Beruflich Dokumente
Kultur Dokumente
FOUNDATION MODULE
Embryology
1. Downs syndrome:
a. Occurs as a result of non-disjunction of chromosomes
b. Occurs as a result of non-disjunction of meiosis
c. 70 75% cases occur in maternal non-disjunction of chromosome 21 in first meiosis division
d. Occurs equally in both paternal and maternal non-disjunction of chromosome 21
5. A 23-year-old woman with a natural menstrual cycle is nearing ovulation. The oocyte of a mature follicle will be
induced to undergo the first meiotic division as a result of which of the following hormonal stimuli?
a. The cessation of progesterone secretion
b. The gradual elevation of follicle-stimulating hormone (FSH) titres
c. The low oestrogen titres associated with the maturing follicle
d. The slow elevation of progesterone produced by luteal cells
e. The surge of luteinizing hormone (LH)
7. Heusers membrane:
a. Is present in bilaminar blastocyst
b. Lies just outside cytotrophoblast
c. Lies inside extra embryonic splanchnic mesoderm
d. Divides extra embryonic mesoderm into two layers
e. Is important for foetal nourishment
12. A young married woman has just missed her period comes to OPD with severe abdominal pain. The gynaecologist
suspects ectopic pregnancy. Most common site:
a. Cervix of uterus
b. Fundus of uterus
c. Ovaries
d. Peritoneum
e. Uterine Tube
13. If the outer cell mass does not develop what will not be formed?
a. Amnion
b. Epiblast
c. Trophoblast
d. Yolk sac
e. Yolk stalk
21. Mosaicism:
a. Occurs when some extra chromosomes 21 cells are lost during cleavage
b. Occurs as result of mixing of normal and trisomy 21 cells
c. A high percentage of all Downs syndrome are mosaics
d. Seemingly normal individuals can produce Downs syndrome children with mosaicism
e. Very few Downs syndrome are mosaic
23. Implantation:
a. Starts on 10th day of development
b. Takes place in stratum spongiosum
c. Is completed by end of 3rd week
d. Takes place in stratum compactum
e. Usually takes place in uterine tube
Histology
25. Mitochondria:
a. Are rods up to 10mm in length
b. Have inner and outer membrane
c. Inner membrane contains enzymes for electron transport chain
d. Change ADP to ATP
e. Inter-cristae is the space enclosed by the membrane
26. In a systemic disease, all resident cells of connective tissue were damaged. Which of the following cells will
continue to function properly?
a. Fibroblast
b. Macrophages
c. Mast cells
d. Adipose cells
e. Lymphocytes
27. In the electron microscope, each A band in muscles is bisected by a lighter transverse region known as the:
a. A band
b. I band
c. M line
d. H zone
e. Z line
30. Which of the following junctions allow the formation of two functional compartments; an apical and a basal
compartment?
a. Zonula occludens
b. Zonula adherens
c. Connexon
d. Macula adherens
e. Hemi-desmosomes
31. Connective tissue cells resembling fibroblasts & often present along capillaries are:
a. Plasma cells
b. Lymphocytes
c. Macrophages
d. Pericytes
e. Adipocytes
Gross Anatomy
32. A bone which is not included in the category of irregular bones is:
a. Maxilla
b. Parietal bone
c. Hip bone
d. Mandible
e. Vertebra
33. Cartilaginous joints present in the median plan of the body are called:
a. Synchondrosis
b. Synostosis
c. Syndesmosis
d. Symphysis
e. Sutures
35. Which of the following movements are permitted at the hinge joints?
a. Gliding/Sliding movements
b. Multiaxial
c. Uniaxial
d. Biaxial
e. Rotatory
1. The terminal portion of the limb buds becomes flattened to form the hand plates and foot plates in:
a. 4-week-old embryos
b. 6-week-old embryos
c. 8-week-old embryos
d. 10-week-old embryos
3. At the end of the fourth week of development, limb buds become visible as out-pocketing from the:
a. Ventrolateral body wall
b. Posterolateral body wall
c. Superolateral body wall
d. Inferolateral body wall
4. During development of muscle, Myoblasts of the epimers were congenitally absent. Which muscle group will be
absent in the new born foetus?
a. Extensor muscles of the vertebral column
b. Extensor muscles of the arm
c. Extensor muscles of the forearm
d. Flexor muscles of the arm
e. Flexor muscles of the vertebral column
5. Ectoderm at the distal border of the limb thickens and forms the apical ectodermal ridge. This ridge forms:
a. Bone and cartilage
b. Dermis and epidermis
c. Cartilage and muscle
d. Bone and dermis
6. The limb bud appears at the end of which week of foetal life?
a. 4th
b. 5th
c. 6th
d. 7th
e. 8th
7. Sphincter and dilator muscles of the pupil, muscle tissue in the mammary gland and sweat glands originate from
which of the following:
a. Ectoderm
b. Endoderm
c. Mesoderm
d. Neural crest cells
10. An epiphyseal plate is found on each extremity during development of which type of bones?
a. Long bones
b. Short
c. Irregular
d. Sesamoid
Histology
12. In a slide the cartilage contained chondrocyte occurring singly or in isogenous groups, usually arranged in long rows
separated by coarse collagen type I fibres and the matrix is acidophilic. The tissue was taken from which of the
following regions of body?
a. intervertebral disc
b. Auditory tube
c. Epiglottis
d. Ear
e. Larynx
13. The type of cartilage found in intervertebral disks of the vertebral column is:
a. Hyaline cartilage
b. Elastic cartilage
c. Yellow cartilage
d. Fibrocartilage
Gross Anatomy
19. Which of the following muscles attaches to the medial border of the scapula?
a. Rhomboid minor
b. Triceps brachii
c. Brachialis
d. Pectoralis major
e. Subclavius
20. In order to do the overhead abduction of the arm, which of following muscles comes in action first:
a. Supraspinatus
b. Deltoid
c. Serratus anterior
d. Pectoralis major
e. Teres major
21. In a crushing injury, a sixteen years old boy muscles present in floor of bicipital groove on humerus were crushed.
Which of following muscles were involved in injury?
a. Deltoid and biceps
b. Latissimus dorsi and biceps
c. Pectoralis major and teres major
d. Supraspinatus and infraspinatus
e. Teres minor and teres major
23. In a crushing injury of arm the radial nerve is damaged. Which muscle is likely to lose its action?
a. Triceps brachii
b. Brachialis
c. Coracobrachialis
d. Biceps brachii
e. Supinator
24. Which muscle assists in extension of the forearm and resists abduction of the ulna during pronation of the forearm?
a. Anconeus
b. Triceps brachii
c. Coracobrachialis
d. Brachialis
e. Biceps brachii
30. A patient tries to make a fist, but index and middle fingers remain partially extended. What nerve is injured?
a. Ulnar nerve
b. Radial nerve
c. Median nerve
d. Musculocutaneous nerve
e. Axillary nerve
31. Which of the following joints is paired correctly with its type?
a. Distal radioulnar joints Condyloid type
b. Radiocarpal joint Pivot type
c. Elbow joint Hinge type
d. Metacarpophalangeal joints Ball and socket type
e. Interphalangeal joints Condyloid type
32. A patient presents to the doctor in a condition in which he tries to make a fist, the index and to a lesser extent the
middle fingers tend to remain straight, whereas the ring and little fingers flex. This indicates injury to which of the
following nerve?
a. Median nerve
b. Musculocutaneous nerve
c. Radial nerve
d. Ulnar nerve
33. A patient presents to the doctor in a condition in which the muscles of the thenar eminence are paralyzed and wasted
so that the eminence is flattened. The hand looks flattened and apelike. Which of the following nerve is injured?
a. Median nerve
b. Musculocutaneous nerve
c. Radial nerve
d. Ulnar nerve
34. A patient presents to the doctor in a condition in which he is unable to make a tightly clenched. This indicates injury
to which of the following nerves?
a. Median nerve
b. Musculocutaneous nerve
c. Radial nerve
d. Ulnar nerve
35. A patient presents to the doctor in a condition in which he is unable to extend the elbow joint, the wrist joint, and
the fingers of his left hand. He explains that he took sleeping pills and slept with one left arm over the back of a
chair. This indicates injury to which of the following nerves?
a. Median nerve
b. Musculocutaneous nerve
c. Radial nerve
d. Ulnar nerve
37. The axillary artery begins at the lateral border of the first rib as a continuation of which of the following artery?
a. Subclavian
b. Vertebral
c. External carotid
d. Lateral thoracic
e. Subscapular
38. Which of the following branches is correctly paired with part of axillary artery from which these originate?
a. First part: Anterior circumflex humeral artery
b. First part: The thoracoacromial artery
c. Second part: The lateral thoracic artery
d. Second part: The subscapular artery
40. Which of the following nerve is correctly paired with cords of the brachial plexus?
a. Dorsal scapular nerve Posterior cord
b. Musculocutaneous nerve Lateral cord
c. Axillary nerve Medial and lateral cords
d. Long thoracic nerve Medial cord
41. In an injury to the posterior cord of brachial plexus which of following muscles will fail to act normally?
a. Long and medial heads of triceps muscle
b. Long and lateral heads of triceps muscle
c. Medial head of triceps only
d. Medial and lateral heads of triceps muscle
42. The surgeon wanted to explore cubital fossa. The contents of cubital fossa from medial to lateral are:
a. Bifurcation of the brachial artery, biceps muscle, deep branch of the radial nerve
b. Biceps muscle, bifurcation of the brachial artery, deep branch of the radial nerve
c. Deep branch of the radial nerve, bifurcation of the brachial artery, biceps muscle
d. Bifurcation of the brachial artery, deep branch of the radial nerve, biceps muscle
44. The floor of the femoral triangle is formed by which one of the following muscles?
a. The pectineus
b. The sartorius
c. The rectus femoris
d. The gluteus maximus
e. The adductor brevis
45. A 47-year-old woman is unable to invert her foot. Which of the following nerves are most likely injured?
a. Superficial and deep peroneal
b. Deep peroneal and tibial
c. Superficial peroneal and tibial
d. Medial and lateral plantar
e. Obturator and tibial
47. In an injury of lower limb femoral sheath was destroyed. Which of the following structure will be intact?
a. Femoral artery
b. Femoral vein
c. Genitofemoral nerve
d. Femoral nerve
48. A 21-year-old man falls from the attic and is brought to the emergency room. Examination and radiograph reveal
that the lateral longitudinal arch of his foot is flattened. Which of the following bones is displaced?
a. Talus
b. Third metatarsals
c. Navicular
d. Cuneiform
e. Cuboid
50. Which of the following structures passes through the saphenous opening?
a. Femoral artery
b. Femoral vein
c. Femoral nerve
d. Saphenous nerve
e. Great saphenous vein
52. Which of the following bones articulates with the fibula, tibia, calcaneus, and navicular?
a. Talus
b. Lateral cuneiform
c. Intermediate cuneiform
d. Medial cuneiform
e. Cuboid
53. Which One of the following can be classified as parallel muscle in body;
a. Biceps brachii
b. Brachioradialis
c. Flexor pollicis longus
d. Supinator
e. Flexor digitorum longus
54. To prevent unwanted movements in an intermediate joint, groups of muscles contract and stabilize the intermediate
joints. These are known as
a. Synergists
b. Prime movers
c. Fixators
d. Antagonists
58. A 20-year-old man suffers an injury to the ulnar nerve above the wrist causing loss of innervation to the hand
muscles. Select the muscle likely to be affected.
a. Abductor pollicis longus
b. Flexor pollicis brevis
c. Adductor pollicis
d. Radial two lumbricals
e. 2nd and 3rd lumbrical
69. A patient comes to OPD with itching, pain and vesicle formation in the pulp of ring finger. Diagnosed as a case of
whitlow. The pain sensation is carried by:
a. Radial nerve
b. Median nerve
c. Ulnar nerve
d. Median & ulnar nerves
e. Median, ulnar & radial nerves
70. In sharp cut of deep palmar arch, blood spurts from both ends. Best emergency measure to stop bleeding is:
a. Compress the radial artery as the arch is continuation of same
b. Compress ulnar artery as it gives a branch to complete the arch
c. Place ice or pour cold water on the injured vessel for vasoconstriction
d. Compress radial and ulnar arteries
e. Compress brachial artery in mid arm against humerus
71. The median cubital vein:
a. Lies in cubital fossa
b. Joins cephalic & basilic veins
c. Joins cephalic & basilic veins & is usual site for intravenous injections
d. Lies deep to bicipital aponeurosis
e. Is connected to deep veins by perforating veins
79. The aperture in lower part of interosseous membrane is for passage of:
a. Profunda brachii vessels
b. Anterior interosseous vessels
c. Posterior interosseous vessels
d. Radial and ulnar vessels
e. Radial and ulnar nerves
80. A patient comes to the OPD with injury in the palm leading to flexion of ring and little fingers. Diagnosed as a case
of Dupuytrens contracture which is a localized thickening of:
a. Palmar aponeurosis
b. Fibrous flexor sheaths
c. Flexor retinaculum
d. Deep fascia of forearm
e. Extensor expansions
82. A 6-year-old boy, running along a concrete path with a glass jar in his hand, slipped and fell. The glass from the
broken jar pierced the skin on the front of his left wrist. There was loss of skin sensation over the lateral half of the
palm and the palmar aspect of the lateral three and a half fingers. Which nerve was damaged?
a. Median nerve
b. Ulnar nerve
c. Radial nerve
d. Superficial branch of radial nerve
e. Palmar cutaneous branch of ulnar nerve
83. The sensory innervation of the medial side of the palm is the:
a. Palmar cutaneous branch of the ulnar nerve
b. Dorsal cutaneous branch of the ulnar nerve
c. Superficial branch of radial nerve
d. Deep branch of branch of the radial nerve
84. Which of the following muscle tendons is most likely to be damaged due to destruction of the groove in the medial
cuneiform bone?
a. Flexor hallucis longus
b. Peroneus brevis
c. Peroneus longus
d. Tibialis anterior
e. Tibialis posterior
85. A 27-year-old baseball player is hit on his forearm by a high-speed ball, and the muscle that form the lateral
boundary of the cubital fossa appears to be torn. Which of the following muscles may lose its functions?
a. Brachioradialis
b. Brachialis
c. Pronator teres
d. pronator quadratus
e. Supinator
86. A 42-year-old woman presents to an outpatient clinic with a 6-month history of numbness and tingling on the palmar
aspect of her lateral three and one-half fingers, loss of pronation, and flattening of the thenar eminence. Injury to
which of the following nerves could cause such a condition?
a. Axillary nerve
b. Musculocutaneous nerve
c. Median nerve
d. Radial nerve
e. Ulnar nerve
87. A 38-year-old homebuilder was involved in an accident and is unable to supinate his forearm. Which of the
following nerves are most likely to be damaged?
a. Suprascapular and axillary
b. Musculocutaneous and median
c. Axillary and radial
d. Radial and musculocutaneous
e. Median and ulnar
88. A 31-year-old patient complains of sensory loss over the anterior and posterior surfaces of the medial third of the
hand and the medial one and one-half fingers. Which of the following nerves is injured?
a. Axillary
b. Radial
c. Median
d. Ulnar
e. Musculocutaneous
89. A man is unable to hold typing paper between his index and middle fingers. Injury to which nerve can produce this
feature?
a. Radial nerve
b. Median nerve
c. Ulnar nerve
d. Musculocutaneous nerve
90. The victim of an automobile accident sustained an injury of the proximal row of carpal bones. Which of the
following bones is spared?
a. Scaphoid
b. Lunate
c. Triquetral
d. Pisiform
e. Hamate
91. A patient has a torn rotator cuff of the shoulder joint as the result of an automobile accident. Which of the following
muscle tendons will remain intact and retain normal function?
a. Supraspinatus
b. Subscapularis
c. Teres major
d. Teres minor
e. Infraspinatus
92. Which of the following bones articulates with the fibula, tibia, calcaneus and navicular?
a. Talus
b. Lateral cuneiform
c. Intermediate cuneiform
d. Medial cuneiform
e. Cuboid
94. The muscles which contract isometrically to stabilize the origin of the prime movers are known as:
a. Synergists
b. Prime movers
c. Fixators
d. Antagonists
98. Which of the following nerves leaves the cubital fossa between the two heads of pronator teres?
a. Median
b. Ulnar
c. Radial
d. Musculocutaneous
99. Which of the following muscles traverses the greater sciatic foramen?
a. Gluteus medius
b. Gluteus minimus
c. Gluteus maximus
d. Quadratus femoris
e. Piriformis
100. Which of the following structures forms the floor of femoral triangle?
a. Iliopsoas
b. Sartorius
c. Adductor longus muscle
d. Ilioinguinal nerve
e. femoral artery
102. In an injury of lower limb, femoral sheath was destroyed. Which of the following structures will remain intact?
a. Femoral artery
b. Femoral vein
c. Genitofemoral nerve
d. Femoral nerve
103. A victim of an automobile accident is unable to abduct her left arm. This indicates damage to which of the
following parts of the brachial plexus?
a. Middle trunk and posterior cord
b. Middle trunk and lateral cord
c. Lower trunk and lateral cord
d. Upper trunk and posterior cord
e. Lower trunk and medial cord
104. A 14-year-old boy falls on his outstretched hand and has a fracture of the scaphoid bone. The scaphoid bone is
in the floor of anatomical snuff box. The fracture is most likely accompanied by a rupture of which of the following
arteries?
a. Palmar cutaneous branch of ulnar artery
b. Ulnar artery
c. Deep palmar arterial arch
d. Radial artery
e. Princeps pollicis artery
105. A 12-year-old boy walks in emergency department. he had fallen off a tree and fractured the shaft and medial
epicondyle of humerus. All nerves intimately related to the humerus are most likely to be injured by such a fracture.
Which of the following nerves is spared?
a. Musculocutaneous
b. Ulnar
c. Radial
d. Median
106. A man injures his wrist on broken glass. Which of the following structures entering the palm deep to the flexor
retinaculum may be damaged?
a. Flexor digitorum superficialis
b. Palmaris longus
c. Ulnar nerve
d. Ulnar artery
e. Palmar cutaneous branch of median nerve
107. After a major abdominal operation, a patient was given a course of antibiotics by intramuscular injections. The
nurse was instructed to give the injections into the right buttock. In order to avoid injury to sciatic nerve the ideal
site for injection on the right buttock should be:
a. Upper outer quadrant
b. Upper inner quadrant
c. Lower inner quadrant
d. Lower outer quadrant
108. Which structure prevents dislocation of the femur backward at the knee joint?
a. Posterior cruciate ligament
b. Anterior cruciate ligament
c. Medial collateral ligament
d. Lateral collateral ligament
e. Tendon of the popliteus muscle
109. The radial artery lies just lateral to the tendon of:
a. Pronator teres
b. Flexor carpi radialis
c. Palmaris longus
d. Flexor carpi ulnaris
e. Flexor digitorum superficialis
110. The palmaris longus tendon is a useful guide to which nerve at the wrist?
a. Anterior interosseous nerve
b. Posterior interosseous nerve
c. Median nerve
d. Ulnar nerve
e. Radial nerve
112. Which of the following joints is paired correctly with its type?
a. Proximal and distal radioulnar joints Condyloid
b. Atlantoaxial joint Pivot
c. Shoulder joint Ellipsoid
d. Metacarpophalangeal joints Hinge type
e. Interphalangeal joints Cartilaginous
113. The suprascapular nerve originates from which part of the brachial plexus?
a. Medial cord
b. Lower trunk
c. Posterior cord
d. Lateral cord
e. Upper trunk
114. The trapezius attaches to which of the following regions of the clavicle?
a. Lateral one-third of the clavicle
b. Conoid tubercle
c. Subclavian groove
d. Trapezoid line
e. Quadrangular tubercle
115. Which of the following describes the correct order of the distal row of carpals from lateral to medial?
a. triquetrum, trapezoid, capitate, hamate
b. trapezoid, trapezium, capitate, hamate
c. trapezium, trapezoid, capitate, hamate
d. trapezium, triquetrum, capitate, hamate
e. scaphoid, lunate, triquetrum, pisiform
116. Which of the following muscles attaches to the coracoid process of the scapula?
a. pectoralis minor
b. triceps brachii
c. brachialis
d. pectoralis major
e. subclavius
117. Which of the following arteries passes through the gap between the fibula and tibia at the upper end of the
interosseous membrane?
a. Popliteal
b. Posterior tibial
c. Anterior tibial
d. Peroneal
e. Lateral inferior genicular
118. An infection of adductor canal will lead to damage the enclosed structures. Which of the following structures
will not be affected?
a. Femoral artery
b. Femoral vein
c. Saphenous nerve
d. Great saphenous vein
e. Nerve to the vastus medialis
119. The median nerve originates from which part of the brachial plexus?
a. Medial and lateral cord
b. Medial cord
c. Posterior cord
d. Upper and lower trunk
e. Lateral cord
120. Which nerve lies between the tendons of the flexor carpi radialis and flexor digitorum superficialis, overlapped
by the palmaris longus at the level of wrist?
a. Median
b. Ulnar
c. Radial
d. Axillary
e. Long thoracic
121. A 21-year-old man was involved in a motorcycle accident, resulting in destruction of the groove in the lower
surface of the cuboid bone. Which of the following muscle tendons is most likely to be damaged?
a. Flexor hallucis longus
b. Peroneus brevis
c. Peroneus longus
d. Tibialis anterior
e. Tibialis posterior
122. A woman experiences weakness when abducting and medially rotating the thigh after an accident. Which of the
following muscles is most likely to be damaged?
a. Piriformis
b. Obturator internus
c. Quadratus femoris
d. Gluteus maximus
e. Gluteus minimus
123. An elderly woman fell at home and fractured the greater trochanter of her femur. Which of the following muscles
would continue to function normally?
a. Piriformis
b. Obturator internus
c. Gluteus medius
d. Gluteus maximus
e. Gluteus minimus
124. In walking, the hip bone of the suspended leg is raised by which of the following muscles acting on the supported
side of the body?
a. Gluteus maximus
b. Obturator internus
c. Gluteus medius
d. Obturator externus
e. Quadratus femoris
125. Which of the following muscles dorsiflexes the foot at the ankle joint?
a. Peroneus longus
b. Extensor digitorum brevis
c. Tibialis posterior
d. Extensor hallucis brevis
e. Tibialis anterior
126. A patient was admitted in a hospital with right shoulder joint injury. He was unable to perform extension at the
shoulder joint. Which of the following group of muscles was damaged?
a. Deltoid, latissimus dorsi, teres major
b. Pectoralis major, biceps, coracobrachialis
c. Pectoralis major, latissimus dorsi, teres minor
d. Subscapularis, teres major, deltoid
e. Rhomboid major, teres major, deltoid
127. A patient comes in with a gunshot wound and requires surgery in which his thoracoacromial trunk needs to be
ligated. Which of the following arterial branches would maintain normal blood flow?
a. Acromial
b. Pectoral
c. Clavicular
d. Deltoid
e. Superior thoracic
128. A 29-year-old man comes in with multiple stab wounds at the level of axilla. He is unable to raise his arm above
horizontal, and exhibits a condition known as winged scapula. Which of the following structures of the brachial
plexus are most likely to be damaged?
a. Medial cord
b. Posterior cord
c. Lower trunk
d. Roots
e. Upper trunk
129. A 12-year-old boy walks in the emergency department. he has fallen off a tree and fractured the upper portion
of his humerus. Which of the following nerves are intimately related to the humerus and are most likely to be injured
by such a fracture?
a. Axillary and musculocutaneous
b. Radial and ulnar
c. Radial and axillary
d. Median and musculocutaneous
e. Median and ulnar
130. A 31-year-old patient complains of sensory loss over the anterior and posterior surfaces of the medial third of
the hand and the medial one and one-half fingers. Which of the following nerves is injured?
a. Axillary
b. Radial
c. Median
d. Ulnar
e. Deep branch of radial
131. A man is unable to hold typing paper between his index and middle fingers. Injury to which nerve can produce
this feature?
a. Radial nerve
b. Median nerve
c. Ulnar nerve
d. Musculocutaneous nerve
132. A patient is unable to flex the arm and forearm. Where is the lesion likely to be?
a. Ventral rami of C3, C4
b. Ventral rami of C5, C6, C7
c. Dorsal rami of C6, C7, C8
d. Ventral rami of C8, T1
e. Dorsal rami of T1
133. The radial nerve innervates muscles in the extensor compartment of the forearm, but it also innervates the
following muscle:
a. Brachioradialis
b. Pronator teres
c. Palmaris longus
d. Pronator quadratus
e. Flexor digitorum superficialis
134. The medial and lateral malleoli articulate with which of the following bones?
a. Cuneiform
b. Calcaneus
c. Talus
d. Cuboid
e. Fibula
136. An injury to the thoracodorsal nerve will affect the strength of which of the following movements?
a. Adduction of the scapula
b. Elevation of the scapula
c. Abduction of the arm
d. Extension of the arm
e. Lateral rotation of the arm
137. The adductor longus attaches to which of the following regions of the femur?
a. Linea aspera
b. Greater trochanter
c. Lesser trochanter
d. Neck
138. Which of the following best describes the relations of muscle with walls of axilla?
a. Anterior wall Pectoralis major
b. Posterior wall Subclavius
c. Medial wall Pectoralis minor
d. Lateral wall Trapezius
139. Which of the following muscles attaches to the coracoid process of the scapula?
a. Pectoralis minor
b. Triceps brachii
c. Brachialis
d. Pectoralis major
e. Subclavius
140. In order to do the overhead abduction of the arm many muscles participate. The muscle which ends the event:
a. Serratus anterior
b. Deltoid
c. Supraspinatus
d. Teres minor
e. Rhomboid major
141. Which muscle assists in flexion of knee and plantar flexion of foot?
a. Gastrocnemius
b. Tibialis anterior
c. Flexor hallucis longus
d. Flexor digitorum longus
e. Tibialis posterior
142. A patient tries to make a fist, but digits 2 and 3 remain partially extended. What nerve is injured?
a. Ulnar nerve
b. Radial nerve
c. Median nerve
d. Musculocutaneous nerve
e. Axillary nerve
143. A 25-year-old gladiator sustains a penetrating injury that severs the superficial peroneal nerve. This will cause
paralysis of which of the following muscles?
a. Peroneus tertius
b. Peroneus brevis
c. Flexor hallucis longus
d. Tibialis anterior
e. Tibialis posterior
144. An orthopaedic surgeon ligates the posterior tibial artery at its origin. Which of the following arteries has no
blood flow immediately after the ligation?
a. Peroneal
b. Dorsalis pedis
c. Superior medial genicular
d. Anterior tibial
e. Descending genicular
145. The obturator nerve and the sciatic (tibial portion) nerve of a 15-year-old boy are transacted as a result of a
motorcycle accident. This injury will result in complete paralysis of which of the following muscles?
a. Rectus femoris
b. Biceps femoris
c. Pectineus
d. Adductor magnus
e. Sartorius
146. A fracture of the head and neck of the fibula will lead to damage of which of the following nerves?
a. Sciatic
b. Tibial
c. Common peroneal
d. Deep peroneal
e. Superficial peroneal
147. An elderly woman fell at home and fractured the gluteal tuberosity of her femur. Which of the following muscles
would lose its function?
a. Piriformis
b. Obturator internus
c. Gluteus medius
d. Gluteus maximus
e. Gluteus minimus
148. A 34 Years old man suffered a humeral fracture and now is unable to abduct his arm and loss of sensation over
upper lateral aspect of arm, which nerve is damaged?
a. Median nerve
b. Radial nerve
c. Musculocutaneous
d. Ulnar nerve
e. Axillary nerve
149. The weight of appendicular Skelton (upper limb) is transmitted to axial skeleton by the help of which of
following ligament?
a. Coracoacromial ligament
b. Coracoclavicular ligament
c. Costoclavicular ligament
d. Coracohumeral ligament
e. Glenohumeral ligament
151. Regarding interosseous membrane all of the following are true except:
a. Provide attachments to muscles
b. Joins interosseous borders of radius and ulna
c. Fibres run obliquely downward and medially
d. Fibres are taut when the forearm is pronated
e. Transmit forces from lower end of ulna at wrist to upper end of radius
152. A patient has torn his rotator cuff as a result of and RTA (road traffic accident). Which of the following muscle
is intact and has normal function?
a. Supraspinatus
b. Subscapularis
c. Teres major
d. Teres minor
e. Infraspinatus
153. A mountain climber falls on his shoulder result in chipping of the arrowed structure of the bone. Which of the
following Structure would most likely to be damaged?
a. Supraspinatus muscle
b. Coracohumeral ligament
c. Subscapularis muscle
d. Teres minor muscle
e. Infraspinatus muscle
154. Generally, all the extensors of arm and forearm are supplied by the radial nerve. Which of the following muscle
is not the extensor and yet has radial nerve innervation?
a. Supinator muscle
b. Pronator teres muscle
c. Brachialis muscle
d. Brachioradialis muscle
e. Flexor carpi ulnaris muscle
155. A 10 years old boy falls off his bike, has difficulty in moving his shoulder and is brought to an emergency
department. His radiogram and angiogram reveal fracture of surgical neck of his humerus and bleeding from the
point of fracture. This accident most likely leads to damage of which of the following arteries?
a. Axillary artery
b. Brachial artery
c. Posterior circumflex humeral artery
d. Anterior circumflex humeral artery
e. Superior ulnar collateral artery
156. In the same scenario (given in last question), following the accident, the boy has weakness in rotating arm
laterally. Which of the following muscles are paralyzed?
a. Teres major and teres minor
b. Teres minor and deltoid
c. Infraspinatus and deltoid
d. Supraspinatus and Subscapularis
e. Teres minor and infraspinatus
157. A 21-year-old man injures his arm in RTA. Radiographic examination reveals a fracture of the medial
epicondyle of the humerus. Which of the following muscle is most likely paralyzed as a result of this accident?
a. Extensor pollicis brevis
b. Abductor pollicis longus
c. Abductor pollicis brevis
d. Adductor pollicis
e. Opponens pollicis
158. An 18-year-old patient has been improperly fitted with axillary-type crutches, which have put pressure on the
posterior cord of the brachial plexus. Which of the following terminal nerves would most likely be affected?
a. Axillary nerve
b. Musculocutaneous nerve
c. Median nerve
d. Radial nerve
e. Ulnar nerve
159. A 23-year-old accountant trips over a briefcase and falls onto his outstretched hand. A carpal bone fracture is
suspected. Which of the following bones is most likely fractured?
a. Scaphoid
b. Lunate
c. Triquetrum
d. Pisiform
e. Capitate
160. A 24-year-old male slips on a banana peel and falls onto his outstretched hand. Which of the following structures
transmits the force from the radius to the ulna?
a. Triangular fibrocartilage
b. Interosseous membrane
c. Scaphoid bone
d. Ulnar collateral ligament
e. Radial collateral ligament
161. A patient with a severe tear of the medial collateral ligament of the wrist would likely display which of the
following increased wrist movements?
a. Flexion
b. Extension
c. Abduction
d. Adduction
e. Pronation
162. If the median nerve were severed in an industrial accident at the wrist, which of the following muscles would
still retain their function?
a. Flexor pollicis brevis
b. Abductor pollicis brevis
c. Opponens pollicis
d. Lumbricals of the index and middle fingers
e. Lumbricals of the ring and little fingers
163. As you are explaining carpal tunnel syndrome to a woman who has the condition, shown where the median
nerve is located just as it is about to enter the tunnel. Where is the median nerve located?
a. Just lateral to the flexor carpi radialis tendon
b. Must medial to the flexor carpi radialis tendon
c. Just medial to the flexor palmaris longus tendon
d. Just lateral to the flexor carpi ulnaris tendon
e. Just medial to the flexor carpi ulnaris tendon
164. A college baseball pitcher has shoulder discomfort and you suspect a rotator cuff tear. You will most likely see
damage to the tendon of which of the following muscles?
a. Supraspinatus
b. Infraspinatus
c. Subscapularis
d. Teres major
e. Teres minor
165. The inferior surface of the clavicle gives attachment to all of the following except:
a. Conoid ligament
b. Trapezoid ligament
c. Costoclavicular ligament
d. Pectoralis major muscle
e. Subclavius muscle
166. One of the following is a branch of the second part of the axillary artery.
a. Lateral thoracic artery
b. Anterior circumflex humeral artery
c. Posterior circumflex humeral artery
d. Superior thoracic artery
e. Subscapular artery
167. The anterior wall of the axilla is formed by all of the following except:
a. Pectoralis major
b. Teres major
c. Pectoralis minor
d. Subclavius
e. Clavipectoral fascia
168. A 42-year-old visits his doctor with complaint of tingling sensation in the 1st, 2nd & 3rd digits of the right hand
& loss of coordination & strength of the right thumb. Which of the following nerves has most likely been affected?
a. Anterior interosseous nerve
b. Median nerve
c. Musculocutaneous nerve
d. Radial nerve
e. Ulnar nerve
169. A patient complains to his physician that his thumb doesnt work right. The physician notes weakness of the
thumb in extension, although rotation, flexion, abduction, adduction and opposition are normal. Which of the
following nerves is most likely involved?
a. Median & radial
b. Median & ulnar
c. Median only
d. Radial only
e. Ulnar only
170. In walking, the hip bone of the suspended leg is raised by which of the following muscles acting on the supported
side of the body?
a. Gluteus maximus
b. Obturator internus
c. Gluteus medius
d. Obturator externus
e. Quadratus femoris
171. Which of the following arteries provides the main blood supply for the hip joint?
a. Obturator
b. Medial circumflex
c. Lateral circumflex
d. Common iliac
e. Internal iliac
172. Which one of the following muscle in the powerful push-off muscle?
a. Gastrocnemius
b. Soleus
c. Tibialis anterior
d. Flexor hallucis longus
e. Plantaris
173. Muscles that evert the foot include which of the following muscles?
a. Gastrocnemius
b. Soleus
c. Tibialis posterior
d. Fibularis brevis
e. Flexor digitorum longus
174. Which of the following muscles contract to assist the posterior cruciate ligament in preventing anterior
displacement of the femur on the tibia?
a. Plantaris
b. Popliteus
c. Soleus
d. Gastrocnemius
e. Tibialis posterior
175. The oblique popliteal ligament is an expansion of the tendon of which of the following muscles?
a. Popliteus
b. Plantaris
c. Adductor magnus
d. Semimembranosus
e. Gastrocnemius
176. A 15-year-old girl suffers numerous pelvic injuries, including tearing of the sarcotuberous ligament. The
damage to this ligament will not likely cause direct trauma to which of the following muscles?
a. Gluteus maximus
b. Gluteus medius
c. Gluteus minimus
d. Germelli
e. Obturator externus
177. When standing upright, the femur moves into the locked position by slightly hyperextending, gliding posteriorly
and medially rotating on the tibial planteaus. Which of the following muscles acts to initiate the unlocking of the
knee?
a. Biceps femoris
b. Gastrocnemius
c. Popliteus
d. Sartorius
e. Plantaris
178. A young man suffers dislocation of the right hip. During recovery, his developed an abnormal gait in which his
left hip sinks when he lifts that foot to take a step. The problem may be the result of damage to which of the following
structures?
a. Right gluteus maximus and inferior gluteal nerve
b. Left gluteus maximus and superior gluteal nerve
c. Left gluteus medius and inferior gluteal nerve
d. Right gluteus medius and superior gluteal nerve
e. Right gluteus minimus and inferior gluteal nerve
179. A man working in a junkyard trips and falls into the pile of scrap metal, suffering a deep cut immediately
posterior to lateral malleolus. Which of the following is most likely to be injured?
a. Saphenous nerve
b. Tendon of the fibularis (peroneus) tenuis
c. Tendon of the fibularis (peroneus) longus
d. Posterior tibial artery
e. Great saphenous vein
RESPIRATORY MODULE
Embryology
3. During its early development, the septum transversum grows dorsally from the ventrolateral body wall and forms a
semi-circular shelf, which separates liver from the:
a. Heart
b. Lungs
c. Pancreas
d. Gall bladder
e. Oesophagus
4. Fusion of Pleuroperitoneal Membranes with the dorsal mesentery of the oesophagus and the septum transversum
completes the partition between:
a. The thoracic and abdominal cavities
b. Abdominal and pericardial cavities
c. Abdominal and pleural cavities
d. Pericardial and peritoneal cavities
e. Abdominal and mediastinal cavities
6. On microscopic examination of developing lung which structure confirms that it corresponds to canalicular period
of lung maturation?
a. Presence of respiratory bronchioles
b. Close proximity of capillaries with alveoli
c. Presence of alveoli
d. Presence of alveolar ducts
e. Presence of terminal bronchioles
7. Myoblasts that grow into the dorsal mesentery of the oesophagus contribute to which part of developing diaphragm?
a. Crura
b. Central tendon
c. Right dome
d. Left dome
e. Posterior half
14. A child is born at 34 weeks with rapid and shallow respiration. Diagnosed as a case of respiratory distress syndrome.
What is the cause?
a. Cystic disease of lungs
b. Hypoplasia of lungs
c. Surfactant deficiency
d. Injured pulmonary epithelium
15. For an infant to be viable, divisions of bronchial tree are completed by:
a. 26 weeks
b. 7th week
c. Just before birth
d. Just after birth
e. 36 weeks
16. On microscopic examination of developing lung which structure confirms that it corresponds to canalicular period
of lung maturation?
a. Presence of respiratory bronchioles
b. Close proximity of capillaries with alveoli
c. Presence of alveoli
d. Presence of alveolar ducts
e. Presence of terminal bronchioles
Histology
22. The recoil capacity of whole lung including alveoli is best served by:
a. Elastic fibres
b. Reticular fibres
c. Collagen fibres
d. Clara cells
e. Cilia
27. Histologically, a transition of epithelium is observed in moving from conducting to respiratory part of the lung. It
is from simple cuboidal to:
a. Simple columnar
b. Simple squamous
c. Pseudostratified columnar
d. Stratified cuboidal
Gross Anatomy
29. The imaginary plane demarcating the superior from the inferior mediastinum passes through the sternal angle and
lower border of:
a. 1st thoracic vertebra
b. 2nd thoracic vertebra
c. 3rd thoracic vertebra
d. 4th thoracic vertebra
e. 5th thoracic vertebra
30. A thoracic surgeon has entered the right pleural cavity and excised two suspicious lymph nodes at the hilum of the
right lung. These nodes belong to which of the following lymph node groups?
a. Parasternal
b. Paratracheal
c. Superior tracheobronchial
d. Inferior tracheobronchial
e. Bronchopulmonary
31. Which of the following structures belongs to the conducting portion of the respiratory system?
a. Terminal bronchiole
b. Alveolar duct
c. Respiratory bronchiole
d. Alveolar sac
e. Alveolar pore
32. Trachea begins at the lower border of which of the following cartilages?
a. Cricoid
b. Thyroid
c. Arytenoid
d. Coarticulate
e. Cuneiform
33. In contrast with the left one, the right primary bronchus is:
a. Shorter, wider and straight
b. Longer, wider and straight
c. Shorter, narrow and straight
d. Longer, narrow and straight
34. The right bronchial artery may arise from aorta or:
a. Posterior superior intercostal artery
b. Costocervical trunk
c. Brachiocephalic trunk
d. Third part of subclavian artery
e. Thyrocervical trunk
36. Stab injury to a patient injured a vein which opens directly into superior vena cava. This vein is:
a. Coronary vein
b. Middle cardiac vein
c. Azygos vein
d. Great cardiac vein
e. Hemizygous vein
37. Which of the following structures articulates with articular tubercle of a rib:
a. Body of the vertebra
b. Costal cartilage
c. Adjacent rib
d. Sternum
e. Transverse process
38. The groove on the clavicle for the subclavian artery is located:
a. Posterior to the scalene tubercle
b. On the inferior surface of clavicle
c. Anterior to scalene tubercle
d. At the sternal angle
e. At the angle of the 1st rib
39. Which of the following passes through the aortic hiatus of the diaphragm?
a. Least thoracic splanchnic nerve
b. Thoracic duct
c. Branches of right gastric vessels
d. Sympathetic trunks
e. Terminal branches of the left phrenic nerve
40. The oesophageal opening in the diaphragm lies at the level of the:
a. 10th thoracic vertebra
b. 12th thoracic vertebra
c. 8th thoracic vertebra
d. 6th thoracic vertebra
e. 4th thoracic vertebra
41. The lower margin of the left lung in mid respiration crosses:
a. The 6th, 8th and 10th ribs
b. The 7th, 8th and 9th ribs
c. The 10th, 11th and 12th ribs
d. The 8th rib only
e. The 6th, 11th and 12th ribs
46. During thoracentesis procedure, the physician is careful to avoid the intercostals neurovascular bundle, which is
particularly susceptible to injury from a fractured rib because it lies:
a. Behind the superior border of the rib
b. Beneath the inferior border of the rib
c. Between external and internal intercostals layers
d. Directly behind the midpoint of the rib
e. Halfway between the two adjacent rib
52. Which of the following passes through the aortic hiatus of the diaphragm?
a. Least thoracic splanchnic nerve
b. Thoracic duct
c. Branches of right gastric vessels
d. Sympathetic trunks
e. Terminal branches of the left phrenic nerve
53. The articular part of a rib tubercle articulates with which of the following structures?
a. Body of the vertebra
b. Costal cartilage
c. Adjacent rib
d. Sternum
e. Transverse process
54. The oesophageal opening in the diaphragm lies at the level of the following vertebrae:
a. 4th
b. 6th
c. 8th
d. 10th
e. 12th
55. The lateral arcuate ligaments are formed from thickenings from which of the following muscular fasciae?
a. Psoas major
b. Quadratus lumborum
c. Transversus abdominis
d. Rectus abdominis
e. Sternalis
CVS MODULE
Embryology
1. A new born male infant had a right sided haemangioma on the side of head and scalp. The cells contributing to
haemangiomas are the derivative of which one of the following layer?
a. Ectoderm and mesoderm
b. Endoderm only
c. Endoderm and mesoderm
d. Mesoderm only
e. Ectoderm
3. Tetralogy of Fallot is a congenital anomaly which occurs in infants due to malformation of which of the following
septa?
a. Atrioventricular septum
b. Atrial septum
c. Aorticopulmonary septum
d. Interventricular septum
e. Septum spurium
4. Ductus arteriosus:
a. Is part of left 6th arch artery
b. Is branch of right 6th arch artery
c. Is independent artery
d. Joins ascending aorta with pulmonary artery
e. Joins arch of aorta with right pulmonary artery
6. Epicardium:
a. Develops from splanchnic mesoderm
b. Develops from mesothelial cells
c. Develops from mesothelial cells of sinus venosus
d. Develops from mesocardium
e. Develops from cardiac jelly
7. Interventricular septum:
a. Develops from anterior ventricular wall
b. Develops from two different sources
c. The membranous part develops from bulbar ridges and post. endocardial cushion
d. The muscular part develops from myocytes
e. Development is completed in 5 weeks
10. A 40 years old woman comes to the OPD with a complaint of feeling of weakness in the legs. On examination BP
in her right arm is much higher than the left. Further it is noticed that BP of the legs is also reduced. What is the
cause?
a. Patent ductus arteriosus
b. Overriding of aorta
c. Coarctation of aorta
d. Preductal coarctation of aorta
e. Post ductal coarchtation of aorta
11. On examination of a neonate, a faint cardiac murmur is auscultated by the physician. Echocardiography is preformed
and shunting of blood is noted from the left atrium to the right atrium. An abnormality is embryonic development
of which of the following structures has most likely occurred in this neonate?
a. Ductus arteriosus
b. Endocardial cushions
c. Atrioventricular valves
d. Sinus venosus
e. Truncus arteriosus
12. A physician monitoring a new born infants heat sound hears a murmur characteristic of patent ductus arteriosus.
This murmur normally disappears after:
a. 1-2 months
b. 1-2 weeks
c. 1-2 days
d. 1-2 hours
e. Immediately after birth
13. Presence of patent ductus arteriosus is due to persistence of which one of the following embryonic structure?
a. Umbilical artery
b. Vitelline artery
c. Left sixth aortic arch
d. Right third aortic arch
e. Left third aortic arch
15. Lesion of the conus cordis will result in all of the following except:
a. ASD
b. Cyanotic congenital heart disease
c. VSD
d. Stenosis of the pulmonary trunk
e. Right ventricular hypertrophy
16. Which structure is involved in formation of outflow track of the two ventricles and maintaining the aortic and
pulmonary blood flow?
a. Aorticopulmonary septum
b. AV cushion
c. Bulbous cordis
d. Septum secundum
e. Septum primum
17. Inferior vena cava develops partly from:
a. Supra cardinal vein
b. Posterior cardinal vein
c. Sub cardinal vein
d. Sacrocardinal vein
19. Which of the following congenital cardiovascular mal formations is most commonly associated with maternal
rubella infections?
a. Isolated dextrocardia
b. Patent ductus arteriosus
c. Coarctation of aorta
d. Double aortic arch
21. The cardiac jelly formed around the heart tube during early development contributes to the formation of:
a. Pericardium
b. Mesocardium
c. Myocardium
d. Endocardium
22. Oval foramen is closed soon after birth because of sudden increase in pressure of:
a. Right atrium
b. Left atrium
c. Pulmonary trunk
d. Aorta
e. Left ventricle
23. In primitive atrium, right and left venous value fuse to form:
a. Septum spurium
b. Septum primum
c. Septum secundum
d. Crista terminalis
e. Atrioventricular septum
Gross Anatomy
24. Right branch of AV bundle of His travels through which one of following structures?
a. Interatrial septum
b. Interventricular septum
c. Papillary muscles
d. Septomarginal trabeculae
e. Chordae tendinae
25. A vein drain into right atrium between openings of inferior vena cava and AV valve is:
a. Anterior cardiac vein
b. Great cardiac vein
c. Coronary sinus
d. Middle cardiac vein
e. Oblique vein of left atrium
26. A 35-year-old man came to the medical OPD with complains of fever and chest pain. He was a known case of
rheumatic fever. On examination, the consultant heard a pericardial rub. ECG confirmed the diagnosis of
pericarditis. Which one of the following nerves is responsible for chest pain?
a. Lower intercostal
b. Subcostal
c. Sympathetic
d. Parasympathetic
e. Phrenic
27. Which one of the following vein is located in posterior mediastinum and empties into superior vena cava?
a. Azygous vein
b. Right brachiocephalic vein
c. Left brachiocephalic vein
d. Internal jugular vein
e. Posterior intercostal vein
28. A 45-year-old woman presents with a tumour confined to posterior mediastinum. This could result in compression
of which one of the following structures?
a. Trachea
b. Descending aorta
c. Arch of aorta
d. Arch of azygous vein
e. Phrenic nerve
29. The aortic opening in the diaphragm lies at the level of:
a. 12th thoracic vertebra
b. 10th thoracic vertebra
c. 4th thoracic vertebra
d. 6th thoracic vertebra
e. 8th thoracic vertebra
30. A 32-year-old patient who weighs 275 pounds comes to the doctor's office. On the surface of the chest, the physician
is able to locate the apex of the heart:
a. At the level of the sternal angle
b. In the left fourth intercostal space
c. In the left fifth intercostal space
d. In the right fifth intercostal space
e. At the level of the xiphoid process of the sternum
31. A 27-year-old cardiac patient with an irregular heartbeat visits her doctor's office for examination. Where should
the physician place the stethoscope to listen to the sound of the mitral valve?
a. Over the medial end of the second left intercostal space
b. Over the medial end of the second right intercostal space
c. In the left fourth intercostal space at the midclavicular line
d. In the left fifth intercostal space at the midclavicular line
e. Over the right half of the lower end of the body of the sternum
32. A 37-year-old patient with palpitation was examined by her physician, and one of the diagnostic records included a
posterior-anterior chest x-ray film. Which of the following comprises the largest portion of the sternocostal surface
of the heart seen on the radiograph?
a. Left atrium
b. Right atrium
c. Left ventricle
d. Right ventricle
e. Base of the heart
33. A 7-year-old boy has a damaged interventricular septum. Which of the following valves is most likely defective?
a. Pulmonary valve
b. Mitral valve
c. Valve of coronary sinus
d. Tricuspid valve
e. Aortic valve
34. A 54-year-old patient is implanted with an artificial cardiac pacemaker. Which of the following conductive tissues
of the heart had a defective function that required the pacemaker?
a. Atrioventricular (AV) bundle
b. AV node
c. Sinoatrial (SA) node
d. Purkinje fibre
e. Moderator band
35. An 8-year-old boy with atrial septal defect presents to a paediatrician. This congenital heart defect shunts blood
from the left atrium to the right atrium and causes hypertrophy of the right atrium, right ventricle, and pulmonary
trunk. Which of the following veins opens into the hypertrophied atrium?
a. Middle cardiac vein
b. Small cardiac vein
c. Oblique cardiac vein
d. Anterior cardiac vein
e. Right pulmonary vein
36. A 6-year-old boy with tetralogy of Fallot shows pulmonary stenosis and right ventricular hypertrophy in addition to
other symptoms. Which of the following structures is likely to be found in the hypertrophied heart chamber?
a. Sinus venarum
b. Crista terminalis
c. Pectinate muscles
d. Septomarginal trabecula
e. Valve of the coronary sinus
37. A 56-year-old patient recently suffered a myocardial infarction in the area of the apex of the heart. The occlusion
by atherosclerosis is in which of the following arteries?
a. Marginal artery
b. Right coronary artery at its origin
c. Anterior interventricular artery
d. Posterior interventricular artery
e. Circumflex branch of the left coronary artery
38. A 12-year-old boy was admitted to a local hospital with a known history of heart problems. His left ventricular
hypertrophy could result from which of the following conditions?
a. A constricted pulmonary trunk
b. An abnormally small left atrioventricular (AV) opening
c. Improper closing of the pulmonary valves
d. An abnormally large right AV opening
e. Stenosis of the aorta
39. A radiologist examines posterior-anterior chest radiographs of a 27-year-old victim of a car accident. Which of the
following structures forms the right border of the heart?
a. Arch of the aorta
b. Pulmonary trunk
c. Superior vena cava
d. Ascending aorta
e. Left ventricle
40. The attending faculty in the coronary intensive care unit (ICU) demonstrates to his students a normal heart
examination. The first heart sound is produced by near-simultaneous closure of which of the following valves?
a. Aortic and tricuspid
b. Aortic and pulmonary
c. Tricuspid and mitral
d. Mitral and pulmonary
e. Tricuspid and pulmonary
BLOOD, IMMUNOLOGLY & HOST DEFENCE MODULE
1. The lymphatic system begins to develop at the end of the:
a. Sixth week
b. Fifth week
c. Fourth week
d. Third week
e. Second week
2. Which of the Lymph sacs develop close to the root of the mesentery?
a. Jugular
b. Ileal
c. Retroperitoneal
d. Cisterna chili
e. Thoracic
4. The random distribution of collections of lymphocytes found in the respiratory tract and gastrointestinal tract is
known as?
a. Lymph follicles
b. lymph nodules
c. Germinal centres
d. Peyer's patches in the mucosa
e. Mucosa associated lymphoid tissue
8. Regarding the structure of the spleen, the invaginations of the capsule into the splenic parenchyma form the:
a. Malpighian corpuscle
b. Trabeculae
c. White pulp
d. Red pulp
e. Germinal centre
9. Which layer of the gastrointestinal tract contains the gut associated lymphatic tissue?
a. Mucosa
b. Sub mucosa
c. Muscularis externa
d. Serosa
e. Adventitia