Anatomy Test Answer Key

Anatomy 1-Wrong about surface markings of the heart a. mitral valve auscultation site (apex) is behind cardiac notch b. apex is formed by the inferolateral part of the left ventricle 2-2 inches penetrating wound in 5th intercostal space next to right sternum margin, which structure likely penetrated: a. right ventricle b. azygos vein 3--wrong statement a. atrio-ventricular part of interventricular septum is found below septal cusp of tricuspid valve. b. Semilunar valves have no chordae tendinea 4-A tumor in the thoracic part of the esophagus will compress A. the left atrium B. right ventricle 5-Wrong about the apex of the heart A. It is where the sounds of mitral valve closure are maximal (apex beat) B. cannot be felt because it is covered with the left lung 6-A tumor at the arch of aorta might compress all the following except: a. Thoracic duct b. Esophagus c. pulmonary artery 7-which is incorrect a. if u insert a needle at the upper manubrium sterni you will pass through aortic arch 8-Which is wrong: a. Azygos vein arches below the pulmonary hilum b. The vena azygos joins the posterior aspect of the superior vena cava just before it enters the pericardial sac 9-Which is wrong about the septum of the heart: a. The inter-ventricular septum is between right atrium and left ventricle. 10-Which is wrong: a. Left recurrent nerve passes behind ligamentum arteriosum b. Pulmonary trunk is initially anterior then to the right of the ascending aorta 11-Which is wrong regarding the right atrium: a. Posterior is smooth-walled b. it is separated by sulcus terminalis interiorly. 12- Wrong about cardiac pain: a. relieved when leaning backwards. 13- pericardial pain: a. pain is transmitted through phrenic nerve. 14-Which is true: a. Jugular vein is related to the right atrium. 15-Wrong about azygous veins: a. formed by union of right ascending lumber and subcostal veins b. It may pass behind the right crus of the diaphragm or pierce it or it may traverse the aortic hiatus to the right of cisterna chyli c. At the level of 4th thoracic vertebra, it arches forward to the right d. It is part of the posterior mediastinum e. It ends in SVC after the latter pierces the pericardium 16-someone with lung cancer come to the clinic, he is positive for Pemberton’s test, what is the cause? a. b. c. d. Obstruction of right brachiocephalic vein obstruction of IVC Obstruction of subclavian vein Obstruction of the vein that starts at the lower edge of the right first costal cartilage 17-high JVP (jugular vein pressure) is caused by a. right heart failure b. Aortic aneurysm 18-Which of the following lies anterior to the left and then posterior to the right with the arch of aorta a. b. c. d. Phrenic nerve left Vagus nerve Left recurrent laryngeal nerve splanchnic nerves 19-Someone has MI and comes with Chest pain and epigastrium pain, the nerve that causes this a. T 7,8,9 b. T 9,10.11 c. Phrenic nerve 20-Chest pain exacerbated by lying back and relieved by leaning forward, the case is a. Pericarditis b. MI c. Hypertension 21-MI patient that has pain in the medial side of his left arm (cutaneous), the nerve that causes this is a. Supraclavicular b. Intercostobrachial c. Phrenic nerve 22-Which of the following receives blood from both directions (or 2 types of blood) a. b. c. d. Anterior cusp of Bicuspid valve Septal cusp of Bicuspid valve Anterior cusp of tricuspid valve Posterior cusp of tricuspid valve 23-Which of the following supplies anterior two thirds of IVS (interventricular septum) a. b. c. d. Circumflex artery LAD Right coronary artery Posterior interventricular artery 24-Choose the wrong match a. b. c. d. Noduli albini—Bicuspid valve Nodulus Arantii --- Aortic valve Aortic curtain --- Right ventricle Valsalva --- sinuses in semilunar valves 25-Which of the following is posterior to both ascending aorta and pulmonary trunk a. b. c. d. Left main bronchus Transverse sinus left pulmonary artery pulmonary veins 26-A surgeon reaches transverse sinus and put a clamp posterior to? a. SVC and ascending aorta b. Pulmonary trunk and SVC c. Pulmonary trunk and ascending aorta 27-An idiot surgeon damaged the membranous part of IVS (interventricular septum) during a surgery, which of the following is affected a. b. c. d. SA node AV node Bundle of HIS Bundle branches Answers: 1 2 3 4 5 6 a a a a b c 7 8 9 10 11 12 a a a b b a 13 14 15 16 17 18 a a e d a c 19 20 21 22 23 24 A a b a b c 25 26 27 b c c