MODULE 1: GROSS ANATOMY CONTINUOUS

EXAMINATION
NOVEMBER 24TH 2014 TIME: 1MIN 30SEC/QN

INSTRUCTIONS
1. This paper consists of 50 MCQ questions and one ESSAY question;
answer all of them.
2. For each MCQ question choose the single most correct answer and
shade its corresponding circle/ball on the answer sheet provided.
There is no penalty for any wrong answer; but guesswork is
discouraged.
3. For the ESSAY question No. 51: Organize your answers orderly and
logically. Ensure neatness of your work and legibility of words while
illustrating your answers where necessary. Limit your answers on one
1
page.
1. Pick the “odd man” out
A.Medial
B.Superior
C.Lateral
D.Frontal
E.Superficial

2
2. The ancient anatomist
commonly credited as the
father of modern medicine is:
A.Vesalius
B.Galen
C.Malpighi
D.Harvey
E.Hippocrates
3
3. In Trendelenberg’s position
the patient is:
A. Lying flat head slightly raised
B. Lying flat head slightly
lowered
C. Sitting and inclining forward
D. Sitting and inclining
backward
E. Lying on the side tilted
forward 4
4. Which movement is employed
at the forearm when loosening
a bolt from a nut with the right
upper limb?
A. Circumduction
B. Anticlockwise rotation
C. Supination
D. Clockwise rotation
E. Pronation 5
5. The aortic arch is located in
which subdivision of the
mediastinum?
A. Superior
B. Middle
C. Posterior
D. Anterior
E. Inferior 6
6. The distinguishing features of a
typical cervical vertebra include all
of the following EXCEPT:
A. Triangular vertebral foramen
B. Small vertebral body
C. Long transverse process
D. Bifid spinous process
E. Horizontal articular farcet

7
7. At the age of 8 years a boy developed
signs of dwarfism (short stature). A
consulting physician explained to the
parent that the boy’s bones have stopped
elongating which necessitated hormonal
therapy. From your anatomy knowledge,
which part of the bone was most likely
affected?
A. Periosteum
B. Metaphysis
C. Epiphysis
D. Diaphysis
8
E. Endosteum
8. A woman developed pain in her back
region. A CT scan showed a spinal nerve
compression as it exits from the
intervertebral foramen between two
adjacent vertebrae with large bean
shaped bodies. Which part of the
vertebral column was affected?
A. Cervical
B. Thoracic
C. Lumbar
D. Sacral
E. Coccygeal 9
9. In anatomical terminology
the term profundus refers to
what type of structures?
A. Outer
B. External
C. Superficial
D. Internal
E. Deep 10
10. The following dermatomes
are found in the upper
limb EXCEPT:
A. C4
B. C5
C. C6
D. C8
E. T1
11
11. The motor neurons:
A. Convey impulses to the CNS
B. Convey impulses to effecter
organs
C. Are exclusively located in the
CNS
D. Lead to numbness when
injured
E. Facial nerve is typical of them
12
12. Choose the most correct
statement:
A. Nerves are synonymous to
neurons
B. Neurons are made of
nerves
C. Nerves are made of
neurons
D.Microglia support neurons
E.Microglia support nerves
13
13. The ulnar nerve arises
from which of the following
parts of the brachial plexus?
A.Medial cord
B.Lateral cord
C.Posterior cord
D.Superior branch
E.Inferior branch 14
14. Numbness to the skin on
the lateral half of the palm of
the hand would be caused
by a lesion to which nerve?
A.Ulnar
B.Radial
C.Median
D.Superficial radial
E.Anterior interosseous 15
15. How many lobes does
the left lung contain?
A.1
B. 2
C. 3
D. 4
E. 5 16
16. A middle aged man experienced sharp
pains in his left chest. A cardiologist
attending him ordered an
echocardiography (ultrasound picture
of the heart). One of the heart valves
with two cusps was found to be
defective. What valve was that?
A.Right atrioventricular
B.Aortic valve
C.Left atrioventricular
D.Pulmonary valve
E.Cardiac valve 17
17. In her bedside learning a novice
student nurse was required to
auscultate (detect using stethoscope)
the mitral valve beat. In which
intercostal space and distance from the
midline is the beat normally detected?
A. 2nd , 3cm
B. 3rd , 5cm
C. 4th , 7cm
D. 5th , 9cm
E. 6th , 11cm 18
18. In the auscultation procedure of the
heart above, suppose the student was
required to detect the tricuspid valve
sound. In which intercostal space and
distance from the midline would she
detect the sound?
A. 2nd , 1cm
B. 3rd , 3cm
C. 4th , 5cm
D. 5th , 1cm
E. 6th , 3cm 19
19. In the auscultation procedure of
the heart above, normally what is
the most common clinical
landmark for locating the
intercostals spaces?
A.Clavicle
B.Sternal angle
C.Jugular notch
D.First rib
E.Base of the heart 20
20. The pigmented part
around the tip of the breast
is called:
A. Breast proper
B. Areola
C. Nipple
D. Upper quadrant
E. Lower quadrant 21
21. On a chest X-ray of a young boy
presenting with signs of respiratory
tract infection, a fluid filled-space
was noted in the lower lateral thorax.
What anatomical space was this
likely to be?
A.Superior mediastinum
B.Posterior cardiac sinus
C.Pericardial space
D.Costodiaphragmatic recess
E. Inferior mediastinum
22
22. The arterial supply to the
heart is from the:
A. Coronary artery
B. Aorta
C. Left pulmonary artery
D. Right pulmonary artery
E. Common carotid artery 23
23. The base of the heart is
mainly formed by the:
A.Left atrium and partly
right atrium
B.Right atrium and right
ventricle
C.Left ventricle
D.Left ventricle and left
atrium
E.Left ventricle and right 24
24. The following are the features
of a typical rib EXCEPT:
A. Two articular faces
B. Costal groove inferiorly
C. Costal angle posteriorly
D. Intercostal muscular
attachment
E. Costochondral junction
25
25. During the review of a patient
indicated for a thoracic surgery, the
surgeon asked 4th year students
about typical and atypical ribs.
Which of the following is not a
typical rib?
A.First
B.Third
C.Fifth
D.Seventh
E.Ninth 26
26. Which of the following
is not a true rib?
A.First
B.Third
C.Fifth
D.Seventh
E.Ninth
27
27. A young mother reported to the
pediatrician complaining of her six-
month-old baby’s pulsating area/structure
of the skull just above the face. The
pediatrician assured her that the
pulsation was simply normal. What is the
name and normal closure time of this
structure?
A. Mastoid fontanelle, 12 moths
B. Anterior fontanelle, 18 month year
C. Sphenoid fontanelle, 30 months
D. Posterior fontanelle, 36 months
28
E. Occipital fontanelle, 48 months
28. From the fontanelle case (Qn. 27
above) which bones are involved
in the formation of the structure?
A. Occipital and Temporal
B. Temporal and Frontal
C. Frontal and Parietal
D. Parietal and Temporal
E. Temporal and Sphenoid
29
29. Which of the following vessels
can be felt as pulsating just
above the zygomatic arch and in
front of the ear?
A.Facial
B.Internal jugular vein
C.Superficial temporal artery
D.Retromandibular vein
E.Maxillary artery
30
30. The flat bones of the
skull are joined by
A. Diarthroses
B. Saddle joints
C. Suture joints
D. Pivot joints
E. Hinge joints
31
31. All of the following paranasal
sinuses drain into the middle
nasal meatus, EXCEPT the:
A.Frontal
B.Maxillary
C.Sphenoid
D.Anterior ethmoid
E.Middle ethmoid
32
32. The following are bones of
the skull EXCEPT:
A. Facial
B. Temporal
C. Parietal
D. Occipital
E. Frontal
33
33. While administering an anesthetic,
a dentist injected the drug in the
medial aspect of the mandible to
block the nerve as it enters a
foramen. What nerve is that?
A. Mandibular
B. Inferior alveolar
C. Maxillary
D. Lingual
E. Facial
34
34. From the anesthesia
injection case above (medial
aspect of mandible), what is
the foramen in question?
A. Mandibular
B. Mental
C. Alveolar
D. Lingual
E. Palatine 35
35. Arrange the brain meninges
orderly from outside inwards:
A. Arachnoid, pia, dura
B. Pia, arachnoid, dura
C. Dura, pia, arachnoid
D. Pia, dura, arachnoid,
E. Dura, arachnoid, pia

36
36. Which of the following does
not constitute the muscles of
mastication?
A. Masseter
B. Buccinator
C. Temporalis
D. Medial pterygoid
E. Lateral pterygoid
37
37. A young girl developed painful
swollen masses in the pharyngeal
wall and was feverish. The doctor
said that these were tonsils. Which
of the following does not constitute
the tonsils?
A. Lingual
B. Tubal
C. Laryngeal
D. Palatine
E. Pharyngeal 38
38. The thyroid gland can be
examined in which of the
following triangles of the neck?
A.Submental
B.Glandular
C.Carotid
D. Submandibular
E.Muscular
39
39. The coronoid process
belongs to which bone in the
head?
A. Maxilla
B. Mandible
C. Sphenoid
D. Occipital
E. Temporal
40
40. Which of the following
accompanies the anterior
interventricular artery?
A. Middle cardiac vein
B. Coronary sinus
C. Small cardiac vein
D. Great cardiac vein
E. Anterior cardiac vein
41
41. Which artery supplies the
posterior compartment of the arm?
A. Axillary
B. Brachial
C. Ulnar
D. Profunda brachii
E. Radial

42
42. A pharmacist dispensed insulin
vials and instructed the patient to
self inject into a flesh muscle in the
lateral aspect of the arm proximally.
What muscle is that?
A. Deltoid
B. Trapezius
C. Biceps brachii
D. Triceps brachii
E. Rhomboid
43
43. While playing football, a boy fell on
his elbow joint and seriously injured
it. A radiograph showed a fractured
pointed proximal part of the ulna.
What structure is this?
A. Olecranon
B. Styloid process
C. Medial epicondyle
D. Lateral epicondyle
E. Ulnar head
44
44. A severely ill woman was rushed in
the emergency room and during
triaging a student nurse was instructed
to take her blood pressure and pulse
from an artery in the lateral forearm.
Which artery did the student nurse
use?
A. Brachial
B. Axillary
C. Ulnar
D. Radial
E. Cephalic 45
45. From the case above, the
artery (lateral forearm) is a
branch of;
A. Brachial
B. Axillary
C. Ulnar
D. Radial
E. Cephalic
46
46. The upper limb is
innervated by the branches
of:
A.Lumber plexus
B.Brachial plexus
C.Sacral plexus
D.Cervical plexus
E.Thoracolumbar plexus
47
47. How many bones does
the carpal joint contain?
A.4
B.8
C.6
D.12
E.10
48
48. The laxity of the capsule and
disproportionate articular surfaces
renders the shoulder joint unstable and
therefore often liable to dislocations.
Which of the following positions of the
shoulder joint dislocation is the
commonest?
A. Superior
B. Inferior
C. Lateral
D. Medial
E. Posterior 49
49. During a physical examination of
the back, a doctor palpated an
obliquely disposed bony elevation
in the shoulder extending to the
posterior midline. What is this
structure?
A. Coracoid process
B. Acromion
C. Inferior scapular angle
D. C7 transverse process
E. Scapular spine 50
50. From Q.49 above ( the case of obliquely
disposed bony elevation), the doctor
extends the examination fingers
downward about a finger-breadth lateral
to the midline to find a pointed and mobile
bony landmark. What is this structure?
A. Coracoid process
B. Acromion
C. Inferior scapular angle
D. C7 transverse process
E. Scapular spine
51
51. Following a severe accident, a bodaboda motorist
was rushed to the emergency room bleeding
profusely around the face plus neurological deficit.
Using your knowledge of anatomy of the face:

a. Describe briefly the blood supply to the face

while listing all the vessels involved and one
clinical application scenarion (5marks, use
half a page only)

b. Describe briefly the nerve supply to the face

while listing all the nerves involved and one
clinical application scenarion (5marks, use
half a page only)
52