1. All of the following are relations of the body of the pancreas EXCEPT:
Correct : D. Bile duct
2. Which of the following is INCORRECT?
Correct : B. The deep inguinal ring is an opening in transverses muscle
3. The duodenum
Correct : B. Is 25cm in length
4. The highest branch of the abdominal aorta is
Correct : B. Celiac trunk
5. The main vessel supplying the body of the pancreas is the
Correct : B. Splenic artery
6. All of the following about the abdominal aorta are correct EXCEPT:
Correct : D. It gives off 5 paired lumbar arteries
7. The ureter
Correct : A. Passes anterior to genitofemoral nerve
8. The abdominal aorta is crossed anteriorly by
Correct : C. Left renal vein
9. Which is true of the superior mesenteric artery and its branches?
Correct : E. Main trunk of the superior mesenteric artery ends at the level of Meckel’s diverticulum
10. Which is true of the inferior mesenteric artery and its branches?
Correct : A. Inferior mesenteric ends as the superior rectal artery
11. Direct tributaries of the portal vein include all but
Correct : B. Short gastric vein
12. Which is the correct portosystemic anastomosis?
Correct : A. Portal = tributary of inferior mesenteric vein, systemic = tributary of internal iliac vein
13. Which is not true of the surface markings of the liver?
Correct : E. Highest point on left is 6th intercostal space
14. Which is the correct order of structures in the porta hepatis (anterior-posterior)
Correct : E. hepatic ducts, hepatic arteries, portal veins
15. Which is not a tructure of the retroperitoneum?
Correct : D. Spleen
16. Which is not a tructure in the transpyloric plane?
Correct : E. Lower pole of right kidney
17. Regarding the relations of the ureter, which is INCORRECT?
Correct : A. Cross the vas deferens in males
18. Which is true of colon?
Correct : D. Lymphatic drainage is via superior and inferior mesenteric lymph nodes
19. where does the appendix lie in health?
Correct : A. Retroileal
20. Regarding the kidneys:
Correct : C. The long axis is parallel with the lateral border of psoas
21. Concerning the colon:
Correct : C. The blood supply includes the superior mesenteric artery
22. Regarding the left kidney
Correct : B. Posteriorly lies the costodiaphragmatic recess
23. Regarding the inguinal canal
Correct : A. It has a roof formed by lower edges of internal oblique and transverses muscles
24. The liver
Correct : D. Has a caudate lobe that lies within the lesser sac
25. The abdominal aorta
Correct : A. Bifurcates into the common iliac vessels on the body of L4
26. The branches of the lumbar plexus includes:
Correct : C. The femoral nerve which supplies the ileus
27. Regarding the ureter the right is
Correct : A. Narrowed at pelviureteric junction
28. The pancreas
Correct : C. Receives its blood supply form the splenic artery
29. Regarding the vessels of the pelvis
Correct : C. The uterine artery passes above the ureter
30. The pelvic floor
Correct : B. Slopes down and forwards
31. Regarding the stomach
Correct : B. The stomach is supplied by branches from the celiac trunk
32. Which lymph nodes drain the lower anal canal?
Correct : A. Superficial inguinal
33. Superior pancreaticoduodenal vein drains into
Correct : B. Portal vein
34. All the following are veins which drain the stomach EXCEPT:
Correct : B. Gastroduodenal
35. Which is not true of the stomach?
Correct : B. Cardia situated at T12
36. Which does not pass through the transpyloric plane?
Correct : D. Spleen
37. Appendix
Correct : E. Opens into the caecum 2cm below the ileocaecal valve
38. Regarding the abdominal aorta
Correct : C. Surface marking from a point just above the transpyloric plane to a point just to the left of the umbilicus
39. Regarding the testicular blood supply
Correct : C. Pampiniform plexus is a superficial plexus surrounding the testicular artery
40. Which of the following regarding the apprendix is FALSE?
Correct : E. It always lies retro-ilieal in presence of disease
41. The ureters
Correct : E. None of the above are true
42. Regarding the anterior body wall
Correct : D. The intercostal nerve lies inferior to the intercostal artery
43. The oesophageal opening in the diaphragm transmits all except:
Correct : D. Right phrenic nerve
44. The vena caval opening foramen in the diaphragm lies at the level of
Correct : B. T8
45. Regarding the descending part of the thoracic aorta
Correct : E. It passes to the abdomen at the level of T12
46. Regarding surface markings of the lungs the following is true
Correct : E. Oblique fissure following medial border of scapula on abducted arm
47. Which heart valve has two cusps?
Correct : B. Mitral
48. In the lung
Correct : C. The obliquity of the fissure ensures better expansion of the apex of the lung
49. The right phrenic nerve
Correct : B. Is the sole motor supply to the right dome of diaphragm and crus
50. Within the thoracic inlet
Correct : E. The trachea touches the jugular notch of the manubrium
51. Left dominance means
Correct : C. Posterior interventricular branch is given off bya a large anterior interventricular artery traveling off left coronary artery
52. In the chest wall
Correct : B. The intercostal artery lies between the intercostal nerve and vein
53. The oesophageal opening in the diaphragm is opposite
Correct : C. T10
54. The most superficial structure in the thoracic inlet is
Correct : E. Superior vena cava
55. The diaphragm
Correct : E. Has an aortic opening opposite T12 vertebra
56. In the thorax
Correct : D. The trachea lies in contact with the manubrium
57. Which of the following is not true of the surface markings of the left pleura?
Correct : C. It lies at the level of the 6th rib in the midclavicular line
58. In the anatomical position, the heart:
Correct : B. Has an anterior (sternocostal) surface comprised of right atrium, right ventricle and a strip of left ventricle
59. With respect to the contents of the posterior mediastinum, all are true except:
Correct : C. It contains the perihilar lymph nodes
60. Which is true of the sternum?
Correct : B. 2nd costal cartilage articulates separately with the manubrium and the body of the sternum
61. Which is not a feature of a typical rib?
Correct : C. Necks are all of equal length
62. Which is not true of the oesophagus?
Correct : C. Upper part drains into the azygos vein
63. Phrenic nerve supplies the sensation to all but
Correct : D. Left ventricle
64. Which is true of the vagus nerves?
Correct : A. Left vagus is held away from the trachea by branches of the aortic arch
65. Which is true of the thoracic sympathetic trunk
Correct : E. gives fibres to the oesophageal plexus
66. Pleural reflection lies at which rib level in the midaxillary line?
Correct : D. 10th
67. What lies posterior to the right root of lung
Correct : C. Right vagus nerve
68. Regarding the right coronary artery
Correct : C. Usually has a posterior interventricular branch
69. The thoracic duct
Correct : C. Receives the left jugular and subclavian lymph trunks
70. The phrenic nerve
Correct : C. Lies in front of the lung root
71. In the chest wall
Correct : C. The intercostal artery lies netween the nerve and vein
72. The oesophageal opening in the diaphragm is at
Correct : C. T10
73. The trachea
Correct : C. Is marked at its lower end by the sternal angle
74. The most superficial structure in the thoracic inlet is the
Correct : B. Superior vena cava
75. The diaphragm
Correct : E. Has an aortic opening opposite T12
76. Which passes through the diaphragm with the oesophagus?
Correct : B. Right vagus
77. With regard to the coronary arteries
Correct : C. Right supplies the posterior descending branch in most patients
78. Regarding bronchopulmonary segments, which is FALSE?
Correct : B. The lingual is divided into upper and lower segments
79. Which muscle is NOT used in forced expiration?
Correct : C. Diaphragm
80. Which vessel passes directly behind the right hilum?
Correct : C. Azygos vein
81. In the superior mediastinum
Correct : C. The right phrenic descends in contact with SVC
82. Regarding the diaphragm
Correct : B. It has a central tendon which is fused inseparably to the visceral pericardium
83. The diaphragm
Correct : C. Is pierced by the left phrenic nerve at the left dome
84. The major arterial supply to the interventricular septum originates from the
Correct : C. Posterior descending
85. The vagus nerve
Correct : C. Supplies muscles of the larynx via the recurrent laryngeal nerve
86. Regarding the surface markings of the lung and pleura
Correct : C. The oblique fissure follows the line of T10 vertebra
87. Thoracic skeleton:
Correct : C. the tubercle of a typical rib has two facets, the lateral facet being non-articular
88. Diaphragm:
Correct : E. the motor supply to the diaphragm is solely from the phrenic nerves
89. With respect to the thoracic wall, which is TRUE?
Correct : B. lymphatic drainage above the umbilicus drains posteriorly to the scapular (post) group of axillary nodes
90. The oesophagus passes through the diaphragm at the level of T10 vertebra. It is accompanied by:
Correct : D. vagal trunks
91. The aorta passes through the diaphragm at the level of T12. It is accompanied by:
Correct : D. a and b correct
92. The IVC passes through the diaphragm at the level of T8, which is TRUE?
Correct : D. the right phrenic nerve accompanies it
93. Accessory muscles of inspiration include all EXCEPT:
Correct : B. latissimus dorsi
94. With respect to the superior mediastinum, which is FALSE?
Correct : C. the vagus nerve (right) lies medial to the right common carotid artery
95. With respect to the mediastinum:
Correct : C. the vagus nerves pass behind the lung roots
96. With respect to the cardiac plexuses:
Correct : D. pain fibres run with sympathetic nerves → sympathetic ganglia (3 cervical and upper 4-5 thoracic ganglia of both sides)
97. With respect to the heart:
Correct : B. the right border of the heart extends from the lower border of the right 3rd costal cartilage to the lower border of the right 6th costal cartilage
98. All but which of the following are tributaries of the coronary sinus of the heart?
Correct : A. the anterior cardiac vein
99. The posterior mediastinum contains all but which of the following?
Correct : E. the sympathetic trunks
100. With respect to the root of the lung:
Correct : C. the pulmonary veins lie anterior and inferior to bronchus