Anatomy Test 3 - Quiz Questions

The given statement is incorrect because the patella does not always fracture in at least four pieces. Fractures of the patella can vary in severity and can range from a simple crack to multiple pieces. The number of fragments in a patella fracture depends on the force and mechanism of injury.

The arrow in the radiograph is pointing to the scaphoid bone. The scaphoid bone is located in the wrist and is one of the carpal bones. It is situated on the thumb side of the wrist, just below the radius bone. The scaphoid bone is important for wrist stability and is commonly injured in falls or trauma to the wrist. In this radiograph, the arrow is indicating the presence of the scaphoid bone, making it the correct answer choice.

Based on the given information, the patient fell on her outstretched right hand and there is a dorsal protrusion just proximal to the wrist. This is consistent with a Colles fracture, which is a type of fracture of the distal radius. The other options, such as dislocated joints or fractures of other bones, do not fit the clinical presentation described. Therefore, the correct answer is fracture distal radius (Colles fracture).

The physician is testing the functionality of the ulnar nerve. The ulnar nerve is responsible for innervating the muscles that control the flexion of the distal phalanx of the little finger. By holding the proximal interphalangeal joint and asking the patient to flex the distal phalanx, the physician can assess if the ulnar nerve is functioning properly.

The correct answer is removal of the prepuce of the penis. Circumcision is a surgical procedure that involves the removal of the foreskin, which is the prepuce, from the penis. This is a common practice in many cultures and religions for various reasons, including religious, cultural, and medical purposes. The removal of the glans, corona, or enlarging the external urethral orifice are not part of the circumcision procedure.

During the stance phase of walking, the foot initially makes contact with the ground in a heel strike position, not in a "foot-flat" position. The foot then transitions to a flat position as the entire plantar surface of the foot comes into contact with the ground. This allows for better weight distribution and stability during the stance phase.

In a posterior dislocation of the hip joint, the sciatic nerve is the nerve most likely to be injured. The sciatic nerve is the largest nerve in the body and runs down the back of the thigh, so it is vulnerable to injury in cases of hip dislocation. Injury to the sciatic nerve can result in symptoms such as pain, weakness, and numbness in the leg and foot.

The correct answer is the deep branch of the ulnar artery. In the angiogram, the arrow is pointing to a branch of an artery that is located deep within the wrist and hand. This branch is specifically identified as a branch of the ulnar artery, which is one of the major arteries in the forearm. The other options, superficial branch of the radial artery, ulnar artery, radial artery, and princeps pollicis artery, are not consistent with the location and identification of the artery indicated by the arrow in the angiogram.

The latissimus dorsi is a large muscle in the back that is responsible for various movements of the shoulder joint, such as adduction, extension, and internal rotation. When using the backstroke while swimming, the latissimus dorsi is least important because this stroke primarily involves the muscles of the arms and shoulders, rather than the back. The primary muscles used in the backstroke are the triceps, deltoids, and pectoralis major. Therefore, the latissimus dorsi is least important in using the backstroke while swimming.

The hip joint is supported anteriorly and superiorly by the iliofemoral ligament, which prevents hyperextension. This ligament helps to stabilize the joint by limiting excessive backward movement of the femur in relation to the pelvis. It is the strongest ligament in the body and plays a crucial role in maintaining the integrity and function of the hip joint. Without the support of the iliofemoral ligament, hyperextension of the hip joint could occur, leading to potential injury and instability.

Hemorrhoids are varicosities in the rectal/anal veins. Varicosities refer to the condition of being enlarged or swollen, and in the case of hemorrhoids, this occurs in the veins of the rectum and anus. These swollen veins can cause pain, itching, and bleeding. Treatment options for hemorrhoids include lifestyle changes, medications, and in severe cases, surgical procedures.

Carpal tunnel syndrome is a condition that occurs when there is compression of the median nerve in the wrist. Symptoms of carpal tunnel syndrome typically include paresthesia (tingling or numbness) in the lateral 3½ digits, weakness in the thenar muscles (the muscles at the base of the thumb), and can be caused by inflammation of the synovial sheaths of the flexor tendons. However, anesthesia (loss of sensation) of the central palm is not a typical symptom of carpal tunnel syndrome. Surgical transection of the flexor retinaculum, which is a ligament in the wrist, is a common treatment for carpal tunnel syndrome and often relieves associated symptoms.

The arrow in the radiograph is pointing to the acromion process, which is a bony projection on the scapula that forms the highest point of the shoulder. It can be easily identified on the radiograph as it is a distinct anatomical structure. The other options, such as the superior angle of scapula, superior part of glenoid fossa, coracoid process, and clavicle, are not indicated by the arrow and are not relevant to the given radiograph.

The correct answer is that the radial artery lies lateral to the tendon of the flexor carpi radialis. This means that the radial artery is positioned on the same side as the tendon of the flexor carpi radialis, rather than being on the opposite side. This relationship is important to understand for medical professionals who may need to locate and access the radial artery for procedures such as taking a pulse or administering medications.

In a glenohumeral joint dislocation, the axillary nerve is most likely to be injured. The axillary nerve runs through the shoulder joint and is vulnerable to injury when the joint is dislocated. This can result in weakness or loss of sensation in the shoulder and upper arm. The other options, supraclavicular, radial, medial, and ulnar nerves, are not commonly injured in glenohumeral joint dislocations.

Following a left radical mastectomy, the woman's inability to abduct her arm more than 90 degrees suggests that the long thoracic nerve was injured during the surgical procedure. The long thoracic nerve innervates the serratus anterior muscle, which is responsible for the abduction of the arm. Damage to this nerve can lead to weakness or paralysis of the serratus anterior muscle, resulting in limited abduction of the arm.

Weak digital flexion would not be consistent with Erb-Duchenne palsy. Erb-Duchenne palsy, also known as Erb's palsy, is a condition caused by damage to the brachial plexus nerves in the upper arm. It typically results in weakness or paralysis of the muscles in the shoulder and upper arm, including weak elbow flexion and weak shoulder abduction. Medial rotation of the arm at rest and sensory loss on the lateral aspect of the arm are also commonly associated with this condition. However, weakness in digital flexion, which refers to the ability to bend the fingers, is not typically seen in Erb-Duchenne palsy.

The neck of the femur is the part that connects the head of the femur to the shaft. It is a common site for fractures, especially in individuals with osteoporosis. Osteoporosis is a condition characterized by weak and brittle bones, making them more susceptible to fractures. The neck of the femur is particularly vulnerable due to its shape and location, as it experiences a lot of stress and pressure during weight-bearing activities. Fractures in this area can significantly impact mobility and quality of life.

Benign prostatic hypertrophy (BPH) is the most likely cause of the patient's symptoms. BPH is a condition where the prostate gland, which surrounds the urethra, becomes enlarged and obstructs the flow of urine. This can lead to a weak stream and increased frequency of urination, which are the symptoms described by the patient. The other options, such as bladder infection, spinal cord lesion, ureteric calculi, and obstruction of the intramural urethra, are less likely to cause these specific symptoms in a middle-aged male patient.

The correct answer is sartorius. The sartorius muscle is a long, thin muscle that runs down the length of the thigh. It is the longest muscle in the body. In the axial MRI, the blue arrow is pointing to a structure that is consistent with the location of the sartorius muscle.

The diameter of the urethra at the external urethral orifice is narrower than at any other point because the external urethral orifice is the opening of the urethra that leads to the outside of the body. It is the point of exit for urine and semen in males. The urethra gradually widens as it extends further into the body, allowing for the passage of fluids. Therefore, the narrowest point is at the external urethral orifice.

The association between a pre-fixed brachial plexus and compression of the inferior trunk by the 1st rib is incorrect. A pre-fixed brachial plexus refers to a variation in which the brachial plexus roots originate higher up in the neck than usual, whereas compression of the inferior trunk by the 1st rib is typically associated with a condition known as thoracic outlet syndrome. These two conditions are not directly related to each other.

The scaphoid does not attach to the flexor retinaculum. The correct answer is supported by the fact that the scaphoid is not directly connected to the flexor retinaculum, which is a thick band of connective tissue that holds the flexor tendons in place at the wrist. The scaphoid is instead connected to other carpal bones and ligaments in the wrist.

A laceration of the thenar eminence that results in complete section of the recurrent branch of the median nerve would result in ape hand. The thenar eminence is the fleshy area at the base of the thumb, and the recurrent branch of the median nerve innervates the muscles in this region. A complete section of this nerve would lead to weakness or paralysis of the muscles in the thenar eminence, causing a loss of opposition and flexion of the thumb. This results in a hand posture resembling that of an ape, with the thumb held in a fixed position away from the other fingers.

Loss of ability to adduct the thumb would not be associated with a complete section of the median nerve at the elbow. The median nerve primarily innervates the muscles of the forearm and the hand, and controls functions such as flexion of the interphalangeal joints of digits 2 and 3, pronation of the forearm, and sensation on the lateral aspect of the palmar surface of the hand. However, the ability to adduct the thumb is primarily controlled by the ulnar nerve, not the median nerve. Therefore, a complete section of the median nerve at the elbow would not result in the loss of ability to adduct the thumb.

Elbow tendonitis, also known as tennis elbow, is characterized by inflammation of the periosteum of the lateral epicondyle of the humerus. This inflammation occurs due to repetitive overuse of the extensor tendons in the forearm, leading to microtears and strain on the periosteum. The lateral epicondyle is the bony prominence on the outer side of the elbow, and the periosteum is the thin layer of connective tissue that covers the bone. The inflammation in this area causes pain, tenderness, and difficulty with gripping and lifting objects.

The fibularis longus, brevis, and tertius are all muscles that are innervated by the deep fibular nerve. They also attach to the first metatarsal and are responsible for plantarflexing the ankle. However, the fibularis muscles do not attach to the calcaneus. The calcaneus is primarily associated with the Achilles tendon, which is formed by the gastrocnemius and soleus muscles. Therefore, the statement that the fibularis muscles attach to the calcaneus is not true.

The correct answer is "uterus via the round ligament of the uterus." Enlarged superficial inguinal lymph nodes in a female patient can be caused by lymph drainage from the uterus through the round ligament of the uterus. The round ligament of the uterus connects the uterus to the labia majora and passes through the inguinal canal, allowing lymphatic drainage from the uterus to the inguinal lymph nodes. This can be a normal physiological response or may indicate an underlying pathology in the uterus.

The correct answer is Corpus cavernosum. The corpus cavernosum is a pair of sponge-like erectile tissues that run along the length of the penis. They are responsible for the majority of penile rigidity during an erection. In the given MRI image, the arrow is indicating the corpus cavernosum, which appears as a dark area due to its low signal intensity on the image.

The round ligament of the uterus is the least important structure for supporting the uterus and maintaining its position. While the other structures listed, such as the broad ligament, transverse cervical ligaments, uterosacral ligament, and pelvic diaphragm, play important roles in supporting and stabilizing the uterus, the round ligament has a relatively minor role. It primarily helps to anchor the uterus to the anterior pelvic wall and provides some support during pregnancy. However, its absence or dysfunction does not significantly impact the overall support and position of the uterus.

The hypogastric plexuses are a network of nerves located in the pelvis. They are responsible for conveying sympathetic fibers to the pelvic viscera, which includes organs such as the bladder, uterus, and rectum. These sympathetic fibers help regulate various functions in the pelvic region, such as blood flow, muscle contractions, and glandular secretions. The other options mentioned, such as conveying vagal fibers or pelvic splanchnic fibers, are not correct as they do not accurately describe the function of the hypogastric plexuses.

The arrow indicates the external os (opening of the cervix) because an MRI is a medical imaging technique that can provide detailed images of the internal structures of the body. In this case, the MRI is showing the anatomy of a woman's uterus, which is anteverted and anteflexed. The external os is the opening of the cervix, which is the lower part of the uterus that connects to the vagina. The arrow is pointing to this specific structure, indicating that it is the correct answer.

Standing on one foot primarily tests the function of the abductors of the thigh, specifically the gluteus medius and minimus, as well as the superior gluteal nerve. The gluteus maximus is not directly involved in maintaining balance while standing on one foot. Therefore, evaluating the function of the gluteus maximus is not the purpose of this test.

The arrow in the photograph is pointing to a skin elevation caused by the tendon of the fibularis brevis muscle. This muscle is located on the lateral side of the foot and is responsible for plantar flexion and eversion of the foot. The elevation in the skin indicates the presence of the tendon, which is characteristic of the fibularis brevis muscle.

The arrow in the radiograph is pointing to the navicular bone. The navicular bone is located on the medial side of the foot, between the talus and the cuneiform bones. It is an important bone in the arch of the foot and plays a role in maintaining stability and supporting the body's weight during walking and other weight-bearing activities.

The arrow in the coronal MRI of the hand is pointing to the interossei. The interossei muscles are located between the metacarpal bones of the hand and are responsible for the movement and control of the fingers. They play an important role in gripping and grasping objects.

Scapulohumeral rhythm refers to the relationship between movements at the glenohumeral and scapulothoracic joints during humeral abduction. This means that as the arm is raised, both the glenohumeral joint (shoulder joint) and the scapulothoracic joint (shoulder blade and ribcage) work together to achieve the movement. The scapula rotates and moves along the ribcage to allow for the full range of motion of the arm. This coordination between the two joints is important for proper shoulder function and stability during overhead movements.

The correct answer is "Their distal part, the ampulla, surrounds the ovary." This statement is incorrect because the ampulla is not located around the ovary. The ampulla is the widest and longest part of the uterine tube, and it is situated closer to the ovary but does not surround it.

The trigone of the bladder refers to the internal area demarcated by the internal urethral and ureteric orifices. It is a triangular region on the posterior wall of the bladder that is smooth and devoid of rugae. This region is important in maintaining urinary continence and preventing reflux of urine into the ureters. The trigone serves as a landmark for various clinical procedures such as cystoscopy and catheterization.

The talus is a bone in the foot that articulates with several other bones to form the ankle joint. It connects with the navicular, fibula, calcaneus, and tibia. However, it does not articulate with the cuboid.

The correct answer is that the statement "It continues into the foot as the long plantar ligament" is incorrect. The calcaneal (Achilles) tendon does not continue into the foot as the long plantar ligament. The long plantar ligament is a separate structure that runs along the bottom of the foot and helps to support the arch. The calcaneal tendon, on the other hand, is a strong tendon that attaches the calf muscles (gastrocnemius, soleus, and plantaris) to the heel bone (calcaneus), allowing for plantarflexion of the foot.

The correct answer is "It is the passageway by which the external iliac vessels enter the thigh." This statement is incorrect because the femoral canal is not the passageway for the external iliac vessels to enter the thigh. The femoral canal is a small tunnel-like structure in the groin region that contains lymph vessels and is a potential site for femoral hernias. The abdominal opening of the femoral canal is called the femoral ring, and it is bounded anteriorly by the inguinal ligament.

The given statement is incorrect because not all of the hamstrings attach to the tibia. The hamstrings are a group of muscles located at the back of the thigh, consisting of the biceps femoris, semitendinosus, and semimembranosus. While the biceps femoris does attach to the head of the fibula (not the tibia), the other two muscles attach to the ischial tuberosity (not the tibia). Therefore, it is incorrect to say that all of the hamstrings attach to the tibia.

In the given axial MRI at the level of the hip joint, the red arrow is pointing to the obturator internus muscle. The obturator internus is a muscle located in the pelvic region that helps in the rotation of the hip joint. It is one of the deep muscles in the hip and is responsible for the outward rotation of the thigh.

The correct answer is the saphenous nerve. The saphenous nerve is a branch of the femoral nerve and provides sensory innervation to the skin on the medial side of the lower leg and foot. In the given illustration, the light green area labeled as number 1 corresponds to the region innervated by the saphenous nerve.

The boy's symptoms, including edema in the penis, scrotum, lower abdomen, and superior aspects of the thighs, suggest that there is a rupture in his spongy urethra. This rupture would allow urine to leak into the surrounding tissues, causing the swelling. This explanation is supported by the fact that the swelling is not due to blood, lymph, or an inflammatory reaction from the bulbourethral glands, as these would present differently.

Prostate cancer is best identified rectally when the patient has a full bladder because the full bladder helps to push the prostate gland forward, making it easier to palpate during a digital rectal exam. This technique allows the healthcare provider to feel for any abnormalities or changes in the size, shape, or texture of the prostate gland, which can be indicative of prostate cancer. The full bladder also helps to provide better visualization of the prostate gland during imaging tests such as ultrasound.

The correct answer is that the superficial branch of the radial nerve emerges from the anatomic "snuffbox". This statement is incorrect because the superficial branch of the radial nerve does not emerge from the snuffbox. The snuffbox is a triangular depression on the back of the hand, and it is bounded anteriorly by the tendons of abductor pollicis longus and extensor pollicis brevis, posteriorly by the tendon of extensor pollicis longus, and the radial styloid process can be palpated within it. The radial artery, not the radial nerve, traverses its floor.

The blood that results in penile erection is primarily derived from the deep arteries of the penis. These arteries supply the corpora cavernosa, which are the main erectile tissues in the penis. During sexual arousal, these arteries dilate and allow more blood to flow into the penis, leading to an erection. The other options mentioned, such as the posterior scrotal arteries, deep branches of the external pudendal arteries, deep dorsal vein, and superficial dorsal veins, are not primarily responsible for the blood flow that causes penile erection.

The ridge indicated by the arrow in the photograph overlies the tendon of the abductor pollicis longus muscle.