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Clinical Anatomy and Surgical Considerations

The document contains a series of medical questions and scenarios related to anatomy, surgical procedures, and physiological responses. It includes inquiries about the support structures of the uterus, muscle innervation, catheter insertion resistance, and blood supply to various organs. Additionally, it addresses specific medical cases involving injuries and surgical interventions.

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Atul Ajith
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0% found this document useful (0 votes)
16 views28 pages

Clinical Anatomy and Surgical Considerations

The document contains a series of medical questions and scenarios related to anatomy, surgical procedures, and physiological responses. It includes inquiries about the support structures of the uterus, muscle innervation, catheter insertion resistance, and blood supply to various organs. Additionally, it addresses specific medical cases involving injuries and surgical interventions.

Uploaded by

Atul Ajith
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

• What is the most important structure involved in supporting the

uterus?
• A. Round ligament
• B. Broad ligament
• C. Uterosacral ligaments
• D. Cardinal ligaments
• E. Central perineal tendon
• Muscles innervated
• • Tibialis anterior
• • Extensor hallucis longus
• • Extensor digitorum longus
• • Peroneus tertius
• • Extensor digitorum brevis

• • Extension of all toes (extensor hallucis longus and extensor


digitorum longus)
• • Eversion of the foot
• A 22 year old man suffers a compound fracture of the tibia. During
attempted surgical repair the deep peroneal nerve is divided. Which
of the following muscles will not be affected as a result?
• A. Tibialis anterior
• B. Peroneus longus
• C. Extensor hallucis longus

• D. Extensor digitorum longus


• E. Peroneus tertius
• A 28 year old man requires a urethral catheter to be inserted prior to
undergoing a splenectomy. Where is the first site of resistance to be
encountered on inserting the catheter?
• A. Bulbar urethra
• B. Membranous urethra
• C. Internal sphincter
• D. Prostatic urethra
• E. Bladder neck
• A 23 year old man undergoes an orchidectomy. The right testicular
vein is ligated; into which structure does it drain?
• A. Right renal vein
• B. Inferior vena cava
• C. Common iliac vein
• D. Internal iliac vein
• A 24 year old man falls and sustains a fracture through his scaphoid
bone. From which of the following areas does the scaphoid derive the
majority of its blood supply?
• A. From its proximal medial border
• B. From its proximal lateral border
• C. From its proximal posterior surface
• D. From the proximal end
• E. From the distal end
• A 21 year old man has an inguinal hernia and is undergoing a surgical
repair. As the surgeons approach the inguinal canal they expose the
superficial inguinal ring. Which of the following forms the lateral edge
of this structure?
• A. Inferior epigastric artery
• B. Conjoint tendon
• C. Rectus abdominis muscle
• D. External oblique aponeurosis
• E. Transversalis fascia
• Which of the following cranial venous sinuses is unpaired?

• A. Transverse sinus
• B. Superior sagittal sinus

• C. Cavernous sinus
• D. Sigmoid sinus
• E. Inferior petrosal sinus
• Which of the following laryngeal tumours will not typically
metastasise to the cervical lymph nodes?
• A. Glottic
• B. Supraglottic
• C. Subglottic
• D. Transglottic
• E. Aryepiglottic fold
• A 5 year old boy is playing with some small ball bearings.
Unfortunately he inhales one. To which of the following lung regions
is the ball most likely to settle?
• A. Right lower lobe
• B. Left main bronchus
• C. Right upper lobe
• D. Left lower lobe
• E. None of the above
• An 18 year old man is cutting some plants when a small piece of
vegetable matter enters his eye. His eye becomes watery. Which of the
following is responsible for relaying parasympathetic neuronal signals to
the
• lacrimal apparatus?
• A. Pterygopalatine ganglion
• B. Otic ganglion
• C. Submandibular ganglion
• D. Ciliary ganglion
• E. None of the above
• A 45 year old lady is undergoing a Whipples procedure for carcinoma
of the pancreatic head. The bile duct is transected. Which of the
following vessels is mainly responsible for the blood supply to the bile
duct?
• A. Cystic artery
• B. Hepatic artery
• C. Portal vein
• D. Left gastric artery
• A 43 year old lady is undergoing a total thyroidectomy for an
extremely large goitre. The surgeons decide that access may be
improved by division of the infra hyoid strap muscles. At which of the
following sites should they be divided?
• A. In their upper half
• B. In their lower half
• C. In the middle
• D. At their origin from the hyoid
• E. At the point of their insertion

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