Chapter 1 Osteo1ogy.............................1 Chapter 2



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E. the sinoatrial node, internodal tracts, atrioventricular node, atrioventricular bundle, left and right bundle branches, and Purkinje fibers

27. Which of the following pairs of veins is considered as a portal-caval anastomosis?

A. hepatic veins and inferior vena cava

B. superior and inferior rectal veins

C. left and right gastric veins

D. suprarenal and renal veins

E. superior and inferior epigastric veins

28. The constitutions of superficial palmar arch are .

A. the terminal part of the ulnar artery and the terminal part of the radial artery

B. the terminal part of the radial artery and the superficial palmar branch of the ulnar artery

C. the terminal part of the radial artery and the deep palmar branch of the ulnar artery

D. the terminal part of the ulnar artery and the superficial palmar branch of the radial artery

E. the superficial palmar branch of the ulnar artery and the superficial palmar branch of the radial artery

29. The right gastroepiploic artery arises from .

A. the celiac trunk

B. the splenic artery

C. the proper hepatic artery

D. the common hepatic artery

E. the gastroduodenal artery

30. The artery which serve the fundus of stomach is/are .

A. the right gastric artery

B. the left gastric artery

C. the right gastroepiploic artery

D. the left gastroepiploic artery

E. the short gastric arteries

31. An obstruction of the inferior mesenteric vein just before joining the splenic vein is most likely to enlarge which of the following veins?

A. middle colic vein

B. right colic vein

C. inferior pancreaticoduodenal vein

D. ileocolic vein

E. left colic vein

32. The defect of the interventricular septum always takes place at .

A. the fossa ovalis

B. the muscular part of interventricular septum

C. the membranous part of interventricular septum

D. the supraventricular crest

E. none of the above

33. Which is the following vessels transporting oxygen-poor blood?

A. the renal arteries

B. the aorta

C. the pulmonary arteries

D. the coronary arteries

E. none of the above

34. The artery that we can touch its impulse on the anterior part of auricle is .

A. the facial artery

B. the superficial temporal artery

C. the maxillary artery

D. the common carotid artery

E. the external carotid artery

35. The cystic artery arises from .

A. the proper hepatic artery

B. the common hepatic artery

C. the left branch of the proper hepatic artery

D. the right branch of the proper hepatic artery

E. the celiac trunk

36. Which is correct about the carotid glomus?

A. The carotid glomus is located on the deep aspect of the bifurcation of the common carotid artery.

B. The carotid glomus locate the anterior artery wall of the crotch of the common carotid artery.

C. The carotid glomus locates at the end of the common carotid artery and the initial segment of the external carotid artery.

D. The carotid glomus is the baroreceptor.

E. none of the above

37. Which vein accompanies the common carotid artery?

A. the external jugular vein

B. the facial vein

C . the internal jugular vein

D. the anterior jugular vein

E. the retromandibular vein

38. Which is the biggest superficial vein as follows?

A. the retromandibular vein

B. the great saphenous vein

C. the internal jugular vein

D. the anterior jugular vein

E. the external jugular vein

39. Which of the following veins lacks the venous valve?

A. the great saphenous vein

B. the small saphenous vein

C. the facial vein

D. the cephalic vein

E. the basilic vein

40. The external jugular veins empty into .

A. the anterior jugular veins

B. the internal jugular veins

C. the facial veins

D. the brachiocephalic veins

E. the subclavian veins

41. The venous angle locates at .

A. the junction of the external and internal jugular veins

B. the junction of the left and right the brachiocephalic veins

C. the junction of the internal jugular vein and the subclavian vein

D. the junction of the internal iliac vein and the external iliac vein

E. none of the above

42. Which of the following pairs of veins typically terminates in the same vein?

A. left and right ovarian veins

B. left and right hepatic veins

C. left and right suprarenal veins

D. left and right colic veins

E. left and right gastroepiploic veins

43. Which vein is not empty into the inferior vena cava?

A. the hepatic portal vein

B. the hepatic vein

C. the lumbar veins

D. the right adrenal vein

E. the renal veins

44. In a patient with hepatic portal hypertension, which of the following veins is most likely to be dilated?

A. right colic vein

B. inferior epigastric vein

C. suprarenal vein

D. inferior phrenic vein

E. ovarian vein

45. Which is not the lymphatic organ?

A. the lymph node

B. the aggregated lymphatic follicle

C. the palatine tonsil

D. the spleen

E. the thymus

46. Which is not correct about the lymph nodes?

A. The lymph nodes are one part of the lymphatic organs.

B. The lymph nodes always locate the shelter of the body.

C. The lymph nodes always gather together.

D. The efferent lymphatic vessel of the lymph node is less than the afferent lymphatic vessel.

E. The efferent lymphatic vessel of the lymph node is connected with its prominence side.

47. Which of the following lymph trunks empties into the thoracic duct?

A. the left jugular trunk

B. the right jugular trunk

C. the intestinal trunk

D. the right lumbar trunk

E. the left lumbar trunk

48. Which is not correct about the thoracic duct?

A. The thoracic duct originates from the cisterna chili.

B. The thoracic duct assembles the lymph of the right and left lumbar trunk.

C. The thoracic duct enters the thoracic cavity through the esophageal hiatus.

D. The thoracic duct is the capital collecting duct.

E. The thoracic duct empties into the left venous angle.

49. The cisterna chyli is located at .

A. the anterior of the body of first lumbar vertebra

B. the anterior of the body of second lumbar vertebra

C. the anterior of the body of third lumbar vertebra

D. the anterior of the body of twelfth thoracic vertebra

E. none of the above

50. The spleen is located at .

A. the left lumbar region

B. the epigastric region

C. the left hypochondriac region

D. the internal surface from the left eighth to the tenth ribs

E. none of the above

51. Which blood vessd or group of vessels carry richly oxygenated blood to the heart?

A. superior vena cava

B. pulmonary arteries

C. pulmonary veins

D. ascending aorta

E. coronary sinus

52. which of the following structures shunts blood from the pulmonary trunk to the aorta, partially bypassing the lungs?

A. placenta

B. umbilical artery

C. ductus arteriosus

D. foramen ovale

E. ductus venosus

53. The aortic arch gives rise to .

A. right common carotid artery

B. left subclavian artery

C. posterior intercostal artery

D. left internal thoracic artery

E. costocervical trunk

54. Which of the following characteristics is associated with the hepatic portal vein or the hepatic portal venous system?

A. lower blood pressure than in the inferior vena cava

B. least risk of venous varices at the tower end of the esophagus as a result of portal hypertension

C. distention of the hepatic portal vein due to its numerous valves

D. caput medusae and hemorrhoids caused by hepatic portal hypertension

E. less blood flow than in the hepatic artery

55. The subclavian artery .

A. arises from the brachiocephalic trunk at the left sternoclavicular joint

B. passes in front of the scalenus anterior

C. gives rise to the superior thyroid artery

D. arches in front of the pleura and lung

E. becomes the axillary artery at the medial border of the first rib

56. The subclavian artery gives rise to .

A. inferior thyroid artery

B. vertebral artery

C. supreme intercostal artery

D. suprascapular artery

E. axillary artery

57. Which of the following arteries supplies the shoulder joint?

A. superior thoracic artery

B. lateral thoracic artery

C. thoracoacromial artery

D. thoracodorsal artery

E. circumflex scapular artery

58. Occlusion of the radial artery just distal to its origin is most likely to cause which of the following conditions?

A. a marked decrease in the blood flow in the superficial palmar arterial arch

B. decreased pulsation in the superficial palmar branch of the radial artery

C. ischemia of the entire extensor muscles of the forearm

D. a marked decrease in the blood flow in the principal artery of thumb

E. a low blood pressure in the anterior interosseous artery

59. The brachial artery .

A. follows the medial border of the biceps brachii

B. is in the front of the humerus in the upper part of the arm

C. gives rise to the anterior circumflex humeral artery

D. supplies the anterior wall of the axilla

E. gives rise to common interosseous artery

60. Which of the following statements is correct?

A. The left common carotid artery is one of the terminal branch of the hrachiocephafic trunk.

B. The common carotid artery divides into the internal and external carotid arteries at the level of the upper border of the thyroid cartilage.

C. The common carotid artery can be palpated in its whole course.

D. The external carotid artery, at its commencement, is anterior and medial to the internal carotid artery.

E. Branches of the internal carotid artery are less than the external carotid artery.

61. The thoracic aorta .

A. extends to lower border of the twelfth thoracic vertebra

B. gives rise to eleven paired posterior intercostal arteries

C. crosses behind the esophagus

D. is situated to the left of the vertebral column in the lower part of the thorax

E. gives origin to the internal thoracic artery

62. Which of the following arteries takes origin from the common hepatic artery?

A. right gastric artery

B. right gastroepiploic artery

C. superior pancreaticoduodenal artery

D. cystic artery

E. gastroduodenal artery

63. Which of the following medes runs along the upper border of the pancreas?

A. inferior pancreaticoduodenal artery

B. left gastroepiploic artery

C. gastroduodenal artery

D. splenic artery

E. short gastric artery

64. During gastrocolostomy, a surgeon is ligating the branches of the arteries that supply the stomach..Which of the following arteries may be spared?

A. inferior pancreaticoduodenal artery

B. splenic artery

C. gastroduodenal artery

D. left gastroepiploic artery

E. proper hepatic artery

65. Rapid occlusion of direct branches of which of the following arteries results in ischemia of the suprarenal glands?

A. aorta; inferior phrenic and renal arteries

B. renal, splenic, and inferior mesenteric arteries

C. aorta; splenic and inferior phrenic arteries

D. superior mesenteric, inferior mesenteric, and renal arteries

E. aorta; hepatic and renal arteries

66. Which of the following statements is correct?

A. The superior rectal artery arises from the sigmoid artery.

B. The uterine artery crosses under the lower end of the ureter.

C. The inferior rectal artery arises from the inferior vesical artery.

D. The two common iliac arteries diverge at the lower border of the fifth lumbar vertebra.

E. The anal artery arises from the internal pudendal artery.

67. Which of the following arteries passes through the lesser sciatic foramen?

A. internal pudendal artery

B. inferior rectal artery

C. superior gluteal artery

D. obturator artery

E. inferior gluteal artery

68. Which of the following arteries arise from the femoral artery?

A. lateral femoral circumflex artery

B. inferior epigastric artery

C. obturator artery

D. deep circumflex iliac

E. deep femoral artery

69. The posterior tibial artery .

A. takes origin from the femoral artery

B. ends about midway between the medial malleolus and the calcaneal tuberosity

C. inclines beneath the deep calf muscles

D. continues as the dorsal artery of foot

E. gives origin to the medial and lateral inferior genicular arteries

70. Hypertrophy of the extensor muscles of the leg may cause ischemia due to compression of which of the following arteries?

A. popliteal artery

B. peroneal artery

C. anterior tibial artery

D. deep femoral artery

E. posterior tibial artery

71. The external jugular vein .

A. receives posterior auricular, occipital and facial veins

B. passes downwards and backwards behind the sternocleidomastoid

C. drains into the internal jugular vein

D. may readily be seen during moderately severe or prolonged coughing

E. communicates with the pterygoid venous plexus

72. The internal jugular vein .

A. receives veins from the tongue, pharynx, larynx and thyroid gland

B. descends immediately medial to the internal and common carotid arteries

C. is joined by the subclavian vein to form the superior vena cava

D. mainly receives venous blood of the neck

E. is situated outside of the carotid sheath

73. The facial vein .

A. contains many valves

B. communicates with the superior and inferior ophthalmic veins

C. crosses the lower border of the mandible near the posterior margin of the masseter

D. drains into the external jugular vein

E. receives the anterior jugular vein

74. Which of the following statements is correct?

A. The cephalic vein passes upwards on the ulnar side of forearm.

B. The basilic vein enters the median cubital vein.

C. The cephalic vein ascends along the lateral border of the biceps brachii.

D. The median cubital vein is a deep vein.

E. The median antebrachial vein drains into the brachial vein.

75. The subclavian vein .

A. curves behind the subclavian artery

B. passes behind the scalenus anterior

C. joins the external jugular vein to form the brachiocephalic vein

D. lies on in front of the cupula of the pleura

E. receives the internal thoracic vein

76. The azygos vein .

A. arises from the right suprarenal vein

B. enters the thorax through the vena caval foramen of the diaphragm

C. arches forwards below the root of the right lung

D. receives accessory hemiazygos vein

E. joins the superior vena cava

77. The hemiazygos vein .

A. receives the lower left posterior intercostal veins

B. receives the left superior intercostal veins

C. is connected to the inferior vena cava

D. empties into the superior vena cava

E. enters the thoracic cavity through the esophageal opening

78. The great saphenous vein runs .

A. posterior to the medial malleolus

B. into the popliteal vein

C. anterior to the medial condyles of the tibia and femur

D. superficial to the deep fascia of the thigh

E. along with the femoral vessels

79. Which of the following statements is correct?

A. The small saphenous vein arises from the medial side of the dorsal venous arch.

B. The great saphenous vein receives the inferior epigastric vein.

C. The small saphenous vein drains into the femoral vein.

D. The great saphenous vein contains less valves.

E. The small saphenous vein passes behind the lateral malleolus.

80. Which of the following veins drains into the left renal vein?

A. left testicular vein

B. left ascending lumbar vein

C. left inferior phrenic vein

D. left lumbar vein

E. paraumbilical vein

A2

1. A 26-year-old female is requested to have a venous stripping operation because of the varicose veins of lower extremity. Which of the branches can not be ligated?



A. the superficial iliac circumflex vein

B. the superficial medial femoral vein

C. the superficial lateral femoral vein

D. the inferior epigastric vein

E. the superficial epigastric vein

2. While attempting to suture the distal end of a coronary bypass onto the anterior interventricular artery, the surgeon accidentally passed the needle through the adjacent vein. Which vein was damaged?

A. the anterior cardiac vein

B. the coronary sinus

C. the great cardiac vein

D. the middle cardiac vein

E. the small cardiac vein

3. The myocardial infarction took place in the lateral wall and posterior wall of the left ventricle. Which branch of the left coronary artery is blocked?

A. the anterior interventricular branch

B. the circumflex branch

C. the posterior interventricular branch

D. the right circumflex branch

E. the branch of sinuatrial node

4. A male, 65 years old, is brought into the emergency room because of the accidental haematemesis. Examination: The liver is lightly intumescent and hard. The spleen can be touched. The patient has the cirsomphalos and the abdominal dropsy. Which vein has nothing to do with the cirsomphalos?

A. the hepatic vein

B. the inferior epigastric vein

C. the superficial epigastric vein

D. the paraumbilical veins

E. the internal thoracic artery

5. When a patient suffered from the hydrops pericardii (hydropericardium), we can puncture in the .

A. transverse pericardial sinus

B. oblique pericardial sinus

C. anterior inferior sinus of pericardium

D. fibrous pericardium

E. serous pericardium

6. A male, 24 years old, is brought into the emergency room after having been kicked in the chest by a horse. After examination, it is concluded that the most likely immediate danger is cardiac tamponade (bleeding into the pericardial sac). You prepare to draw off some of the blood from the sac to relieve the pressure on the heart. The safest site at which to insert the needle of the syringe in order to miss the pleura would be .

A. just below the nipple on the left

B. just to the left of the xiphisternal junction

C. 4th left intercostal space in the midaxillary line

D. through the jugular notch

E. near the sternal angle

7. A 12-year-old girl falls off her bike and fractures the surgical neck of her humerus. This accident most likely leads to damage of which of the following arteries?

A. axillary artery

B. deep brachial artery

C. posterior circumflex humeral artery

D. superior ulnar collateral artery

E. circumflex scapular artery

8. In an attempt to obtain a blood sample from an individual's median cubital vein, a nurse inadvertently obtains arterial blood. The blood most likely comes from which of the following arteries?

A. brachial artery

B. radial artery

C. ulnar artery

D. common interosseous artery

E. superior ulnar collateral artery

9. A 70-year-old man suffers a fracture of the shaft of the humerus as the result of an automobile accident. Which of the following arteries may be damaged?

A. posterior circumflex humeral artery

B. deep brachial artery

C. brachial artery

D. radial artery

E. superior ulnar collateral artery

10. A radiograph of a 3 5-year-old woman reveals a perforation in the posterior wall of the stomach in which the gastric contents have spilled into the lesser sac. The abdominal surgeon who opened the gastrosplenic ligament to reach the lesser sac cut an artery accidentally. Which of the following vessels is most likely to be injured?

A. splenic artery

B. gastroduodenal artery

C. left gastric artery

D. left gastroepiploic artery

E. right gastric artery

11. During surgery, a surgeon notices profuse bleeding from the deep cervical artery. Which of the following arteries should be ligated immediately?

A. transverse cervical artery

B. thyrocervical trunk

C. costocervical trunk

D. inferior thyroid artery

E. ascending cervical artery

12. A tumor located just superior to the root of the right lung may block blood flow in which of the following vein?

A. hemiazygos vein

B. right subclavian vein

C. azygos vein

D. right brachiocephalic vein

E. accessory hemiazygos vein

13. A knife wound penetrates the superficial vein that terminates in the popliteal vein. Bleeding occurs from which of the following vessels?

A. posterior tibial vein

B. anterior tibial vein

C. great saphenous vein

D. peroneal vein

E. lesser saphenous vein

14. A thrombosis in the popliteal vein most likely causes reduction of blood flow in which of the following veins?

A. lesser saphenous vein

B. femoral vein

C. great saphenous vein

D. anterior tibial vein

E. posterior tibial vein

15. A 45-year-old man with portal hypertension resulting from cirrhosis of the liver presents to Surgery Department. The most practical method of shunting portal blood involves which of the following surgical connections?

A. superior mesenteric vein to the inferior mesenteric vein

B. portal vein to the left renal vein

C. portal vein to the superior vena cava

D. splenic vein to the left renal vein

E. superior rectal vein to the left colic vein

B1

A. superior mesenteric artery



B. celiac trunk

C. common hepatic artery

D. gastroduodenal artery

E. splenic artery

1. The inferior pancreaticoduodenal artery originates from .

2. The short gastric arteries originate from .

3. The right gastroepiploic artery originates from .

4. The proper hepatic artery originates from .

5. The left gastric artery originates from .

A. the 5th left intercostal space in the midclavicular line

B. from the 4th to the 5th intercostal space in the left limit of sternal border

C. the 2nd intercostal space in the right limit of sternal border

D. the 3rd intercostal space in the left limit of sternal border

E. the 2nd intercostal space in the left limit of sternal border

6. the mitral area

7. the aortic area

8. the tricuspid area

9. the 2nd aortic area

10. the pulmonary valve area

True or False Questions

1. The common interosseous artery arises from the ulnar artery about 2. 5 cm below its commencement, and divides in to the anterior and posterior interosseous arteries ( )

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