Anatomy

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Contents

Chapter 1 HEAD & NECK 1-33


Chapter 2 NEURO 34-50
Chapter 3 THORAX 51-71
Chapter 4 UPPER LIMB 72-91
Chapter 5 LOWER LIMB 92-108
Chapter 6 ABDOMEN 109-139
Chapter 7 GENERAL EMBRYOLOGY 140-144
Chapter 8 HISTO 145-166
HEAD & NECK

Foramen of Skull
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Foramen Structure

Cribriform plate

Optic Canal

Superior Orbital Fissure

F. Rotundum

F. Ovale M

F. Spinosum M

Internal Acoustic Meatus

Jugular F.

Hypoglossal Canal

F. Magnum

F. Lacerum Through F.
(contributed by
3 Bones)

Crossing Upper part


ANATOMY WORKBOOK 2024 | 7
Q. A patient recovering from a traumatic injury to the face now finds himself unable to
chew his food. On physical examination, his jaw deviates to the right side. The nerve
that has been injured in this patient exits the skull through which of the following
foramina?
A. Foramen rotundum B. Foramen ovale C. Foramen spinosum D. Jugular foramen

Q. A sharp instrument passing through the superior orbital fissure would most likely
sever which of the following structures?
(A) Abducens nerve
(B) Facial nerve
(C) Mandibular nerve
(D) Maxillary nerve

Cranial Nerves:
Brainstem Cranial nerve nuclei

Midbrain

Pons

Medulla

3rd Cranial Nerve:


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Q. A 55-year-old, right-handed man comes to the emergency department because of recent
onset of severe, throbbing, right-sided orbitofrontal headache and diplopia. His other
medical problems include poorly controlled hypertension and chronic tobacco use.
Neurologic examination shows that he is awake, alert, and oriented and follows both
simple and complex commands. Testing of the cranial nerves reveals intact visual acuity
bilaterally. Visual fields and optic fundi are normal. Examination shows anisocoria,
with the right pupil being dilated and nonreactive to both light and accommodation. He
has evidence of both vertical and horizontal binocular diplopia. The right eye is down
and out with ipsilateral ptosis. The rest of the neurologic examination is within normal
limits. CT angiography of the head reveals a large aneurysm in the posterior fossa.
A normal CT angiogram of the head is show below. Which of the following identifiers
from the angiogram indicates the cerebral vessel most likely to have an aneurysm
causing this patient's neurologic deficits?

A. A B. B C. C D. D

4th & 6th Cranial Nerves


ANATOMY WORKBOOK 2024 | 9

Q. Examine the following pic. Which of the following is damaged depending on these
findings?

A. Abducent nerve B. Facial nerve


C. Trochlear nerve D. Occulomotor nerve

Q. Examine the given pic and diagnose.


10 | ANATOMY WORKBOOK 2024

5th Nerve
ANATOMY WORKBOOK 2024 | 11

Q. Which nerve lesion could produce the condition where stimulation of right cornea
results in blinking of the left eye but not the right eye?
a. Left trigeminal
b. Left facial
c. Right trigeminal
d. Right facial
12 | ANATOMY WORKBOOK 2024

Mandibular Nerve
ANATOMY WORKBOOK 2024 | 13

7th Nerve


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Q. Schirmer’s test evaluates the function of:


a. Greater petrosal nerve b. Lesser petrosal nerve
c. Chorda tympani nerve d. Auriculotemporal nerve

UMN LMN
ANATOMY WORKBOOK 2024 | 15
9th Nerve

Q. When removing an impacted mandibular third molar, the oral surgeon must warn the
patient of possible lasting numbness of tip of the tongue. This loss of general sensation
is due to the damage to the
a. Auriculotemporal N. b. Chorda tympani N.
c. Lingual N. d. Mental N.

Q. Match Column A with B


Column A Column B
Parasympathetic ganglia preganglionic parasympathetic nerve
Pterygopalatine ganglion a. Lesser Petrosal nerve
Otic ganglion b. Greater Petrosal nerve
Submandibular ganglion c. Deep Petrosal nerve
Ciliary ganglion d. Lingual nerve
e. Chorda Tympani
f. Nerve to inferior Oblique
g. Nerve to inferior Rectus
16 | ANATOMY WORKBOOK 2024

Nucleus Functional N. Ganglion Topographical N. Target

Ciliary

Pterygopalatine

Submandibular

Otic

10th & 11th Nerve

Q. A 35-year-old man comes to the emergency department complaining that he has


food stuck in his throat. His symptoms started 2 hours ago after eating fish at a local
seafood restaurant. He has tried coughing and swallowing multiple times in an attempt
to clear the food, but has so far been unsuccessful. The patient denies any difficulty
with breathing He does not appear to be in any distress on physical examination.
Laryngoscopy reveals a fish bone lodged in the left piriform recess. While trying to
retrieve the fish bone, a nerve is injured deep to the mucosa overlying the recess.
Which of the following is most likely to be impaired in this patient?
a. Cough reflex b. Gag reflex c. Mastication d. Salivation
ANATOMY WORKBOOK 2024 | 17

Q. A 65 year old women with a known history of lung cancer comes to hospital due to
hoarseness & difficulty in swallowing. She has no disturbance in vision & hearing. On
examination there is loss of gag reflex on left side, when the patient is prompted to
say “ah”, the uvula deviates to right side. Her left shoulder is drooped & strength is
reduced during left shoulder shrug testing. Chest X-ray shows a right lower lobe lung
mass & several osteolytic rib lesions. MRI of head also demonstrates multiple lesions
consistent with metastasis. A lesion involving which of the anatomical structure is
most likely responsible for this patients' symptoms?
a. Foramen magnum b. Foramen ovale
c. Foramen rotundum d. Jugular foramen

12th Nerve
18 | ANATOMY WORKBOOK 2024

All Muscles Supplied by Except

Palate

Pharynx

Larynx

Tongue

Infrahyoid

Nerve Part Deviation towards

Q. Palsy of right genioglossus causes:


a. Deviation of tongue to right side
b. Deviation of tongue to left side
c. Deviation of soft palate to right side
d. Deviation of soft palate to left side

Dural Venous Sinus


ANATOMY WORKBOOK 2024 | 19
20 | ANATOMY WORKBOOK 2024
Tributaries of the Cavernous Sinus
From orbit From meninges From brain

1. Superior ophthalmic vein. 1. Sphenoparietal sinus. 1. S


 uperficial middle cerebral
2. Inferior ophthalmic vein. vein.
2. Anterior (frontal) trunk of
3. 
Central vein of retina 2. Inferior cerebral veins
the middle meningeal
(sometimes)
vein.

Communications of Cavernous Sinus

1. Transverse sinus via superior petrosal sinus.


2. 
Internal jugular vein via inferior petrosal
sinus.
3. Pterygoid venous plexus via emissary veins
4. Facial vein via dangerous connection
5. O pposite cavernous sinuses via anterior and
posterior intercavernous sinuses.
6. S uperior sagittal sinus via superficial middle
cerebral vein and superior anastomotic vein.
7. I nternal vertebral venous plexus, via basilar
venous plexus.
ANATOMY WORKBOOK 2024 | 21

Q. Tributaries of cavernous sinus are all EXCEPT:


a. Inferior cerebral vein b. Central vein of retina
c. Sphenoparietal sinus d. Superior cerebral vein
22 | ANATOMY WORKBOOK 2024
Deep Cervical Fascia

In the upper part of sheath, there are IX, XI, XII nerves also.
These nerves pierce the sheet at different points.

Q. Dura is supplied by all cranial nerves EXCEPT:


a. 12 b. 10
c. 5 d. 4
ANATOMY WORKBOOK 2024 | 23
Neck Triangles
24 | ANATOMY WORKBOOK 2024

Q. A 37 year old previously healthy man comes to the office for evaluation of enlarged
lymph nodes. He has an 8 week history of progressively enlarging cervical lymph
nodes associated with subjective fever, fatigue & drenching night sweat. After initial
assessment the patient undergoes excisional biopsy of enlarged lymph nodes in the
posterior triangle of neck. Two weeks later during a follow up visit, he describe difficulty
in overhead activities such as combing his hair or placing dishes in the overhead
shelves. Examination shows a left shoulder droop with weakness of left arm abduction
above the horizontal position. Other shoulder movements are normal & there is no
sensory loss. Which of the following muscle is most likely paralyzed in this patient –
a. Deltoid b. Levator scapulae
c. Serratus anterior d. Trapezius
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Q. Lesion of which of the following will lead to paradoxical respiration


a. A b. B
c. C d. D
ANATOMY WORKBOOK 2024 | 27
Subclavian Artery: 3 parts by Scalenus Anterior

Q. A 60-year-old man presents with history of headache, vertigo, ataxia and intermittent
pain and weakness in his left arm initiate by using the left arm for daily activities. On
examination, the left radial pulse is weak and the systolic BP on the left side is reduced
by 30 mm HG. Doppler Ultrasound reveals reversal of flow in the left vertebral artery.
What is likely underlying pathology which would explain the patient’s condition:
a. Critical stenosis of Right middle Cerebral artery
b. Critical stenosis of Left middle Cerebral artery
c. Critical stenosis of First part of Subclavian artery
d. Critical stenosis of Third part of Subclavian artery
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Q. Common carotid artery divides at the level of:


a. Hyoid bone b. Cricoid cartilage
c. Superior border of thyroid cartilage d. Inferior border of thyroid cartilage

MAXILLARY ARTERY

• DIVIDED INTO 3 PARTS BY LATERAL PTERYGOID

1ST PART 2nd PART 3rd PART


Post . Sup. Alveolar A.
ACCESSORY MENINGEAL 1. Deep Temporal A
InfraOrbital A.
ANTERIOR TYMPANIC 2. Masseteric A.
DEEP AURICULAR 3. Pterygoid A. Greater Palatine A.
MIDDLE MENINGEAL 4. Buccal Pharyngeal A.
INFERIOR ALVEOLAR A. to Pterygoiod Canal
Sphenopalatine A.

TYMPANIC
MEMBRANE
ANATOMY WORKBOOK 2024 | 29

Temporo Mandibular Joint


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MOVEMENT MUSCLE

PROTRUSION

RETRUSION

ELEVATION

DEPRESSION

SIDE TO SIDE

Q. Which of the following is the function of the marked muscles?

a. Protraction b. Retraction
c. Depression d. Elevation
ANATOMY WORKBOOK 2024 | 31

  

Q. Artery lying deep to marked area in the given Pic is branch of which of the following
artery.?

a. Ophthalmic Artery b. Maxillary Artery


c. Internal Carotid Artery d. External Carotid Artery
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Q. Protrusion of tongue NOT possible in damage of:
a. Styloglossus b. Hyoglossus
c. Palatoglossus d. Genioglossus

Q. Structure NOT injured in submandibular gland excision:


a. Inferior alveolar nerve b. Lingual nerve
c. Hypoglossal nerve d. Marginal mandibular branch of facial nerve

Q. All of the following structures are pierced by the parotid duct except:
a. Buccal pad of fat b. Buccinator muscle
c. Masseter d. Buccopharyngeal fascia
ANATOMY WORKBOOK 2024 | 33
Following Structures Pierce Buccinator Muscle:-
a. Parotid Duct
b. Buccal branch of mandibular nerve
c. Molar mucous glands

Q. Sternocleidomastoid is supplied by all of the following arteries except:


a. Occipital b. Posterior auricular
c. Thyrocervical trunk d. Superior thyroid
NEURO
ANATOMY WORKBOOK 2024 | 35
Spinal Cord
36 | ANATOMY WORKBOOK 2024

Brown Sequard Syndrome:

      

Lemniscus Sensation Tract

Medial

Spinal

Lateral

Trigeminal
ANATOMY WORKBOOK 2024 | 37
Brainstem

           

Midbrain

Pons
38 | ANATOMY WORKBOOK 2024

Medulla

Q. A 68-year-old woman presents in the emergency room with dizziness and nystagmus.
Examination reveals a loss of pain and temperature sensation over the right side of
the face and the left side of the body. The patient exhibits ataxia and intention tremor
on the right in both the upper and lower extremities and is unable to perform either
the finger-to-nose or heel to-shin tasks on the right. In addition, she is hoarse and
demonstrates pupillary constriction and drooping of the eyelid on the right. Finally, the
right side of her face is drier than the left. Which of the following artery block would
explain the patient’s condition:
a. Right posterior inferior cerebellar artery
b. Left posterior inferior cerebellar artery
c. Right anterior inferior cerebellar artery
d. Basilar artery

Lateral Medullary Syndrome (Wallenberg


Lateral Pontine Syndrome
Syndrome)
AICA
PICA
• Middle cerebellar peduncle: ipsilateral ataxia
• Vestibular nuclei: vertigo, nausea and vomiting, • Inferior cerebellar peduncle: ipsilateral limb ataxia
nystagmus • Vestibular nuclei: vertigo, nausea/vomiting,
• Spinal trigeminal nucleus/tract: ipsilateral nystagmus
pain/temperature loss (face) • Spinal N: ipsilateral pain/temperature loss (face)
• Spinothalamic tract: contralateral • Spinothalamic tract: Contralateral pain/temperature
pain/temperature loss (body) loss (body)
• Descending hypothalamics: ipsilateral Horner • Descending hypothalamics: ipsilateral Horner
syndrome syndrome

• Facial nucleus and fibers: ipsilateral facial • Nucleus ambiguus (CN IX, X): ipsilateral
paralysis; ipsilateral loss of taste (anterior two- paralysis of larynx, pharynx, palate →
thirds of tongue), lacrimation, salivation, and dysarthria, dysphagia, loss of gag reflex
corneal reflex; hyperacusis

• Cochlear nucleus/VIII fibers: ipsilateral hearing


loss
ANATOMY WORKBOOK 2024 | 39

GSE SVE GVE GVA/SVA GSA SSA

MID
BRAIN

PONS

MEDULLA

Functional Column of cranial N. nuclei

Q. All of the following nerves have general visceral fibers EXCEPT:


a. Olfactory b. Oculomotor
c. Facial d. Glossopharyngeal

Q. All of the following cranial nerves contains General somatic efferents EXCEPT:
a. VII nerve b. III nerve
c. IV nerve d. VI nerve

Q. Nucleus ambiguus doesn’t include:


a. 7th nerve nucleus b. 9th nerve nucleus
c. 10th nerve nucleus d. 11th nerve nucleus
40 | ANATOMY WORKBOOK 2024
Cerebellum

Name Archae Paleo Neo


Cerebellum Cerebellum Cerebellum
Connection

Function

Deep Cerebellar Nuclei

       
OUTPUT cell from
▫ Cerebellar Cortex –
▫ Cerebellum –

Only Excitatory cell in cerebellar cortex –


ANATOMY WORKBOOK 2024 | 41
Basal Nuclei

Afferent
a.
b.
c.

Q. The marked structure in the diagram is involved with motor activites.It receives
afferents from all of the following EXCEPT:

a. Spinal cord b. Thalamus


c. Cerebral cortex d. Substantia nigra
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Q. Which of the alphabeta denote insula in the cross section of the brain:

a. A b. B c. C d. D

Internal Capsule

Q. A 45-year-old male presents with left arm clumsiness. Physical examination reveals
motor weakness and increased muscle tone in the left arm. Specifically, with passive
extension of the left arm there is initial resistance then sudden release when maximum
extension is reached. Pathology within which of the following brain structures is most
likely responsible?

A. A
B. B
C. C
D. D
ANATOMY WORKBOOK 2024 | 43
Thalamus

          

Q. Which of the following is not projected to


ventral posterior nucleus of thalamus?
a. Lateral lemniscus b. Medial lemniscus
c. Spinal lemniscus d. Trigeminal lemniscus

Q. Which of the following thalamic nuclei does


NOT project to neocortex?
a. Intralaminar nuclei b. Reticular nuclei
c. Pulvinar nuclei d. Anterior thalamic nuclei
44 | ANATOMY WORKBOOK 2024
Q. A 62-year-old female comes to the ER complaining of difficulty walking that started
three hours ago. She also says that she cannot feel her right side. Physical examination
reveals loss of touch sensation affecting the right upper and lower extremities and the
right side of the face. Her muscle strength is 5/5 in all extremities. This patient has
most likely suffered a stroke affecting which of the following brain structure?
a. Intralaminar nuclei b. Reticular nuclei
c. Pulvinar nuclei d. Anterior thalamic nuclei

Hypothalamus

   

Q. A 5-year-old male demonstrates persistent food-seeking behavior. He is obese, and his


mother reports that he sometimes exhibits aggressive and bizarre behaviors. These
clinical findings may be explained by a lesion in which of the following hypothalamic
nuclei?
A. Lateral B. Suprachiasmatic
C. Supraoptic D. Anterior
E. Ventromedial
ANATOMY WORKBOOK 2024 | 45
Ventricles

Areas devoid of BBB


46 | ANATOMY WORKBOOK 2024
Q. A 77-year-old man is brought to the emergency department after he was found
unresponsive at home. The patient has a history of poorly controlled hypertension.
Blood pressure is 260/140 mm Hg and pulse is 108/min He has extensor posturing
and pinpoint pupils. CT scan of the head without contrast reveals an acute pontine
hemorrhage with associated mass effect. The patient dies several hours later. Autopsy
reveals disruption of all pigmented neurons in the posterior rostral pons at the lateral
floor of the fourth ventricle. These neurons normally produce which of the following?
A. Dopamine B. Norepinephrine
C. Oxytocin D. Histamine

Q. Floor of 4th ventricle has:


a. Infundibulum b. Vagal triangle
c. Mammillary body d. Tuber cinerium

Q. Damage to the structure producing the elevation marked leads to paralysis of which of
the following muscle?
a. Lateral rectus
b. Risorius
c. Levator palpebrae Superioris
d. Superior oblique
ANATOMY WORKBOOK 2024 | 47

Blood supply
48 | ANATOMY WORKBOOK 2024
Branches:
ICA VERTEBRAL BASILAR
ANATOMY WORKBOOK 2024 | 49
50 | ANATOMY WORKBOOK 2024

Type of Haemorrhage MC vessel involved

Q. A man comes with aphasia, is unable to name things and repetition is poor. However,
comprehension, fluency and articulation is unaffected. He is probably suffering from:
a. Anomic aphasia
b. Transcortical sensory aphasia
c. Conduction aphasia
d. Broca’s aphasia

Q. A highly agitated 54-year-old man is brought to the emergency department by his


family because he is unable to effectively communicate. He speaks clearly and with
conviction but his sentences are incomprehensible. He does not appear to understand
the doctor's questions, does not follow oral or written instructions, and cannot repeat
simple phrases. Branch occlusion of which of the following arteries is most likely
responsible for this patient's condition?
A. Anterior cerebral artery
B. Anterior inferior cerebellar artery
C. Middle cerebral artery
D. Posterior cerebral artery
E. Posterior inferior cerebellar artery
THORAX

Q. Atrophy of intrinsic muscles of hand, sensory deficit on medial side of forearm and
hand, and diminished radial pulse on turning the head on the affected side could be
because of :
a. Carpal tunnel syndrome
b. Cervical rib
c. Enlarged axillary lymph nodes
d. Supracondylar fracture of humerus
52 | ANATOMY WORKBOOK 2024

Thoracic wall

Q. When tapping a pleural effusion, it is important to pass the needle immediately


________the rib to prevent damage to which of the following structures in subcostal
groove?
a. Intercostal artery & Vein
b. Intercostal Nerve & artery
c. Intercostal Nerve & Vein
d. Intercostal Nerve, Vein & artery

Intercostal N.

No. supplies
T1
T2
T3-T6
T7-T11
ANATOMY WORKBOOK 2024 | 53
Anterior Intercostal A. ( ) Posterior Intercostal A. ( )
Spaces Branch of Spaces Branch of
1-6 1-2
7-9 3-11

Anterior Intercostal V. ( )
Spaces Tributary of
1-6
7-9

Right posterior intercostal veins Left posterior intercostal veins

1st (highest) drains into the right brachiocephalic 1st (highest) drains into left brachiocephalic vein
vein

2nd, 3rd, and 4th join to form right superior 2nd, 3rd, and 4th join to form left superior intercostal
intercostal vein, which vein, which in turn drains vein, which in turn drains into
into
5th–11th drain into • 5th–8th drain into
• 9th–11th drain into
Subcostal vein drains into Subcostal vein drains into
54 | ANATOMY WORKBOOK 2024

Q. Left superior intercostal vein drains into:


a. Azygous vein
b. Hemiazygous vein
c. Left brachiocephalic vein
d. Innominate vein

Q. Which of the following does not drain into azygos vein:


a. Hemi-azygos vein
b. Posterior intercostal vein
c. Left superior intercostal vein
d. Right superior intercostal vein

Q. Hemiazygous vein crosses left to right at the level of:


a. T8
b. T10
c. T12
d. T6
ANATOMY WORKBOOK 2024 | 55
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Name Level Structures During Inspiration


IVC

Oesophageal

Aortic
ANATOMY WORKBOOK 2024 | 57
Q. The following diagram depicts the various parts from which the diaphragm develops.
Defects in which part most commonly leads to congenital diaphragmatic hernia:
a. A b. B
c. C D. D

Mediastinum

Posterior Superior
58 | ANATOMY WORKBOOK 2024
Q. Superior vena cava opens into right atrium at the level of:
a. T1 b. T3
c. T4 d. T5

Q. NOT true about superior vena cava:


a. Opens into right atrium
b. Pierces pericardium at 3rd costal cartilage
c. Enters the heart of level of 3rd costal cartilage
d. Receives azygos vein behind sternal angle

Pleura
ANATOMY WORKBOOK 2024 | 59
Root

Bronchopulmonary segments
60 | ANATOMY WORKBOOK 2024

Q. Carina is situated at which level:


a. T3 b. T4
c. T6 d. T9

Q. 63 years old man is admitted to hospital after suffering cerebral infaction. A swallow
study performed during acute recovery period shows oropharyngeal dysphagia.
Despite being maintained on adequate dietary restrictions, the patient experiences
an episode of vomiting while lying on his back and subsequently develops
pneumonia. Which of the following lung regions is most likely to be affected .
a. Anterior segment of left lower lobe
b. Posterior segment of right upper lobe.
c. Lingular segments of left lung
d. Middle lobe segments of right lung

Q. A frantic mother brings her 3 year old into the Emergency Department because he
aspirated a small metal button off of his shirt.  The button is most likely located in the
following place:
a. Left inferior lobe b. Right middle lobe
c. Right inferior lobe d. Carina

Part Mid Mid Post.


Clavicular Axillary Scapular
LUNG

PLEURA
ANATOMY WORKBOOK 2024 | 61
Q. During Deep inspiration,the lung extends upto which level of liver?

a. AB b. BC
c. CD d. ABC

Pericardium
62 | ANATOMY WORKBOOK 2024

      

Q. A 53 year old man is brought to emergency department for evaluation of fever, chills &
malaise. Cardiac examination reveals a new holo-systolic heart murmur that radiates
towards the axilla. Blood cultures are obtained & he undergoes transesophageal
echocardiography. The ultrasound probe is placed in the mid-esophagus facing
anteriorly & cardiac chambers are interrogated.

Anatomically which of the following chambers is closest to the probe –


a. Left atrium b. Left ventricle
c. Right atrium d. Right ventricle.

Q. The structure present anterior to transverse pericardial sinus is:


a. Inferior vena cava b. Superior venae cava
c. Aorta d. Pulmonary artery

Q. Posterior to transverse pericardial sinus is:


a. Aorta b. Pulmonary trunk
c. SVC d. Left atrium

Q. Posterior to sternum is:


a. Left atrium b. Left ventricle
c. Right atrium d. Right ventricle
ANATOMY WORKBOOK 2024 | 63
Heart

Dominance:
Widow maker Artery

    
64 | ANATOMY WORKBOOK 2024
Venous drainage:

Q. Base of the heart is formed by:


a. Left atrium b. Right atrium
c. Left ventricle d. Right ventricle

Q. A 55 years old male presents with complaints of periodic, burning substernal chest
pain A thallium stress test shows hypoperfusion of the cardiac muscle forming the
diaphragmatic surface of the heart Which of the following coronary arteries is most
likely occluded in this patient?
a. Left anterior descending coronary artery
b. Left circumflex coronary artery
c. Left main coronary artery
d. Right coronary artery
e. Acute marginal branches

Q. Occlusion of the LAD will lead to infarction of which area:


a. Posterior part of the interventricular septum
b. Anterior wall of the left ventricle
c. Lateral part of the heart
d. Inferior surface of right ventricle

Q. Coronary dominance is determined by:


a. Posterior interventricular artery
b. Anterior interventricular artery
c. Circumflex artery
d. Right coronary artery

Q. If the circumflex artery gives off the posterior interventricular artery, then the arterial
supply is called:
a. Right dominance b. Left dominance
c. Balanced dominance d. Co-dominance
ANATOMY WORKBOOK 2024 | 65
Q. Arterial supply of ventral 2/3rd of interventricular septum of heart is:
a. Right coronary artery
b. Left coronary artery
c. Posterior interventricular artery
d. Marginal artery

Q. All open into coronary sinus EXCEPT:


a. Middle cardiac vein b. Small cardiac vein
c. Anterior cardiac vein d. Great cardiac vein

   

Q. Which of the following is situated in the upper part of crista terminalis?


a. AV node b. Bundle of His
c. Right bundle branch d. SA node

Q. As viewed from the right atrium, the floor of the fossa ovalis is formed by:
a. Septum primum b. Septum secundum
c. Endocardial cushions d. Tricuspid valve orifice
66 | ANATOMY WORKBOOK 2024
Heart Tube:

Part Derivative
Truncus
Arteriosus
Bulbus Conus
Cordis

Prox 1/3rd

Ventricle

Atrium

Sinus Venosus

Absorption of Pulmonary V.

Atrial Septum
ANATOMY WORKBOOK 2024 | 67

Truncus Arteriosus
68 | ANATOMY WORKBOOK 2024
Pharyngeal arch arteries derivatives
Arch Derivative
1st

2nd

3rd Prox:
Distal:
New Bud:

4th (Left): Arch of Aorta: Left horn of aortic sac + Left 4th Arch A. + Left Dorsal Aorta

(Right): Right Subclavian Artery: Right 7th cervical intersegmental A. + Right 4th Arch A. + Right Dorsal Aorta

6th Prox:

Distal (Left):
Brachiocephalic Trunk: Right horn of aortic sac
Left Subclavian Artery: Left 7th cervical intersegmental A.

A B

     
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Supracardinal veins with a little contribtution from posterior cardinal veins form:
Azygos system of veins
ANATOMY WORKBOOK 2024 | 71
Q. Unequal division of the conus cordis resulting from anterior displacement of the cono-
truncal septum gives rise to:
a. Persistent truncus arteriosus
b. Coarctation of aorta
c. Tetralogy of Fallot
d. Transposition of great vessels

Q. As shown in the figure abnormal subclavian artery develops by?

a. Persistanceof B
b. Persistence of A
c. Obliteration of A with persistence of B
d. Obliteration of B with persistence of A

Q. Sinus venosus receives blood from all EXCEPT:


a. Vitelline vein
b. Umbilical vein
c. Common cardinal vein
d. Subcardinal vein

Q. Portal Vein develops from which of these structures :

a. A b. B
c. C d. D
UPPER LIMB

AXILLA

SUPRA SCAPULAR N.

SUBSCAPULAR N. SUPRA SCAPULAR N.


SUBSCAPULAR N.
ANATOMY WORKBOOK 2024 | 73

DORSAL SCAPULAR N.

Q. Not a boundary of Triangle of Auscultation:


a. Scapula b. Trapezius
c. Latissimus dorsi d. Serratus anterior

Brachial Plexus
74 | ANATOMY WORKBOOK 2024

FROM ROOT VALUE NAME SUPPLIES


ROOTS

UPPER
TRUNK

Lateral cord Medial cord

Posterior cord

Q: Which of the following nerves carries fibres from all the roots of brachial plexus?
a. Axillary b. Ulnar c. Median d. Musculocutaneous

Q. A 46 years old patient came with the h/o injection around shoulder following which he
observed change in contour of left shoulder. You suspect injury to axillary nerve. All
the following features can be observed in this patient except –
a. Loss of rounded contour of shoulder b. Loss of sensation on upper lateral aspect of arm
c. Atrophy of deltoid muscle. d. Loss of sensation on lateral aspect of forearm.
ANATOMY WORKBOOK 2024 | 75

ERBs palsy Klumpkes Palsy

                    

            
76 | ANATOMY WORKBOOK 2024
Q. Injury to the upper trunk of brachial plexus results in:
a. Supination of forearm b. External rotation of arm
c. Inability to initiate abduction d. Decreased sensation on medial side of hand

Q. FALSE regarding Klumpke’s paralysis is:


a. Claw hand deformity b. Intrinsic muscles of hand involved
c. Horner’s syndrome d. Upper trunk of brachial plexus involved

Q. While driving a motorcycle a young boy collided with a tree & was thrown on right
shoulder. There was no fracture. His arm was medially rotated & forearm pronated. The
following facts are correct except –
a. Injury was at Erbs point.
b. Lesion of C5 & C6 is present.
c. Median & ulnar nerves are affected.
d. Supraspinatus, Infraspinatus, Biceps & Subclavius are paralysed.

Axillary Artrery
ANATOMY WORKBOOK 2024 | 77

Q. If occlusion occurs at second part of axillary artery, blood flow is maintained by


anastomosis between –
a. Anterior & posterior circumflex humeral artery
b. Circumflex scapular & posterior circumflex humeral artery
c. Deep branch of transverse cervical & subscapular artery.
d. Anterior circumflex artery & subscapular artery.

Q. A 10 years old boy falls and fractures his humerus. Fracture causes laceration of a
nerve, which results in weakness in the ability to extend the hand at the wrist.  There
is also numbness in the skin over the anatomical snuffbox. Which of the following
arteries that shares the course with the affected nerve?
A. Axillary
B. Profunda Brachii
C. Posterior circumflex humeral
D. Anterior circumflex humeral

ROTATOR CUFF
78 | ANATOMY WORKBOOK 2024

Q. A 45 years old man presents to clinic with a chronic history of shoulder pain that is
especially bothersome at night. Over the weekend he "strained his shoulder" during
a pick-up basketball game and reports an acute exacerbation of his pain symptoms.
On exam, he complains of pain to palpation just below the acromion. You suspect he
has torn his supraspinatus. If correct, which of these functional maneuvers would you
expect to be deficient on physical exam.
a. Initiation of adduction b. Initiation of abduction
c. Internal rotation d. External rotation

Q. Following structures pierce the Clavipectoral fascia except-


a) Acromiothoracic artery
b) Cephalic vein
c) Lateral pectoral nerve
d) Medial pectoral nerve
ANATOMY WORKBOOK 2024 | 79
ARM

Q. A person developed numbness along lateral aspect of the forearm. The cutaneous
nerve affected is a branch of
a. Deep branch of radial N. b. Axillary
c. Musculocutaneous d. Superficial branch of radial
80 | ANATOMY WORKBOOK 2024

CUBITAL FOSSA

                    
ANATOMY WORKBOOK 2024 | 81
FOREARM

Q. A football player presents to your clinic with a swollen index finger.  When told to make
a fist the young man can bend his index finger at the PIP but not at the DIP joint.  Which
tendon likely ruptured in the injury?
A. Distal insertion of the extensor tendon.
B. Flexor Digitorum Profundus
C. Flexor Digitorum Superficialis
D. Long Extensor Tendon
82 | ANATOMY WORKBOOK 2024
CARPAL TUNNEL

Q. The Carpel Tunnel contains all the following structures EXCEPT–


a. Median Nerve
b. Flexor Pollicis Longus
c. Flexor Carpi Radialis
d. Flexor Digitorum Superficialis.

Q. A 53 y/o man with a history of depression presents to the ER with having cut deeply
into the flexor surface of his wrist at the level of the carpal tunnel after he had fight with
his wife.  Ḥe has no sensation on the palmar or dorsal aspects of the distal parts of his
middle and index fingers and half of his ring finger.  Which of the following has been
compromised?
A. Flexor carpi radialis tendon
B. Median nerve
C. Ulnar nerve
D. Radial nerve
ANATOMY WORKBOOK 2024 | 83
ANATOMICAL SNUFF BOX

Q. Regarding Anatomical Snuff box which of the following is true –


a. AbPL forms posterior wall
b. AbPL & EPB form anterior wall
c. Basilic vein forms roof
d. Ulnar A is the content.

Q. A teenager presents to the emergency department complaining of wrist pain after


falling off his skateboard. He has snuff-box tenderness. This concerns you because
this bone is sometimes slow to heal because of its poor blood supply. What fracture
do you suspect?
a. Scaphoid b. Trapezoid
c. Capitate d. Trapezuim
84 | ANATOMY WORKBOOK 2024

POSTERIOR FOREARM
ANATOMY WORKBOOK 2024 | 85
PALM

                 

Q . Identify the marked muscle


A. Opponens pollicis
B. Abductor pollicis brevis
C. Flexor pollicis longus
D. First palmar interossei
86 | ANATOMY WORKBOOK 2024

Tendons of flexor digitorum


profundus
Abductor pollicis brevis

Abductor digiti minimi Flexor pollicis brevis

lumbricals

Flexor digiti minimi brevis

              
ANATOMY WORKBOOK 2024 | 87

    
88 | ANATOMY WORKBOOK 2024

A felon is
an infection
that occurs
within the
closed-space
compartments
of the fingertip
pulp

A, thenar space; B,
midpalmar space; C, ulnar
bursa; D, radial bursa; E,
digital synovial sheath; F,
pulp space; G, space of
Parona

Radial N.

ELBOW WRIST MCP SENSATIONS LOST


(FINGER)

D
ANATOMY WORKBOOK 2024 | 89

Median N.

A (HIGH/ PROXIMAL) B(LOW/DISTAL)


90 | ANATOMY WORKBOOK 2024

Ulnar N.

A (LOW/DISTAL) B (HIGH/ PROXIMAL)

Q. Ulnar nerve injury in the arm leads to all except –


a. Sensory loss in the medial 1/3 of hand
b. Weakness of hypothenar eminence
c. Claw hand
d. Adduction of thumb.
ANATOMY WORKBOOK 2024 | 91

Q. A 42 years old woman suffering from myxedema, suddenly woke up one night by a
severe bout of pain in her right wrist and middle finger. The pain seems to move up her
forearm. After a thorough neurological check up she is diagnosed to have condition as
Carpal Tunnel Syndrome. It causes all the following except –
a. Thenar atrophy b. Weakness of first & second lumbricals
c. Loss of Palmar sensation d. Weakness of adductor pollicis

Q: Finger drop with no wrist drop is caused by lesion of:


a. Radial nerve in the radial groove b. Posterior interosseous nerve
c. Anterior interosseous nerve d. Ulnar nerve behind medial epicondyle

Q. Ulnar prardox means:


a. High level injury- less severe claw hand b. Low level injurey- Less severe claw hand
c. High level injury- more severe claw hand d. Low level- more severe claw hand

Q Intracapsular but extrasynovial is:


a. Long head of triceps brachii b. Long head of biceps brachii
c. Short had of biceps brachii d. Medial head of biceps brachii

Q. Intracapsular but extrasynovial is:


a. Long head of triceps brachii b. Long head of biceps brachii
c. Short had of biceps brachii d. Medial head of biceps brachii

Q. Flexion of MCP joint and extension of IP joints is the major action of:
a. Palmar interossei b. Dorsal interossei
c. Lumbricals d. FDS

Q. False about clavicle:


a. Ossifies in membrane
b. Horizontal bone
c. No medullary cavity
d. Most common site of fracture is the junction of medial 1/3rd with lateral 2/3rd

Q. Which of the following structures in the scapula is palpable in the infraclavicular fossa?

a. A b. B
c. C d. D
LOWER LIMB

Q: A 36 years old patient reports her condition characterized by tingling, numbness and
burning pain in her outer thigh. The diagnosis of meralgia paresthetica is made by you.
Which of the following nerve is involved in this condition:-

a. Ilioinguinal n.
b. Iliohypogastric n
c. Lateral cutaneous n. of thigh
d. Genitofemoral
ANATOMY WORKBOOK 2024 | 93

MNEMONIC NAME ROOT VALUE

                     
94 | ANATOMY WORKBOOK 2024

Q. Which structure lies midway between the anterior superior iliac spine and pubic
symphysis:
a. Femoral artery
b. Deep inguinal ring
c. Superior epigastric artery
d. Inguinal ligament

Femoral Nerve
ANATOMY WORKBOOK 2024 | 95
Obturator Nerve

SARTORIUS GRACILIS
HIP

KNEE

GLUTEAL REGION
96 | ANATOMY WORKBOOK 2024

   
ANATOMY WORKBOOK 2024 | 97

Inferior Gluteal N.

Superior Gluteal N.

Q. A 43-year-old male received a deep intramuscular injection two days ago and now
presents with difficulty walking. You note that his right hip drops every time he raises
his right foot. At which location did this patient most likely receive his injection?
A. Superomedial quadrant of the buttock
B. Superolateral quadrant of the buttock
C. Inferomedial quadrant of the buttock
D. Inferolateral quadrant of the buttock
E. Posterior thigh

Q. Which of the following structure(s) pass through adductor hiatus?


a. Femoral vessels
b. Femoral nerve
c. Tibial nerve
d. Saphenous nerve
98 | ANATOMY WORKBOOK 2024
HAMSTRINGS

Origin

Insertion

Nerve supply

Action

Semi Membranosus

Semi Tendinosus

Adductor magnus

Biceps Femoris
Long head
Biceps Femoris
Short head
ANATOMY WORKBOOK 2024 | 99
POPLITEAL FOSSA
100 | ANATOMY WORKBOOK 2024
Q. When the femur is fractured, the broken distal end often turns posteriorly to enter the
popliteal fossa due to muscle traction. Because of its position deepest in the fossa,
which structure is most vulnerable to laceration?
a. Common fibular n.
b. Lesser saphenous v.
c. Popliteal a.
d. Popliteal v.
e. Tibial n.

Q. A 56-year-old male with advanced bladder carcinoma suffers from compression of a


nerve that passes through the obturator foramen. Which of the following functions
would be most affected in this patient?
A. Abduction of the thigh
B. Adduction of the thigh
C. Flexion of the thigh
D. Extension of the thigh
E. Extension of the leg

Q. When, in some people, the common fibular nerve passes through the piriformis muscle,
the nerve may be compressed. This would affect part of which muscle?
a. Adductor magnus
b. Biceps femoris
c. Gluteus maximus
d. Semimembranosus
e. Semitendinosus

Q. Neurovascular bundle of anterior compartment of leg passes between the tendons of:
a. Tibialis anterior and extensor hallucis longus
b. Extensor hallucis longus and extensor digitorum longus
c. Extensor hallucis longus and peroneus tertius
d. Extensor digitorum longus and peroneus tertius
ANATOMY WORKBOOK 2024 | 101

LEG

ANT/ EXT. POST./ FLEXOR LAT/ PERONEAL

TOM

DICK

HARRY

               
102 | ANATOMY WORKBOOK 2024

               
ANATOMY WORKBOOK 2024 | 103
SOLE
104 | ANATOMY WORKBOOK 2024
ARCHES OF FOOT

INVERSION & EVERSION TAKES PLACE AT:


ANATOMY WORKBOOK 2024 | 105
ANKLE
106 | ANATOMY WORKBOOK 2024

FEATURES GREAT SAPHENOUS VEIN SHORT SAPHENOUS VEIN

ORIGIN

PASSES

COURSE

ACCOMPANIED BY

TERMINATION
ANATOMY WORKBOOK 2024 | 107

LYMPHATICS
108 | ANATOMY WORKBOOK 2024
Q. All are true about short saphenous vein EXCEPT:
a. Runs behind lateral malleolus
b. Runs on lateral side of leg
c. Accompanied by sural nerve
d. Achilles tendon is medial to vein

Q. TRUE statement about great saphenous vein:


a. It begins at lateral end of dorsal venous arch
b. It runs anterior to medial malleolus
c. It is accompanied by sural nerve
d. Terminates into popliteal vein

Q. Skin and facia covering the ball of the big toe drain the lymphatics into:
a. Vertical group of superficial inguinal lymph nodes
b. Horizontal group of superficial inguinal lymph nodes
c. Popliteal lymph nodes
d. Deep inguinal lymph nodes

Q. A 7-year-old male has a right leg cast after a bicycle accident. After wearing the cast
for some time, he complains of paresthesia and numbness of the dorsum of his right
foot and cannot dorsiflex his right ankle. Which of the following is the most likely site
of nerve compression in this patient?
A. Popliteal fossa
B. Fibular neck
C. Lateral compartment of the leg
D. Anterior compartment of the leg
E. Medial malleolus

Q. A 54-year-old alcoholic who has been sober for 6 months "falls off the wagon" and
imbibes a large amount of isopropyl alcohol. After an unknown period of time she is
found by her neighbor and brought to the emergency room. The patient eventually
arouses but is troubled by a persistent right foot drop. Prolonged compression of what
nerve most likely accounts for her symptoms?
A. Common peroneal
B. Femoral
C. Tibial
D. Radial
E. Pudendal
ABDOMEN

Transpyloric plane (L1)

                         

Q. Transpyloric plane separates:


a. Hypogastrium from lumbar region
b. Hypochondrium from lumbar region
c. Iliac fossa from lumbar region
d. Umbilical region from lumbar region

Q:-Fundus of gallbladder at which vertebral level:


a. L1 b. L3
c. S1 d. S3

Q. Iliac crest at the level of (highest point):


a. L3 b. L4
c. L5 d. S1
110 | ANATOMY WORKBOOK 2024

    

 Spermatic cord
ANATOMY WORKBOOK 2024 | 111
Q: inguinal ligament forms the boundary of:
a. Femoral triangle
b. Hessalbach’s triangle
c. both
d. None of the above

Q. A 55-year-old man comes to the physician because of swelling in his groin that he first
noticed 2 weeks ago Physical examination shows a bulge above the inguinal ligament
that increases in size when the patient is asked to cough. He is referred to a surgeon
and scheduled to undergo elective laparoscopic hernia repair. Which of the following
landmarks will best aid the surgeon in distinguishing an indirect from a direct inguinal
hernia?
A Inferior epigastric vessels
B Cooper's ligament
C Femoral vein
D Spermatic cord

Q. TRUE about deep inguinal ring is:


a. A defect in fascia transversalis
b. Lies an inch above the mid-inguinal point
c. Present medial to inferior epigastric artery
d. Commonest site of direct hernia

Q. Which of the following is not associated with external oblique muscles:


a. Poupart’s ligament
b. Lacunar ligament
c. Superficial inguinal ring
d. Conjoint tendon

    
112 | ANATOMY WORKBOOK 2024
ANATOMY WORKBOOK 2024 | 113
Rectus sheath

  
114 | ANATOMY WORKBOOK 2024

Terminal (2)

Ant (3)

Lateral (4) Inf

MS

Ruins

Gonads
Post (5)

IVC TRIBUTARIES:


ANATOMY WORKBOOK 2024 | 115

SUP. MESENTERIC A. INF. MESENTERIC A.

              

Q. A 45 years old patient presents with vague abdominal pain and undergoes CT imaging
of the abdomen (see below). Which of the following labeled organs is supplied by an
artery of the foregut although it is not a foregut derivative?

a. A b. B
c. C d. D
116 | ANATOMY WORKBOOK 2024
Q. All are branches of inferior mesenteric artery EXCEPT:
a. Left colic b. Sigmoidal artery
c. Middle rectal d. Superior rectal

Q. Which of the following arteries is a direct branch of the gastroduodenal artery:


a. Right gastric artery
b. Left gastric artery
c. Inferior pancreaticoduodenal artery
d. Right gastroepiploic artery

Q. All of the following statements about the splenic artery are true except that it:
a. Has a tortuous course
b. Is a branch of the celiac trunk
c. Has branches that anastomose freely within the spleen
d. Supplies the greater curvature of stomach

Q: Stomach is supplied by:


a. Coeliac trunk
b. Splenic artery
c. Gastroduodenal artery
d. All of the above

Q. A 28 years old male presents to your office complaining of lower abdominal discomfort.
Physical examination reveals right-sided testicular enlargement that feels like a 'bag of
worms' when the patient stands up The venous blood from the affected testicle drains
directly into the:
a. Right internal iliac vein
b. Inferior mesenteric vein
c. Renal vein
d. Hemiazygous vein
e. Inferior vena cava

Q. Vein that doesn’t cross the midline is:


a. Left brachiocephalic vein
b. Hemiazygous vein
c. Left renal vein
d. Left gonadal vein
ANATOMY WORKBOOK 2024 | 117

            

Posterior Relations of Kidneys


118 | ANATOMY WORKBOOK 2024
Peritoneum

   

Epiploic Foramen
ANATOMY WORKBOOK 2024 | 119

    
120 | ANATOMY WORKBOOK 2024

PERITONEAL RETROPERITONEAL

Q. Structures injured while resecting the free edge of lesser omentum will be all except?:
a. Hepatic artery proper b. Portal vein
c. Hepatic vein d. Common bile duct

Q. The mesentery of small intestine, along its attachment to the posterior abdominal wall,
crosses all or the following structures EXCEPT:
a. Left gonadal vessels
b. Third part of duodenum
c. Aorta
d. Right ureter
ANATOMY WORKBOOK 2024 | 121
STOMACH BED
DR

(S4) S

KILLS

PT.

MERCILESSLY

Q. The bed of stomach is not formed by:


a. Left kidney
b. Left suprarenal
c. Splenic vein
d. Tail of pancreas

Duodenum

   
122 | ANATOMY WORKBOOK 2024

Q. A 52-year-old man is brought to the emergency department for repeated vomiting


that began 2 hours ago. His vomit is dark brown and has a granular consistency. The
patient has a history of dyspepsia after meals, for which he takes over-the-counter
antacids. Physical examination reveals mild epigastric tenderness. Endoscopy shows
a deep, bleeding ulcer on the posterior wall of the duodenal bulb This ulcer has most
likely penetrated which of the following arteries?
A Common hepatic
B Right gastroepiploic
C Left gastric
D Gastroduodenal
ANATOMY WORKBOOK 2024 | 123
Colon

Q. Appendix epiploicae present in:


a. Appendix b. Caeccum
c. Rectum d. Sigmoid colon

Q. The shortest part of colon is:


a. Transverse colon b. Ascending colon
c. Descending colon d. Sigmoid colon
124 | ANATOMY WORKBOOK 2024

Q. The commonest anatomical position of appendix is:


a. Retrocaecal b. Pelvic
c. Paracaecal d. Preileal

Q. Appendicular artery is a branch of:


a. Ileocolic b. Right colic
c. Inferior mesenteric d. Marginal artery

Q. Downward enlargement of spleen prevented by?


a. Lienorenal ligament b. Phrenicocolic ligament
c. head of pancreas d. left renal artery
ANATOMY WORKBOOK 2024 | 125

Q. A 52 years old female with a long history of gallstones presents to the emergency room
complaining of cramping mid-abdominal pain, abdominal distention and vomiting for
the last 12 hours. Abdominal X-ray reveals air in the gallbladder and biliary tree. In
which of the following sites is a gallstone most likely lodged?
a. Cystic duct b. Common bile duct
c. Duodenum d. Jejunum
e. Ileum

Rectum
126 | ANATOMY WORKBOOK 2024

Blood supply Lymphatic drainage

Anal canal

Features Development Nerve supply Pain sensitive Artery Vein Lymphatic Epithelial lining

Above
pectinate
line
Below
pectinate
line

Thoracolumbar fascia.
1. Skin.
2. Superficial fascia.
3. Posterior layer of
the thoraco-
lumbar fascia
4. E
 rector spinae
(sacrospinalis)
muscles.
5. M
 iddle layer of the
thoraco-lumbar
fascia.
6. Q
 uadratus
lumborum
muscle.
7. Anterior layer of
the thoraco-
lumbar fascia.
ANATOMY WORKBOOK 2024 | 127

Q. All are true about Thoracolumbar facia EXCEPT:


a. Attached to spinus process of lumbar vertebra
b. Attached to transverse process of lumbar vertebra
c. The fascia lies only posterior to posterior abdominal wall muscles.
d. Gives attachment to Transverse abdominal and internal oblique

Ureter
128 | ANATOMY WORKBOOK 2024

A) 3 Anatomical Constrictions:
1. Pelviureteric junction
2. Pelvic brim (Crossing of iliac vessels)
3. Ureterovesical junction
B) 5 Surgical Constrictions:
1. Pelviureteric junction
2. Pelvic brim (Crossing of iliac vessels)
3. Crossing of Vas deferens / Broad ligament
4. Ureterovesical junction
5. Ureteric orifice (Intravesical)

Branches of Internal Iliac Artery

Anterior Division Posterior Division


ANATOMY WORKBOOK 2024 | 129

Q. A surgeon transplants a donor kidney into a 45-year-old patient with end-stage renal
disease. The upper 1/3 of the ureter of the transplanted kidney is retained and attached
to the recipient patient's bladder. However, soon after transplantation, the ureter
becomes necrotic. Which of the following arteries is the major source of blood supply
to the upper ureter?
A Common iliac artery
B. Phrenic artery
C. Internal iliac artery
D. Renal artery

Q. All of these structures lie in relation to the left ureter except :


a. Mesentery of sigmoid colon
b. bifurcation of common iliac artery
c. Quadratus lumborum
d. Gonadal vessels

Urinary Bladder
130 | ANATOMY WORKBOOK 2024

Q. All are true about the trigone of the urinary bladder EXCEPT:
a. Mucosa is loosely associated to the underlying musculature
b. Mucosa is smooth
c. It is lined by transitional epithelium
d. It is derived from the absorbed part of the mesonephric duct

Q. FALSE regarding trigone of bladder:


a. Lined by transitional epithelium
b. Mucosa smooth and firmly adherent
c. Internal urethral orifice lies at lateral angle of base
d. Developed from mesonephric duct

Prostate
ANATOMY WORKBOOK 2024 | 131

               

Surgery Prostate Thyroid


True capsule
132 | ANATOMY WORKBOOK 2024
Urethra

Q. A 50-year-old man suffering from carcinoma of prostate showed areas of sclerosis and
collapse of T10 and T11 vertebrae in X-ray. The spread of this cancer to the above
vertebrae was must probably through:
a. Sacral canal b. Lymphatic vessels
c. Internal vertebral plexus of veins d. Superior rectal veins

Perineum
ANATOMY WORKBOOK 2024 | 133

  

Deep Perineal pouch Superficial Perineal pouch


134 | ANATOMY WORKBOOK 2024
Q. Superficial perineal space contains all EXCEPT:
a. Root of penis
b. Urethral artery
c. Great vestibular glands (Bartholin glands)
d. Membranous urethra

Q. Urogenital diaphragm is contributed by all EXCEPT:


a. Sphincter urethra
b. Perineal body
c. Colles’ fascia
d. Perineal membrane

   

                 
ANATOMY WORKBOOK 2024 | 135
Development

  

VPB If VPB is Bifid-

MIDGUT Development
136 | ANATOMY WORKBOOK 2024

Ophalocoele Gastroschisis
Cause

Site

Amnion cover

Prognosis

      
ANATOMY WORKBOOK 2024 | 137

Uro Genital Sinus

   

Development of urinary system


138 | ANATOMY WORKBOOK 2024
ANATOMY WORKBOOK 2024 | 139
Q. Identify the Pelvic diaphragm in the below pic given picture

a. A b. B
c. C d. D

Q: Prostatic artery is a branch of :


a. Superior vesical artery
b. Middle vesical artery
c. Inferior vesical artery
d. Superior rectal artery
Q: Colon is supplied by all EXCEPT:
a. Inferior mesenteric artery
b. ILieocolic artery
c. Middle colic artery
d. Internal iliac artery

Q: True about nervi erigentes are all EXCEPT:


a. An autonomic nerve
b. Parasympathetic outflow
c. Arise from ventral rami of S2, 3, 4
d. Joins superior hypogastric plexus

Q: Anal canal NOT supplied by:


a. Superior rectal artery
b. Inferior rectal artery
c. Median sacral artery
d. Middle rectal artery

Q. All are content of sphincter of vagina EXCEPT:


a. Pubovaginalis
b. External urethral sphincter
c. Internal urethral sphincter
d. Bulbospongiosus
GENERAL EMBRYOLOGY

Penetration of Corona Radiata

Primitive Streak

Neurulation:

Notochord Remnants:
ANATOMY WORKBOOK 2024 | 141

Neuropore Closes on If Not

Tympanic Membrane:
MY
MAST
AuNT DIGEST
TENSION
142 | ANATOMY WORKBOOK 2024
M Melanocytes
Meninges

O Odontoblasts

P PNS ganglia (cranial, dorsal root, autonomic),


Parafollicular ‘C’ cells

A Adrenal medulla

S Schwann Cells

S Spiral septum

E Endocardial cushions
Enterochromaffin cells

S Skull bones

Surface ectoderm Endoderm


• Epidermis, Hair & Nails Forms epithelial lining of:
• Enamel of teeth GI track: foregut, midgut, and hindgut
• Lens of eye Lower respiratory system: larynx, trachea, bronchi,
• Anterior pituitary (Rathke’s pouch) and lung
• Anal canal below pectinate line Genitourinary system: urinary bladder, urethra, and
lower vagina
Mesoderm
Pharyngeal pouches:
• Muscle – Smooth, Cardiac & Skeletal
• Auditory tube and middle ear
• Connective tissue
• Palatine tonsils
• All serous membranes
• Parathyroid glands
• Bone and cartilage
• Thymus
• Blood, lymph, cardiovascular organs
• Adrenal cortex Forms parenchyma of:
• Gonads and internal reproductive organs • Liver
• Spleen • Pancreas
• Kidney and ureter

Development of Tongue
ANATOMY WORKBOOK 2024 | 143

Development of Face
144 | ANATOMY WORKBOOK 2024

Q. Choose the correct sequence of the following embryonic events:


1.Cortical reaction
2.Zona reaction
3. Acrosome reaction
4. Penetration of corona radiata
a. 1,2,3,4 b. 4,1,2,3
c. 4,3,1,2 d. 3,1,4,2

Q: Extra embryonic mesoderm is derived from:


a. Epiblast b. Primary yolk sac
c. Secondary yolk sac d. Hypoblast

Q: From which of the following does nucleus pulposus is formed

a. A b. B
c. C d. D

Q. A young patient with absent thymus and presented with hypoparathyroidism and
tetany. Which of the following marked area in the picture is defective in this condition?

a. A b. B
c. C d D
HISTO

Q. Area marked by the arrow in the given figure contain all the following except:
a. Zonula occludens
b Fascia adherens
c Macula adherens
d. Gap junction

Merocrine secretion
• pancreatic acinar cells.

Apocrine secretion.
• Lactating mammary gland
• ciliary (Moll’s) glands of the eyelid,
• Ceruminous glands of the external
auditory meatus.

Holocrine secretion.
• Sebaceous glands of skin
• Tarsal (Meibomian) glands of the
eyelid.
146 | ANATOMY WORKBOOK 2024
Q. Which type of gland is depicted here:

a. Apocrine glands
b. Merocrine glands
c. Holocrine glands
d. Endocrine glands

Cells –

Fibers

Hyaline cartilage
ANATOMY WORKBOOK 2024 | 147

Cells –

Fibers

Elastic cartilage

Cells –

Fibers

Fibro cartilage
148 | ANATOMY WORKBOOK 2024

LUNG
ANATOMY WORKBOOK 2024 | 149

Cartilage –

BRONCHUS

Cartilage –

BRONCHIOLE

Q. Bronchi are lined with pseudostratified epithelium. As the airways continue distally,
the epithelium changes. Which of the following features is last to disappear as the
epithelium changes along the respiratory tube?
a. Cilia b. Goblet cells
c. Mucous glands d. Serous glands
e. Cartilage
150 | ANATOMY WORKBOOK 2024

Subcapsular sinus – present


Whole tissue – cortex & Medulla

LYMPH NODE

Whole tissue – lobules – cortex & Medulla


Hassalls corpuscles– present

THYMUS
ANATOMY WORKBOOK 2024 | 151

Subcapsular sinus – absent


Red and While pulp – present
Lymphatic nodules with central
arteriole(eccentric) – present

SPLEEN

Stratified epithelium – present


Crypts – present

TONSIL

Both light (mucus)


& Dark (Serous)
acini– present

SUB MANDIBULAR
152 | ANATOMY WORKBOOK 2024

Only Dark (Serous)


acini– present

PAROTID

Both light (mucus) &


Dark (Serous) acini–
present light (mucus)
acini – Dominant

SUB LINGUAL
ANATOMY WORKBOOK 2024 | 153

Striated Duct – absent

Centro acinar cell – present

Size – bigger

Capillary – present

Q. Which of the following is not seen in the Space of Disse?


a. Microvilli b. Blood Plasma
c. Kupffer cells d. Stellate cells
154 | ANATOMY WORKBOOK 2024

Around sinusoid – Space of Disse

Around portal canal – Space of Mall

LIVER
ANATOMY WORKBOOK 2024 | 155

GIT
156 | ANATOMY WORKBOOK 2024

Stratified epithelium – present


Submucosal glands – present

OESOPHAGUS

Villi – present
Submucosal
glands(brunner’s) –
present

DUODENUM

Villi – present
Peyers patches– present

ILEUM
ANATOMY WORKBOOK 2024 | 157

Villi – present
Submucosal
glands(brunner’s) / peyer’s
patches – absent

JEJUNUM

Villi – absent
Many goblet cells –
present

LARGE INTESTINE
158 | ANATOMY WORKBOOK 2024

• Isthmus – Stem cells


• Big, red, round cells – parietal Cells
• Blue, basal cells – Chief cells

INTESTINAL GLAND
GASTRIC GLAND • Stem cell:
• Gastric gland – Isthmus
• Intestinal gland – Basal
ANATOMY WORKBOOK 2024 | 159

ADRENAL

CEREBRUM
160 | ANATOMY WORKBOOK 2024

CEREBELLUM

Urethra
Prostatic urethra: transitional epithelium (urothelium).

Membranous urethra: stratified or pseudostratified columnar epithelium

Penile (spongy) urethra: pseudostratified columnar epithelium

End: stratified squamous epithelium


ANATOMY WORKBOOK 2024 | 161

KIDNEY

URETER

VAS DEFERENS
162 | ANATOMY WORKBOOK 2024

UTERUS (PROLIFERATIVE) UTERUS (SECRETORY)

THYROID

Q. Which of the cells labelled below secrete hydrochloric acid :


ANATOMY WORKBOOK 2024 | 163
Q: The following hematoxylin and eosin stained biopsy is form which tissue :

a. Tonsils
b. Spleen
c. Lymph node
d. Peyer’s patches

Q. The following hematoxylin and eosin stained specimen is similar in appearance to which
of the following structures:

a. Articular disc b. Pinna


c. Epiphyseal plate d. Intervertebral disc

Q. In which part of the body is the following type of epithelium found:

a. Small Intestine b. Common bile duct


c. Skin d. Urinary bladder
164 | ANATOMY WORKBOOK 2024
Q: The following cell is inhibitory to

a. Vestibular nuclei
b. Deep nuclei of cerebellum
c. Anterior horn of spinal
d. Basal ganglia
ANATOMY WORKBOOK 2024 | 165

Q. Which of the following is comprised of Dense irregular tissue:


a. Lamina Propria b. Dermis
c. Ligament d. Aponeurosis
166 | ANATOMY WORKBOOK 2024
Loose (areolar) connective tissue
• Submucosa in the digestive tract and other viscera lined by mucosae,
• subcutaneous tissue in regions devoid of fat (e.g. eyelids, penis, scrotum and labia),
• supporting layer (lamina propria) of mucosal epithelia
• supporting layer of vascular endothelia,
• in the interior of organs, where it binds together the lobes & lobules of glands
• A variant of loose connective tissue occurs in the choroid and the sclera of the eye, where large
numbers of pigment cells (melanocytes) are also present.

Dense irregular connective tissue


• Reticular layer of the dermis
• Superficial connective tissue sheaths of muscle and nerves
• Adventitia of large blood vessels
• Capsules of various glands and organs (e.g. testis, sclera of the eye, periostea and perichondria).

Regular connective tissues


• ligaments, tendons or Aponeurosis
Although regular connective tissue is predominantly collagenous, some ligaments contain significant
amounts of elastin, e.g. the ligamenta flava of the vertebral laminae and the vocal folds.

Fibrous joints
1. Sutures: These are peculiar to skull, and are immovable.
Schindylesis type e.g. between rostrum of sphenoid and upper border of vomer.
2. Syndesmosis: The bones are connected by the interosseous ligament. Example: inferior tibiofibular
joint
3. Gomphosis (peg and socket joint). Example: root of the tooth in its bony socket

Primary cartilaginous joints (synchondrosis, or hyaline cartilage joints):

Examples:
(a) Joint between epiphysis and diaphysis of a growing long bone
(b) Spheno-occipital joint
(c) First chondrosternal joint
(d) Costochondral joints.

Secondary cartilaginous joints (symphyses or fibrocartilaginous joints):

Examples:
(a) Symphysis pubis
(b) Manubriosternal joint
(c) Xiphiosternal joint
(d) Intervertebral joints between the vertebral bodies

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