Worksheets1st round
Total questions: 30
Worksheet time: 15mins
During delivery, which of the following muscles is most likely to be torn?
ischiocavernosus muscle
bulbocavernosus muscle
superficial transverse perineal muscle
levator ani muscle
coccygeus
A patient develops a neurological disease that destroys components of S2, S3, S4 bilaterally. What clinical manifestation will you expect the patient to have as a result?
inability to abduct her thigh
rectal incontinence
painless menses
labor without pain
inability to extend her knees
During a hysterectomy, vaginal bleeding may be a significant complication. Such bleeding will most likely originate from which of the following arteries?
internal pudendal
superior hemorrhoidal
inferior mesenteric
superior vesical
ovarian
A stethoscope placed over the left second intercostal space just lateral to the sternum would be best positioned to detect sounds associated with which heart valve?
Aortic
Pulmonary
Mitral
Tricuspid
An elderly lady suffers a coronary occlusion and subsequently it is noted that there is a complete heart block. The artery most likely to be involved is the:
Acute marginal branch
Circumflex branch
Anterior interventricular (Left anterior descending)
Posterior interventricular (posterior descending)
A patient with jaundice was diagnosed with cancer of the head of pancreas. Which structure was compressed by the tumor?
Common bile duct
Common hepatic duct
Cystic duct
Right hepatic duct
After radical hysterectomy, patient cannot adduct her left leg and there is an absence of sensation on the medial aspect of her left thigh. Most likely explanation?
injury to the obturator nerve
femoral nerve injury
hematoma in the pouch of Douglas
injury to the uterosacral nerve
injury to the pudendal nerve
During fetal life and sometimes even persisting into the adult life, there is an opening between the right and left atria; the opening is called the:
Coronary sinus
Foramen ovale
Sinus venosus
Truncus arteriosus
A patient is unable to wink; which muscle is affected?
Frontalis
Levator palpebrae superioris
Orbicularis oculi
Superior tarsal
A 2-month old infant with a history of intermittent gastrointestinal pain and vomiting, there was lack of emptying of the stomach. Which of the following parts of the stomach was most likely to be affected?
Cardiac notch
Fundus
Lesser curvature
Pylorus
Pain elicited from an infected facial wound is primarily conveyed by what nerve?
Facial
Great auricular
Hypoglossal
Trigeminal
An infant was diagnosed with hydrocephalus. There was a blockage in the ventricular system of the brain between the third and fourth ventricles. The blockage must have involved:
Cerebral aqueduct
Foramen of Luschka (lateral foramen)
Foramen of Magendie (medial foramen)
Interventricular foramen
The pharyngeal tonsils (adenoids) may become inflamed and in serious cases need to be removed. Where would the physician search for them?
In the tonsillar fossa
In the pharyngeal recess
Upon the dorsal surface of the tongue
In the roof of the nasopharynx
On assessment of a patient in the out-patient department, Trendelenburg’s test is positive. This indicates a possible palsy of which nerve?
Sciatic
Femoral
Obturator
Superior gluteal
Inferior gluteal
When administering an I.M. injection to an infant, the nurse in charge should use which site?
Deltoid
Dorsogluteal
Ventrogluteal
Vastus lateralis
Which structure passes through the deep inguinal ring?
Iliohypogastric nerve
Ilioinguinal nerve
Inferior epigastric artery
Medial umbilical ligament
Round ligament of the uterus
After a patient hit her upper arm, there is a fracture on the humerus just above the insertion of the teres major muscle. She cannot extend her forearm at the elbow or hand at the wrist. Which nerve must have been injured?
Axillary
Median
Musculocutaneous
Radial
Ulnar
The presence of which feature (also obvious on a radiograph with barium contrast) distinguishes SMALL from large bowel?
Circular folds of the mucosa
Circular smooth muscle layer in the wall
Mucosal glands
Teniae coli
Serosa
The most usual site for feeling the pulsations of the dorsalis pedis artery in the foot is:
Just behind the medial malleolus
Just lateral to the tendon of extensor hallucis longus
Behind the tendon of fibularis tertius muscle
In the second dorsal metatarsal space
Just behind the lateral malleolus
In injuries of the knee, the medial meniscus is frequently torn because it is firmly attached to which structure?
Anterior cruciate ligament
Fibular collateral ligament
Tibial collateral ligament
Patellar ligament
Patellar retinaculum
If the head of femur is dislocated posteromedially, compression of which nerve is likely to result?
Femoral
Lumbosacral trunk
Obturator
Sciatic
Pain of appendicitis is often first felt around the umbilicus, indicating that the appendix receives its sympathetic from which spinal cord segment?
T9
T10
T11
T12
L1
The spleen normally does not descent below the costal margin. What structure limits the straight vertical downward movement?
Left colic flexure
Left suprarenal gland
Ligament of Treitz
Pancreas
Stomach
A patient with a fracture to the left upper tibia was treated with a plaster cast. A few days later there was progressive numbness over the dorsum of the foot and weakness in dorsiflexion. The compressed nerve was most likely the:
Tibial
Obturator
Sciatic
Femoral
Common fibular
A girl playing softball cuts the palm of her hand. If the only nerve damaged is the recurrent branch of the median nerve, she would lose what movement of the thumb?
Abduction
Adduction
Flexion of the distal phalanx
Opposition
Several deficits in muscle function of the right upper limb were noted, including inability to abduct the arm. This was caused by denervation of which muscle?
Deltoid
Infraspinatus
Latissimus dorsi
Teres minor
Trapezius
A 55-year-old woman complained of severe shoulder pain. She could not initiate abduction of her arm, but if her arm was elevated to 45 degrees from the vertical position, she had no trouble fully abducting it. Injury to which muscle was responsible?
Deltoid
Infraspinatus
Supraspinatus
Teres major
Trapezius
After suffering a cut deep to the hypothenar eminence, the patient is unable to hold a sheet of paper between the second and third digits. The nerve most likely injured was the:
Deep radial
Deep ulnar
Recurrent branch of median
Superficial radial
A patient is being investigated for sciatica. There are sensory loss over the outer calf and dorsum of foot, weakness in dorsiflexion of toes, normal ankle and knee reflexes, painful straight leg raise, normal femoral nerve stretch test. At which level is the disc protrusion?
L2/3
L3/4
L4/5
L5/S1
S1/S2
Inability to extend the knee and loss of cutaneous sensation over the anterior surface of the thigh would indicate a lesion or compression of the:
Superior gluteal nerve
Lateral femoral cutaneous nerve
Sciatic nerve
Femoral nerve
Obturator nerve
