1.
Paries inferior of the right atrium does not contain:
Correct Answer
A. Ostium v. cavae superioris
Explanation
The correct answer is "Ostium v. cavae superioris." This is because the inferior part of the right atrium does not contain the opening for the superior vena cava. The superior vena cava enters the right atrium through the superior part of the atrium, not the inferior part.
2.
The left coronary artery:
Correct Answer
C. Anastamoses with the right coronary artery
Explanation
The left coronary artery anastomoses with the right coronary artery. This means that there is a connection or communication between these two arteries, allowing blood to flow between them. This anastomosis is important for providing collateral circulation to the heart, ensuring that blood supply is maintained even if there is a blockage or obstruction in one of the arteries.
3.
The right coronary artery:
Correct Answer
E. All statements are correct
Explanation
The right coronary artery originates from the right aortic sinus and follows the coronary groove between the atria and ventricles. It distributes to both the SA node and the AV node. Therefore, all statements are correct.
4.
The right coronary artery does not suppy:
Correct Answer
E. None of the answers are correct
Explanation
The right coronary artery supplies blood to the right atrium, right ventricle, SA node, and AV node. Therefore, none of the answers are correct as the right coronary artery supplies all of these structures.
5.
The interior of the left atrium:
Correct Answer
B. Has four pulmonary veins entering its posterior wall
Explanation
The left atrium has four pulmonary veins entering its posterior wall. This is important because these veins carry oxygenated blood from the lungs back to the heart. The presence of four pulmonary veins distinguishes the left atrium from the right atrium, which receives deoxygenated blood from the body. The other options provided in the question do not accurately describe the interior of the left atrium.
6.
The interior of the left atrium:
Correct Answer
B. Has four pulmonary veins entering its posterior wall
Explanation
The left atrium has four pulmonary veins entering its posterior wall. This is an important anatomical feature of the left atrium, as it allows oxygenated blood from the lungs to flow into the heart. The other options listed do not accurately describe the interior of the left atrium.
7.
When systole begins:
Correct Answer
B. Pulmonary and aortic valves open
Explanation
When systole begins, the pulmonary and aortic valves open. This allows blood to be pumped out of the heart and into the pulmonary artery and aorta, respectively. The tricuspid and mitral valves remain closed during systole to prevent backflow of blood into the atria. The contraction of the atria helps to fill the ventricles with blood before the ventricles contract during systole. Therefore, the correct answer is that the pulmonary and aortic valves open during systole.
8.
When diastole begins:
Correct Answer
C. Atria contract
Explanation
During diastole, the atria are relaxed and filling with blood. When the atria contract, they push the blood into the ventricles, helping to fill them. This is known as atrial systole. Therefore, the correct answer is "Atria contract."
9.
The circumflex artery:
Correct Answer
C. Supplies the left atrium and the left ventricle
Explanation
The circumflex artery supplies the left atrium and the left ventricle. This artery is not a branch of the right coronary artery, it runs to the posterior surface of the heart, and it anastomoses with the right coronary artery.
10.
The SA node:
Correct Answer
E. All of the statements are correct
Explanation
The SA node is located near the superior end of the sulcus terminalis, which is anterolaterally just deep to the epicardium at the junction of the SVC and the right atrium. It is responsible for initiating and regulating impulses for contraction of the heart. Additionally, it is supplied by both divisions of the autonomic nervous system by the cardiac plexus. Therefore, all of the statements are correct.
11.
Superior mediastinum does not contain:
Correct Answer
E. None of the statements are correct
Explanation
The superior mediastinum contains the thymus, brachiocephalic veins, and the superior vena cava. It does not contain prevertebral muscles. Therefore, the correct answer is "None of the statements are correct."
12.
The thymus:
Correct Answer
E. All of the statements are correct
Explanation
All of the statements are correct. The thymus is indeed a primary lymphoid organ, responsible for the production and maturation of T cells. It is located in the anterior part of the superior mediastinum, behind the sternum and in front of the heart. It lies posterior to the manubrium, which is the upper part of the sternum. The thymus is supplied by branches of the internal thoracic arteries, which provide blood flow to the organ. Therefore, all of the statements provided are accurate.
13.
Which of the statements about the endocardium is incorrect:
Correct Answer
C. Is thicker in ventricles than in atria
Explanation
The endocardium is a thin glossy connective tissue membrane lining the heart chambers. It lines the surface of all valves and has a continuous endothelium with the vessels of the heart. However, it is not thicker in ventricles than in atria.
14.
The myocardium:
Correct Answer
C. The superficial layer is common for both ventricles, forms the left-hand spiral to the apex - vortex cordis
Explanation
The correct answer states that the superficial layer of the myocardium is common for both ventricles and forms the left-hand spiral to the apex, which is known as the vortex cordis. This explanation clarifies the correct statement regarding the structure and arrangement of the myocardium in the ventricles.
15.
The ascending aorta:
Correct Answer
E. All of the statements are correct
Explanation
The ascending aorta is the first section of the aorta that originates from the aortic orifice of the left ventricle. It ascends approximately 5cm to the sternal angle. It also gives rise to the right and left coronary arteries. The ascending aorta commences on a level with the lower border of the third costal cartilage. Therefore, all of the statements are correct.
16.
The arch of the aorta:
Correct Answer
D. Is superior to the left main bronchus
Explanation
The arch of the aorta is superior to the left main bronchus. This means that it is located above the left main bronchus in the thoracic cavity.
17.
The thoracic aorta:
Correct Answer
E. All of the statements are correct
Explanation
The thoracic aorta is a continuation of the arch of the aorta, descending in the posterior mediastinum. It gives rise to posterior intercostal arteries, as well as some phrenic arteries and visceral branches. Therefore, all of the statements provided are correct.
18.
Which statement about ligamentum arteriosum is incorrect:
Correct Answer
C. Passes to the superior surface of the arch of the aorta
Explanation
The ligamentum arteriosum is a remnant of the fetal ductus arteriosus, which is a blood vessel that connects the pulmonary artery to the aorta in the developing fetus. It starts from the root of the left pulmonary artery and runs in close proximity to the left recurrent laryngeal vein. However, the incorrect statement is that it passes to the superior surface of the arch of the aorta. The ligamentum arteriosum actually passes behind the arch of the aorta, connecting the proximal part of the left pulmonary artery to the descending aorta.
19.
Which of the following is not a branch of the aortic arch:
Correct Answer
D. Posterior intercostal artery
Explanation
The posterior intercostal artery is not a branch of the aortic arch. The aortic arch gives rise to three major branches: the brachiocephalic trunk, the left common carotid artery, and the left subclavian artery. These branches supply blood to different parts of the body, but the posterior intercostal artery is not one of them. It is a branch of the thoracic aorta, which is a continuation of the aortic arch, but it is not directly connected to the aortic arch itself.
20.
The common iliac veins:
Correct Answer
E. All of the statements are correct
Explanation
The common iliac veins are found at the level of the fifth lumbar vertebrae, form the inferior vena cava, are accompanied along their course by common iliac arteries, and drain blood from the pelvis and lower limbs. All of these statements are correct.
21.
Which of the following statements is correct:
Correct Answer
E. All of the statements are correct
Explanation
All of the statements are correct. The first statement is true because the aortic valve can be heard in the second intercostal space, at the right upper sternal border. The second statement is true because the subclavian artery does pass between the anterior and middle scalene muscles. The third statement is true because the subclavian artery does give rise to the thyrocervical trunk. The fourth statement is true because the subclavian artery becomes the axillary artery at the lateral border of the first rib. Therefore, all of the statements are correct.
22.
In the fifth intercostal space, medial to the left midclavicular line, it is possible to auscultate the:
Correct Answer
D. Mitral valve
Explanation
The mitral valve is located between the left atrium and the left ventricle of the heart. The fifth intercostal space is a specific anatomical location on the chest, and the left midclavicular line is a vertical line that extends down the middle of the left clavicle. By auscultating (listening) in this area, one can hear the sounds produced by the mitral valve during the cardiac cycle. The other options are incorrect because they are either located in different areas of the chest or they are not audible in this specific location.
23.
In the second intercostal space, at the left upper sternal border, it is possible to auscultate the:
Correct Answer
A. Pulmonary valve
Explanation
The pulmonary valve is located in the second intercostal space at the left upper sternal border. This is the correct location for auscultating the pulmonary valve. The other options (aortic valve, tricuspid valve, mitral valve) are not located in this specific area. Therefore, the correct answer is the pulmonary valve.
24.
The axillary artery:
Correct Answer
C. Has a part medial to the pectoralis minor muscle, and a part lateral to it.
Explanation
The axillary artery has a part medial to the pectoralis minor muscle, and a part lateral to it. This means that the artery is divided into two sections by the pectoralis minor muscle. The medial part of the artery lies on the inner side of the muscle, while the lateral part lies on the outer side. This division is important for understanding the blood supply to the structures in the axilla and upper limb, as different branches arise from each section of the artery.
25.
The tricuspid valve:
Correct Answer
E. All of the statements are correct
Explanation
The tricuspid valve is located on the right dorsal side of the heart, between the right atrium and right ventricle. It has three papillary muscles and is connected to the papillary muscles by the chordae tendineae, which lie in the right ventricle. Additionally, it can be found in some people with two or four leaflets.
26.
Which of the following statements is incorrect:
Correct Answer
E. On the left side the subclavian artery arises from the brachiocephalic artery
Explanation
The correct answer is "On the left side the subclavian artery arises from the brachiocephalic artery." This statement is incorrect because on the left side, the subclavian artery arises directly from the aortic arch, not from the brachiocephalic artery. The brachiocephalic artery gives rise to the right subclavian artery.
27.
Common carotid artery:
Correct Answer
C. Passes posterior to the sternocleidomastoid muscle
Explanation
The correct answer is "Passes posterior to the sternocleidomastoid muscle." This is because the common carotid artery does indeed pass behind the sternocleidomastoid muscle, which is a large muscle located in the neck. The other statements provided are either incorrect or do not describe the anatomical position of the common carotid artery.
28.
External carotid artery:
Correct Answer
E. All of the answers are correct
Explanation
The external carotid artery is responsible for supplying blood to the upper half of the neck and the head, excluding the brain, orbit, and inner ear. It passes medially to the musculus stylohyoidius and can be located in the submandibular triangle. Additionally, it passes laterally to the pharynx and anterior to the styloid septum. All of these statements accurately describe the external carotid artery.
29.
Which of the following is not a branch of the facial artery:
Correct Answer
E. None of the answers are correct
Explanation
The question asks which of the options is not a branch of the facial artery. However, all of the options listed are actually branches of the facial artery. Therefore, the correct answer is "None of the answers are correct".
30.
The carotid triangle:
Correct Answer
C. Is bound inferiorly by the superior belly of omohyoid muscle
Explanation
The carotid triangle is a anatomical region in the neck. It is bounded by different structures, including the stylohyoid muscle posteriorly, the sternocleidomastoid muscle superiorly, the platysma muscle anteriorly, and the superior belly of the omohyoid muscle inferiorly. Therefore, the correct answer is that the carotid triangle is bound inferiorly by the superior belly of the omohyoid muscle.
31.
Which of the following statements about the vena cava superior is incorrect:
Correct Answer
C. It descends in the posterior mediastinum
Explanation
The vena cava superior does not descend in the posterior mediastinum. It is located in the anterior mediastinum.
32.
Brachiocephalic vein:
Correct Answer
E. All of the statements are correct
Explanation
The brachiocephalic vein arises from the union of the internal jugular vein and the subclavian vein. It has a diameter of 2-3cm and is longer on the left side. It joins with other veins to form the superior vena cava. All of these statements are correct.
33.
Internal jugular vein:
Correct Answer
E. All of the statements are correct
Explanation
The internal jugular vein brings blood from the cranial cavity, face, and neck to the heart. It arises in the dorsolateral part of the foramen jugulare. It runs lateral to CN XII and CN XI. It drains to the brachiocephalic vein. Therefore, all of the statements are correct.
34.
Azygos vein:
Correct Answer
B. Provides an alternate path for blood to the right atrium
Explanation
The Azygos vein provides an alternate path for blood to the right atrium. This means that if there is any obstruction or blockage in the usual route of blood flow, the Azygos vein can serve as a backup pathway to ensure that blood can still reach the right atrium. This is important for maintaining proper blood circulation and preventing any potential complications that may arise from a blockage in the usual route.
35.
The apex of the heart:
Correct Answer
E. All of the statements are correct
Explanation
The apex of the heart refers to the lowest most superficial part of the heart. It is directed downwards, forwards, and to the left. It lies behind the fifth left intercostal space. Additionally, it is overlapped by the left lung and pleura. Therefore, all of the statements provided in the answer are correct.
36.
Lymphatic drainage of the kidney is to:
Correct Answer
A. Lumbar nodes
Explanation
The lymphatic drainage of the kidney is to the lumbar nodes. This means that the lymphatic vessels from the kidney drain into the lymph nodes located in the lumbar region of the body. The lumbar nodes are responsible for filtering and processing the lymph fluid before it is returned to the bloodstream. This drainage pathway allows for the removal of waste products and toxins from the kidney, helping to maintain proper kidney function. The other options listed (coeliac nodes, superior mesenteric nodes, pancreaticoduodenal nodes) are not involved in the lymphatic drainage of the kidney.
37.
Deep cervical lymph nodes drain into:
Correct Answer
B. Jugular trunk
Explanation
The deep cervical lymph nodes drain into the jugular trunk. The jugular trunk is a major lymphatic vessel that collects lymph from various regions of the head and neck, including the deep cervical lymph nodes. It then drains into the thoracic duct, which is responsible for returning lymph to the bloodstream. The other options listed, such as the brachiocephalic trunk, subclavicular trunk, and aortic arch, are not involved in the drainage of the deep cervical lymph nodes.
38.
Superficial groups of lymph nodes in the head include:
Correct Answer
E. All of the answers are correct
Explanation
The superficial groups of lymph nodes in the head include the occipital, retroauricular, parotid, and buccal lymph nodes. These lymph nodes are located near the surface of the skin and are responsible for filtering lymph fluid and helping to fight infection. Therefore, all of the given answers are correct as they all represent different superficial groups of lymph nodes in the head.
39.
Preaortic lymph nodes consist of:
Correct Answer
A. Coeliac nodes
Explanation
The correct answer is coeliac nodes. Preaortic lymph nodes are located in front of the abdominal aorta and consist of various groups of lymph nodes, including the coeliac nodes. These nodes are responsible for filtering and draining lymph from the abdominal organs, such as the stomach, liver, spleen, and pancreas. They play an important role in immune response and the spread of cancer cells.
40.
Preaortic lymph nodes contain:
Correct Answer
A. Coeliac nodes
Explanation
Preaortic lymph nodes are located in the abdomen, near the aorta. The coeliac nodes, also known as celiac nodes, are a group of lymph nodes that are part of the preaortic lymph nodes. They are located around the coeliac artery, which is a major branch of the abdominal aorta. The coeliac nodes receive lymphatic drainage from various abdominal organs, including the stomach, liver, spleen, and pancreas. Therefore, the correct answer is "Coeliac nodes."
41.
Which structure drains into the lateral aortic lymph nodes:
Correct Answer
E. All of the answers are correct
Explanation
All of the structures mentioned (kidney, suprarenal glands, abdominal ureter, testis and ovaries) drain into the lateral aortic lymph nodes. This means that lymphatic fluid from these structures flows into the lateral aortic lymph nodes for filtration and processing. Therefore, all of the answers are correct.
42.
Which of the following statements about the spleen is incorrect:
Correct Answer
D. Lies in the right hypochondrium, to the right of the stomach fundus
Explanation
The spleen is not located in the right hypochondrium, to the right of the stomach fundus. Instead, it is located in the left upper quadrant of the abdomen, between the stomach and the diaphragm. The spleen is responsible for filtering the blood, removing old or damaged red blood cells and platelets, and participating in the immune response by producing and storing lymphocytes. It is the largest lymphatic organ in the body.
43.
The thymus:
Correct Answer
E. All of the answers are correct
Explanation
The thymus consists of two lobes, joined together by connective tissue. The left lobe is bigger than the right lobe. It functions in the differentiation of lymphocytes and the development and maintenance of the immune system. Additionally, the cortex of the thymus is denser and darker than the medulla. Therefore, all of the given answers are correct.
44.
Which of the following does not drain into the deep cervical lymph nodes:
Correct Answer
C. Nll. cubitales
Explanation
The deep cervical lymph nodes receive drainage from various structures in the head and neck region. The Nll. occipitales, Nll. parotidei, Nll. submentales, and Nll. submandibulares all drain into the deep cervical lymph nodes. However, the Nll. cubitales do not drain into the deep cervical lymph nodes.
45.
Which of the following does not drain into the deep cervical lymph nodes:
Correct Answer
C. Nll. cubitales
Explanation
The deep cervical lymph nodes drain lymph from various structures in the head and neck region. The Nll. occipitales, Nll. parotidei, Nll. submentales, and Nll. submandibulares all drain into the deep cervical lymph nodes. However, the Nll. cubitales do not drain into the deep cervical lymph nodes.
46.
Which of the following statements is incorrect:
Correct Answer
E. On the left side the subclavian artery arises from the brachiocephalic artery
Explanation
The correct answer is "On the left side the subclavian artery arises from the brachiocephalic artery." This statement is incorrect because on the left side, the subclavian artery arises directly from the aortic arch, not from the brachiocephalic artery.
47.
Which of the following is not a branch of the aortic arch:
Correct Answer
D. Brachicephalic trunk
Explanation
The brachiocephalic trunk is not a branch of the aortic arch. The aortic arch gives rise to three main branches: the brachiocephalic trunk, the left common carotid artery, and the left subclavian artery. The brachiocephalic trunk then divides into the right common carotid artery and the right subclavian artery. Therefore, the correct answer is the brachiocephalic trunk.
48.
The left coronary artery:
Correct Answer
C. Anastamoses with the right coronary artery
Explanation
The left coronary artery is a major blood vessel that supplies oxygenated blood to the heart muscle. It originates from the left ventricular sinus, ascends on the posterior surface of the left atrium, and anastomoses with the right coronary artery. This anastomosis provides collateral circulation, allowing blood flow to the heart even if one of the arteries becomes blocked. Additionally, the left coronary artery distributes blood to the SA node, which is responsible for initiating the heart's electrical impulses. Therefore, all of the statements given are correct.
49.
Which of the following statements is correct:
Correct Answer
E. All of the statements are correct
Explanation
All of the statements provided are correct. The first statement states that it is possible to auscultate the aortic valve in the second intercostal space, at the right upper sternal border. The second statement correctly states that the subclavian artery passes between the anterior and middle scalene muscles. The third statement is also accurate, as the subclavian artery does give rise to the thyrocervical trunk. Lastly, the fourth statement correctly states that the subclavian artery becomes the axillary artery at the lateral border of the first rib. Therefore, all of the statements are correct.
50.
Which of the following nodes drain in the the trunkus subclavius?
Correct Answer
E. All of the statements are correct
Explanation
All of the statements are correct because the trunkus subclavius drains into the axillary lymph nodes. The axillary lymph nodes are divided into three groups: central, lateral, and subscapular. The central axillary lymph nodes receive lymphatic drainage from the trunkus subclavius, as well as from other areas of the upper limb and the breast. Therefore, all of the statements are correct in this context.