Explore topic-wise MCQs in Uncategorized topics.

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551.

Regarding the right coronary artery

A. Course through the left auricle and infundibulum
B. Supplies 60% of AV nodes
C. Usually has a posterior interventricular branch
D. Supplies 30% of SA nodes
E. 12th
Answer» D. Supplies 30% of SA nodes
552.

Regarding the phrenic nerves:

A. pass behind anterior scalene muscle
B. the right nerve pierces the muscular part of the diaphragm
C. they are always in contact with pleura laterally
D. run in mediastinum behind the lung root
E. split into four main branches anterior, posterior, medial and lateral
Answer» D. run in mediastinum behind the lung root
553.

With regard to the coronary arteries

A. Right arises from the posterior coronary sinus
B. Left supplies the conducting system in most patients
C. Right supplies the posterior descending branch in most patients
D. There are no arteriolar anastomoses between left and right
E. Phrenic nerves
Answer» D. There are no arteriolar anastomoses between left and right
554.

With regard to the female pelvis, which is NOT true?

A. the cervix is separated from the rectum by the Pouch of Douglas
B. the cervix is separated from the bladder by the vesicouterine pouch
C. the ureter passes 1-2cm lateral to the cervix
D. the ureter passes under both the broad ligament and the uterine artery
E. lymph drainage from the body of the uterus includes the inguinal nodes
Answer» C. the ureter passes 1-2cm lateral to the cervix
555.

Regarding the phrenic nerves, all of the following are true, EXCEPT:

A. each nerve provides motor supply to own half of diaphragm, left phrenic also supply half of right crus
B. the phrenic nerve is supplied by its own pericardiophrenic artery which accompanies it
C. the right phrenic nerve is in contact with venous structures throughout its course
D. the left phrenic nerve passes to the inferior surface of diaphragm through muscle
E. arising mainly from C4 in the neck, the nerve passes behind the anterior scalene
Answer» F.
556.

Regarding the bony pelvis

A. The obturator groove is in the ischial bone
B. The greater sciatic foramen transmits the obturator internus
C. The pectineal line lies superior to the acetabulum
D. The inguinal ligament inserts medially into the iliopubic eminence
E. None of the above
Answer» F.
557.

In the coronary circulation:

A. the commonest arterial pattern is that of left dominance
B. the sinoatrial nodal artery arises from the left coronary artery in almost half the population
C. the anterior cardiac veins drain the left ventricle
D. the coronary sinus drains into the left atrium
E. the right coronary artery arises from the posterior aortic sinus
Answer» C. the anterior cardiac veins drain the left ventricle
558.

Lymph drainage of the testes are to

A. The deep inguinal nodes
B. The mediastinal nodes
C. The para-aortic nodes
D. The pectoral group of axillary nodes
E. The external iliac nodes
Answer» D. The pectoral group of axillary nodes
559.

Regarding the sole of the foot:

A. the heel is supplied by lateral calcanean nerves
B. flexor hallucis brevis lies in the first muscular layer
C. flexor digitorum brevis is the lower limb equivalent of flexor digitorum superficialis
D. the plantar arteries and nerves lie between the second and third muscular layers
E. the medial plantar artery forms the plantar arch with dorsalis pedis artery
Answer» D. the plantar arteries and nerves lie between the second and third muscular layers
560.

Which is not a component of the second layer of the sole of the foot?

A. Tendon of flexor hallucis longus
B. Abductor hallucis
C. Flexor accessorius
D. The lumbrical muscles
E. Tendon of flexor digitorum longus
Answer» C. Flexor accessorius
561.

Which does NOT enter posterior compartment of the arm?

A. radial nerve
B. profunda brachii artery
C. ulnar nerve
D. posterior cutaneous nerve of forearm
E. superior ulnar collateral artery
Answer» F.
562.

Which of the following is NOT a branch of the profunda femoris artery?

A. medial femoral circumflex
B. lateral femoral circumflex
C. popliteal
D. perforating
E. all are branches of the profunda
Answer» D. perforating
563.

Regarding the femoral artery:

A. it enters the thigh directly beneath the deep inguinal ring
B. it lies lateral to the femoral nerve in the femoral sheath
C. it gives rise to the profunda femoris artery which pierces the femoral sheath
D. does not contribute to the trochanteric anastomosis
E. its branches include the superficial epigastric artery and the deep external pudendal artery
Answer» F.
564.

the femoral artery

A. Is separated from the hip joint capsule by fat only
B. Is crossed by the femoral vein from medial to lateral as it descends
C. Is found at the mid-inguinal point
D. Gives off the medial circumflex femoral artery as its major branch
E. The femoral sheath contains only the femoral nerve and artery
Answer» D. Gives off the medial circumflex femoral artery as its major branch
565.

Which is NOT USUALLY supplied by the left coronary artery?

A. conus artery
B. circumflex artery
C. anterior interventricular artery
D. anterior fibres of left bundle
E. posterior fibres of left bundle
Answer» F.
566.

Referred pain from which organ may be felt in the cutaneous distribution of the obturator nerve?

A. bladder
B. prostate
C. ovary
D. uterus
E. sigmoid colon
Answer» D. uterus
567.

At the upper end of the femur:

A. gluteus maximus is attached to a ridge on the posterior surface
B. gluteus medius is attached to the anterior surface of the greater trochanter
C. the three secondary centres of ossification fuse together before joining the shaft
D. the posterior part of the capsular ligament is attached to the intertrochanteric crest
E. main nutrient artery enters the bone
Answer» B. gluteus medius is attached to the anterior surface of the greater trochanter
568.

What lies posterior to the right root of lung

A. Aorta
B. Right phrenic nerve
C. Right vagus nerve
D. 12th
Answer» D. 12th
569.

Which of the following lies immediately medial to the tubercle of the radius (Lister s tubercle)?

A. extensor carpi ulnaris
B. extensor carpi radialis
C. extensor pollicis longus
D. extensor pollicis brevis
E. extensor digitorum
Answer» D. extensor pollicis brevis
570.

Rotator cuff muscles include:

A. subclavius
B. teres minor
C. pectoralis major
D. teres major
E. deltoid
Answer» C. pectoralis major
571.

Which is NOT USUALLY supplied by the right coronary artery?

A. sinoatrial nodal artery
B. atrioventricular nodal artery
C. conus artery
D. right bundle of HIS
E. posterior part of the interventricular septum
Answer» E. posterior part of the interventricular septum
572.

Compression of structures in the carpal tunnel usually results in:

A. weakness of the forearm flexors
B. weakness of flexion of the terminal phalanx of the thumb
C. weakness of the interossei muscles
D. normal sensation on the palmar surface of the little finger
E. weakness of the lumbrical muscles
Answer» E. weakness of the lumbrical muscles
573.

Interossei muscles in the hand:

A. flex the interphalangeal joints
B. assist in extension of metacarpophalangeal joints
C. cannot laterally deviate the middle finger
D. the palmar interossei have two heads of origin
E. are usually supplied by the ulnar nerve
Answer» F.
574.

The cutaneous innervation of the ear

A. Is the lesser auricular nerve
B. Involves the dermatome of C3
C. Includes the zygomaticotemporal branch of the trigeminal nerve
D. Includes the vagus
E. Involves the greater occipital nerve
Answer» E. Involves the greater occipital nerve
575.

With regard to the thorax:

A. pus behind the prevertebral fascia can gravitate to the posterior mediastinum
B. mediastinal tumours tend to project more into the left hilum than the right
C. pretracheal fascia blends with the pericardium anteriorly
D. pus from the cervical tracheal region may gravitate to the middle mediastinum
E. the arch of the aorta lies in the middle mediastinum
Answer» D. pus from the cervical tracheal region may gravitate to the middle mediastinum
576.

Which vessel is not an end artery?

A. renal artery
B. retinal artery
C. pulmonary artery
D. intercostal artery
E. splenic artery
Answer» E. splenic artery
577.

In the lateral compartment of the leg

A. The muscles are supplied by the deep peroneal nerve
B. The peroneus longus muscles arise only from the fibula
C. The peroneal muscle tendons are bound at the lateral malleolus by the inferior peroneal retinaculum
D. The peroneal muscles share a common synovial sheath at the lateral malleolus
E. The blood supply is from the anterior tibial artery
Answer» E. The blood supply is from the anterior tibial artery
578.

With regard to lymphatic drainage in the thorax, which is NOT true?

A. the anterior intercostal spaces drain into parasternal nodes thence to brachiocephalic veins
B. mid-part of oesophagus drains to the paraaortic nodes beside the descending aorta
C. the lower posterior intercostal groups of nodes drain into cysterna chyli
D. the heart drains into the tracheobronchial nodes thence to mediastinal, lymph trunks
E. the mediastinal lymph trunks lie alongside the trachea
Answer» C. the lower posterior intercostal groups of nodes drain into cysterna chyli
579.

The posterior interosseous nerve DOES NOT supply:

A. the periosteum of the radius and ulna
B. the skin over the dorsal aspect of the thumb
C. extensor carpi ulnaris
D. extensor pollicis brevis
E. the interosseous membrane
Answer» C. extensor carpi ulnaris
580.

Which vessel is not an end-artery?

A. renal artery
B. retinal artery
C. pulmonary artery
D. intercostal artery
E. splenic artery
Answer» E. splenic artery
581.

Regarding the cuneiform bones:

A. the lateral is the smallest
B. tibialis anterior is inserted into a facet on the intermediate cuneiform
C. flexor hallucis brevis has an origin on the medial cuneiform
D. the anterior surface of the medial cuneiform is triangular in shape
E. the second metatarsal bone articulates with all three cuneiforms
Answer» F.
582.

In the thorax

A. The carina lies at the level of the upper border of the T4 vertebra in the cadaver
B. The thoracic duct drains into the superior vena cava
C. C4 and T3 are adjacent dermatomes
D. The trachea lies in contact with the manubrium
E. The apex of the lung is above the thoracic inlet
Answer» E. The apex of the lung is above the thoracic inlet
583.

Regarding the extensor compartment of the leg

A. Tibialis anterior arises from the upper two thirds of the tibia and fibula
B. Extensor digitorum longus has a small origin from the lateral condyle of the tibia
C. Extensor hallucis longus is superficial to extensor digitorum longus
D. All muscles are supplied by the common peroneal nerve
E. Peroneus tertius and tibialis anterior both cause eversion of the foot
Answer» C. Extensor hallucis longus is superficial to extensor digitorum longus
584.

Which structure lies in the deltopectoral groove?

A. median pectoral nerve
B. lateral pectoral nerve
C. cephalic vein
D. basilic vein
E. axillary vein
Answer» D. basilic vein
585.

Which nerve supplies serratus anterior?

A. axillary nerve (C5, C6)
B. long thoracic nerve (C5, C6, C7)
C. musculocutaneous nerve (C5, C6)
D. thoracodorsal nerve (C6, C7, C8)
E. suprascapular nerve (C5, C6)
Answer» C. musculocutaneous nerve (C5, C6)
586.

Accessory muscles of inspiration include all EXCEPT:

A. scalene muscles
B. latissimus dorsi
C. sternocleidomastoid
D. quadratus lumborum
E. erector spinae
Answer» C. sternocleidomastoid
587.

The upper end of the humerus:

A. has the subscapularis attached to the greater tuberosity
B. has teres major attached to the floor of the bicipital groove
C. has three epiphyses which fuse separately with the shaft
D. has the capsular ligament of the shoulder joint attached to the whole of the anatomical neck
E. is the growing end of the humerus
Answer» F.
588.

Regarding the humerus:

A. the head forms half a sphere
B. the lateral epicondyle is more prominent
C. the axillary nerve winds around the anatomical neck
D. the greater tuberosity continues distally as the medial lip of the intertubecular groove
E. the capsule of the shoulder joint extends down the medial side of the humeral shaft
Answer» F.
589.

The dermatome supplying the great toe is usually supplied by

A. L3
B. L4
C. L5
D. S1
E. S2
Answer» D. S1
590.

During expiration, the right diaphragm rises to:

A. 4th intercostal space
B. 5th intercostal space
C. 6th intercostal space
D. a level slightly lower than the left diaphragm
E. the same height as the central tendon
Answer» B. 5th intercostal space
591.

The sciatic nerve

A. Arises from L3/4/5/S1/2
B. Emerges from the lower border of piriformis
C. Most commonly divides onto common peroneal and tibial branches in the middle of the hamstring compartment
D. Can be injured by intramuscular injections in the upper outer quadrant of the buttock
E. Gives no branches in the gluteal compartment
Answer» C. Most commonly divides onto common peroneal and tibial branches in the middle of the hamstring compartment
592.

Regarding the interosseous muscle:

A. the palmar interossei have two heads
B. there are usually four palmar interossei
C. the tendons pass on the posterior side of the deep transverse ligament
D. they insert into the extensor expansion, not the proximal phalanges
E. they are supplied by the superficial branch of the ulnar nerve (C8, T1)
Answer» D. they insert into the extensor expansion, not the proximal phalanges
593.

Which is not a tructure of the retroperitoneum?

A. Kidney
B. Adrenal gland
C. Cisterna chili
D. Spleen
E. Pancreas
Answer» E. Pancreas
594.

All but which are transected / at the level of the transpylonic plane?

A. superior mesenteric artery leaves aorta
B. splenic vein joins superior mesenteric vein to become the portal vein
C. hila of kidneys
D. lower border L1 vertebra
E. gall bladder
Answer» D. lower border L1 vertebra
595.

All the following statements concerning the scaphoid bone are true EXCEPT:

A. it articulates with radius proximally in abduction
B. it is the most susceptible of the carpal bones to fracture
C. it participates in the midcarpal joint
D. it receives an attachment for the transverse carpal ligament
E. fracture of the scaphoid is a common cause for median nerve compression in carpal tunnel syndrome
Answer» F.
596.

Middle cuneiform:

A. articulates with talus
B. articulates with the third metatarsal
C. receives portion of insertion of tibialis anterior
D. gives attachment to short plantar ligament
E. none of the above
Answer» F.
597.

Which vessel passes directly behind the right hilum?

A. Right phrenic nerve
B. Right vagus nerve
C. Azygos vein
D. Internal mammary artery
E. Hemi-azygos vein
Answer» D. Internal mammary artery
598.

The nerve supply of serratus anterior is:

A. axillary nerve
B. C4
C. dorsal scapular nerve
D. thoracodorsal nerve
E. long thoracic nerve
Answer» F.
599.

The right phrenic nerve

A. Passes down through the mediastinum posterior to the lung root
B. Is the sole motor supply to the right dome of diaphragm and crus
C. Gives off the right recurrent laryngeal nerve in the neck
D. Contains 50% motor and 50% sensory fibres
E. Divides into two main branches on the under surface of diaphragm
Answer» C. Gives off the right recurrent laryngeal nerve in the neck
600.

The phrenic nerve

A. Attempts to reach the midline at all levels
B. Is solely motor
C. Lies in front of the lung root
D. Passes through the diaphragm at T12
E. Splits into two main branches on the undersurface of the diaphragm
Answer» D. Passes through the diaphragm at T12