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Anatomy/Histology Mock Board Exam – Extracted Questions

Total questions: 50

Worksheet time: 25mins

Name
Class
Date
1.

A 25-year-old housewife complains of headaches of 4 months’ duration. She is obese and has bilateral papilledema, and her vision is deteriorating. Her opening CSF pressure is elevated; other CSF findings are normal. CT and MRI scans are normal. These signs are due to impairment of CSF egress. Obstruction at which of the following loci is most likely?

a)

Arachnoid villi

b)

Cerebral aqueduct

c)

Foramen of Luschka

d)

Foramen of Magendie

e)

Foramen of Monro

2.

Which part of the ventricular system contains choroid plexus?

a)

Frontal horn

b)

Occipital horn

c)

Cerebral aqueduct

d)

Third ventricle

e)

Terminal ventricle

3.

Which one of the following tumors contains cellular whorls and psammoma bodies?

a)

Astrocytoma

b)

Acoustic schwannoma

c)

Glioblastoma multiforme

d)

Oligodendroglioma

e)

Meningioma

4.

A 50-year-old hypertensive woman complains of numbness and weakness in her left leg and foot. Occlusion of which of the following vessels may account for this complaint?

a)

Anterior choroidal artery

b)

Anterior cerebral artery

c)

Interior carotid artery

d)

Middle cerebral artery

e)

Posterior artery

5.

A 15-year-old boy is hit on the temple with a baseball and becomes unconscious. After about 10 minutes, he regains consciousness, but he soon becomes lethargic, and over the next 2 hours, he becomes stuporous. His pupils are unequal. Intracranial hemorrhage is suspected. Which of the following vessels is most likely to be the source of the hemorrhage?

a)

Anterior cerebral artery

b)

Anterior communicating artery

c)

Basilar artery

d)

Middle cerebral artery

e)

Middle meningeal artery

6.

An elderly woman fell at home and fractured the greater trochanter of her femur. Which of the following muscles would continue to function normally?

a)

Piriformis

b)

Obturator internus

c)

Gluteus medius

d)

Gluteus maximus

e)

Gluteus minimus

7.

A 78-year-old man has carcinoma of the rectum. The cancer is likely to metastasize via the veins into which of the following structures?

a)

Spleen

b)

Kidney

c)

Liver

d)

Duodenum

e)

Suprarenal gland

8.

A 14-year-old gymnastics silver medalist falls from the uneven bars and complains of pain in the knee and ankle joints. On physical examination, her physician found that the muscle responsible for flexing the leg at the knee joint and plantar flexing the foot is severely weakened. Which of the following muscles involved in both movements was most likely damaged in this accident?

a)

Tibialis posterior

b)

Gastrocnemius

c)

Soleus

d)

Fibularis longus

e)

Flexor digitorum longus

9.

The neural retina is derived from the

a)

alar plate

b)

choroid

c)

neural crest

d)

neural tube

e)

telencephalic vesicle wall

10.

An obstetrician is about to perform a pudendal block so that a woman can experience less pain when she delivers her child. He recalls what he learned in medical school about this nerve. Which of the following statements is correct?

a)

It passes superficial to the sacrotuberous ligament

b)

It innervates the testis and epididymis in a male

c)

It provides motor fibers to the coccygeus

d)

It courses dorsally over the ischial spine

e)

It arises from the lumbar plexus

11.

A 21-year-old tennis player comes to an emergency room and complains of pain in the knee joint. On examination, he has an infection inside the knee joint capsule but outside the synovial cavity. Which of the following structures is preserved from this infection?

a)

Anterior cruciate ligament

b)

Posterior cruciate ligament

c)

Lateral meniscus

d)

Lateral collateral ligament

e)

Medial meniscus

12.

While playing football, a 19-year-old college student receives a twisting injury to his knee when being tackled from the lateral side. Which of the following conditions most likely has occurred?

a)

Tear of the medial meniscus

b)

Ruptured fibular collateral ligament

c)

Tenderness on pressure along the fibular collateral ligament

d)

Injury of the posterior cruciate ligament

e)

Swelling on the back of the knee joint

13.

A 10-year-old boy has severed his radial nerve. Which of the following cells plays a major role in axonal regrowth?

a)

Fibrous astrocytes

b)

Fibroblasts

c)

Oligodendrocytes

d)

Protoplasm astrocytes

e)

Schwann cells

14.

The obturator nerve and the sciatic (tibial portion) nerve of a 15-year-old boy are transected as a result of a motorcycle accident. This injury would result in complete paralysis of which of the following muscles?

a)

Rectus femoris

b)

Biceps femoris, short head

c)

Pectineus

d)

Adductor magnus

e)

Sartorius

15.

A 46-year-old female nurse complains of right-sided hearing loss and vertigo (dizziness). A small tumor was demonstrated within the internal auditory canal. Which structure listed below accounts for the hearing loss and vertigo?

a)

arachnoid cyst

b)

ependymoma

c)

epidermoid cyst

d)

meningioma

e)

Schwannoma

16.

A patient with a deep knife wound in the buttock walks with a waddling gait that is characterized by the pelvis falling toward one side at each step. Which of the following nerves is damaged?

a)

Obturator nerve

b)

Nerve to obturator internus

c)

Superior gluteal nerve

d)

Inferior gluteal nerve

e)

Femoral nerve

17.

Which of the following reflexes is monosynaptic?

a)

Achilles reflex

b)

Babinski reflex

c)

Corneal reflex

d)

Extensor plantar reflex

e)

Pupillary light reflex

18.

A 17-year-old boy was stabbed during a gang fight, resulting in the transection of the obturator nerve. Which of the following muscles is completely paralyzed?

a)

Pectineus

b)

Adductor magnus

c)

Adductor longus

d)

Biceps femoris

e)

Semimembranosus

19.

Which spinal nerve rami contain unmyelinated postganglionic sympathetic nerve fibers?

a)

White communicating

b)

Dorsal primary

c)

Gray communicating

d)

Ventral primary

e)

Meningeal

20.

A 41-year-old man was involved in a fight and felt weakness in extending the knee joint. On examination, he was diagnosed with a lesion of the femoral nerve. Which of the following symptoms would be a result of this nerve damage?

a)

Paralysis of the psoas major muscle

b)

Loss of skin sensation on the lateral side of the foot

c)

Loss of skin sensation over the greater trochanter

d)

Paralysis of the vastus lateralis muscle

e)

Paralysis of the tensor fasciae latae

21.

The ability to recognize an unseen familiar object placed in the hand depends on the integrity of which pathway?

a)

Spinospinal tract

b)

Dorsal column

c)

Dorsal spinocerebellar tract

d)

Spino-olivary tract

e)

Spinothalamic tract

22.

A 20-year-old patient cannot flex and medially rotate the thigh while running and climbing. Which of the following muscles is most likely damaged?

a)

Semimembranosus

b)

Sartorius

c)

Rectus femoris

d)

Vastus intermedius

e)

Tensor fasciae latae

23.

The sensation produced by a wisp of cotton on one’s fingertip is mediated by the

a)

Cuneocerebellar tract

b)

Dorsal column–medial lemniscus pathway

c)

Ventral spinocerebellar tract

d)

Ventral corticospinal tract

e)

Ventral spinothalamic tract

24.

A 50-year-old woman complains of clumsiness in her hands while working in the kitchen; she recently burned her hands on the stove without experiencing any pain. Neurologic examination reveals bilateral weakness of the shoulder girdles, arms, and hands, as well as a loss of pain and temperature sensation covering the shoulder and upper extremity in a cape-like distribution. Severe atrophy is present in the intrinsic muscles of the hands. The most likely diagnosis is

a)

Amyotrophic lateral sclerosis

b)

Subacute combined degeneration

c)

Werdnig-Hoffmann disease

d)

Syringomyelia

e)

Tabes dorsalis

25.

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)

Peroneal vein

d)

Great saphenous vein

e)

Lesser saphenous vein

26.

Transection of the spinothalamic tract results in

a)

Loss of pain and temperature sensation

b)

Complete flaccid paralysis

c)

Spastic paresis

d)

Cerebellar incoordination

e)

Areflexia

27.

Clasp-knife spasticity results from a lesion in the

a)

Ventral corticospinal tract

b)

Ventral spinothalamic tract

c)

Lateral corticospinal tract

d)

Dorsal spinocerebellar tract

e)

Lateral spinothalamic tract

28.

Which of the following syndromes is associated with an absent Achilles tendon reflex?

a)

Filum terminale

b)

Cauda equina

c)

Conus medullaris

d)

Epicomus

e)

Syringomyelia

29.

An example of a peripheral nervous system lesion is

a)

Guillain-Barré syndrome

b)

Charcot-Marie-Tooth disease

c)

Friedreich ataxia

d)

Lou Gehrig disease

e)

Brown-Séquard syndrome

30.

A 28-year-old basketball player falls while rebounding and is unable to run and jump. On physical examination, he has pain and weakness when extending his thigh and flexing his leg. Which muscle involved in both movements is most likely injured?

a)

Short head of biceps femoris

b)

Gastrocnemius

c)

Semitendinosus

d)

Sartorius

e)

Gracilis

31.

An elderly man with a benign enlargement of his prostate experiences difficulty in urination, urinary frequency, and urgency. Which of the following is commonly involved in benign hypertrophy that obstructs the prostatic urethra?

a)

Anterior zone

b)

Transitional zone

c)

Central zone

d)

Peripheral zone

e)

Ejaculatory ducts

32.

The cerebral aqueduct is found in which part of the brain?

a)

Telencephalon

b)

Diencephalon

c)

Mesencephalon

d)

Metencephalon

e)

Myelencephalon

33.

A 55-year-old patient with idiopathic trigeminal neuralgia reports sharp, stabbing pain in the upper lip and nose. Which branch of the trigeminal nerve is affected?

a)

Ophthalmic

b)

Maxillary

c)

Mandibular

d)

Lacrimal

e)

Corneal

34.

A 58-year-old man is diagnosed as having a slowly growing tumor in the deep perineal space. Which of the following structures would most likely be injured as it continues to grow?

a)

Bulbourethral glands

b)

Crus of penis

c)

Bulb of vestibule

d)

Spongy urethra

e)

Great vestibular gland

35.

The dorsal trigeminothalamic tract is a pathway for which type of sensation?

a)

Light touch

b)

Extreme pain

c)

Discriminative tactile

d)

Hot temperature

e)

Cold temperature

36.

A 29-year-old woman is admitted to a hospital because the birth of her child is almost 2 weeks overdue. Tearing of the pelvic diaphragm during childbirth leads to paralysis of which of the following muscles?

a)

Piriformis

b)

Sphincter urethrae

c)

Obturator internus

d)

Levator ani

e)

External anal sphincter

37.

A 59-year-old woman comes to a local hospital for uterine cane surgery. As the uterine artery passes from the internal iliac artery to the uterus, it crosses superior to which of the following structures that is sometimes mistakenly ligated during such surgery?

a)

Ovarian artery

b)

Ovarian ligament

c)

Uterine tube

d)

Ureter

e)

Round ligament of the uterus

38.

A 22-year-old woman receives a deep cut in the inguinal canal 3 cm lateral to the pubic tubercle. Which of the following ligaments may be lacerated within the inguinal canal?

a)

Suspensory ligament of the ovary

b)

Ovarian ligament

c)

Mesosalpinx

d)

Round ligament of the uterus

e)

Rectouterine ligament

39.

A 32-year-old carpenter fell from the roof. The lateral longitudinal arch of his foot was flattened from fracture and displacement of the keystone for the arch. Which of the following bones is damaged?

a)

Calcaneus

b)

Cuboid bone

c)

Head of the talus

d)

Medial cuneiform

e)

Navicular bone

40.

A 37-year-old man was newly diagnosed with carcinoma of the skin of the penis. With advanced disease, cancer cells are likely to metastasize directly to which of the following lymph nodes?

a)

External iliac nodes

b)

Internal iliac nodes

c)

Superficial inguinal nodes

d)

Lumbar (aortic) nodes

e)

Deep inguinal nodes

41.

An obstetrician performs a median episiotomy on a woman before parturition to prevent uncontrolled tearing. If the perineal body is damaged, the function of which of the following muscles might be impaired?

a)

Ischiocavernosus and sphincter urethrae

b)

Deep transverse perineal and obturator internus

c)

Bulbospongiosus and superficial transverse perineal

d)

External anal sphincter and sphincter urethrae

e)

Bulbospongiosus and ischiocavernosus

42.

A 22-year-old man has a gonorrheal infection that has infiltrated the space between the perineal membrane of the urogenital diaphragm and the superficial perineal fascia (Colles). Which of the following structures might be inflamed

a)

Bulb of the penis

b)

Bulbourethral gland

c)

Membranous part of the male urethra

d)

Deep transverse perineal muscle

e)

Sphincter urethrae

43.

A 21-year-old marine biologist asks about her first bimanual examination, and it is explained to her that the normal position of the uterus is

a)

Anteflexed and anteverted

b)

Retroflexed and anteverted

c)

Anteflexed and retroverted

d)

Retroverted and retroflexed

e)

Anteverted and retroverted

44.

A 62-year-old man is incapable of penile erection after rectal surgery with prostatectomy. The patient most likely has a lesion of which of the following nerves?

a)

Dorsal nerve of the penis

b)

Perineal nerve

c)

Hypogastric nerve

d)

Sacral splanchnic nerve

e)

Pelvic splanchnic nerve

45.

A 43-year-old woman presents with a prolapsed uterus. Repair of a prolapsed uterus requires knowledge of the supporting structures of the uterus. Which of the following structures plays the most important role in the support of the uterus?

a)

Levator ani

b)

Sphincter urethrae

c)

Uterosacral ligament

d)

Ovarian ligament

e)

Arcuate pubic ligament

46.

A basketball player was hit in the popliteal region by an opponent's knee. Damage to which of the following arteries might cause ischemia to the extensor muscles of the leg?

a)

Popliteal

b)

Deep femoral

c)

Anterior tibial

d)

Posterior tibial

e)

Peroneal

47.

A woman is delivering a breech baby. The obstetrician decides that it is best to perform a mediolateral episiotomy. Which of the following structures should the obstetrician avoid incising?

a)

Vaginal wall

b)

Superficial transverse perineal muscle

c)

Bulbospongiosus

d)

Levator ani

e)

Perineal membrane

48.

A 49-year-old woman has a large mass on the pelvic brim. Which of the following structures is most likely compressed by this mass when crossing the pelvic brim?

a)

Deep dorsal vein of the clitoris

b)

Uterine tube

c)

Ovarian ligament

d)

Uterine artery

e)

Lumbosacral trunk

49.

A 26-year-old man comes to a hospital with fever, nausea, pain, and itching in the perineal region. On examination by a urologist, he is diagnosed as having infected bulbourethral (Cowper) glands. Which of the following structures is/are affected by this infection?

a)

Superficial perineal space

b)

Sphincter urethrae

c)

Production of sperm

d)

Testes

e)

Seminal vesicles

50.

A 6-month-old male infant is admitted to the children's hospital because only one testis is in his scrotum. During physical examination, the pediatrician palpates the undescended testis in the inguinal canal. What is the diagnosis of this condition?

a)

Male pseudohermaphroditism

b)

Hypospadias

c)

Epispadias

d)

Cryptorchid testis

e)

Chordee