitself internally againstthe eyeball
. C. both A and B
. D. neither A nor B

. 144. The chordatympanicontains: A


. A. specialsensoryfibers
. B. postganglionicparasympathetic
fibers
C. both A and B
. D. neitherA nor B
.
The crista galli is a bony processof the E
. 145.
A. sphenoidbone
. B. frontal bone
. C. occipital bone
D. temporalbone
. E. ethmoidbone
.
The SVA componentof the chordatympanihasits cell bodieslocatedin the: c
. 146.

. A.
B.
pterygopalatineganglion
otic ganglion
. C. geniculateganglion
. D.
E.
petrosalganglion
nodoseganglion
.
E
. 147. Innervationto the lateralnasalwall is providedby all of the following~:

. A.
B.
ophthalmicdivision of V
maxillary division of V
. C. branchesof the pterygopalatineganglion
. D.
E.
anteriorethmoidalnerve
posteriorethmoidalnerve
.
B
. 148. The GYE preganglioniccomponentof the vagus(X) nerveoriginatesin the:

. A.
B.
nucleusambiguus
dorsalmotor nucleus
. C. salivatorynucleus
. D.
E.
jugular ganglion
nodoseganglion
.
. 149. The hypoglossalnerve(cranialnerveXII): c
. A.
B.
is superficialto the mylohyoid muscle
is actually a part of the cervicalplexus
. C. both A and B
. D. neither A nor B

. 150. The vagusnerve(cranialnerveX): D


. A. leavesthe skull throughthe carotidforamen
. B.
C.
innervatesthe carotidsinus
both A and B
. D. neither A nor B
.
.
.
.

.'.
.

158. Whenthe temporomandibular joint hasbecomedislocated,the condyloidprocessof the mandibleis


c
..
blockedfrom returningto the mandibularfossaby the:
.
A. stylomandibularligament
B. articulardisc
C. articulartubercle
D. lateral ligamentof the temporomandibular
joint
. E. spineof the sphenoid
.
Cavernoussinusthrombosiscausesedema(swelling) of the orbital structuresby interferingwith
. 159.
which of the following structuresleavingthe orbit: D
. A. nasociliarynerve
. B. oculomotornerve
C. angularvein
. D. ophthalmicveins
. E. superiorpetrosalsinus
. The shortciliary nervescontainwhich of the following: E
160.
. A. postganglionicoculomotorfibers
. B. postganglionicsympatheticfibers
C. sensoryfibers from the eyeballto the nasociliarynerve
. D. both A and B
. E. all of the above(A-C)
. Tearsnomlall~ drain into the lacrimal sacvia the: B
161
. A. nasolacrimalducts
. B. lacrimalpunctaandcanaliculi
. C.
D.
lacuslacrimali
tarsalglandsducts
. E. ductsof the lacrimal gland
. With regardsto the parotid duct, which of the following is!lQ1true: E
162
. A. proceedsforwardon the externalpterygoidmuscle
. B. piercesthebuccalpad andbuccinatormuscle
. C.
D.
innervatedby the glossopharyngeal nerve
surfacemarking on a line the betweenalaof the noseandthe earlobe
. E. opensinto the mouth oppositethe crown of the uppersecondmolar tooth
. A
Which of the following is nQ!a pairedsinusof the brain:
. 163
A. occipital
. B. transverse
. C. sigmoid
D. inferior petrosal
. E. cavernous
. The auriculotemporalnerveis split asit travelsthroughthe infratemporalfossaby which of the
. 164.
following vessels: B
. A. deepauricularartery
. B. middle meningealartery
C. anteriortympanicartery
. D. posteriordeeptemporalartery
. E. posteriorsuperioralveolarartery

.
.
.
.
.
. 72. Which of the following musclesactsprimarily to increasethe tensionon the vocal ligaments: c
. A. obliquearytenoidmuscle
B. thyroarytenoidmuscle
. C. cricothyroidmuscle
. D. lateralcricoarytenoidmuscle
E. posteriorcricoarytenoidmuscle
.
. 173 The parotid duct tenninates: D
. A. at the secondlower molar in the adult
B. at the narrow cleft limited by the cheeksand gumsoppositethe third uppermolar
. C. at the third lower molar
. D. at the narrow cleft limited by the cheeksand lips andteethandgumsoppositethe uppersecond
molar
. E. oppositethe uppersecondmolar in the oral cavity proper
.
. 174. In an emergency,whenthereis a blockageat the laryngealinlet, the ~ site to make an incision to
createan alternateairwayis at the: c
. A. laryngealnotch
. B. thyrohyoidmembrane
. C.
D.
cricothyroidmembrane
thyroid cartilage
. E. trachealcartilage
. 75 The rima glottis (rima glottidis) is locatedbetweenthe: E
. A. aryepiglotticfolds
. B. falsevocal folds

e.

\-
!--.
C.
D.
E.
ventriclesof the larynx
third and fourth trachealrings
true vocal folds

.. 76. The confluenceof the sinusesis formedby the following sinuses: E


'..
" A. straightandtransversesinuses
.. B. superiorandinferior sagittalsinuses
,
..
C. superiorandtransversesinuses
,
D. occipital andtemporalsinuses
,

E. noneof the above(A-D)


"
\-1
" 77 Selectthe ~ statement: A
\,

I' A. the paranasalsinusesareintraosseous pneumaticor air-filled cavities


"
B . the larynx is the connectionbetweenthe middle earandthe trachea
("
---
C. the tracheais locatedin the mediastinumandextendsto eachlung at the level of the pulmonary
:" pediclesandhila
D. thereis onesegmentfor eachpleurallobe
"-
, E. the anteriorethmoidalcells openingsare found in the superiormeatusand suprememeatus
,
..
, 78. The anteriorcranialfossacontainsor includesall of the following ~ the: c
, A. crista galli
"
.-. B. cribrifonn plate
"'- C. sellaturcica
-'* D. posteriorethmoidalforamina
"""
, E. foramencecum
"-
""
,
_/
,
~
199. The cell bodies for the nerves associatedwith pain and temperature from the face are found in the:
c
A. genIculateganglion
B. nodoseganglion
C. semilunar(trigeminal)ganglion
D. otic ganglion
E. ciliary ganglion

200. A 40 year old truck driver fell asleepcloseto an openwindow on a cold drafty night. He woke up in
the morning with the left sideof the face immobile andwithout expression,all wrinkles had
disappearedon his left foreheadandhis left nasolabialfold waslessdistinct than the right. Thereis
left eyebrowdroopingand saggingof left lower eyelid with inability to closethe left eye. The
patient cannotpursehis lips tightly, whistle or puff out his cheeks. He claims his mouth is drier
than usual and he canbarely tastefood put into his mouth. The drynessin the mouth (lesssecretion)
is due to GVE fibers carriedby: D
A. the inferior alveolarnerve
B. the glossopharyngeal nerve
C. the long buccalnerve
D. the chordatympaninerve
E. the greaterpetrosalnerve

201. The stapes: c


A. is coveredwith a layer of epithelium that is continuouswith that lining the auditory tube
B. coversthe scalavestibuli (oval window)
C. both A and B
D. neitherA nor B

202 A 40 year old truck driver fell asleepcloseto an openwindow on a cold drafty night. He woke up in
the morning with the left side of the face immobile andwithout expression,all wrinkles had
disappearedon his left foreheadandhis left nasolabialfold waslessdistinct than the right. Thereis
left eyebrowdroopingand saggingof left lower eyelid with inability to closethe left eye. The
patient cannotpursehis lips tightly, whistle or puff out his cheeks. He claims his mouth is drier
than usual and he canbarely tastefood put into his mouth. The fact that the patient cannotwhistle
or puff out his cheeksis relatedto paralysisof: E
A. the orbicularisoris muscle
B. the medialpterygoidmuscle
C. the zygomaticusmajor muscle
D. the massetermuscle
E. the buccinatormuscle

203 The limbus or filtration angleis associatedwith the: c


A. ear
B. ventriclesof thebrain
C. eye
D. nose
E. cavernoussinus

204, Which of the following is found in the mandibularcanal: c


A. mylohyoid nerve
B. lingual artery
C. inferior alveolarnerve
D. long buccalnerve
E. chordatympani
213. Which of the following structuresis nQ!associatedwith the medial wall of the middle ear (tympanic
cavity): E
A. promontory
B. fenestravestibuli (oval window)
C. fenestracochleae(roundwindow)
D. prominenceof facialnervecanal
E. chordatympani

214. The anteriorfontanelleis small and shapedlike a triangle: B


A. true
B. false

215. The anteriorscalenemuscle(scalenusanterior): A


A. is locatedposteriorto the subclavianvein
B. is locatedin the anteriortriangle of the neck
C. both A and B
D. neitherA nor B

216. Which of the following cranialnervesis nQ!found in the carotid sheathas it leavesthe skull: D
A. glossopharyngeal (IX)
B. accessory(XI)
C. hypoglossal(XII)
D. auditory(VIII)
E. vagus(X)

217. The preganglionic parasympatheticfibers to the submandibularand sublingual glands travel within the: A
A. chorda tympani
B. inferior alveolar nerve
C. both A and B
D. neither A nor B

218. Which of the following doesnQ!help makeup the medial wall of the orbit: E
A. orbital plate of the ethmoid
B. lacrimal
C. frontal bones
D. small part of body of the sphenoid
E. greaterwing of the sphenoid

219. The anteriorandposteriorethmoidalnervesarebranchesof: c


A. trochlearnerve
B. oculomotornerve
C. nasociliaryneve
D. frontal nerve
E. lacrimalnerve

220. To direct the pupil down andout (lateral)onemust useone of the following muscles: c
A. superiorrectus
B. inferior oblique
C. superioroblique
D. inferior rectus
E. ciliary
-
.
.
.
. 228 Innervatedby postganglionicsympatheticfibers: D

8'
.

.
A.
B.
C.
D.
superiorobliquemuscle
inferior obliquemuscle
lateralrectusmuscle
pupillary dilator muscle
E. buccinatormuscle
.
. 229. Which of the following musclesdoesnQ!tend to closethejaws: B
. A. internal(medial)pterygoid
B. external(lateral)pterygoid
. C. masseter
. D. temporalis
E. noneof the above(A-D) e.g. all tend to closethejaw
.
. 230. Innervatedby the abducentnerve: c
. A. superiorobliquemuscle
B. inferior obliquemuscle
. C. lateralrectusmuscle
. D. pupillary dilator muscle
E. buccinatormuscle
.
. 231 The importanceof the piriform recessof the laryngopharynxis that: c
. A. the recurrentlaryngealnerveis locateddirectlybeneaththe mucousmembrane
B. small objectsmay becomelodged
. C. both A and B
. D. neitherA nor B
. 232 Musclesinvolved in extensionof the head: A
. A. insert on the skull posteriorto the foramenmagnum
. B. arepart of theprevertebralmusculature
C. both A and B
. D. neitherA nor B
.
. 233 Which of the following musclesclosesthe glottis (rima glottidis): A

. A. obliquearytenoid
B. thyroepiglottic
. C. both A and B
. D. neitherA nor B

. 234. The parasympathetic


root of the pterygopalatineganglionoriginatesfrom the: B
. A. maxillary division of cranialnerveV
. B . greaterpetrosalnerveof cranialnerveVII
C . lesserpetrosalnerveof cranialnerveIX
. mandibulardivision of cranialnerveV
. D. cranialnerveX

. 235 Branchesof the thyrocervicaltrunk includethe: c


. A. inferior thyroid artery
. B. transversecervicalartery
C. both A and B
. D. neitherA nor B
.

~
.
,";) BIOTEST,rn(~ GROSSANATOMY:
.. HEAP & NECK

.. 244. All pharyngealmusclesaresuppliedby the pharyngealplexus~:


A. palatopharyngeus
c

.. B.
C.
D.
E.
superiorconstrictor
stylopharyngeus
salpingopharyngeus
inferior constrictor

. 245 Which of the following statementsconcerningthe hypoglossalnerveis g:

.
B
. A. it hooksaroundthe occipital artery
B. it suppliespalatoglossusandpalatopharyngeus muscles
C. it carriersC I fibers from the cervicalplexus
. D. it suppliesall intrinsic tonguemuscle
. E. it leavesthe skull by passingthroughthe hypoglossalcanal

. 246. Longestandthinnesteyemuscle,innervatedby nerveIV:


A
. A. superiorobliquemuscle
. B. inferior obliquemuscle
C. lateralrectusmuscle
. D. pupillary dilator muscle
. E. buccinatormuscle
. 247, Which of the following arteriesdoesllQ! supplythe scalp:
. A. supratrochlearartery
E

. B. superficialtemporalartery
C. supraorbitalartery
. D. occipitalartery
. E. maxillary artery
. 248. Usually the fIrst branchoff the externalcarotidarteryis the:
. A. maxillary artery
c
. B. inferior thyroid artery
. C.
D.
superiorthyroid artery
occipitalartery
. E. supremethoracicartery
. 249, Which is ~ regardingthe parotidgland:
. A. its duct crosses the masseter muscle and enters the mouth opposite the upper incisor tooth
c
. B. it has no relationship to any ear Structures

. C. its deepprocessrelatesit to the 9th, 10th, 11th, and 12thcranialnerves


D. it hasno relationshipto the pharynx
. E. its fibrous capsuleis looseandeasilydetachable
. 250.
.
. A. supraorbitalnerve
c
. B.
C.
supratrochlearnerve
auriculotemporalnerve
. D. greateroccipitalnerve
. E. facialnerve

.
.

-'
.
.
.
.
. 259. Which of the following musclesprotrudesthe mandible: A
. A. lateralpterygoidmuscle
B. anteriorbelly of digastricmuscle
. C. temporalis muscle
. D. mentalismuscle
E. platysma
.
. 260. The otic ganglionin the infratemporalfossais functionally associatedwith which cranialnerve:
. A. glossopharyngeal
(IX)
. B.
C.
vagus(X)
facial(VII)
. D. trigeminal(V)
. E. accessory (XI)

. 261 Which of the following musclesis nQ1innervatedby the trigeminalnerve: B


. A. masseter
. B.
C.
buccinator
internal (medial)pterygoid
. D. external(lateral)pterygoid
. E. temporalis

. 262. Generalsensoryafferentfiberswhich supplythe mucosaof the larynx abovethe vocal folds are
D
. cauied in the following nerve(s):
A. recurrentlaryngealnerve
. B. inferior laryngealnerve
. C. both A and B
. D. neither A nor B

. 263
The glossopharyngeal nerve contributes preganglionic parasympathetic fibers to the otic ganglion
B
. throughwhich branch:

. A.
B.
auriculotemporal
lesserpetrosal
. C. greaterpetrosal
. D.
E.
greaterauricular
buccal
. The postganglionicgiberstraveling from the otic ganglionto the parotid gland travel with which
. 264, D
nerve:
. A. lingual
. B. zygomatic
. C.
D.
choraltympani
auriculotemporal
. E. buccal
. Which of the following is nQ1true aboutthe emissaryveins:
D
265
. A. they connectintracranialveinsandextracranialveins
. B.
C.
blood can flow in eitherdirection in theseveins
they are found in variousareasof the head(e.g.parietal,mastoid,etc.)
. D. are identicalto the diploic veins in location
. E. noneof the above(A-D) e.g.all of them aretrue
.
.
.
.
.
.
.
. 273 The most importantfactor in stabilizingthe temporomandibular
joint and maintainingthe
A
. mandibularcondyle in the mandibularfossais the:

. A.
B.
muscleof mastication
temporomandibularligament
. C. stylomandibularligament
. D.
E.
sphenomandibular ligament
capsuleof the temporomandibular
joint
.
B
. 274. The digastricmuscle:

. A.
B.
depresses the hyoid bone
is attachedto the inner surfaceof the mandibleandthe mastoidprocessof the temporalbone
. C. both A and B
. D. neitherA nor B

. 275 The roof of the externalandinternalauditorymeatusarerelatedto the: B


. A. posteriorcranialfossa
. B.
C.
middle cranial fossa
frontal lobesof the brain
. D. anteriorcranialfossa
. E. parietalbones

. 276. All but one arerelatedto the medialwall of the middle ear: D
. A. oval window
. B.
C.
roundwindow
promontory
. D. epitympanicrecess
. E. tympanicplexus
. 277 The posteriorwall of the middle earhasall but one of the following: E
. A. pyramidaleminence
. B. facialnerve
C. aditusto the mastoidantrum
. D. openingfor the chordatympaninerveto enterthe middle ear
. E. tensortympani muscle

I. 278. Which of the following structuresis mQ§.1likelyto playa role in the spreadof bacteriafrom an
. infectedsweatglandon the buccalaspectof the faceto the cavernoussinusof the middle cranial
B
fossa:
.
A. CN VII
. B. pterygoidplexusof veins
. C. inferior alveolarartery
D. middle meningealartery
. E. foramenspinosum
. The artery which lies on the medial side of the pterion and is easily damaged by skull fractures in
. 279. - --
this region is a branchof the: E
. A. inferior alveolarartery
. B. posteriorsuperioralveolarartery
C. deepauricularartery
. D. anteriortympanicartery
. E. middle meningealartery
.
.
.
.
.
.
. 288 The middle cranialfossaincludes(contains):
D
. A. foramenrotundum
. B.
C.
foramenspinosum
internalacousticmeatus
. D. both A and B
. E. all of the above(A-C)

. 289, The posteriorcranialfossaincludes(contains):


E
. A. the sigmoid sinus
. B.
C.
the foramenmagnum
the hypoglossalcanal
. D. both Band C
. E. all of the above(A-C)

w 290. The anteriorfontanelleis:


A
. A. locatedbetweenthe metopic(interfrontal),coronaland sagittalsutures
. B.
C.
triangularin shape
bulging when normal
. D. both A and B
. E. all of the above(A-C)

. 291 The mucousmembranethat lines the eyelidsand is reflectedover the anteriorportion of the eyeballis
. the: c
. A. lacrimalmembrane
B. sclera
. C. conjunctiva
i 8' D. cornea
E. tarsalmembrane
.
. 292. Conemingthe oral cavity: D
. A. a musclethat functionsin protrusionof the tongueis the styloglossus
B. all tonguemuscles,exceptthe genioglossus, are providedmotor innervationby the hypoglossal
.
nerve(XII)
. C. both A and B
D. neitherA nor B
.

. 293 The mandibularfossais: E


. A. part of the mandible
B. part of the temporalbone
.
C. the placewhere the chordatympaniemergesfrom insidethe skull
. D. the location of the mandibulargland
E. both Band C
.
. 294. The orbit includesthe: A
. A. zygomaticbone
B. vomerbone
.
C. nasalbone
. D. both Band C
E. all of the above(A-C)
.

.
.

-'--
302 The ciliary ganglionreceivedpreganglionicparasympathetic
fibersfrom the: c
A. optic nerve
B. trochlearnerve
C. oculomotornerve
D. lesserpetrosalnerve
E. greaterpetrosalnerve

303 Symptomsthat result from destructionof the pterygopalatineganglionincludewhich of the


following: A
A. dry nasalmucosafrom lossof secretionof the nasalglands
B. dry mouth from loss of secretionof the parotid gland
C. both A and B
D. neitherA nor B

304. Which nerve suppliesthe posteriorbelly of the digastricmuscle: c


A. Cl
B. ansacervicalis
C. facial
D. hypoglossal
E. glossopharyngeal

305 Which nervesuppliesthe omohyoidmuscle: B


A. Cl
B. ansacervicalis
C. facial
D. hypoglossal
E. glossopharyngeal

306. Which nerve suppliesthe geniohyoidmuscle: A


A. C}
B. ansacervicalis
C. facial
D. hypoglossal
E. glossopharyngeal

307 Which nervesuppliesthe sternohyoidmuscle: B


A. Cl
B. ansacervicalis
C. facial
D. hypoglossal
E. glossopharyngeal

308. Thejugular foramentransmitsall but one of the following: c


A. vagusnerve(X)
B. glossopharyngeal nerve(IX)
C. facialnerve(VII)
D. accessorynerve(XI)
E. internaljugular vein
,If
.8; The trigeminal nerveor a branchthereofpassesthroughall of the foraminalisted below ~: D

.. 317
A.
B.
ovale
rotundum
C. mandibular
. D.
E.
lacerum
mental
.
A
. 318. The tentorium cerebelliis associatedwith which of the following:

.
A. transversesinus
. B. cavernoussinus
C. superiorpetrosalsinus
. D.
E.
frontal sinus
superiorsagittalsinus
.
The anteriorwall of the middle earis relatedto all but one of the following: c
. 319.
A. the eustachian(auditory)tube
. B. internalcarotidartery
. C. chordatympaninerve
. D.
E.
tensortympani muscle
noneof the above(A-D)
.
. 320. The stapediusmuscleof the middle earis innervatedby:

. A.
B.
the facialnerve(VII)
the trigeminalnerve(V)
. C. the glossopharyngeal nerve(IX)
. D.
E.
the vagusnerve(X)
the hypoglossalnerve(XII)
.
B
. 321. The roof of the middle earis relatedto:

. A.
B.
the posteriorcranialfossa
the middle cranialfossa
. C. the anteriorcranialfossa
. D.
E.
the cavernoussinus
the infratemporalfossa
.
E
. 322. Which of the following musclesis nQ!innervatedby the oculomotornerve:

. A. inferior oblique
B. constrictorpupillae
. C. medialrectus
D. levatorpalpebraesuperioris
E. dilator pupillae

Which of the following statementsis incolTect: D


323
A. the ciliary ganglionis a parasympatheticganglionassociatedwith the oculomotornerve
B . the nasociliarynerveruns alongthe medialwall of the orbit
C . the levatorpalpebraesuperiorismusclelies directly underthe frontal nerve
D. the lacrimal glandis associatedwith the lacrimal bonein the medial orbit
E. the orbital fascia(fasciabulbi) separates
the eyeballfrom the orbital fat and structuresbehindthe

,.~, eyeball

.
.
.
L9
..-
.
t.
.
.. 331 The middle meningealarteryis a branchof the:
A. externalcarotidartery
E

B. ophthalmicartery
C. superficialtemporalartery
. D. facialartery

.
.
.
332.
E. maxillary artery

Which of the following is IlQ1found in the infratemporalregion:


A. pterygoidplexusof veins
D

. B.
C.
chordatympani
otic ganglion
. D. geniculateganglion
. E. inferior alveolarartery

. 333 Which of the following musclesdoesnQ!help to openthejaw: A


. A. medialpterygoidmuscle
. B.
C.
lateralpterygoidmuscle
geniohyoidmuscle
. D. mylohyoid muscle
. E. anteriorbelly of the digastricmuscle

. 334. Of the following, which is the ~ statement: B


. A. the diploic veins arelocatedbetweenlayersof dura
B. the emissaryveins connectthe dural venoussinuseswith veins outsideof the skull
. C. the vesselsof the scalplie in the aponeuroticlayer
. D. the frontalis muscleis anchoredto the boneover the orbits
. E. only the ophthalmicdivision of V suppliesthe skin of the scalp

. 335 The maxillary division of the trigeminalnerveor its branchesextendthroughall of the following
. c
opening~:
. A. foramenrotundum
B. incisive foramen
. C . foramenovale
. D. pterygopalatinefossa
E. infraorbitalforamen
.
D
. 336. Which of the following nervesis sensorynQ!:
. A. inferior alveolarnerve
B. lingual nerve
. C. buccalbranchofV3
. D. buccalbranchof VII
E. auriculotemporalnerve
.
. 337.
Trigeminalneuralgiainvolving the lower faceGawarea)couldbe helpedby injectingthe responsible
D
. nerveat:
A. foramenlacerum
. B. superiororbital fissure
. C. foramenspinosum
D. foramenovale
. E. foramenrotundum
.
.
.8
8
8 346 Tenninal branchesof the maxillary artery,which occur in the pterygopalatinefossa,include all of the
8 tollowmg ~:
A. middle meningeal
A

8 B. sphenopalatine
8 C. posteriorsuperioralveolar
D. descendingpalatine
8
8 347 Sensoryfibers for the anterior2/3 of the tongueareassociatedwith: c
8 A. the geniculateganglion
B. the semilunarganglion
8 C. both A and B
8 D. neitherA nor B
. 348. All of the following statementsaretrue~: c
8, A. the lingual frenulum is a medianfold of mucousmembranewhich runsfrom the baseof the
. tongueto the floor of the mouth
B. the action of the hyoglossusmuscleis to depressthe sideof the tongue
. C. the sublingualduct opensat the baseof the tongueasthe sublingualcaruncle
8, D. the deeplingual artery suppliesblood to the tip of the tongue
. 340. A musclethat remainsfunctionalwhenthe hypoglossalnerveis damagedis the: B
8 A. genioglossus
8 B. palatoglossus
8 C.
D.
styloglossus
hyoglossus
.
. 349 All of the innervationof the larynx, both sensoryand motor, is suppliedby: A

. A. the vagusnerve

i8, ;
...
B.
C.
the glossopharyngeal
both A and B
nerve

8 D. neitherA nor B

8 350. All of the innervationof the oropharynx,both motor and sensory,is suppliedby: c
8 A. the vagusnerve
. B.
C.
the glossopharyngeal
both A and B
nerve

8, D. neitherA nor B

.c: 351 Which nerveoriginatesfrom the ventralramusofC2: B


8', A. suboccipital
.~ B. lesseroccipital
8 C.
D.
greateroccipital
both Band C
8 E. noneof the above(A-D)
8 B
352 Which one of the following statementsis ~:
. A. the hypoglossalnervecarriesfibers from C2
. B. the hypoglossalnervehooksaroundthe occipital artery
8 C.
D.
the superiorlaryngealnerveis a branchof the hypoglossalnerve
the superiorlaryngealnerverunsupwardbetweenthe tracheaandesophagus
. E. the recurrentlaryngealnerveis a branchof the superiorlaryngealnerve
8
.
~
361 Division of the anteriortriangleincludeall of the following ~: A
A. supraclaviculartriangle
B. carotidtriangle
C. digastrictriangle
D. submentaltriangle

362. Which of the following arteriesusuallyoriginatesfrom the thyrocervicaltrunk: D


A. inferior thyroid
B. transversecervical
C. superiorthyroid
D. both A and B
E. all of the above(A-C)

363. Structuresseenemergingfrom the parotid glandin the faceincludeall of the following ~: B


A. parotid duct
B. greaterauricularnerve
C. buccalbranchesof the facialnerve
D. transversefacial artery

364. The inferior belly of the omohyoidmuscle: c


A. is connectedindirectly to the clavicle
B. is innervatedby the ansacervicalis
C. both A and B
D. neitherA nor B

365. The ansacervicalisinnervateswhich of the following muscles: A


A. sternohyoid
B. thyrohyoid
C. geniohyoid
D. stylohyoid
E. all of the above(A-D)

366. Openingsinto the pterygopalatinefossaincludethe: A


A. foramenrotundum
B. foramenovale
C. both A and B
D. neitherA nor B

367 Sensoryfibers for the hardpalateareassociated


with the: B
A. geniculateganglion
B. semilunarganglion
C. both A and B
D. neitherA nor B

368. The following structuresarecontainedwithin the aryepiglotticfold: D

A. conuselasticus
B. arytenoidcartilages
C. both A and B
D. neitherA nor B
376 Which of the following structuresareinvolved in increasingthe tensionon the vocal ligamentsalong
their entire length: A
A. cricothyroidmuscle
B. thyroarytenoidmuscle
C. both A and B
D. neitherA nor B

377 Generalsensoryafferentfiberswhich supplythe mucosaof the larynx abovethe vocal folds are
carriedin the following nerve(s): c
A. intemallaryngealnerve
B. superiorlaryngealnerve
C. both A and B
D. neitherA nor B

378 Which of the following statementsis n.Q!true concerningthe bronchopulmonarysegments: A


A. eachis suppliedby its own branchof a pulmonaryvein
B. eachsegmentis separatedfrom adjacentsegmentsby connectivetissuesepta
C. eachis suppliedby its own segmental(tertiary) bronchus
D. eachsegmentis suppliedby its own branchof a pulmonaryartery

379 All of the following is true aboutthe longuscapitis muscle~ it B


A. insertsanteriorto the occipital condyles
B. insertsposteriorto the occipital condyles
C. actsto flex theneckandcervicalvertebrae
D. originatesfrom the transverseprocessesof C3 to C6

380 The cranialparasympathetic


outflow is associatedwith all of the following cranialnervenuclei
~: c
A. III
B. V
C. X
D. VII

381 The petrousportion of the temporalbone: D


A. forms the bordersof the foramenovale
B. takespart in the formationof the foramenspinosum
C. both A and B
D. neitherA nor B

382. Preganglionicautonomicnervefibers emergefrom the spinalcord in all of the following divisions


~: D
A. sacral
B. lumbar
C. thoracic
D. cervical

383 Concerningthe oral cavity: A


A. the lingual artery entersthe oral cavity medial to the hyoglossusmuscle
B. as it transversesthe oral cavity, the lingual nerveremainsmedialto the submandibularduct
C. both A and B
D. neitherA nor B
392. The tensortympanimuscle:
A
A. entersthe tympaniccavity via its anteriorwall
B. insertson the incus
C. reducestensionon the tympanicmembranewhencontracted
D. is innervatedby the facial nerve(CN VII)
E. all of the above(A-D)

393. The tympaniccavity (middle ear):


E
A. containsa componentof the glossopharyngeal nerve(CN IX) on its medialwall
B. containsa componentof the facial nerve(CN VII) on its lateralwall
C. is continuouswith the mastoidportion of the temporalbone via the aditusantrum
D. containsthe origin and insertionof the stapediusmuscle
E. all of the above(A-D)

394. A fracturerestrictedto the tegmentympaniof the temporalbonewould: B


A. result in damageto the internalcarotidartery
B. probablyallow CSF from subarachnoidspaceto enterthe tympaniccavity
C. damagethe auditorytube
D. allow venousblood from thejugular bulb to enterthe tympaniccavity
E. all of the above(A-D)

395. All of the following statements are true about the umbo ~ it: B
A. is located in the pars tensa region of the tympanic membrane
B. is located in the pars flaccida portion of the tympanic membrane
C. is situated at the tip of the so-called "cone of light"
D. represents the point of attachment of the handle of the malleus

396. The vagus nerve (cranial nerve X): c


A. travels in the carotid sheath between the internal jugular vein and the carotid artery
B. is the source of the recurrent laryngeal nerve that hooks around the subclavian artery on the right
side
C. both A and B
D. neither A nor B

397. The tympanicplexus: D


A. is a componentof the facial nerve(CN VII)
B. servesasthe origin of the greaterpetrosalnerve
C. both A and B
D. neitherA nor B

398. The internalcarotidartery: D


A. originatesfrom the brachiocephalicartery
B. givesoff branchesin the neck
C. both A and B
D. neitherA nor B

399. The internalear: c


A. containsnervecell bodiesthat fonDthe cochlearnerve
B. containscavitiesand canalsthat arelined with periosteum
C. both A and B
D. neitherA nor B
8
.
8
8 408. The sternocleidomastoid
muscle: D
8 A. receivesits motor innervationfrom the cervicalbranchof the facial nerve(cranialnerveVII)
: B. insertsonto the clavicle andthe sternum
., C. both A and B
.;
8 '
D. neitherA nor B

409. The digastricmuscle: A


8
. A.
B.
C.
takespart in the formationof the bordersof the submandibulartriangle
crossesthe posteriortriangleof the neck
both A and B
8'1
D. neitherA nor B
8
. ":'
410. The subclavianvein:
A. receivesthe thoracicduct on the left side
E

'.1 B. receivesthe externaljugular vein


8 C. is a tributary of the brachiocephalicvein
.
8.
D.
E.
passesanteriorto the anteriorscalenemuscle
all of the above(A-D)

41 Regardingthe eyelids: B
8,i
8
A. Tenon'sfasciaor capsuleis associatedwith the eyelid
B. droopingof the eyelid may possessboth oculomotornerveinvolvementaswell as sympathetic
8 nerveinvolvement
. C. both A and B
D. neitherA nor B
8
8' 412 Which of the following arteries can nQ! be seen passing through the posterior triangle of the neck: A
A. facial
8
B. occipital
.. C. suprascapular
D. transversecervical
8
e' 413 Sensorynervesof the cheekinclude: B
8 "
,
: A. buccalbranchof VII
B. buccalbranchof V 3
8:
C. both A and B
8 D. neitherA nor B
8
414. The hyoid bone: D
e~
. J''~
t
i
A.
B.
servesas the site of origin for the omohyoidmuscle
is visible asthe laryngealprominence
. ;{
.'
C. both A and B
D. neitherA nor B
. ,c
"J~
. "
415 The pterygoidplexusof veinspossesses
direct venousconnectionswith which of the following
'Ii
""",,'
structures: E
.;;
8
,
\.'
. A. cavernoussinus
B. ophthalmicveins
;
8" C. facial vein
8 . D. maxillary vein
"~ E. all of the above(A-D)
.
8
---
424. Whencell bodiesof the left semilunarganglionaredamagedthe signsand symptomsinclude: A
A. loss of sensationof pain from the anterior2/3 of the tongue
B. loss of tasteto then anterior2/3 of the tongue
C. both A and B
D. neitherA nor B

425. A stabwound in the posteriortriangleof the neck could damageall of the following nerves~
the: A
A. greateroccipitalnerve
B. accessorynerve
C. greaterauricularnerve
D. suprascapularnerve

426. Regardingnervesof the orbit and its contents: B


A. the frontal nerveis a branchof the oculomotornerve
B. the lacrimal glandreceivesits secretomotorfibersfrom the facial nervevia the pterygopalatine
ganglion
C. both A and B
D. neitherA nor B

427. Regardingthe eyeballand its composition: B


A. the ora serratais associatedwith the choroidcoat
B. the shortciliary arteriessupplythe choroidvascularpart
c. the centralarteryof the eyeballsuppliesthe choroidvascularlayer
D. the posteriorchamberof the eyeballcontainsvitreoushumor
E. all of the above(A-D)

428. Structures enclosedwithin the carotidsheathincludethe: A


A. vagusnerve
B. externaljugular vein
C. both A and B
D. neitherA nor B

429, The following statementsaretrue aboutanteriortriangleof the neck~ it: A


A. containsthe transversecervicalartery
B. containsthe carotid sinus
C. is coveredby skin that receivedits sensoryinnervationform the transversecervicalnerve
D. is borderedsuperiorlyby the inferior borderof the mandible

430. Branchesof the externalcarotidarteryincludeall of the following~: B

A. superiorthyroid
B. inferior thyroid
C. facial
D. maxillary

431 Lateralmovementof the eyecanbe producedby contractionof all of the following extraocular
musclesexceptthe: B

A. lateralrectus
B. inferior rectus
C. inferior oblique
D. superioroblique
.8
..
.
. 440. The internaljugular vein:
A.
B.
is locatedwithin the carotidsheath
containsvenousblood from the brain
E

C. is at tributary of the brachiocephalicvein


. D. containsa bicuspidvalve in its inferior bulb that preventsretrogradeflow of blood
. E. all of the above(A-D)

.
e: 441 The musclesthat areinnervatedby the extemallaryngealandthe recurrentlaryngealnervesreceive
their blood supply from arteriesarisingfrom: D

.
8,
8 i.
,
;;"'
A.
B.
C.
D.
the costocervicaltrunk
the maxillary artery
both A and B
neitherA norB

8 442 Sensorybranchesfrom the cervicalplexusinclude: E


.
.
A. supraclavicular
. B.
C.
transversecervical(cutaneous)
lesseroccipital
")
'14
, D. greaterauricular

.
II

8"' E. all of the above(A-D)

443, Concerningthe anteriorscalenemuscle: E


8 A. it may be usedto divide the subclavianarteryinto threeparts
. B. it forms part of the floor of the posteriortriangle of the neck
C. the phrenicnervetravelsacrossits anteriorsurface
. D. it separates the subclavianarteryfrom the subclavianvein

.8
.
444.
E. all of the above(A-D)

Symptomsthat result from destructionof the pterygopalatineganglioninclude which of the

.. following:
A. dry mouth from loss of secretionof submandibulargland
B . dry eyesfrom loss of secretionof the lacrimal gland
B

C. both A and B
. D. neitherA nor B

. 445 Which of the following statementsaboutthe sensorynervesupplyto the scalpis ~: E


. A. the supratrochlearandsupraorbitalnervesarebranchesof the ophthalmicdivision of the
. trigeminalnerve
B. the scalp,over the temporalregion is suppliedby the zygomaticotemporalnervewhich is a
8:" branchof the maxillary division of the trigeminalnerve
. c. the terminal superficialtemporalbranchesof the auriculotemporalnervesupplythe skin over the
temporalregion of the scalp
. D. the greateroccipitalnerveoriginatesfrom the posteriorramusof the secondcervicalnerveand
. suppliesthe back of the scalp

"
..
.
446
E. all of the above(A-D)

Branchesof the first part of the subclavianarteryusuallyinclude all of the following ~


A. thyrocervicaltrunk
the: D

.
B. internalthoracicartery
'8 C. vertebralartery
D. dorsalscapularartery
"
}:8
r8'"
~
455. Which nerve(s)havebeeninjured if your patientcannotclosehis eyelids: D
A. superiorcervicalganglion
B. oculomotor
C. ophthalmic
D. facial
E. all of the above(A-D)

456. The posteriortriangleof the neck: c


A. containsrootsof the brachialplexus
B. containsthe supraclavicularfossa
C. both A and B
D. neitherA nor B

457. The anteriorscalenemuscle(scalenusanterior): B


A. insertson the medialone-thirdof the clavicle
B. passesanteriorto the subclavianartery
C. both A and B
D. neitherA nor B

458. Thehypoglossalnerve(cranialnerveXII): D
A. providesmotor innervationto the intrinsic and extrinsic musclesof the tongue
B. passesthroughthe submandibulartriangle
C. both A and B
D. neitherA nor B

459. The cervicalplexus: A


A. originatesfrom the ventral rami ofCI throughC4
B. providesthe platysmamusclewith motor innervation
C. givesrise to branchesthat providethe trapeziusmusclewith motor innervation
D. is composedentirely of sensoryfibers
E. all of the above(A-D)
.
.
.
. 460. Regardingthe skeletonof the thorax: B
. A. the floating ribs areribs 8-12
B. a typical rib consistsof all of the following: head,a neck, and a shaftwith its costalgroove
. C. the most typical rib is rib 1
. D. the sternalanglemarksthe articulationof rib 3
E. a line throughthe sternalanglebisectsthe disc betweenvertebraeT2 andT3
.
. 461 Which muscleis nQi involved in forcedinspiration: A
. A. scalenusposteriormuscle
B. scalenusanteriormuscle
. C. scalenusmediusmuscle
. D. sternocleidomastoid
muscle
. 462 Regardingthe thoracicwall: D
. A. the subcostalmusclesarebestdevelopedin the upperpart of the thorax
. B. the innermostintercostalsareoftenregardedaspartsof the externalintercostalmuscles
C. the anteriorintercostalmembraneis the membranousportion of the internalintercostalmuscle
. D. the anteriorintercostalarteriesarebranchesof the internalthoracicarteries
. E. the intercostalnervesarethe posteriorrami of the 12thoracicnerves
.
ie,
. ."
463 The conductingsystemof the heartcomprises:
A. the sinuatrialnode,His bundle,right andleft branches
D

B. the sinuatrialnode,atrioventricularnode,His andHer bundle,superiorandinferior crura


C. the atrioventricularand atrial nodes,His bundle,right andleft crura
.
D. the sinuatrialnode,the atrioventricularnode,andbundle,the right and left branches,and
. I Purkinjefibers network
iE. SA andA V node,His andHer bundle,anteriorandposteriorcrura,Purkinje'sfibers andnetwork
.

.. 464. Selectthe ~ statement: c


. A. the SA nodeis suppliedby the venacardiacaparva
.
B. the SA nodeis drainedby the left coronaryartery in 60% of the cases
C. the SA nodeis suppliedby an atrial branchof the right coronaryartery in approximately60% of
. the cases
,.:, D. the SA nodeandthe A V nodearedrainedby the secondseptalarteryof the anterior
interventricularartery
. E. the A V nodeis drainedby the left coronaryartery
.
''"8 '" 465. The posteriormediastinum: E
A. extendsfrom the 4th thoracicvertebrato the diaphragm
. B. includesthe descendingthoracicaortaandazygosveins
C. includesthe vagi and splanchnicnerves
D. includesthe thoracicduct andesophagus
. E. all of the above(A-D)
.
466. Selectthe ~ statement: A
.
A. the pericardiumhasa closerrelationshipwith the SA nodethanwith the AV node
. B. the right vagusnervehasmore control on the AV node than on the SA node
C. the epicardiumcontainssubendocardial Purkinjefibers for conductionpurposes
.
D. the parsmembranacea is the upperportion of the interatrialseptumin children
. E. the A V nodeis locatedin the right aspectof the superiorvenacava,at the level of the sulcus
.
terminalis

.
.
.
.
. 474. A tumor or growth in the areaof the ligamentumarteriosumwould ~ likely involve which of the
following structures: c
.
A. right phrenicnerve
. B. left phrenicnerve
. C. left recurrentlaryngealnerve
D. right recurrentlaryngealnerve
. E. right vagusnerve
.
A
. 475 Which of the following is/are related to the right atrium:

. A.
B.
crista terminalis
trabeculaecamae
. C. both A and B
D. neither A nor B
8"
.; 476. Which one of the following doesnQ!lie within the posteriormediastinum: A
. A. phrenicnerve
B. vagusnerve
.
C. esophagus
. D. thoracicaorta
E. greatersplanchnic
.
. 477. The phrenicnerve: c
. A. containsaxonsthat originatefor the mostpart from the ventralramusofC4
8z
'. "'
B . providessensoryinnervationto the pericardium
C. both A and B
..~ D. neitherA nor B
.
478, Which of the following statementsis/are~ concerningthe anatomyof bronchopulmonary
. E
segments:
. A. eachis suppliedby a tertiary bronchusanda branchof a pulmonaryartery
B. eachis surroundedby a thin layer of connectivetissuethat canact asa barrier to the spreadof
.
infectionbetweensegments
. C. eachcanbe surgicallyremovedwithout greatlyinterferingwith the function of the remaining
. segments
D. thereareusually 10 bronchopulmonarysegmentspresentin the right lung
. E. all of the above (A-D)
.
A sharpknife wound startingat and includingthe externalintercostalmusclewould penetratehow
479.
. many layersbeforehitting the lung tissueitself (Includethe pleuralcavity andendothoracicfasciaas
D
. 2 layers):

.
A. four
B. five
. C. six
.
D. seven
E. eight
;8
B
..
~'.
,. "
480. The atrioventricularnodeis located:
A. in the cristatenninalis of the right atrium
B. superiorto the attachmentof the septalcuspof the tricuspidvalve
;8

~
¥' c

~ .
C. both A and B
~"
;. D. neitherA nor B
~c
t
f . "

!.
~.
.
.
.
."
8! 488 Which one of the following statements is D.Q1
A. extends from upper abdomen to the neck
true of the thoracic duct: D

B. found in the posterior mediastinum


. C. associated with the cisterna chyli
.to,
.. D.
E.
drains both right and left sides of the thorax
usually ascendsto the right of the thoracic aorta

489. The septamarginaltrabecula(moderatorband)is associated


with the: B
. A. right atrium
B. right ventricle
.
C. left atrium
. D. left ventricle
E. baseof the heart
." :!

. 490. Structuresof areascommonto the right ventricle: D


. A. fossaovalis
B. musculi pectinati
.
C. both A and B

.
.

.
491.
D. neitherA nor B

Featuresof the thoracicportion of the sympathetictrunk: A


A. coveredthroughoutwith costalpleura
. B. no thoracicsplanchnicnervesemerge
.
C. both A and B
D. neitherA nor B
.

. 492. Which of the following statement(s)are~ regardingthe structureof bronchopulmonary


segments: A
.
A. eachsegmentis suppliedby a segmentalbronchus
. B. runningthrougheachsegmentis a pulmonaryartery,pulmonaryvein and a segmentalbronchus
.
C. both A and B
D. neitherA nor B
.

493 Selectthe ~ statement: E


.

8' A. the pacemakerof the heartis the atrioventricularnode


B . the ventriculo-atrialbundleconnectsthe atrial andventricularmusculaturenearthe ostiumof the
. coronarysinus
C. the sinuatrialbundleis divided into anteriorandposteriorfascicles
.
D. the right branchof His' bundleis flat andwide andthe left branchruns in the septomarginal
. trabecula
E. the conductingelementsof the heartaretwo nodes,threeinternodalfascicles,a bundle,two
.
branchesandtheir extension
.

494, Selectthe ~ statement: c


.
A. the conductingelementsof the heartconsistof smoothmuscularfibers
.
B. the atrioventricularnodeis locatedat the anterolateraljunction of the superiorvenacavaandright
. atrium
.
C . the sinusnodearteryarisesusuallyfrom the right coronaryartery
D. the sinusnodeis found in the interatrial septumnearthe fossaovalis
. E. the right crus or right branchconsistsof severalflat bandsor strands,the fibers of which reach
the papillary musclesand the bicuspidvalve
.

L
.
.
.
. 503. The posterior intercostal arteries are branches of: c
. A. the internal thoracic artery
. B.
C.
the subclavian artery
the aorta
. D. the highest intercostal artery
. E. the thoraco-acromial artery

. 504. Which of the following is nQ!true for the greatersplanchnicnerve: c


. A. consistsof preganglionicsympatheticfibers
. B.
C.
the fibers canbe found in the posteriormediastinum
branchesarisefrom the 9th to the lOth sympatheticganglionregion
. D. fibers comefrom the spinalcord via white rami gangliawithout synapse
. E. fibers terminatein the celiacganglion

. 505 The nipple andareolaof the multiparousfemalebreastis usuall~in or at the level of the: c
. A. fourth intercostalspace
. B.
C.
fourth rib
fourth thoracicnervedermatome
. D. fifth intercostalspace
. E. fifth rib

. 506 The suspensoryligaments(of Cooper)of the femalebreast: c


. A. firmly attachesthebreastto the underlyingpectoraldeepfascia
. B. arethe meansby which the innervationandvasculationof the organaredistributed
C. areretinaculaecutis
. D. both A and B
. E. all of the above(A-C)

. 507. Lunula, noduleandcuspareassociatedwith: A


. A. the semilunarvalves
. B. the atrioventricularvalves
C. the eustachianvalve
. D. all of the above(A-C)
. E. noneof the above(A-D)

. 508. Selectthe ~ statement: B


. A. the breastoverliesthe pectoralismajor andserratuslateralmuscles
B. the superolateralquadrantof the breastis the mostfrequentsite of mammarytumors
- C. the mammaryglandis extremelyvascularandsuppliedmainly by the superiorthoracicartery
. D. the venousdrainageof the breastindicatethe nervouspathways
. E. the lymphaticvesselsof the areolaandnipple drainlymph toward the rectussheath

. 509 Which of the following areassociatedwith the fact that foreign objectsareusually aspiratedinto the
. right lung insteadof the left: E

. A. mostpeopleareright handed
B. the right primarybronchushasa largerdiameterthanthe left primary bronchus
. C. the longitudinal axis of the right primary bronchusis orientedmore vertically thanthat of the
. left primarybronchus
D. the cilia sweepthe objectstowardthe right bronchusandaway from the left bronchus
. E. both Band C
.
.

~ .
."A
.
.
.

.
.
.
517 A bullet shot into the lateralchestwall throughan intercostalspacewould perforatewhich of the
following after passingthroughthe parietalpleura:
A.
B.
innennostintercostalmuscle
potentialpleuralcavity
B

. C. internal intercostalmuscle
D. endothoracicfascia
. E. pericardialcavity
.
518. E
. Which one of the following is nQ1associated with the posterior mediastinum:
A. vagusnerve
. B. esophagus
. C. thoracicduct
D. azygousvein
. E. phrenicnerve
.
In its passagethroughan intercostalspace,a bullet would firg piercewhich of the following layers
. 519.
after passingthroughthe intercostalmuscles: A
. A. endothoracicfascia
. B. parietalpleura
C. pleural cavity
. D. visceralpleura
. E. lung parenchyma
. 520. Which of the following fissuresof the lungslies directly beneaththe anteriorportion (from mid
. axillary region to the sternum)of the 4th rib: A
. A. the right horizontalfissure
B. the left horizontalfissure
. C. the right oblique fissure
. D. the left oblique fissure
. 521 A sixty-yearold constructionworker was admittedto the hospitalwith severeshortnessof breath
. (dyspnea)and greatdifficulty in swallowing(dysphagia).The patientstateshe hassufferedincreased
difficulty and pain in swallowing for over six months,hassubsistedon a liquid diet and lost thirty
. pounds. His sputumis blood-tingedand for the last few weekshe hasbecomehoarse. X-ray
. examinationof chestrevealsa wideningof the mediastinumand fluoroscopyshowsobstructionof
esophagusat level of trachealbifurcation. Diagnosis:cancerof esophagus with obstructionand
. metastaticinvolvementof surroundingposteriormediastinalstructures.The hoarseness wasdue to
. involvementof: c
. A. right vagusnerve
B. right recurrentlaryngealnerve
. C. left recurrentlaryngealnerve
. D. left phrenicnerve
E. greatersplanchnicnerve
.
. 522, An aneurysm(ballooning)of the archof the aortawould mostlikely affect all ~ oneof the
E
. following:

. A. left primary bronchus


B. esophagus
. C . left recurrentlaryngealnerve
. D. thoracicduct
£. phrenicnerve
.
.
.
~
.
.
.
. 530. Indicatetile ~ statement(s): c
. A. the lafyngealprominenceof the thyroid cartilageis largerin the postpubertalmale thanin a
femalf of the sameage
. B. the re~piratorysystemfunctionsto filter, warm andhumidify air which will enterthe lungs
. C. both JI:.. and B
D. neithetrA nor B
.
. 531 The anteri@rintercostal arteries are branches of the: B
. A. posterior intercostal arteries
B. intern,l thoracic arteries
. C. medi~tinal arteries
. D. highe~ intercostal arteries
E. subcostal arteries
.
. 532
I
The bare atjeaof the heart or pericardium where the pleura does nQ! cover it is related to the: D
. A. costodiaphragmatic recess
B. cupola:of the pleura
. c. the rig~t 4th-6th parasternal region
. D. the le~ 4th-6th parasternal region

. E. pulmo~ary ligament

. 533 The perica¥ial sacis filled with a straw-coloredfluid. This fluid canbe removedsafelyby
E
. introducin~a needlein an areaboundedby the:
A. left mid-clavicularline and3rd intercostalspace
. B. right ntid-axillary line and4th or 5th intercostalspace
. C.
I
suprastfrnalnotch
D. left parfiSternalborderand3rd intercostalspace
. E. caudalpart of the body of sternumandmedial endsof left 4th and 5th costalcartilages
.
D
. 534. With refere~ce to the serous pericardium, which of the following statements is nQ1true:

. A. its viscbrallayer is also its epicardium


B. betwee~ its layers, it contains the oblique sinus
. C. it is a c~osedsac
D. the pericardial cavity exists between the fibrous and serous pericardium
. E. the visoerallayer of serous pericardium is supplied by the coronary arteries
. A
. 535, Which of the following statementsis incolTect:
A. the baseof the heartis formedby the ventricles
. B. the sternocostalsurfaceof the heartis formedmainly by the right ventricle
. c. the inner surfacesof both auriclesof the heartareridgedby the musculipectinate
I
D. the sep~omarginal trabecula(moderatorband)containsPurkinjefibers from the right limb of the
. atrioveqtricularbundle
E. the carqiacskeletonsurroundsthe atrioventricularandsemilunaropeningsgiving attachmentto
.
the val'1es
.
I of a heartrevealsan old and a new areaof damage(infarction)causedby occlusionof
. 536.
Examinatio~
the circumf1~xbranchof the left coronaryartery. The damageis in the: B
, A. right atrium andright ventricle
. B. left atrium andleft ventricle
. C.
D.
left auqcleandinterventricularseptum
apexof Ithe heart
. E. pulmonflTYartery
.

~.
.-
. A sixty-yearold constructionworker was admittedto the hospitalwith severeshortnessof breath

.. 543
(dyspnea)and greatdifficulty in swallowing(dysphagia).Thepatientstateshe hassufferedincreased
difficulty andpain in swallowing for over six months,hassubsistedon a liquid diet and lost thirty

.. pounds. His sputumis blood-tingedand for the last few weekshe hasbecomehoarse. X-ray
examinationof chestrevealsa wideningof the mediastinumandfluoroscopyshowsobstructionof
esophagusat level of trachealbifurcation. Diagnosis:cancerof esophagus with obstructionand
metastaticinvolvementof surroundingposteriormediastinalstructures.In additionto tracheaand
bronchi, the growing cancermay invade: E
. ~. the heart

.
.
.
. the pericardium
. the aorta
. the lungs andpleura
. all of the above(A-D)
. 544 All ~ one of the following statementsis true of the azygosvein: c
. A. originatesbelow the diaphragm
. B. lies on or nearthe right borderof the thoracicvertebralcolumn
. C. emptiesinto the right brachiocephalicvein
D. receivesits tributariesmostly from the right chestwall
. E. receivesblood from both the hemizygousandaccessoryazygosvenoussystems
. The sternalangleis an importantlandmark. It is at the level of: c
. 545.
~. cervicalvertebra7
. . disc betweenthoracicvertebrae2 and3
. disc betweenthoracicvertebrae4 and5
. . disc betweenthoracicvertebrae6 and7
. . thoracicvertebra7
. 546. Flatteningof the carinais often associatedwith: D
. A. a collapsedlung
. B. high blood pressure
C. both A and B
. D. neitherA nor B
.
The phrenicnerve: D
. 547.
A. providessensoryinnervationto the carotid sinus
. B. is locatedin the anteriortriangle of the neck
. C. both A and B
D. neitherA nor B
.
. 548 Which of the following structures do !lQ1contribute to the interatrial septum: c
A. septum spurium
. B. right valve of the sinus venosus
. C. both A and B
D. neither A nor B
.
. 549 The angleora rib is relatedto the: A

. A. shaft of the rib


B. articulartubercleof the rib
. C. neck of the rib
. D. headof the rib
E. interarticularcrestof the rib
.
.

l:
.
.
.
. 557. With relationto the superficialcardiacplexus: D
. A. locatedin thebifurcationof the trachea
. B.
C.
receivescontributionfrom all cardiacnerves
is specificallyrelatedto the thoraciccardiacsympatheticnerves
. D. hasboth sympatheticandparasympathetic contributions
. E. is suppliedby the preganglionicleft superiorcardiacsympatheticnerve

. 558 The sternalangle(of Louis) marksthe locationof the third rib: B


. A. true
B. false
.
. 559. Contents.of the anteriormediastinumincludes: E
. A. trnchea
B. vagusnerve
. C. phrenicnerves

.
.
. 560.
D.
E.
esophagus
thymus

Indicatethe~ statement: c
. A. the SA nodeis suppliedby the venacardiacamagna
B . the A V nodeis drainedby the left coronaryarteryin 60% of the cases
. C. the SA nodeis suppliedby an atrial branchof the right coronaryartery in approximately60% of
. the cases
D. the SA nodeandthe A V nodeare drainedby the secondseptalartery of the anterior
. interventriculararteryfrom the left coronaryartery
. E. the A V nodeis drainedby an atrial branchof the anteriorinterventriculararteryof the left
coronaryartery
.
. 561 Which of the following is consideredto be a "false" rib: E

. A. rib I
B. rib 2
. c. rib 6
. D. rib 7
E. rib 9

.
.

.
562. Which if the following statementsregardingthe breast(mammarygland) is nQ1true:
A.
B.
the axillary tail of Spenceis a normal prolongationof breasttissueextendinginto the axilla
Cooper'sligamentsareligamentsthat fix the breastto the underlyingpectoralfascia
E

. C. the breastnormally containscutaneousglandsin its areola


D. the major blood supplyto the breastarefrom branchesof the internalthoracicand axillary
. arteries
. E. the mammarygland normally extends(in the female)from the 1stto the 8th rib from midstemal
to the midclavicularline
.
. 563. An aneurysm(markeddilation) of which of the following heartstructureswould most likely
compressthe esophagus
andresult in somesymptomsof difficulty relatedto eating: B
.
A. right atrium
. B. left atrium
. C. right ventricle
D. left ventricle
. IE. pulmonaryartery
.
.
..
r,..c.;.
1
.
.
.
. 571 Which of the following is/arerelatedto the pericardialcavity, specificallybetweenlayer of parietal
pericardiumor betweenvisceralandparietallayers: D
.
A. costodiaphragmatic sinus
. B. costomediastinalsinus
. C. oblique sinus
D. all of the above(A-C)
. E. noneof the above(A-D)
.
572 Which of the following statementsis incorrect: D
.
A. the viscerallayer of serouspericardiumis usuallycalledthe epicardium
. B. the bareareaof the pericardiumis found nearthe sternalendof the left 4th or 5th costalcartilage
. C. the pericardiumhasthreelayers
D. the obliquepericardialsinuslies behindthe aortaandpulmonaryarteryand anteriorto the
. supenorvenacava
. E. the costomediastinalsinusis locatedbetweencostalandmediastinalparietalpleura

.
573. The most anteriorportion of the heart,found behindthe sternum,is the: c
. A. right atrium
. B. right auricle
C. right ventricle
. D. left ventricle
. E. left atrium
.
574 The arteriesof the heartare: c
.
. A. coronary,atrial, ventricular,sinusal,andpericardial
. B. two coronary,auricular,sinusal,andatrioventricular
C. two coronary,atrial, atrioventricular,ventriculo-atrialandventricular,parietal,and septal
.
D. coronary,atrial, auricular,sinusal,and septal
. E. threecoronary,atrial, atrioventricular,marginal,andparietal
.
575 A tumor at the bifurcationof the tracheawould effect all ~ one of the following: D
. A. aorticarch
. B . superiorvenacava
C. esophagus
. D. right recurrentlaryngealnerve
E. deepcardiacplexus
.
. 576. The origin and conductionsystemof the heartcomprisesthe: E
. A. sinuatrialnode,the interatrialbundle,His bundle,right andleft branches
B. sinuatrialnode,atrioventricularnode,His andHer bundle,superiorand inferior crura
. C. atrioventricularandatrial node,His bundle,right andleft crura,the internodaltracts
. D. sinuatrialnode,the atrioventricularnodeandbundle,the right andleft branches
E. sinuatrialnode,the internodaland interatrial tracts,the AV nodeandbundle,the right and left
. branches
.
577 The superior,middle, and inferior lobesof the right lung havethe following numberof
. A
bronchopulmonarysegments,respectively:
.
A. 3,2,5
. B. 3,3,4
C. 2,4,4
.
D. 2,3,5
. E. 5,3,2
.
.
..
.
. 584. The intercostalspaces: B
. A. arefilled by threelayersof musclebetweenthe costalcartilages
B. containarteriesderivedfrom the aortaandinternalthoracicartery
. C. havethe primary neurovascular bundlelocatedalongthe superiorborderof eachrib
. D. are filled only by subcostalmuscleposteriorly
E. containnerveswith only, sensoryand autonomiccomponents
.
. 585. Which of the following phrasesregardingthe posteriormediastinumis incorrect: D
. A. includesthe vagi andsplanchnicnerves
B. includesthe descendingaortaandazygosveins
. C. includesthe esophagus andthoracicduct
. D. includesthe phrenicnerves
. E. extendsfrom the 4th thoracicvertebrato the diaphragm

. 586. A patientis admittedto the hospitalwith dyspnea(shortnessof breath)and dysphagia(difficulty in


. swallowing). Shehaslived on a liquid diet for weeksand lost 340 pounds. From time to time,
during coughingspells,the sputumshowedsomeblood. The patientstatesthat for the last few
. weeksshehasbecomequite hoarse.Fluoroscopyrevealsan obstructionat the level of the tracheal
. bifurcation. Hoarseness is dueto paralysisor compressionof the: c
. A.
B.
phrenicnerve
vagusnervein posteriormediastinum
. C. left recurrentnerve
. D.
E.
right recurrentnerve
greatersplanchnicnerve
.
. 587. Pleura: D
A. is in direct contactwith the parietal layer of serouspericardiumat the baseof the heart
. B. hasa rich sensorynevesupplywhereit reflectsonto the surfaceof organs
. C . coversthe entirethoracicsurfaceof the diaphragm
D. lines the costodiaphragmatic andcostomediastinal recesses
. E. separates the phrenicnervesfrom the mediastinum
.
. 588. A patient is admittedto the hospitalwith dyspnea(shortnessof breath)and dysphagia(difficulty in
swallowing). Shehas lived on a liquid diet for weeksand lost 340 pounds. From time to time,
. during coughingspells,the sputumshowedsomeblood. The patientstatesthat for the last few
. weeksshehasbecomequite hoarse.Fluoroscopyrevealsan obstructionat the level of the tracheal
bifurcation. Blood in the sputumis the result of tumor invasionandulcerationpenetrationof the
. trachea.The vesselsmostprobablyinvolved which supplythe tracheaand esophagus are: B
. A. branchesof subclavianartery
B . bronchialarteriesanddirectvisceralbranchesof aorta
. C . intercostalarterialbranches
. D. internalthoracicvessels
E. branchesof thepulmonaryarteries
.
. 589. A patient is admittedto the hospitalwith dyspnea(shortnessof breath)and dysphagia(difficulty in
swallowing). Shehaslived on a liquid diet for weeksand lost 340 pounds. From time to time,
. during coughingspells,the sputumshowedsomeblood. The patient statesthat for the last few
. weeksshehasbecomequitehoarse.Fluoroscopyrevealsan obstructionat the level of the tracheal
bifurcation. As a result of its location anatomically,the tumor may also involve: E
. A. pleuralcavity
. B. lungs
C. aorta
. D. pericardiumandheart
. E. all of the above(A-D)
.
.
~
.- 597. Regardingthe mediastinum:
A.
B.
the anteriormediastinumlies abovethe level of the pericardium
the chief componentof the anteriormediastinumarethe pulmonaryartery andascendingaorta
D

.
C. the superiormediastinumis locatedin front of the pericardiumandbehindthe sternum
. D. the superiormediastinumcontainsthe esophagus, trachea,thymusand greatervesselsof the heart
.
(amongotherstructures)
E. the thoraciccavity containsthe lungsand pleuraebut doesnot includethe mediastinum
.

. 598. Regardingthe right atrium: c


.
A. the fossaovalis is an interatrialstructureand maintainsa valve throughoutlife to direct blood
flow
. B. both the superiorandinferior venaecavaeusuallyhavevalvesto directblood flow
.
C. the inner surfaceof the atrium is generallysmooth,as is that of its counterparton the left side
D. the sinusvenarumis anothernamefor the atrial auricle
. E. the tricuspid valve is notedfor its nodule(of Arantii) andlumulae
.
599. With referenceto theheart: D
.
A. the tenn infundibulumis associatedwith the left ventricle
81 B. the tenn vestibulerelatesto the right ventricle
. C. the membranousinterventricularseptumis the largestportion of the interventricularseptum
D. the cardiacskeletonconsistsof fibrous or fibrocartilaginoustissuethat surroundsthe semilunar
. and atrioventricularopenings
. E. the atrial andventricularmusculatureare continuousandmusclebundlesinterdigitate

.
600, The atrioventricularnodeis usuallxsuppliedby a branchof the: A
. A. right coronaryarteryasit lies nearthe posteriorinterventricularsulcus
. B. right coronaryartery,nearits origin from the aorta
C. left coronaryartery
. D. circumflexbranchof left coronaryartery
. E. anteriordescending branchof left coronaryartery

.
601 The "predominant"or "preponderant"
coronaryartery: c
.
A. alwayssuppliesthe sinuatrialnode
. B. suppliesthe greatmajority of atrial andventricularmyocardium
C. usually givesrise to the posteriorinterventricular(descending)artery
.
D. hasthe largestlumenof the coronaryarteries
. E. noneof the above(A-D)

.
602. The anterior(external)intercostalmembraneis associated
with the: A
.
A. externalintercostalmuscle
. B. internal intercostalmuscle
C. sternocostalmuscle
.
D. subcostalmuscle
. E. transversusthoracicmuscle
.
603 Which of the following statementsis nQ1correct: D
.
A. therearegenerally3 bronchialarteries,oneright andtwo left
. B. the bronchialveins emptyinto the azygosandhemi-azygosveins
C. the bronchopulmonarylymph nodesare locatedat the bifurcationof the trachea
.
D. the superficialanddeeplymphaticsof the lung do not freely anastomose in the lung
. E. the nervesupplyto the lung is by way of the vagusandthoracicsympathetics
.

c.L
.
nQ OSSA ATOM Y ..
. ~IQTEST;I~Q '!L)N"
~T
l~

THORiAX
.
. 61 Selectthe ~ statement: B
. A. all the heartvalvesareheardbestat their approximateanatomicalposition
B. both parasympathetic andsympatheticnerveshelp modulateheartcontraction
. C. sympatheticinnervationoriginatesfrom the brainstem
. D. both the inferior venacavaandcoronarysinusaredevoidof valves
. E. the SA nodeis locatednearthe openingof the coronarysinus

. 612 Selectthe incorrectstatement: D


. A. lung tissueandpleuraarerelatedto the anteriorsurfaceof the heart
. B.
c.
the anteriorheartsurfaceis predominantlyfonnedby the right sideof the heart
the pericardiumis anchoredto the diaphragmandsternum
. D. the apexof the heartis locatedin the regionof the 2nd intercostalspaceand is alsopart of its
. base
E. the phrenicnervescrosstheheartbetweenpleuraandpericardium
.
. 613. All but one of the following is found in the posteriormediastinum: c
A. vagusnerves
. B. thoracicduct
. C. sympatheticchain
D. splanchnicnerves
. E. esophagus
.
Regardingthe lung, selectthe ~ answer: B
. 614
A. the bronchopulmonary segmentsarerelatedto secondarybronchi
. B. the primary bronchusis generallyposteriorin the hilum
8' C. the pulmonaryartery,at the hilum, usually is found anteriorand inferior to the bronchus

.. D. the term diaphragmaticpleurausuallyrefersto a viscerallayer of pleura


E. the horizontalfissureis usually at the level of the 6th rib

615, Selectthe incorrectstatement: c


. A. the pleuralcavity lies betweenvisceralandparietalpleura

..
. B. the majority portion of lung, as seenfrom a posteriorview, is the inferior lobe
(eitherright or left)
C. the left bronchuscrossesthe aortic archon its way to the lung
D. the lungs andpleuraalmostmeet in the midsternalline behindthe sternum
E. the lungsandpleuraoverlapor coverthe sympatheticchainsposteriorly
.
. 616 The left recurrentlaryngealnerveis associatedwith all but oneof the following: B
. A. esophagus andtrachea
B. superiorvenacava
. C. ligamentumarteriosum
. D. posteriorcricoarytenoidmuscle
iE. archof the aorta
.
. 617. The thoracicsplanchnicnervesare:
A. sympatheticpreganglionicfibers originating in the spinalcord
B . sympatheticpostganglionicfibers originatingin the sympatheticchain
A

~-i
iP'i6 C . parasympatheticpreganglionicfibers associated with the vagusnerve
nti"~
" ; D. locatedin the middle mediastinum
~"'
"'1 'i
, E. associatedwith spinalsegments1-5 in the thoracicregion
~t~
" . '

f:

.;: I

,-;
-",)
"
~~ "
r~'

~
D
"c",
J!:j
I C\TE
V4Jjfjc'.l,cli~V
8 TcT~
"",Ct;
T ro
. GROSS'AN~]OMY:
THORAXv

626 Normal lymphatic drainageof the lung would includeall of the following lymph nodes~ the: B
A. paratracheal
B. axillary
C . parasternal
D. bronchomediastinal
E. hilar

627. Structuresassociatedwith the right lung include all of the following ~: E


A. obliquefissure
B . horizontalfissure
C. impressionof the archof the azygosvein
D. cardiacimpression
E. impressionof the archof the aorta

628. A normal A-P chestX-ray of the heart,will clearly demonstrateall of the following structures~: A
A. left atrium
B. left ventricle
C. right atrium
D. right ventricle
E. superiorvenacava

629 Which of the following is nQ!relatedto the right ventricle: E


A. trabeculaeseptomarginalis
B. supraventricular crest
C. infundibulum
D. trabeculae carnae
E. openingof the coronarysinus

630. Which vesselscontributeto the blood supplyof the pericardium: E


A. pericardicophrenic artery
B . musculophrenicartery
C . bronchialartery
D. esophageal artery
E. all of the above(A-D)

631 All of the following may be consideredtributariesto the left brachiocephalicvein ~: c


A. left vertebralvein
B. left inferior thyroid vein
C. azygosvein
D. left superiorintercostalvein
E. left internaljugular vein

The azygosvein receivesvenousblood from all of the following ~: B


632.
A. right posteriorintercostalveins
B. right anteriorintercostalveins
C. right bronchialveins
D. right ascendinglumbarvein
E. hemiazygosvein
640. Diseasesaffectingthe cardiacendocardiumandsubendocardium
arelikely to effect all of the
following ~ the: B
A. atrioventricularbundle
B. sinuatrialnode
C. left.and/orright bundlebranches
D. atrioventricularnode

641. Selectthe ~ statement: c


A. the esophagus beginsat the level of the thyroid cartilage
B. thereis a normal constrictionof the esophagus whereit crossesthe right bronchus
C. thereis normalconstrictionof the esophagus whereit is crossedby the aortic arch
D. the length of the esophagusis from C6 to T6
E. the esophagusis relatedin the posteriormediastinumwith the left ventricle

642. The left coronaryarteryusually suppliesall of the following ~ the: D


A. major portion of the interventricularseptum
B. major portion of the left ventricle
C. left atrium
D. atrioventricularnode

643. The atrioventricularnodeis located: A


A. anteriorto the coronarysinusostium in the interatrialseptum
B. nearthe openingof the superiorvenacavainto the right atrium
C. both A and B
D. neitherA nor B
8
.
.. 644. The part of the peritoneumthat lines the abdominalstructuresis the: A
. A. visceralperitoneum

. B.
C.
parietalpleura
visceralpleura
. D.
E.
parietalperitoneum
visceralepiploon
.
645. The branchesforming the marginalartery for blood supplyto the cecumand colon arethe: E
.
A. ileocolic artery
. B. right andleft colic arteries
. C. sigmoid arteries
D. middle colic arteries
. E. all of the above(A-D)
. D
646. The openingof the gastroduodenal
pylorus is a:
. A. passiveeffect associated with relaxationof the sphincter
. B. passiveeffect involving longitudinaland circularmusclefibers
C. synchronousactivecontractionof circular andlongitudinalfibers
. D. synchronousactivecontractionof longitudinalfibersandrelaxationof circular fibers
E. synchronouscontractionof longitudinalfibers andrelaxationof the myentericplexus
.
. 647 A puncturewound in the right lumbarregion of the anteriorabdominalwall would penetrate,in
order,the: c
.
A. skin => Camper'sfascia=> Scarpa'sfascia=> Colles'facia => musclelayers=> peritoneum=>
8, transversalisfascia
B. skin => Scarpa'sfascia=> Colles'fascia=> deepfascia=> transversalisfascia=> musclelayers=>
.
peritoneum
. C. skin => Camper'sfascia=> Scarpa'sfascia=> deepfascia=> musclelayers=> transversalisfascia
=> peritoneum
. D. skin => Colles' fascia=> Scarpa'sfascia=> deepfascia=> musclelayers=> transversalisfascia=>
. peritoneum
E. skin => Camper'sfascia=> Scarpa'sfascia=> dartos=> musclelayers=> peritoneum=>
. transversalisfascia
. A
648 The rectussheath:
. A. containsthe superiorandinferior epigastricarteries
. B. is incompleteposteriorlyabovethe level of the umbilicus
C. is formedby the tendonsof the rectusabdominus,externaloblique,internal oblique,and
. transversusabdominusmuscle
D. beginsat the arcuateline
. E. shouldalwaysbe avoidedduring surgicalapproaches to the abdomen
.
The bare areaof the liver is limited by the laminaeof the: B
. 649,
A. round (teres)ligament
. B. coronaryligament
. C. right and left triangularligaments
D. hepatorenalligament
. E. gastrophrenicligament
. D
650. All of the following arefeaturesof a portal tract area~:
;..
A. portal vein
*. B. branchof bile duct system
C. hepaticartery
\t D. hepaticvein
. E. connectivetissue

.
.

.I-
.
.
.
. 658 The so-calledrenalfasciais:
c
. A. separatedfrom the kidney by a layer of perirenalfat
. B.
C.
separatedfrom the parietalperitoneumby a layer of adiposetissue
both A and B
. D. neitherA nor B
. 659. Indicatethe ~ statementconcerningthe esophagus:
. c
A. the esophagus beginsat the level of the thyroid cartilage
. B. thereis a normal constrictionof the esophagus whereit crossesthe right bronchus
C. there is a normal constrictionof the esophagusat its level with the aorta
. D. the length of the esophagusis from C6 to T6
. E. the esophagusis relatedin the posteriormediastinumwith the left ventricle

. 660. Indicatethe~ statement:


B
. A. landmarksforming the letter H on the inferior aspectof the liver includefossafor ligamentum
teres,fossafor ligamentumarteriosum,porta hepatis,fossafor the gallbladder,and fossafor the
. inferior venacava
. B. four hepato-venous
C.
segmentsdrain eight porto-bilio-arterialsegmentsof the liver
spiral-shaped folds of mucosa, called cervical valves, facilitate gallbladder emptying by
. increasing the rate at which bile is constructed
. D. the omental process of the pancreas is related to the left renal vein and duodenum just superior to
the mesenterico-aortic angle
. E. the bile duct is formedat the confluenceof right andleft biliary ducts

. 661 The proper oro-aboral order of the major digestive organs are:
E
. A.
vestibule ~ fauces ~ pharynx ~ stomach ~ duodenum ~ small intestine ~ colon ~ rectum
8' ~ anal canal ~ perineum ~ anus
lB. oral cavity ~ fauces ~ nasopharynx ~ esophagus~ stomach ~ small intestine ~ jejunum ~
. ileum ~ cecum ~ colon ~ rectum ~ anus
Ic. oralcavity~ vestibule ~ pharynx ~ esophagus~ duodenum ~ ileum ~jejunum ~ colon
. ~ cecum ~ sigmoid ~ rectum ~ perineum ~ anal canal ~ anus
. D. vestibule ~ oral cavity proper ~ fauces ~ pharynx ~ stomach ~ ileum ~ duodenum ~
jejunum ~ colons ~ vennifonn appendix and cecum ~ rectum ~ anus
. E. vestibule ~ oral cavity proper ~ fauces ~ pharynx ~ esophagus~ stomach ~ duodenum ~
jejunum ~ ileum ~ cecum and vennifonn appendix ~ colons ~ rectum ~ anal canal ~ anus
.

. 662. lndicate the~ statement: B


. A. threelineaetransverseareproducedby tendinousbandswhich interruptthe continuity of fibers of
the externalabdominalobliquemuscle
. B. the epigastric,umbilical andpubic regionsaredescribedin the medianareaof the anterior
. abdominalwall
Ic. the hypochondriacandthe inguinal regionsarelimited by the medialand lateralbordersof the
. musculuspyramidalis
D. the retroabdominal,abdominopelvic,peritoneal,peritoneopelvicandretroperitonealcavitiesare
.
synonymous
. E. the hypochondriac regions are limited by the epigastric, hypogastric and mesogastric lines and
contain the liver and gallbladder
.

. 663, ,Indicatethe ~ statement: B


A. the liver occupiesthe left hypochondriacandpart of the epigastricregionin front of the stomach
. B. the hepatichilus is the portahepatisand containsthe hepaticpediclein the visceralaspectof the
. liver
~. the hepaticpediclecomprisesthe hepaticandcystic ducts,the portal vein, the celiac artery,
. nervesandlymphaticvessels
D. the headof the pancreasis relatedto the splenorenalligamentandto the hilus of the spleen
.
E. in the anterioraspectof the pancreastherearegroovesfor the portal vein, the inferior venacava
. and the abdominalportion of the aorta

..L
673. Scarpa'sfasciais continuouswith the: E
A. superficialfasciaof the thigh
B . transversalisfascia
C . externalspennaticfascia
D. conjoin tendon
E. membranousfasciaof the urogenitaldiaphragm
-,J

. 674 The free borderof the falciform ligamentcontains: A

.. A.
B.
C.
the round (teres)ligament
coronaryligament
right and left triangularligaments
D. hepatorenalligament
. E. dorsalligamentof the venacava

. 675 Which of the following is nQ!retroperitoneal: D


. A. the portionsof the duodenumderivedfrom the foregut
.
B. headof thepancreas
C. ascendingcolon
. D.
E.
appendix
descendingcolon
.

. 676. Indicatethe ~ statement: B

. A. the spiral fold is found in the hepaticduct


B. the pancreasis divided into the head,neck,body, andtail
. C. the spleenis locatedin the left epichondriacregion
D. the falciform ligamentoriginatesfrom the right triangularligamentof the parietalperitoneum
.
E. the cystic arterydrainsthe trigoneof the gallbladder
.
677. Houston'svalvesofKohlrausch folds areknown as: D
.
A. semilunarfolds of the colon
. B. the sigmoid-rectalfolds
. C. plicae obliquaerecti
D. plicaetransversalisrecti
. E. plicaetransversalisani
.
678. Indicatethe ~ statement: c
.
A. the pancreasis locatedin the epigastricandright hypochondriacregions
. B. the pancreasis divided into head,neck andtail
c. the uncinateprocessprojectsmedially behindthe superiormesentericvessels
. D. the posteriorsurfaceof the headof the pancreasis relatedto the left crus
E. the posterioraspectof the neckof the pancreasis coveredwith peritoneumand is adjacentto the
.
pylorus
.

. 679. The conjoinedtendon(falx inguinalis) is fonned by the: c


A. transverseabdominismuscleor its aponeurosis
.
B. internal abdominalobliquemuscleor its aponeurosis
. C. both A and B
D. neitherA nor B
.
. 680. Indicatethe ~ statement: A
A. transitionbetweendescendingcolon and sigmoidcolon occursat the level of the left iliac crest
.
B. transitionbetweenthe sigmoid colon and rectumoccursat the midportion of the body of S1
. C. there arethreeportionsof the sigmoid colon: iliac, pelvic, an genital
D. the iliac portion of the sigmoid colon endsat the medial edgeof the right psoasmuscle
. E. the intersigmoidalrecessoccursat the anglebetweenthe pelvic and genitalportionsof the
. sigmoid colon

L.

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