ANATOMY

PhysiciansLicensureExamination
May28,2010;8:00am12:00nn

1.Apatientwithanisolatedocculomornerveparalysiswouldpresentwiththefollowing
findingsontheaffectedside
A)constrictedpupils
C)weaknessofeyelidclosure
B)eyeliddeviatedlaterally
D)alloftheabove
2.Reproductiveadaptationsnotedinthefemaletruepelvisincludethefollowing
EXCEPT
A)greaterpubicangle
C)longerpelviccavity
B)widersacrosciaticnotches
D)cylindricalpelviccavity
3.Ahighvelocitybulletpenetratestheposterioraspectoftheshoulderandseverely
injurestheoriginoftheposteriorcordofthebrachialplexus.Eachofthefollowing
nervesmightpossiblebeaffectedEXCEPTthe
A)uppersubscapular
C)thoracodorsal
B)radial
D)medialpectoral
4.Duringtheproliferativephaseofthemenstrualcycle,onecanobservethat
A) theendometriumthickenslargelybecauseofedema
B) glycogendisappearsinthebasalcytoplasmoftheglandularepithelium
C) thereisatwotothreefoldincreaseinthethicknessoftheendometrium

D) theendometrialglandsbecomequitetortuous
5.Bileformedbyhepaticcellsisfirstsecretedintothe
A)bilecanaliculi
C)spaceofDisse
B)bileducts
D)hepaticduct
6.Apatientwithanisolatedinjurytothemandibulardivisionofthetrigeminalnerve
wouldpresentwith
A
A)atrophyofthetemporalismuscleontheaffectedside
B)flattenednasaolabialfoldontheaffectedside
B
C)numbnessofthecheekontheaffectedside
D)AandConly
7.Thelandmarkstructurenotedduringthedissectionoftheglutealarea
A)gluteusmedius
C)quadratusfemoris
B)piriformis
D)obturatorexternus
8.SemeniscomposedofproductsproducedbyallofthefollowingEXCEPTthe
A)seminiferoustubules
C)bulbourethralglands
B)seminalvesicles
D)retetestis
9.Trueribsinclude
A)5th

B)7th

C)8th

D)AandB

10.Apatientwasnotedtohaveatrophyofthetemporalisandmassetermusclesonone
sideoftheface.Hiscornealreflexontheaffectedsidewasnormalandhehadnosensory
deficitinthecheekarea.Thispatientmostprobablyhasalesioninvolvingthe
A) mandibulardivisionofCNV

B) maxillarydivisionofCNV
C) ophthalmicdivisionofCNV
D) terminalbranchesofCNVII

ANATOMY
PhysiciansLicensureExamination
May28,2010;8:00am12:00nn

11.Theprimaryhipflexoristhe
A)sartorius
B)rectusfemoris

C)iliopsoas

D)pectineus

12.Thefollowingsecretionsarecorrectlyattachedwiththeircellsoforiginineverypair
EXCEPT
A)glucagonpancreaticalphacells
B)intrinsicfactorparietalcellsofthestomach
C)insulinpancreaticbetacells
D)hydrochloricacidchiefcellsofthestomach
13.Apatientpresentedwithcompleteparalysisofonesideofthefacewithintact
lacrimationandtastesensation(anterior2/3oftongue)Thecranialnerveinvolvedinthis
casemostprobablyhasatensionatthelevelofthe
A)internalauditorymeatus
C)sytlomastoidforamen
B)geniculateganglion
D)externalauditorymeatus
14.Thisstructureishighlyvulnerableinsurgicalmanipulationoftheductusarteriosus
A)esophagus
C)leftvagusnerve
B)leftbronchus
D)leftrecurrentlaryngealnerve
15.Thethreetypesofgranulocytesusuallycanbedistinguishedbestunderthelight
microscopeonthebasisof
A)nuclearmorphologyandcellsize
B)nuclearmorphologyonly
C)cellsizeonly
D)stainingreactionofcytoplasmicgranules
16.Theliverisanatomicallydividedintorightandleftunequalhalvesalongthefissure
ofthe
A)ligamentumvenosum
C)falciformligament
B)inferiorvenacava
D)portahepatic
17.Bothskeletalandsmoothmusclecanbefoundinthemuscularisexternaofthe
A)stomach
C)colon
B)duodenum
D)esophagus
18.ThisstructureishighlyvulnerableincancerousgrowthinRpulmonaryhilumand
posteriormediastinum
A)trachea
C)vagusnerve
B)superiorintercostalvein
D)pulmonaryligament
19.Duringerectionofthepenis,thevolumeofthebloodoccupyingthespacesofthe
cavernoussinusesisincreasedby
A) contractionofthemusculatureofthedorsalarteryofthepenis
B) relaxationofthemusculatureofthedorsalarteryofthepenis
C) contractionofthemusculatureofthehelicinearteries
D) relaxationofthemusculatureofthehelicinearteries

20.Thegranulesfoundinthecellsoftheadrenalmedullaconsistof
A)hydrocortisone
C)epinephrine
2

ANATOMY
PhysiciansLicensureExamination
May28,2010;8:00am12:00nn

B)glucocorticoids

D)mineralocorticoids

21.ThedeepperinealspaceinthemalecontainseachofthefollowingEXCEPT
A)membranousurethra
C)bulbourethralglands
B)prostategland
D)sphincterurethraemuscle
22.Lossofextensionofthekneewouldresultfromdamagetothe
A)femoralnerve
C)tibialandcommonfibular
B)tibialnerve
D)obturatornerve
23.Whichofthefollowingepitheliacanusuallybefoundinthenormalfemale
reproductivesystem?
A)stratifiedsquamousandsimplecolumnar
B)transitionalandstratifiedsquamous
C)simplecolumnarandtransitional
D)simplecolumnarandpseudostratified
24.Byinsertingthefingerintotherectum,thefollowingcanbereadilyfeltandexamined
A)enlargedseminalvesicles
C)AandB
B)prostategland
D)noneoftheabove
25.Theventralramiofthebrachialplexusareseenatthe
A)posteriorcervicaltriangle
C)submandibulartriangle
B)carotidtriangle
D)musculartriangle
26.Thefunctionoftheinterstitialendocrinecellsofthetestisisto
A) formacrosome
B) secretetestosterone

C) supportthegerminalepithelium
D) supplynutrientstothesexcells
27.Thevermiformappendixisbestlocatedbyfollowingthe
A)anteriorcecalartery
B)descendingbranchoftherightcolicartery
C)ileumtotheileocolicjuncture
D)teniaecolioftheascendingcolon
28.Fromwhichofthefollowingsitesisprimarycancermostlikelytometastasizetothe
lungbyvenousspread?
A)ileum
C)kidney
B)appendix
D)transversecolon
29.Simplecuboidalepitheliumisusuallyfoundin
A) parietallayerofBowmanscapsule
B) descendinglimboftheloopofHenle
C) retetestis

D) singlelayeronthefreesurfaceoftheovary

30.Theroofoftheadductorcanalisformedbythe
A)rectusfemoris
C)adductorlongus
B)vastusmedialis
D)sartorius
31.Traumatothesternocostalsurfaceoftheheartwouldmorelikelydamagethe

ANATOMY
PhysiciansLicensureExamination
May28,2010;8:00am12:00nn

A)rightatrium
B)rightventricle

C)leftventricle
D)leftatrium

32.Interruptionofblodflowintheinternaliliacarterywouldaffectbloodflowtoeachof
thefollowingEXCEPTthe
A) medialthighmuscles
B) ductusdeferens
C) lowerabdominalwallandrectusabdominismuscle

D) rectum
33.AchildsuspectedofaspiratingasmallbuttonisseenintheER.Whilethereisno
complainofpain,thereisfrequentcoughing.Physicalexaminationshowedabsenceof
breathsounds.Aspiratedsmallobjectstendtolodgeintherightinferiorlobarbronchus
forallthefollowingreasonsEXCEPT
A) leftmainstem(primary)bronchusismorehorizontal
B) rightinferiorlobarbronchusnearlycontinuesthedirectionofthetrachea
C) rightlunghasnomiddlelobe
D) rightmainstem(primary)bronchusisofgreaterdiameterthantheleft
34.Thisstructureseparatestheperineumfromthepelviccavity
A)ischiorectalfossa
C)pelvicdiaphragm
B)urogenitaldiaphragm
D)urogenitaltriangle
35.Drugdetoxificationoccursinthe
A)Golgiapparatus
B)smoothendoplasmicreticulum

C)roughendoplasmicreticulum
D)lysosomes

36.TheligamentthatpreventsC1vertebraefromtranslatingagainstC2is
A)alarligament
C)transverseligament
B)tentorialligament
D)posteriorlongitudinalligament
37.Thescalavestibulioftheinnerearcommunicateswiththescalatympaniviathe
A)modiolus
C)cecumcupulare
B)helicotrema
D)aqueduct
38.TheHaversiancanalsofbonetissue
A)containchondrocytes
B)arelinedbycementlines
C)formthecentralstructureofaHaversiansystem
D)runperpendiculartothelongaxisofthebone
39.ThehepaticportalveiniscorrectlydescribedbyeachofthefollowingEXCEPT
A) itdrainsmostofthevenousbloodfromthegastrointestinaltract
B) itformsbytheconfluenceofthesuperiormesentericandsplenicveins
C) itislocatedinthehepatoduodenalligament
A) itformsposteriortotheheadofthepancreas

40.Theinternalspermaticfasciaisderivedfromthe
A) externalobliqueaponeurosis
B) peritoneum
C) transversusabdominisaponeurosis
D) transversalisfascia

41.Thevagusnerveenterstheabdominalcavitythroughthe

ANATOMY
PhysiciansLicensureExamination
May28,2010;8:00am12:00nn

A)aortichiatus
B)esophagealhiatus

C)sternocostalhiatus
D)venacavalaperture

42.Thepartoftheuterinetubewhichisremovedduringfimbriectomy
A)cornua
C)ampulla
B)isthmus
D)infundibulum

43.Pressuredevelopingdeeptotheflexorretinaculumwouldaffecteachofthe
followingEXCEPTthe
A)mediannerve
B)ulnarnerve
C)tendonsoftheflexordigitorumsuperficialismuscle
D)tendonsoftheflexorpollicislongusmuscle
44.Apatiententerstheemergencyroomnotbeingabletoraisehisfoot.Thenervethatis
suspectedtobedamagedisthe
A)tibial
C)obturator
B)commonfibular
D)medialplantar
45.SinusoidsarecorrectlydescribedbyeachofthefollowingEXCEPT
A) theyhaveairregulartortuouslumen
B) theyarelinedbyendothelialcells
C) theyhaveadenseconnectivetissuewall
D) theyhavenophagocyticelements

46.Theopeningintothelessersacisthroughthe
A)foramenofBochdalek
B)foramenofWinslow

C)foramenofMorgagni
D)foramentransversarium

47.Damagetotheobturatornerveonthelateralwallofthepelviswouldaffectthe
functionofeachofthefollowingmusclesEXCEPTthe
A)sartorius
C)adductorlongus
B)gracilis
D)pectineus
48.Whenremovingtherightlung,thesurgeonhastobecarefultoprotectwhichofthe
followingstructurespassingposteriortotherootofthelung?
A)hemiazygosvein
C)rightphrenicnerve
B)rightvagusnerve
D)thoracicaorta
49.Whichmuscleisresponsibleforexpellingthelastdropsofurineinthemale
A)sphincterurethrae
C)sphinctervesicae
B)bulbocavernosi
D)ischiocavernosi
50.Atthehepatoduodenalligament,thestructurethatoccupiesamediallocationisthe
A)commonbileduct
C)inferiorvenacava
B)portalvein
D)hepaticartery

ANATOMY
PhysiciansLicensureExamination
May28,2010;8:00am12:00nn

51.Thethoracicductentersthevenouscirculationatthejunctionof
A)superiorvenacavaandrightatrium
B)leftsubclavianandleftinternaljugularvein
C)leftandrightbrachiocephalicvein
D)rightsubclacianandrightinternaljugularvein
52.Theaxillaryarterymaybeligatedatthispointwithoutcompromisingtheblood
supplytotheupperextremity
A)proximaltothethyrocervicaltrunk
B)distaltothesubscapularartery
C)betweenthethyrocervicaltrunkandsubscapularartery
D)noneoftheabove

53.Separatesthesubmandibulartrianglefromthecarotidtriangle
A)posteriorbellyofdigastric
C)sternohyoid
B)omohyoid
D)hyoidbone
54.Anocclusionofthesuperiormesentericarterywouldresultinnecrosisofeachofthe
followingEXCEPTthe
A)ascendingcolon
C)ileum
B)rectum
D)cecum
55.Occupiesthetracheoesophagealgroove
A)vagusnerve
B)sympathetictrunk

C)recurrentlaryngealnerve
D)phrenicnerve

56.Awomansinabilitytosupinatetheforearmcouldresultfromaninjurytowhichof
thefollowingpairofnerves
A)axillaryandradial
C)radialandmusculocutaneous
B)medianandulnar
D)suprascapularandaxillary
57.Followingtonsillectomy,apatientnotedlossofgeneralsensationandtastefromthe
posterioronethirdofthetongue.Itcouldbeassumedthattheinjurednervewasabranch
ofthe
A)glossopharyngealnerve
B)facialnerve

C)lingualnerve
D)hypoglossalnerve

58.Themediancubitalveinisacommunicationbetweenthe
A)cephalicandbasilic
C)cephalicandaxillary
B)basilicandaxillary
D)axillaryandsubclavian
59.Fenestratedcapillarieshave
A)extremelyattenuatedareasofendotheliumwithpores
B)thickenedareaswithpores
C)diaphragmthathavethesamethicknessasunitmembranes
D)poresthatareevenlyspacedovertheentiresurfaceoftheendothelium
60.Asevereblowtothesideoftheheadcouldfracturewhichoneofthefollowingbones
intheroofoftheorbit?
A)palatine
C)frontal
6

ANATOMY
PhysiciansLicensureExamination
May28,2010;8:00am12:00nn

B)maxilla

D)zygomatic

61.Occupiesamediallocationwithinthecarotidsheath
A)internaljugularvein
C)vagusnerve
B)ansacervicalis
D)commoncarotidartery
62.EachofthefollowingcharacterizesthelevatoranimusclesEXCEPT
A) itformstheprincipalpartofthepelvicdiaphragm
B) itseparatesthefloorofthepelvisfromtheischioanalfossa
C) itarisesfromtheinnersurfaceofthesuperiorramusofthepubis
D) itseparatesthesuperficialanddeepinguinalspaces

63.Abasketballplayerwhotripsandfalls,landingonhisoutstretchedhandwillmost
likelyfractureswhichcarpalbone?
A)trapezium
C)scaphoid
B)capitate
D)hamate

64.LymphaticnodulesarefoundineachofthefollowingEXCEPT
A)lymphnodes
C)tonsils
B)thymus
D)wallsofurinarytract
65.Aspleenmayberupturedintraumaticinjuriestothechestiftheseribsarefractured
anddisplaced
A)5th,6th,7thleveloftheposterioraxillaryline
B)7th,8th,9thlevelofthemidaxillaryline
C)9th,10th,11thleveloftheleftposterioraxillaryline
D)10th,11th,12anteriorly
66.AdiastolicmurmurcomingfromastenosedmitralvalveinpatientwithRHDisbest
heardorauscultatedatthe
A)5thICSleftmidclavicularline
B)4thICSleftparasternalborder
C)2ndICSleftparasternalborder
D)4thICSrightparasternalborder
67.Surgically,itisimportanttolocatewhichoneofthefollowingstructureslocated
immediatelyposteriortothesecondpartoftheduodenum
A)transversecolon
C)hilumofrightkidney
B)leftlobeoftheliver
D)gallbladder
68.Podocytesareassociatedwithwhichofthefollowingpartsoftheurinarysystem
A)distalconvolutedtubule
C)majorcalyces
capsule

B)thicklimbofloopofHenle

D)viscerallayerofBowmans

69.Ababysustainedalowerbrachialplexusinjuryduetotraumaticchildbirth(forceful
pullingonthearm).Thefollowingis/aretruestatementsregardingthistypeofinjury
A)resultsinlossofabduction,flexionandlateralrotationoftheshoulder
B)resultsinclawhanddeformity
C)leadstosensorydeficitinthelateralaspectoftheupperextremity
7

ANATOMY
PhysiciansLicensureExamination
May28,2010;8:00am12:00nn

D)alloftheabove
70.Whichofthefollowinglayersinthewallofamediumsizedarterycontainssmooth
muscle
A)internalelasticmembrane
C)tunicaadventitia
B)externalelasticmembrane
D)tunicamedia
71.Alesionofthelingualnerveimmediatelyafteritreceivesthechordatympaninerve
couldresultineachofthefollowingEXCEPT
A) lossofsublingualglandsecretion
B) sensorylossfromlowerteeth

C) lossoftastefromanteriortwothirdsofthetongue
D) lossofsubmandibularglandsecretion
72.Thesuperiorvenacavacouldbedamagedbyastabwounddeeptothe
A)rightfirstcostalcartilage
C)rightsternoclavicularjoint
B)rightfourthcostalcartilage
D)leftsecondcostalcartilage

73.AllofthefollowingstatementsconcerningtheuterusarecorrectEXCEPT
A) thebroadligamentreflectsfromtheposteriorsurfaceoftheuterustothe
rectumtoformtherectouterinepouch
B) theroundligamentconnectstheuterustotheovary

C) thebroadligamentextendsfromtheanteriorsurfaceoftheuterusontothe
bladderformingthevesicouterinepouch
D) theuterinetubesentertheuterusinthesuperiorborderofthebroadligament
74.A58yearoldmanpresentedwithayearhistoryofchestpain.Theattackswere
increasinginfrequencyandwereonlyrelievedbyrest.Cardiaccatheterizationrevealed
anareaofocclusionofthecircumflexbranchoftheleftcoronaryartery.Thedamageto
theheartwouldprobablyinvolvethe
A)leftatriumandleftventricle
C)rightandleftventricles
B)rightatriumandleftventricle
D)apexoftheheart
75.Asevereinfectionthatobstructsthemiddlemeatuswouldaffectdrainagefromeach
ofthefollowingsinusEXCEPTthe
A)maxillarysinus
C)nasolacrimalduct
B)frontalsinus
D)anteriorethmoidaircells
76.Plicaecircularesismostabundantinwhatpartofthegastrointestinaltract
A)duodenum
C)ileum
B)jejunum
D)largeintestine
77.Awomanonher3rdtrimesterofpregnancydevelopedparesthesiaofthehands.She
hasdifficultyindoinghercrossstitchhobby.Hermostlikelyproblemaffectsthe
A)mediannerve
C)radialnerve
B)ulnarnerve
D)axillarynerve
78.A9yearoldboyfellhittinghiselbow.Physicalexaminationshowedweaknessin
wristflexionandlossofadduction.Lossofsensationwasnotedonthemedialsideofhis
hand.Whatnervewasmostprobablyinjured

ANATOMY
PhysiciansLicensureExamination
May28,2010;8:00am12:00nn

A)musculocutaneous
B)ulnar

C)radial
D)median

79.Carcinomaofthe_____partofthepancreasusuallyshowsitselffirstbypainless
progressionjaundicewithenlargementanddistentionofthegallbladder
A)head
C)body
B)neck
D)tail
80.Spermsfoundinthesestructuresarecapableoffertilizingova
A)seminiferoustubules
C)ductuliefferentes
B)retetestis
D)epididymis
81.Amyocardialinfarctionthatdamagestheheartmuscleintheanteriortwothirdsof
theinterventricularseptumwouldresultprimarilyfromocclusionofthe
A)posteirorinterventricularartery
B)marginalbranchoftherightcoronaryartery
C)marginalbranchoftheleftcoronaryartery
D)anteriorinterventricularartery
82.Thehorizontalfissureoftherightlungseparatesthe
A)superiorandmiddlelobe
C)inferiorandmiddlelobe
B)superiorandinferiorlobe
D)superiorlobefromcardiacnotch
83.InDupuytrenscontracture,theflexionoftheMCPjointsisactuallydueto
A)compressionofthemediannerveatthewrist,leadingtoatrophyofthe
musclesofopposition
B)inflammationofthesynoviumofthelongflexortendons,leadingtoscarring
C)atrophyofthelumbricalmusclesduetodisuse
D. fibrosisofthedigitalslipsofthepalmaraponeurosis

84.Itwouldbedifficultforagallbladderinfectiontoeasilyreachwhichoneofthe
followingviscera
A)liver
C)cysticduct
B)thirdpartoftheduodenum
D)transversecolon
85.Afterleavingthetrabecularsinusesofalymphnode,lymphpassesdirectlyintothe
A)afferentlymphaticvessels
C)subscapularsinuses
B)efferentlymphaticvessels
D)medullarysinuses
86.Averticalincisionthroughthemidlineoftheanteriorabdominalwallwilltraverse
the
A)rectusabdominis
C)internaloblique
B)externaloblique
D)lineaalba
87.Thecontentsofanindirectinguinalherniaenterstheinguinalcanal______tothe
inferiorepigastricartery
A)lateral
C)inferior
B)medial
D)noneoftheabove
88.Apenetratingknifewoundtotheposteriorshoulderinthequadrangularspacewould
damagetheaxillarynerveandthe
A)anteriorcircumflexhumeralartery
C)subscapularartery
9

ANATOMY
PhysiciansLicensureExamination
May28,2010;8:00am12:00nn

B)posteriorcircumflexhumeralartery

D)superiorthoracicartery

89.Atumorinvolvingthefifthtotwelfththoracicvertebraecouldaffecteachofthe
followingstructuresintheposteriormediastinumEXCEPTthe
A)thoracicduct
C)azygosvein
B)phrenicnerve
D)descendingaorta
90.Damagetotheanatomicsnuffboxmightbeexpectedtoinjurethe
A)ulnarnerve
C)ulnarartery
B)capitatebone
D)radialartery
91.Thecerebralarterialcircle(circleofWillis)isformedbybranchesoftheinternal
carotidarteryandthe
A)externalcarotidartery
C)basilarartery
B)vertebralartery
D)middlemeningealartery
92.ASaresultofaninjurytotheulnarnerveinthearm,allofthefollowingchangesin
thehandwillbenotedEXCEPT
A)sensorylossonthelittlefingerandonehalfoftheringfinger
B)thethumbisstronglyadducted
C)lossofflexionofthedistalinterphalangealjointsofthefourthandfifthdigits
D)markedwastinginthehypothenareminence

Forquestions9395
A63yearoldwomanshowsafine,pillrollingtremorinbothupperextremities,with
tremorsatrest.Thereisanoverallpovertyofmovements.Thepatientsgaitisshuffling
andmotorperformanceisdelayed.
93.Themostlikelydiagnosisis
A)Wilsonsdisease
B)Parkinsonsdisease

C)Benediktssyndrome
D)Liverbraindisease

94.Dysfunctionofthisstructureisimplicatedintheabovedisease
A)substantiagelatinosa
C)substantianigra
B)rednucleus
D)cerebellum
95.Treatmentinvolvesadministrationof
A)dopamine
B)Ldihydroxyphenylalanine

C)acetylcholine
D)serotonin

96.Thepowerfulextensionofthethighrequiredwhenoneisstandingfromasitting
positionisthefunctionofthe
A)gluteusmaximus
C)psoasmajor
B)iliacusmuscle
D)piriformis
97.EjaculatoryfluidiscomposedofproductsproducedbyallofthefollowingEXCEPT
the
A)seminiferoustubules
C)bulbourethralglands
B)seminalvesicles
D)retetestis
10

ANATOMY
PhysiciansLicensureExamination
May28,2010;8:00am12:00nn

98.Respiratorydistresssyndromeoccursmostcommonlybecause
A) toofewmaturealveolihavedeveloped
B) surfactantproductionisinsufficient

C) thelungsarepartiallyfilledwithamnioticfluid
D) typeIalveolarepithelialcellsproduceagreatlythickenedbasement
membrane
Forquestion99100
A55yearoldwomancomplainedofnumbnessinthelegs,whichspreadtoinvolveher
hands.Thereweresuddensharppains,variableinlocation,butusuallylocalizedtoone
ortheotherleg.Onexamination,herpupilswereofunequalsize.ArgyllRobertson
pupilsandRombergssignwerepresent.Althoughthepatientsstrengthwasnormalshe
wasareflexicinalllimbs.
99.Themostlikelydiagnosisis
A)BrownSequardsyndrome
B)tabesdorsalis

C)multiplesclerosis
D)meningiona

100.Abovefindingsistheresultof

B) degenerationofposteriorcolumns

A) uppermotorneurondamage
B) cerebellardisease
C) degenerationofbasalganglia

11