Beruflich Dokumente
Kultur Dokumente
Physiology (pg.22)
NEUROANATOMY (MONDAY)
1.The optic nerve enters the orbit passing through the
optic canal is accompanied by the:
A.Ophthalmic artery
B.Suspensory ligaments of the eye
C.Ophthalmic vein
D.Trochlear nerve
A
A.Semicircular ducts
B.Mastoid antrum
C.Petrous bone
D.Tegmen tympani
B
A.Denticulate ligament
B.Ligamentum flavum
C.Lilum terminale
D.Cauda equina
C
A.Lumbar
B.Sacral
C.Thoracic
D.Cervical
D
A.Motor
B.Sympathetic
C.Sensory
D.Parasympathetic
A
A.T10
B.T8
C.L2
D.T12
B
A.Medial lemniscus
B.Medial longitudinal fasciculus
C.Fasciculus gracilis
D.Lateral meniscus
B
A.Formina of Monro
B.Cerebral aqueduct
C.Foramina of Magendie
D.Foramina of Luschka
C
A.Mesencphalic nucleus of V
B.Motor nucleus of V
C.Trigeminal spinal nucleus
D.Nucleus ambigous
C
A.Trigeminal
B.Spinal accessory
C.Hypoglossal
D.Facial
D
A. Astrocytes
B. Bipolar cells
C. Schwann cell
D. Brainstem
C
A.Anterior chamber
B.Posterior chamber
C.Vitreous cavity
D. Aqueos humor
A
A.Maxillary sinus
B.Frontal sinus
C.Nasolacrimal duct
D.Anterior ethmoid air cells
C
A.Hypoglossal nerve
B.Vagus nerve
C.Glossopharyngeal nerve
D.Facial
A.Right glossopharyngeal
B.Left accessory
C.Right hypoglossal
D.Left hypoglossal
C
A.Optic
B.Sympathetic trunk
C.Ophthalmic
D.Occulomotor
D
injured nerve
A.Glossopharyngeal nerve
B.Facial nerve
C.Lingual nerve
D.Vagus nerve
A
A. cerebrum
B. midbrain
C. diencephalons
D. pons
B
A. extradural hemorrhage
B. subdural hemorrhage
C. subarachnoid hemorrhage
D. weakness and atrophy of the trapezius
A
A. Sphenoid
B. Temporal
C. Parietal
D. Occipital
B
A. Superior rectus
B. Medial rectus
C. Inferior oblique
D. Lateral rectus
D
A. Cornea
B. Lens
C. Vitreous humor
D. Retina
A. Median nerve
B. Brachioradialis nerve
C. Musculocutaneous nerve
D. Radial nerve
D
A. Achilles reflex
B. Pupillary light reflex
C. Corneal reflex
D. Extensor plantar reflex
A
A. Quadriceps femoris
B. Sartorius
C. Tibialis anterior
D. Popliteus
A
A. Medial lumbricals
B. Thenar
C. Dorsal interossei
D. Palmar interossei
B
A. Posterior longitudinal
B. Cruciate
C. Anterior longitudinal
D. Ligamentum flavum
D
A. Spina bifida
B. Vertebra prominen
C. Atlas
D. Intervertebral disc herniation
B
A. Triceps brachii
B. Extensior digitorum communis
C. Abductor pollicis
brevis
D. Supinator
C
A. Musculocutaneous nerve
B. Radial nerve
C. Ulnar nerve
D. Circumflex nerve
C
A. masseter
B. lateral pterygoid
C. temporalis
D. medial pterygoid
B
A. Ganglion
B. Inner nuclear
C. Outer nuclear
D. Photoreceptor
A
A. Choroid
B. Retina
C. Conjunctiva
D. Sclera
A
A. Vagus
B. Glossopharyngeal
C. Facial
D. All of the above
B
A. II
B. V
C. III
D. VII
B
A. Pyramidal tract
B. Antero-lateral spinothalamic tract
C. Dorsal column pathway
D. Corticospinal tract
B
A. II
B. VIII
C. VI
D. IX
A
PHYSIOLOGY (TUESDAY)
1. A 62 old man with COPD presents to the ER in
respiratory distress. The physician uses
succniylecholine to produce muscle relaxation prior to
tracheal intubation. Soon after infusion he developed
severe bradycardia. Which drug would counteract the
bradycardia without affecting muscle relaxation:
A.Curare
B.Atropine
C.Epinephrine
D.Acetylcholine
B
A.Subthalmic
nucleus
B.Thalamus
C.Amygdaloidal nucleus
D.Substantia nigra
C
D
6.A 16 years old girl complains of being tired
more than usual, she also complains Of muscle
cramps in her legs and generalized weakness
after exercise. Her BP 160/100 mmHg. Her ECG
showed prolong QT interval and U wave. Blood
analysis showed hypokalemia and metabolic
acidosis. Plasma rennin activity and
aldosterone level are lower than normal. Her
clinical condition reversed after she is placed
on diuretic amiloride, which blocks tubular
epithelial channels. Based on this finding,
which of the following renal transport processes
is major defect causing her metabolic disorder?
A.Greater than normal
proximal tubules
B.Greater than normal
distal tubules
C.Inability of distal
potassium ions
D.Inability of distal
ions
B
Dead space
Tidal volume
oxygen fraction
mint ventilation
level
level
sperm
level
of testosterone
of LH
count
of testosterone
A.Hypertension
B.Aortic regurgitation
C.Anemia
D.Hyperthyroidism
C
19. If the patient is unable to hear high frequency
sounds, the damage to the basilar membrane is closest
to which of the following:
A.Oval window
B.Cochlea
C.External meatus
D.Schala Media
A
A.5 ml/minute
B.7.5 ml/minute
C.15 ml/minute
D.50 ml/minute
C
B
21. In crus of the
midbrain
C
22.In the cerebral
cortex in the left
side
A
A.Monoplegia and
aphasia
B.Hemiplegia and
sensory disturbances
in the opposite side
C.Contralateral
hemplegia and
ipsilatral eye is
fixed downward and
outward
D.Contralateral
hemplegia and
ipsilatral facial
pulsy
E.Contralateral
hemplegia and
ipsilatral lingual
muscle paralysis
B
26. 50 glucose
C
27. 1.8% saline
D
28. 5 % glucose
B
29. Normal saline
A
30. 8.4% sodium
bicarbonate
E
A.Isotonic solution
mainly expands the
ECV
B.Isotonic solution
mainly expands ICV
& ECV
C.Major nutrient
used in IV
nutrition
D.Hypertonic fluid
with about twice
the osmolarity of
plasma
E.Occasionally used
in severe acidosis
Ascending aorta
Abdominal aorta
Aortic arch
Descending aorta distal to left subclavian artery
AIDs
SCIDs
DiGeorge
CGD
Small cell
Squamous cell
Adenocarcinoma
Carcinoid
Squamous cell
Carcinoid
Small cell
Adenocarcinoma
C
37. In ethanol drinking, the typical enzymatic pattern
of liver enzymes is?
A.
B.
C.
D.
AST> ALT
ALT> AST
elevated alkaline phosphatase
elevated bilirubin
A
38. Aspirin allergy is related to?
A.Arachidonic acid
B.Bradykinin
C.Leukotrienes
D.Histamine
C
39. The slow releasing substance of anaphylaxis is?
A.
B.
C.
D.
D
Histamine
Bradykinin
Serotonin
Leukotrienes
Calcitonin
Amyloid
Thryoglobulin
Parathyroid hormone
Amiodarone
Quinidine
Lidocaine
Cardioversion
A.Acetozolamide
B.Furosemide
C.Thiazide
D.Spironolactone
A
ETHICS (WEDNESDAY)
1. A newborn needs cardiac surgery for cyanosis due to
congenital heart disease.Surgeon discussed the
procedure with the mother. She understood the
procedure. Can she give the consent?
Answer: Yes, because she understood the procedure.
2. A newborn is diagnosed with either trisomy 18 or 13
with TE (tracheoesophageal) fistula which requires
suregery. Mother request surgeon to repair the TEfistula. What should a surgeon do?
Answer: Surgeon should refuse to do the reparative
surgery because these conditions (trisomy 18 or 13) are
nonviable. If the patient survives, surgeon can put a
gastrostomy feeding tube for nutrition. However, please
remember that a patient with trisomy 21
(Down syndrome) with TE fistula should be operated on.
3. A surgeon wanted to perform cholecystectomy on a
patient. The surgeon is not sure whether the patient
has decision-making capacity. What is the next
appropriate step?
Answer: Consultation with a psychiatrist or neurologist
may be helpful. Sometimes it is
necessary to discuss the case with hospital attorneys,
ethic committees, or ethic consultants. In a difficult
case, the ultimate judge of a patients competency is a
court.
4. Should a bus driver hide history of epilepsy from
his employer? (Important)
Answer: No. He has requested his physician not to
mention his epilepsy to the employer because this would
result in the loss of his job. The physician is
obligated not only to his patient but to the community.
The patient should notify his employer and try to find
NEUROANATOMY (THURSDAY)
1.The optic nerve enters the orbit passing through the
optic canal is accompanied by the:
A.Ophthalmic artery
B.Suspensory ligaments of the eye
C.Ophthalmic vein
D.Trochlear nerve
A
A.Semicircular ducts
B.Mastoid antrum
C.Petrous bone
D.Tegmen tympani
B
A.Denticulate ligament
B.Ligamentum flavum
C.Lilum terminale
D.Cauda equina
C
A.Lumbar
B.Sacral
C.Thoracic
D.Cervical
D
A.Motor
B.Sympathetic
C.Sensory
D.Parasympathetic
A
A.T10
B.T8
C.L2
D.T12
B
A.Medial lemniscus
B.Medial longitudinal fasciculus
C.Fasciculus gracilis
D.Lateral meniscus
B
A.Formina of Monro
B.Cerebral aqueduct
C.Foramina of Magendie
D.Foramina of Luschka
C
A.Mesencphalic nucleus of V
B.Motor nucleus of V
C.Trigeminal spinal nucleus
D.Nucleus ambigous
C
A.Trigeminal
B.Spinal accessory
C.Hypoglossal
D.Facial
D
A. Astrocytes
B. Bipolar cells
C. Schwann cell
D. Brainstem
C
A.Anterior chamber
B.Posterior chamber
C.Vitreous cavity
D. Aqueos humor
A
A.Maxillary sinus
B.Frontal sinus
C.Nasolacrimal duct
D.Anterior ethmoid air cells
C
A.Hypoglossal nerve
B.Vagus nerve
C.Glossopharyngeal nerve
D.Facial
A.Right glossopharyngeal
B.Left accessory
C.Right hypoglossal
D.Left hypoglossal
C
A.Optic
B.Sympathetic trunk
C.Ophthalmic
D.Occulomotor
D
injured nerve
A.Glossopharyngeal nerve
B.Facial nerve
C.Lingual nerve
D.Vagus nerve
A
A. cerebrum
B. midbrain
C. diencephalons
D. pons
B
A. extradural hemorrhage
B. subdural hemorrhage
C. subarachnoid hemorrhage
D. weakness and atrophy of the trapezius
A
A. Sphenoid
B. Temporal
C. Parietal
D. Occipital
B
A. Superior rectus
B. Medial rectus
C. Inferior oblique
D. Lateral rectus
D
A. Cornea
B. Lens
C. Vitreous humor
D. Retina
A. Median nerve
B. Brachioradialis nerve
C. Musculocutaneous nerve
D. Radial nerve
D
A. Achilles reflex
B. Pupillary light reflex
C. Corneal reflex
D. Extensor plantar reflex
A
A. Quadriceps femoris
B. Sartorius
C. Tibialis anterior
D. Popliteus
A
A. Medial lumbricals
B. Thenar
C. Dorsal interossei
D. Palmar interossei
B
A. Posterior longitudinal
B. Cruciate
C. Anterior longitudinal
D. Ligamentum flavum
D
A. Spina bifida
B. Vertebra prominen
C. Atlas
D. Intervertebral disc herniation
B
A. Triceps brachii
B. Extensior digitorum communis
C. Abductor pollicis
brevis
D. Supinator
C
A. Musculocutaneous nerve
B. Radial nerve
C. Ulnar nerve
D. Circumflex nerve
C
A. masseter
B. lateral pterygoid
C. temporalis
D. medial pterygoid
B
A. Ganglion
B. Inner nuclear
C. Outer nuclear
D. Photoreceptor
A
A. Choroid
B. Retina
C. Conjunctiva
D. Sclera
A
A. Vagus
B. Glossopharyngeal
C. Facial
D. All of the above
B
A. II
B. V
C. III
D. VII
B
A. Pyramidal tract
B. Antero-lateral spinothalamic tract
C. Dorsal column pathway
D. Corticospinal tract
B
A. II
B. VIII
C. VI
D. IX
A
PHYSIOLOGY(FRIDAY)
1. A 62 old man with COPD presents to the ER in
respiratory distress. The physician uses
succniylecholine to produce muscle relaxation prior to
tracheal intubation. Soon after infusion he developed
severe bradycardia. Which drug would counteract the
bradycardia without affecting muscle relaxation:
A.Curare
B.Atropine
C.Epinephrine
D.Acetylcholine
B
A.Subthalmic
nucleus
B.Thalamus
C.Amygdaloidal nucleus
D.Substantia nigra
C
D
6.A 16 years old girl complains of being tired
more than usual, she also complains Of muscle
cramps in her legs and generalized weakness
after exercise. Her BP 160/100 mmHg. Her ECG
showed prolong QT interval and U wave. Blood
analysis showed hypokalemia and metabolic
acidosis. Plasma rennin activity and
aldosterone level are lower than normal. Her
clinical condition reversed after she is placed
on diuretic amiloride, which blocks tubular
epithelial channels. Based on this finding,
which of the following renal transport processes
is major defect causing her metabolic disorder?
A.Greater than normal
proximal tubules
B.Greater than normal
distal tubules
C.Inability of distal
potassium ions
D.Inability of distal
ions
B
Dead space
Tidal volume
oxygen fraction
mint ventilation
level
level
sperm
level
of testosterone
of LH
count
of testosterone
A.Hypertension
B.Aortic regurgitation
C.Anemia
D.Hyperthyroidism
C
19. If the patient is unable to hear high frequency
sounds, the damage to the basilar membrane is closest
to which of the following:
A.Oval window
B.Cochlea
C.External meatus
D.Schala Media
A
A.5 ml/minute
B.7.5 ml/minute
C.15 ml/minute
D.50 ml/minute
C
B
21. In crus of the
midbrain
C
22.In the cerebral
cortex in the left
side
A
A.Monoplegia and
aphasia
B.Hemiplegia and
sensory disturbances
in the opposite side
C.Contralateral
hemplegia and
ipsilatral eye is
fixed downward and
outward
D.Contralateral
hemplegia and
ipsilatral facial
pulsy
E.Contralateral
hemplegia and
ipsilatral lingual
muscle paralysis
B
26. 50 glucose
C
27. 1.8% saline
D
28. 5 % glucose
B
29. Normal saline
A
30. 8.4% sodium
bicarbonate
E
A.Isotonic solution
mainly expands the
ECV
B.Isotonic solution
mainly expands ICV
& ECV
C.Major nutrient
used in IV
nutrition
D.Hypertonic fluid
with about twice
the osmolarity of
plasma
E.Occasionally used
in severe acidosis
Ascending aorta
Abdominal aorta
Aortic arch
Descending aorta distal to left subclavian artery
AIDs
SCIDs
DiGeorge
CGD
Small cell
Squamous cell
Adenocarcinoma
Carcinoid
Squamous cell
Carcinoid
Small cell
Adenocarcinoma
C
37. In ethanol drinking, the typical enzymatic pattern
of liver enzymes is?
A.
B.
C.
D.
AST> ALT
ALT> AST
elevated alkaline phosphatase
elevated bilirubin
A
38. Aspirin allergy is related to?
A.Arachidonic acid
B.Bradykinin
C.Leukotrienes
D.Histamine
C
39. The slow releasing substance of anaphylaxis is?
A.
B.
C.
D.
D
Histamine
Bradykinin
Serotonin
Leukotrienes
Calcitonin
Amyloid
Thryoglobulin
Parathyroid hormone
Amiodarone
Quinidine
Lidocaine
Cardioversion
A.Acetozolamide
B.Furosemide
C.Thiazide
D.Spironolactone
A
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