Explore topic-wise MCQs in Uncategorized topics.

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351.

The following are true about flexor carpi radialis EXCEPT:

A. it arises from the common flexor origin at the humerus
B. it has its own compartment in the flexor retinaculum
C. the radial artery lies laterally to it at the wrist
D. flexor pollicis longus lies medially
E. it is supplied by the median nerve
Answer» E. it is supplied by the median nerve
352.

Deltoid:

A. anterior fibres arise from lateral two thirds of clavicle
B. posterior fibres arise from superior lip of crest of scapular spine
C. lateral fibres only are multi-pennate
D. fibres strengthen shoulder joint capsule
E. acts in isolation to abduct humerus
Answer» D. fibres strengthen shoulder joint capsule
353.

Regarding surface markings of the lungs the following is true

A. Apex of lungs rises 5cm above the lateral third of clavicle
B. Oblique fissure follows approximately the axis of 6th rib
C. The two pleura diverge away at 6th costal cartilage level behind sternum
D. Transverse fissure of right lung is at 6th costal cartilage level
E. Oblique fissure following medial border of scapula on abducted arm
Answer» F.
354.

Which is not true of the surface markings of the liver?

A. Lies below ribs 7-11 in the right midaxillary line
B. Highest point on right is 5th rib
C. Superior surface crosses the xiphisternal joint
D. Inferior margin lies level with right costal margin in most cases
E. Highest point on left is 6th intercostal space
Answer» F.
355.

All of the following structures pass deep into the superior extensor retinaculum at the ankle except

A. Extensor digitorum longus
B. Deep peroneal nerve
C. Anterior tibial artery
D. Superficial peroneal nerve
E. Peroneus tertius
Answer» E. Peroneus tertius
356.

What structure pierces the flexor retinaculum?

A. ulnar nerve
B. flexor carpi radialis tendon
C. palmar branch of median nerve
D. flexor pollicis longus tendon
E. ulnar artery
Answer» C. palmar branch of median nerve
357.

With respect to the flexor retinaculum:

A. it attaches to the scaphoid, hamate, pisiform and trapezium
B. the tendon of palmaris longus passes deep to it
C. the median nerve passes superficial to it
D. the ulnar artery passes deep to it
E. it is pierced by the tendon of flexor carpi ulnaris
Answer» B. the tendon of palmaris longus passes deep to it
358.

Which of the following is not true of the surface markings of the left pleura?

A. It lies behind the sternoclavicular joint
B. It lies in the midline behind the angle of Louis
C. It lies at the level of the 6th rib in the midclavicular line
D. It crosses the midaxillary line at the level of the 10th rib
E. It crosses the 12th rib at the lateral border of the sacrospinalis muscle
Answer» D. It crosses the midaxillary line at the level of the 10th rib
359.

Of the hand joints, which is INCORRECT?

A. the midcarpal joint is S shaped
B. joint between hamate and fifth metacarpal is most mobile at four digits
C. the first carpometacarpal joint is reinforced by the medial and palmar ligaments
D. palmar ligaments of metacarpophalangeal joints limit extension of joint
E. interphalangeal joints ????have to obliquely place collateral ligaments as a mechanism of tightening re flexion and extension
Answer» D. palmar ligaments of metacarpophalangeal joints limit extension of joint
360.

Pelvic joints and ligaments:

A. the sacroiliac joint is a fibrous joint between the auricular surfaces of the ilium and sacrum
B. the wedge shape of the sacrum contributes to its stability
C. the coccygeous muscle lies on the pelvic surface of the sacrotuberous ligament
D. the sacrotuberous and sacrospinous ligaments enclose the greater sciatic foramen
E. the iliolumbar ligament is V-shaped with the apex attached to L5
Answer» F.
361.

Pelvic joints and ligaments

A. muscles of pelvis include obturator externus and piriformis
B. piriformis arises from the lower third part of the sacrum
C. the sigmoid colon becomes the section at the level of the 4th part of the sacrum
D. the rectum has no mesentery
E. the pelvic brim follows the line of the pubic crest, pectineal line of pubis, iliac crests and ala and promentary of the sacrum
Answer» E. the pelvic brim follows the line of the pubic crest, pectineal line of pubis, iliac crests and ala and promentary of the sacrum
362.

Regarding movements of the hip joint

A. Stability is reduced by the presence of the long femoral neck
B. Medial rotation is achieved by obturator externus
C. Sartorius is a lateral rotator
D. Medial rotation is resisted by the iliotibial tract
E. Abduction is not usually required in normal walking
Answer» D. Medial rotation is resisted by the iliotibial tract
363.

The metacarpophalangeal joints are:

A. planar
B. ellipsoid
C. hinge
D. saddle
E. ball in socket
Answer» E. ball in socket
364.

With respect to the ligaments around the knee joint:

A. the fibular collateral ligament blends with the capsule and is attached to the lateral meniscus
B. the tibial collateral ligament blends posteriorly with the capsule and is attached to the medial meniscus
C. the oblique popliteal ligament is an expansion from the tendon of semitendinosis that blends with the capsule posteriorly
D. the posterior cruciate ligament runs from anterior tibial plateau to the posteromedial aspect of the lateral femoral condyle
E. the transverse ligament runs posteriorly between menisci
Answer» C. the oblique popliteal ligament is an expansion from the tendon of semitendinosis that blends with the capsule posteriorly
365.

Following Hiltons law, which nerve does not supply the hip joint

A. Sciatic
B. Obturator
C. Inferior gluteal
D. Nerve to rectus femoris
E. Femoral
Answer» D. Nerve to rectus femoris
366.

All of the following are lateral rotators of the hip EXCEPT

A. Gluteus maximus
B. Gluteus medius
C. Gamellus superior
D. Quadratus femoris
E. Piriformis
Answer» C. Gamellus superior
367.

The muscle which provides the most control of hip joint movement during the act of sitting is:

A. iliacus
B. semitendinosis
C. semimembranosis
D. gluteus maximus
E. gluteus medius
Answer» E. gluteus medius
368.

The deltoid ligament belongs to the:

A. ankle joint
B. hip joint
C. knee joint
D. talocalcaneonavicular joint
E. calcaneocuboid joint
Answer» B. hip joint
369.

With respect to the hip joint

A. The fibrous capsule is strengthened by 2 ligaments
B. Anteriorly the psoas major tendon separates the capsule from the femoral vein
C. It is least stable when flexed and adducted
D. Ligament of Bigelow is the weakest ligament
E. Ischiofemoral ligament is the strongest ligament
Answer» D. Ligament of Bigelow is the weakest ligament
370.

Ligamentous stability for the hip joint is provided chiefly by the

A. Ligamentum teres
B. Ischiofemoral ligament
C. Pubofemoral ligament
D. Iliofemoral ligament
E. Transverse ligament
Answer» E. Transverse ligament
371.

The muscle which provides the most control of hip joint movement during the act of sitting is

A. Iliacus
B. Semitendonosis
C. Semimembranosis
D. Gluteus maximus
E. Gluteus minimis
Answer» E. Gluteus minimis
372.

The hip joint

A. Derives its stability largely from the shape of its articular surfaces
B. Has the ischiofemoral as its strongest ligament
C. Is only supplied by the obturator and sciatic nerves
D. Is limited in full extension by the pubofemoral ligament
E. Is flexed largely by sartorius and rectus femoris
Answer» B. Has the ischiofemoral as its strongest ligament
373.

Regarding the surface markings of the lung and pleura

A. The border of the lung lies two ribs below the pleural reflection
B. The hilum of the lungs lie at the level of T10 verterbra
C. The oblique fissure follows the line of T10 vertebra
D. The oblique fissure follows the line of the 5th rib
E. The horizontal fissure meets the oblique fissure in the left midaxillary line
Answer» D. The oblique fissure follows the line of the 5th rib
374.

At the ankle, the posterior tibial nerve:

A. has no further motor branches
B. has no further cutaneous branches
C. lies anterior to the artery
D. lies anterior to flexor longus hallucis
E. none of the above
Answer» E. none of the above
375.

The parietal pleura in an average sized adult male:

A. projects 3cm above the medial third of the upper surface of the clavicle
B. projects 2cm beyond the thoracic outlet
C. projects 1cm above the inner border of the first rib
D. does not project above the upper surface of the clavicle
E. none of the above
Answer» B. projects 2cm beyond the thoracic outlet
376.

Fibres of transversus abdominus arise from which part of the inguinal ligament?

A. medial one third
B. lateral one third
C. lateral two thirds
D. lateral half
E. middle one third
Answer» E. middle one third
377.

The iliotibial tract is the conjoined aponeurosis of the tensor fasciae lata and:

A. gluteus minimus
B. gluteus medius
C. gluteus maximus
D. Camper s fascia
E. Scarpa s fascia
Answer» D. Camper s fascia
378.

The anterior cruciate ligament::

A. lies within the synovial membrane of the knee joint
B. attaches from the anterior tibial plateau to the medial condyle of the femur
C. prevents forward displacement of the femur on the tibial plateau
D. produces lateral rotation of the femur in the screw home position of full extension
E. none of the above
Answer» F.
379.

The anterior tibial artery:

A. pierces the interosseous membrane
B. supplies the lateral compartment of the leg
C. lies lateral to the deep peroneal nerve
D. lies lateral to tibialis anterior
E. gives the nutrient artery to the tibia
Answer» E. gives the nutrient artery to the tibia
380.

The cruciate anastomosis is NOT joined by:

A. transverse branch of the lateral circumflex A
B. descending branch of the internal pudendal A
C. ascending branch of the first perforating A
D. descending branch of the inferior gluteal A
E. transverse branch of the medial circumflex
Answer» C. ascending branch of the first perforating A
381.

Regarding radiological imaging of the gastrointestinal tract

A. The terminal ileum can be identified by haustrations
B. Haustrations represent the taeniae coli
C. Air fluid levels on an erect abdominal X-ray are diagnostic of large bowel obstruction
D. Gas should always be visible in the rectum
E. Small bowel is always visible on a normal abdominal X-ray
Answer» C. Air fluid levels on an erect abdominal X-ray are diagnostic of large bowel obstruction
382.

A 30 y.o. man presents with adenopathy of the medial group of superficial inguinal lymph nodes on the right side. Which of the following is the primary site resulting in this finding?

A. Right testis
B. Right buttock
C. Skin of lower limb
D. Anal canal
E. None of the above
Answer» E. None of the above
383.

A 30 year old man presents with adenopathy of the medial group of superficial inguinal lymph nodes on the right side. Which of the following is the primary site resulting in this finding?

A. right testis
B. right buttock
C. the skin of the right lower limb
D. the anal canal
E. none of the above
Answer» E. none of the above
384.

Which is not a feature of a typical rib?

A. Medial facet of the tubercle faces backwards
B. Angle is the most posterior point
C. Necks are all of equal length
D. There are 3 costotransverse ligaments
E. Intraarticular ligament attaches from horizontal ridge on the head to the intervertebral disc
Answer» D. There are 3 costotransverse ligaments
385.

The abdominal inferior vena cava:

A. is shorter than the abdominal aorta
B. enters the thorax through muscular diaphragm at T8
C. creates a groove over the quadrate lobe of liver
D. crosses the right renal and suprarenal arteries
E. commences in front of the right common iliac artery
Answer» E. commences in front of the right common iliac artery
386.

Pleural reflection lies at which rib level in the midaxillary line?

A. 6th
B. 8th
C. 9th
D. 10th
E. 12th
Answer» E. 12th
387.

The superficial branch of the ulnar nerve supplies:

A. palmaris brevis
B. flexor digitorum ulnaris
C. palmar aspect index finger
D. opponens pollicis
E. thenar eminence
Answer» B. flexor digitorum ulnaris
388.

Tibialis anterior

A. Dorsiflexes and everts the foot
B. Arises from the upper 2/3s of the fibula
C. Inserts into the medial cuneiform
D. Shares its site of insertion with peroneus tertius
E. Is supplied by L5,S1
Answer» D. Shares its site of insertion with peroneus tertius
389.

Which lymph nodes drain the ulnar side of the forearm?

A. infratrochlear
B. supratrochlear
C. infraclavicular
D. anterior axillary
E. ulnar trochlear
Answer» C. infraclavicular
390.

Regarding the adductor canal:

A. it contains the nerve to vastus intermedialis
B. contents leave by piercing adductor longus
C. the femoral artery is always between the saphenous nerve and femoral vein in the thigh
D. below the adductor hiatus, the canal is occupied by the saphenous nerve of the descending genicular nerve
E. at the adductor hiatus, the femoral vein is medial to the artery
Answer» D. below the adductor hiatus, the canal is occupied by the saphenous nerve of the descending genicular nerve
391.

Which muscle arises from both ulnar and radius?

A. pronator teres
B. flexor carpi radialis
C. flexor digitorum superficialis
D. flexor digitorum profundus
E. flexor pollicis longus
Answer» D. flexor digitorum profundus
392.

The adductor (subsartorial) cancal of Hunter is bounded laterally by:

A. adductor longus
B. adductor magnus
C. vastus medialis
D. sartorius
E. femoral vein
Answer» D. sartorius
393.

Which of the following are not found in the adductor (subsartorial) canal

A. Femoral artery
B. Femoral vein
C. Femoral nerve
D. Saphenous nerve
E. Nerve to vastus medialis
Answer» D. Saphenous nerve
394.

Which nerve does NOT make contact with periosteum?

A. radial nerve
B. axillary nerve
C. median nerve
D. ulnar nerve
E. anterior interosseous nerve
Answer» D. ulnar nerve
395.

Which of the following does not pass through the greater sciatic foramen

A. The sciatic nerve
B. The pudendal nerve and vessels
C. The posterior cutaneous nerve of the thigh
D. Inferior gluteal vessels and nerve
E. Nerve to obturator externus
Answer» F.
396.

Structures passing through the greater sciatic foramen include all of the following EXCEPT:

A. tendon of obturator internus
B. piriformis muscle
C. posterior cutaneous nerve of the thigh
D. pudendal nerve
E. nerve to quadratus femoris
Answer» B. piriformis muscle
397.

Passing through the greater sciatic notch deep to the sciatic nerve is which of the following?

A. internal pudendal vessels and nerve
B. inferior gemellus muscle
C. posterior cutaneous nerve of the thigh
D. nerve to quadratus femoris
E. none of the above
Answer» E. none of the above
398.

Emerging from lesser sciatic foramen:

A. piriformis
B. superior gemellus
C. obturator internus
D. inferior gemellus
E. obturator externus
Answer» D. inferior gemellus
399.

The surface markings of the sciatic nerve are from:

A. the ischial tuberosity to the adductor tubercle of the medial femoral condyle
B. the posterior superior iliac spine to the apex of the popliteal fossa
C. the midpoint of a line between the ischial tuberosity and the greater trochanter to the adductor tubercle of the medial femoral condyle
D. the ischial tuberosity to the apex of the popliteal fossa
E. the midpoint of a line between ischial tuberosity and greater trochanter to apex of the popliteal fossa
Answer» F.
400.

The oesophageal opening in the diaphragm transmits all except:

A. Vagal nerve trunk
B. Oesophageal branches of gastric artery
C. Lymphatics
D. Right phrenic nerve
E. Veins oesophageal branches of gastric veins
Answer» E. Veins oesophageal branches of gastric veins