9. 10, 1 Of the following the one most close: The crista terminalis is derived [rom ‘hom of the sinus wenosus d& AV canal 7 pg anit Right cusp of the valve of the sinus © primitive atrium vernosus Therma he fit nti wch tery i pedal etery 4 common sri tery 1 eternal coi atery © tie Int arch aery regreses without @ rasitay ancy rcs Te (tl ef um is mainly derived from the primitive pulmonary © veirntive aio 4. ious venarum Inthe development of the heart the coronary sinus is formed fromthe let feora of the sings venosus the oblique vein of the left atsiuin is formed froen the left postetior cardinal vein the valve of the coronazy sinus is formed from the bet sinus valve the valve ofthe inferior vena cava is formed from the left sinus valve ‘The sinus venosus: has right horn which persists in the adult as the coronary sinus TB hac lefl venous valve which develops ento the valve of the coronary sinus forms the umoothewalled portion ofthe adult right a d._-receives blood directly fram the portal vein associated wit the ligamentum teres bepatis i: aslline vein ‘© 6th aortic arch: ed aortic arch cal vein é 'B. umbilical artery d 12. Each of the following ligaments inthe adult are derived from fetal blood vessels EXCEPT: ‘edit umbilieal ligament median umbilieal ligament round ligament ofthe liver (ligament teres hepatis) 4. igamentum venosam © ligamentum aneriosum 13 Thellight pastes through she fight microseape as follow: ‘a Light souice — condenser —+ slide =» eyepiece ‘Condenser —+ light source =e slide —» objective lems Ligh source + condenser» slide —+ objective lens lie —= jective lens ~ ligt soase =e cndenser = objetive es lite eyepiece14, Immunohistochemistry isthe best method 49 dem i Uns - ww fest & Mctabolies F neh = b, Hematoxylin usual Hemotoxylin usually appears pink E Classi Secretion rea ells tend 10 form junction i mitotically active Little intercellular material a2. AN of the following characicrstic can be used wo dastinguish setarophils and Aistoogicalty except one. Which one isthe easeption? : Siac of specific granules Number of aaa. ic gronoles b, ‘Shape of the nucleus a: presemce or ce of préonidaae t 44. Theiglands most closely associated with hair follicles are: a Eccrine sweat glands Lymphatic glands. I b. Apocrine sweat glands © Submusesal lands i @ S222 s085 ands 3. ‘Which blood cell has a nuckeus pinched into several lobes connected by fatrow conti Erythrocyte, Lymphocyte ‘. Monosyte. ‘Neutrophil Platelet me Endothelium lines all of the following EXCEPT, a Anaries. Capillaries, Secretory ducts, b Veins, 4 Lymphatic vessels @ 27. Which epithelial cell surface specialization is used 1e move mucous and particios along the surface? Cilia, & Desmosoener * Stereosilia. 4. Miceovith, neat frequent? 4. alveolus 7 28_In-which of the following are g trachea bronchus © none of the abowe | bronchiole ! 29, Both goblet cells and ciliated epteia cels occur in all ofthe folowing EXCERT nasal cavity = bronchi . Nasopharyax ‘b. tracker oe 30. Which of the following portions of the respiratory tract lack smooth muscle? a Trachea & Bronchioles @ Aveoti Brooch 4 Alveolar Ducts 31, Which of the following regions of the Ct wact is characterised by numerous short tbl invaginations but no villi? Leon, eum anal canal ‘ b dejumun @orn r Which of the following regions of the GU tract is chatacteriaed by s 5 eumands containing var acterized by a thick mueoss densely packed esophagus 1 nallintesting longitudinal bundles (taenia)? : SOS! mussels of the muscularis arranged ints di 5. Kupffer cells are found! m nontly within th i EXCEPT 4. Concerning the femoral triangle und b b. so0fed by e 1 fase ‘are contents oF Femoral vein and its proximal tributaries 4 Deep inguinal lymph nodes42. Coneeming femoral hernia, which is not correct? 44, The femora ring is the wsual originating site : 1b appears as mass infevolateal tothe pubic tubercle more common in males. P None of the above 43, Which of the following is NOT a branch fiom the cords ofthe brachial plexus ‘4. Medial cutaneous aerve of the arm Dorsal scapular nerve TS Lower subscapular aeeve d. Thoracodorsil nerve ©. Medial cutaneous nerve ofthe forearm ‘The delto-pectoral groove embeds the following except Cephalic vein >. Delte-pestoral lymph nodes ‘&._Deltoid branch of the thoraco-acromial artery 45. Muscles connecting the rib eage to the upper limb include the following except a. Pecioralis major © Pecioralis minor coi b, Subelavius 4, Serratus anterior 46. The following arteries are involved in th mosis azound the scapular except a. Subscapular artery d. allo the above b, Supraseapular artery QP fib above €, Deep transverse cervical artery ‘Structures that pierce the elavipcctoral fascia inclule the Following except thoracoacramial artery d._ Iaterai pectoral nerve cirdumfiex humeral artery @ cephalic Ipmphatis “ts. Apuiaas presets with s clowsike appearance of the and hn asked wo hold pee of paper beiicen their finger and thumb, they flex their thumb atte interphalangeal join (Froment sige), Whish ‘of the following nerves is likely damaged? Museulocuraneous nerve j. iliary seve SQPivrarneve c, Radial nerve:Which ofthe following is NOT a rotator cutt Supeaspinats A EB} Tees major Infiaspinaius Subscapularis 58, A carpenter presents with complaints of dificult caring objects. When the patient carries paint tnckets, he buckets constantly burp ito his knees. What muscle is mist likely act a Subclavius Teres major @ sh placing a clamp on the ductus aiken to injury to what imp alto? Accessory hemiazygos vein ft recurrent laryngeal nerve intemal thoracic artery re Thoracic duct feed sab wound in which kif blade entered immediately super edge af the right clavicle near ‘ts fisad. “in extreme pain, which was interpreted by the ER physician as a |i licator of a collaps Igy hat was teu icator of a collapsed lun a Shes poeta he ina eas wet likely cal oy ‘costal pleura i Cas't be determined d by placing the tube ofa rib for fiagments ardial sac. Slipping her ha neart apex, she slid her Bea te ihe right within the s3¢ util they were slopped by the cul-de-see formed by the pericaria reflection near ths base ofthe hear. Her co oblique sinus enslomediastinal recess unis of uid in the left pleural eavity ‘You ars caring for a 69-year-old male who has copious amos \ ink upright) where would the fluid five to acute pleurisy. When you examine him as he sits up in bed ( ten to accomulate? GB Ceseshaphrapaticreces _costomedistiaal se»cupola hilar reflection A pal and Heart wall, which heart mber would 66. The Dovsal primary rani cie-wall is innervated by Lateral pectoral nerve: 67. While listeni r ening 10a p a ss, yal ress Aheard at which location onthe anterior chest w 3. Below the left nipple Inthe right 2 costal sp & Over the apex of the heart she sternal a © Xinhoid area, just of nun 70, The heart sound associated a. Inthe jugular notch b, Inthe second left intereostal space Inthe second right intercostal spac Te the Fh let sncercosta! space To the right ofthe xiphoid process 11, During foetal life and sometimes persstin and left ari this opening i called th: a. atrioventricular canal coronary sinus faramen ovale Which featur is found only in th left lung! Cardise notch Horizontal fissure ‘of the sternum at about the level of the 4th or Sth ¢ i : ‘middle mediastinum arp object puncture of the middle al cartilage. Ifthe object also penetcated pericardivin likely be damaged? Right atrium Right ventricle 3; 30 deny» high-pitched sound am. Y ison i that @ * right © Oblique fissure 4. Supetior lobar bronchus‘Three lobes ‘Which part ofthe left lung might partialy fill he ¢ostomediastinal recess in full inspiration? ‘Apen Milam © Mid lobe ‘Cupola & Lingua ‘The oblique fissure of the right lung separates which structures? Lower lobe frost lingula Lower labe from upper lobe only Lower lobe from both upper and middle lobes Lower lobe fromm midds lobe only Upper from middle lobe ‘A A-year-old girl is brought in with coughing, and you arc told by her mother that she fad been playing wih some beads and had apparenlly aspirated one (gotten it into her airway). Where would you “expect it to most likely be? i ‘Apieapostrir spimen Left main bronchus ee Lingular segment of lef Right main te “Termisal bronchiole of right tng, lower lobe Blockage af which of ‘Anterior interventricul Left circumfle Posterior imerventicular | Which valves would be open during ventricular systole? Aone and pulmonary 4 Trewspid and mitral ‘Aortic and tricuspid -&.—Trisuspid and pulmonary Mitral and aortic Which chamber's anterior wall forms most of ths sternocestalsurlaes ofthe hear? Left atrium os ‘Right atrium Left ventricle @ Kgnvenricre ‘Which statement is rue oF the right atriowentricula valve? itis alse called the mitral valve ‘tis open during yentrigvlar diastole it lood iNe right coronary artery right marginal artery. . * 168 Soronary anery Fe While shenpingw sas te tiga! end tre srgeon atidnally passed te note tough te aici tes Wha ee ee a os coe vein 4. Middle cardiae vein — Seon sins © Small ceeds vain $2 tnconine surgery is some sould be done within the pericardial sac by in: : - oe a idex Finger immediately behind the two great 0 be les and compressing them with the thumb of Inserted into which space? a Cardiac notch b Oblique perieardial sir $3, A nvedle inserted into the 9 ace along ine would enter which ‘Costotiaphragmatic recess ‘cardial sinus Costomediastinal recess 84 tough, the wand of the 160 Large vessels Iving ventral a has fi Which vessels w > Pulmonary t ink Pulmonary trunk and superioe w 4 8 with wich structure? a ransverve proces af vertebra Té < _Bedyoof vertsbea TE 86 Which of the following layers proviso natural cleavage plans for surglcal separation of the costal pleura for the thoracie wall? Deep Fascia Endotboracic fascia Parietal pleura 4 Visceral pleurs @ —_Transversu thorais muscle fascia #7, A mother brings her $ year-old Co the ER wih the complaint that her chil fips um bie ater exertion and that the child gasps for air, The mother reveais that the child often assumes a squaiting position when the lips are blush, Echocardiography reveals a booishaped hear indicative of ght ‘eniricular hypertrophy. Which ofthe following is the mos likely congenital defeet of this infan u90. “Ostiuim secundum defect = Tetralogy of Fallot Pent ducts arises Coarcation ofthe 501 ‘Mitral valve stenosis: What nerve loops under the aortic ars a tera io the ligament arteriosun? Esophageal | Liicourrent laryngea [ighe vagus Right recurrent laryngca! eR cardiac ‘Which of the following dees NOT occur within the double-walled pericardium? ‘Myocardial infarction 4 Pericarditis ‘Cardiae tamponade Pericardial effusion Hemopericardium “The epiploic foramen is a passageway from the greater to lesser sac and comtainsborders all of the following EXCEPT: a) ») o 1 = + Ce a) ») ) 93, @ 9 94 cavity, You cannot tell ‘Common bile duct J) Hepatic poral vein Cystic duet Inferior weno cava Hepatic artery ‘The ligument connccting the lesser cervature of the stomach to the liver is the Gasirohepatic gd) Lesser hepatic Faleifoxrn fe) Ligamentum venosuan Round ‘All of the following are branchss of the ecline artery EXCEPT: Left gastric artery Head ‘Splenic Left and right Repatie Cystic ‘Aljof the following are branches ofthe superior meseneri ary (SMA) EXCEPT: Middle colic dy) Lefteotic “Anteriot egeal artery Gasveduodenal Superior rectal artery ‘You are on one of your Fist cases 38a surgical resident and are worting within the abd) ‘you ate Looking. atthe jejunum oF the ley, Whish ofthe fllowing woul (PeDRST way to determine What you ave looking at inthis sieumstanes? Find the plicne circles ‘Compare wal thickness Find he smooth rvcus mbrase Compare arterial arcadss| ‘96. A patient is being seen for intrahepatic postal hyper enous system is obstructed, All ofthe following could 3) Gastrocsaphogeal b) Anorectal )—Paraumbilical tension, The physician determines that poral i collateral blood flow EXCEPT 4) Retroperiton Gastrohepatie 97, What section of the stonracl is situated between the body and pylorus? 3) Eundus 8) Greater curvature @ ow 98, Which ofthe following is NOT a veion ofthe duodensi? 6) Anterior @ ic 99. The duodenal suspesor ligament eta) connects the duodenum othe @ dirs Live 3 Spl 2) Taniae colt ee: =) MoBuey’s po 02. The spleens relat syne 5 ap 103. The spleen isin const wit all ofthe following EXC e) Superior mesenicric 4 ) Superior mesenteric and inferior mesemierse ©) Inferior mesenteric BI 105. A paieet presents wih pin inthe lower thorn and upper abdomen (TST). Pain intense afler cling spicy and greaty food, Wt region would this pain be referred fro? 7 ay ‘Thoracic. dy Hiedat Foregut ©) Lower rectum Midgot 106, A duodenal (peptic) wleer of the __ wall (nose common) may penetrate the wall and erode the relatively large __ artery. causing severe iemorrhage. a) Posterior, Pheenic d) — Asterige, Gastroduodenal b) Anterior: Splenic Borst Gastrodvodene! ©) Posterior, Splenic: 107, Wit oppendisii, vag veined pin is inayat dn We region of a) Male nipple Uinbilicus: s) Rught flask b) Conta notch ems 108, A patient presents with a chief complaint of abdouniaal pain and distension. Upun examination, the abdomen is very distended and caput medusas « visible, The patient admits to having “a few deenks everyday during the week and 1 few more with tse buys on the weekend.” You are confident the patient ‘has portal hypertension. Which of the following veins is anastomosing with the poral venous sysiem aed leading to caput medusae? Paraumbitical ) Retroperitoneal Anorectal ©) Gastrohepatie ec sare 199, saver asic the lesser sciatic foramen? i EE Sictnieien ae Dd. Sacrospinous TIO, What is at the smooth, rounded border of the internal sueface of the ilu? Wis immediately inferior to the iliac fossa and iiagss muscle AUS. « ASS © Areunte fine Psis — Pectincal tine U1, What makes the posterior border ofthe pelvic inlet? a Coccyx dL — Sacrospinous ligament ess = Sacrotiboriows ligament BD promontory Which ofthe flowing ls NOT true regarding a male/female pelvic comparinon? “The female pcivic inlet is more xynaccon in shape ap the male more android “The female pelvic outlet is asges in diameter than the male outlet “The sacrum is shorter, wider, an ltr inthe female than in te male: ‘The false pelvis is deop in the feivale and shallow in the “The subpubic angle, or pubis ach, is more rowsded and wider inthe female pas hough he pene sie omenna 120 prostatic urethra needs to he Cbvarstor interns muscle Tehciee eh Internal pudendal artery + oe The pelvic conjugate diameters (diagonal, uuviobstemie, syinphysis (0 the: ‘anatomics}) all measure from the pubic $5 (approximately) Sacral promontory ‘Sacrospinnous ligament Sacrotubereus ligament © Coceyx ‘The pelvie diameter measured from the sacroiliae joint across to the pelvie tuberct ig called the: Anteroposterior diameter ‘Transverse diameter Imterspinous distance ical conjugate diameter Which ofthe following musctes is NOT pur ofthe walls Uh lesser pelvis? Miaeus ¢ Levator an| G Piriformis Superior & Lateral @ _vitrpontetior Inferotaterat ‘What ligament ‘Median umbil Medial umbiti ‘Laerat umbitieal The prostate sits___ to the bladder and Inferior, Inferior Posterior, Inter Inferior; Superior Posterior, Superior Superior: Superior ‘Affer prostate surgery, a urinary line must Be placed x0 the pationt can void, However, singe the 1 Foley is not an option, What other route is likely the best option? » 4 Intrapabie Suprapubic Lateral feom iliac erest Inferior through perineal! bosy Via spongy urethra 5