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Part 3 Previous Years 2

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1) The absolute refractory period (ARP) of a nerve fiber:

a. Occurs during the time of increased permeability of the membrane to Na+.


b. Follows the relative refractory period.
c. Occurs mainly during repolarization.
d. Lasts throughout the action potential.

2) The interstitial growth of cartilage is


a Demonstrated in white fibrocartilage.
b. Caused by mitosis of chondrocytes within cartilage.
c Growth of cartilage from outside.
d. Caused by mitosis of chondroblasts in perichondrium.

3) The unstriated appearance of smooth muscle cells is due to


a. Presence of dense bundles.
b. Separate groups of myofilaments bundles.
c. Lac of troponin complex.
d. Irregular orientation of bundles of myofilaments.

4) The spine of the scapula is continuous laterally as


a. Acromion process. b. infraglenoid tubercle c. Supraglenoid tubercle.
d. Coracoid process. e. Angle of scapula.

5) Pulsations of the femoral artery can be felt at


a. popliteal fossa b. 1.5cm above mid inguinal point.
c. mid inguinal point. d. First web space at the foot.

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6) Mixed granules are characterized by
a. Aggregates of rough endoplasmic reticulum and ribosomes
b. Present in e perkrayon and axones
c. Eosinophilic in stain.
d. Aggregates of mitochondria and lysosomes.

7) Ulnar nerve injury above he wrist causes:


a. Partial claw hand b. complete claw hand.
c. carpal tunnel syndrome. d. ulnar paradox

8) The superficial vein that runs on the radial side of the upper limb is the:
a. Radial. b. Axillary. c. Basilic. d. Cephalic.

9) Consider two axons with similar electrical properties and physical dimensions.
If axon A has twice as many nodes of Ranvier per cm of length, then the
conduction velocity of action potentials in A........................ relative to the
velocity of the AP in the other axon
a. will be greater. b. will be the same.
c. cannot be determined. d. will be smaller.

10) If a voltage-gated K+ channel open, K+ ions will flow...................the cell and


the membrane potential will become................
a. Out of, more positive. b. Into, more positive.
c. Out of, more negative. d. Into, more negative.

11) The ulnar artery gives the following branches EXCEPT


a. Common interosseous artery. b. Superior ulnar collateral artery.
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c. Anterior ulnar recurrent artery. d. Posterior ulnar recurrent artery.

12) Which of the following nerves ends deep to the flexor retinaculum
a. Deep peroneal. b. Posterior tibial.
c. Common peroneal. d. Medial planter.

13) Hypercalcemia increases the nerve excitability


a. False b. True

14) Retrograde transport occurs when the nerve impulses are conducted in the
normal pathway towards the nerve terminal
a. True b. False

15) Fractured bone heals by,


a. Both methods of ossification. b. Intra-cartilaginous ossification.
c. intramembranous ossification. d. Bone remodeling only.

16) Chronaxie
a. ls the minimal stimulus which produce response after relatively long time.
b. Is the minimal time needed by the strong stimulus to produce response.
c. is the time required to stimulate the nerve by a stimulus which is double rheobase.
d. Is the time required to stimulate the nerve by a minimal stimulus.

17) Where is the most common site for fracture of the clavicle?
a. Junction of the lateral two-thirds and the medial third.
b. Midpoint of the clavicle.
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c. Lateral end.
d. Junction of the medial two-thirds and the lateral third.
e. Medial end

18) Regarding skeletal muscle


a. muscle shortens during contraction, it produces less tension than that of an isometric
contraction.
b. The thin filaments shorten during active contraction.
C. Attachment of the ATP to the myosin head is not essential for the dissociation of the
actinmyosin complex.
e. Contraction is initiated by a rise in intracellular ATP concentration.

19) Gluteus maximus muscle is innervated by which of the following?


a. Inferior gluteal nerve. b. Nerve to quadratus femoris.
c. Obturator nerve. d. Superior gluteal nerve.

20) Which ONE of the following is true regarding the dorsalis pedis artery?
a. Gives the lateral plantar artery. b. Pierces 2nd dorsal interosseous muscle.
c. Joins the ends of the plantar arch. d. Lies lateral to the deep peroneal nerve.

21) The cytoskeleton of the neuron cell body is formed of


a. Microtubules and microfilaments. b. Neurofilaments only.
c. Neurofilament and microfilaments. d. Neurofilaments and microtubules.

22) The time needed by the Rheobase to give a response is called the minimal
time.
a. True b. False
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23) Regarding end plate potential
a. It has a refractory period. b. It obeys the all or none law.
c. It is a localized hyperpolarization. d. It is of low amplitude in myasthenia gravis.

24) which of the following is incorrect about type Il muscle fibers?


a. They are rich in glycolytic enzymes. b. They are called slow fibers.
c. They contain few blood capillaries. d. They contain little myoglobin.

25) These structures lie in front of popliteal artery EXCEPT


a. Back of the knee joint. b. Tibial nerve.
c. Oblique popliteal ligament. d. Popliteal surface of the femur.

26) The visceral smooth muscle


a. Shows contraction when it is stretched.
b. is composed of individual muscle fibers.
c. Control is mainly through nervous stimuli.
d. is found in the iris of eye.

27) Compact bone is characterized by all of the following EXCEPT


a. Regularity arranged bone lamellae.
b. A large central bone marrow cavity.
c. Irregular bone trabeculae.
d. Well-developed Haversian systems.

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28) Which ONE of the following muscles is supplied by posterior interosseous
nerve?
a. Brachioradialis. b. Extensor carpi radialis longus.
c. Brachialis. d. Extensor carp-ulnaris.

29) The pubic part of the adductor magnus belong to the the hamstrings
a. True. b. False.
30) The artery that accompanies the radial nerve in the spiral groove is
a. Brachial artery. b. Profunda brachii artery.
c. Median artery. d. Radial artery.

31) After damage of the ulnar nerve at the elbow joint all the following are true
EXCEPT
a. Loss of flexion of the distal phalanx of the little finger.
b. Anesthesia (loss of sensations) over the skin of hypothenar eminence.
c. Loss of abduction of the index finger.
d. Partial claw hand.

32) Retrograde transport occurs when the nerve impulses are conducted in the
normal pathway towards the nerve terminal.
a. True b. False

33) Fractured bone heals by


a. Both methods of ossification b. Intracartilagenous ossification.
c. Intramembranous ossification. d. Bone remodeling only.

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34) The visceral smooth muscle
a. Shows contraction when it is stretched.
b. is composed of individual muscle fibers.
c. Control is mainly through nervous stimuli.
d. is found in iris of eye

35) When smooth muscles are stretched, they tend to depolarize and contract.
a. True.
b. False.
36) At which site does the brachial artery terminate?
a. Lower border of teres major. b. Styloid process of ulna.
c. Styloid process of radius. d. Neck of radius.

37) Sciatic bed includes all of the following except


a. Tendon of obturator internus.
b. Quadratus fermoris.
c. The pubic part of the adductor magnus.
d. The ischial part of the adductor magnus.

38) The posterior wall (floor) of the adductor canal is formed by ONE of the
following
a. Adductor longus and adductor brevis muscles.
b. Adductor longus and adductor magnus muscles.
c. Pectineus and adductor longus muscles.
d. Adductor brevis and adductor magnus muscles.

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39) Terminal cisternae are
a. Smooth endoplasmic reticulum.
b. Tubular invaginations of the sarcolemma.
c. Present in smooth muscle.
d. Three in each sarcomere forming the triad.

40) To which group of lymph nodes the lymph node of Cloquet belongs? 1LO:2
a. vertical group of superficial inguinal.
b. Lateral group of horizontal group of superficial inguinal.
c. Medial group of horizontal group of superficial inguinal.
d. Deep inguinal.
41) Which.cf the following muscles is NOT supplied by the medial popliteal
nerve?
a. Popiteus. b. Plantars. c. Gastrocenemius. d. Flexor digitorum longus.

42) Lymphatics from the skin of the back above the iliac crest drain into the
a. Pectoral group of the axillary lymph nodes.
b. Central group of the axillary lymph nodes.
C. Subscapular group of the axillary lymph nodes.
d. Apical group of the axillary lymph nodes.

43) Bone resorption s the function of


a. Osteocytes b. Osteoblasts. c. Osteoprogentor cells. d. Osteoclasts.

44) Which of the following points is supplied by the posterior tibial nerve
a. inferior tibio-fibular. b. Ankle. c. Superior tibio-fibular. d. Knee.
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45) Tibial nerve supplies
a. hip joint b. knee joint c. both of them d. none of them
46) Flat bones (eg. the scapula)
a. Is composed of both compact and spongy bone.
b. Develops by endochondral ossification
c. Contains one bone marrow cavity.
d. Shows well developed Haversian system.

47) The action potential of skeletal muscle


a. Is caused by K+ influx through the muscle membrane.
b. Causes the immediate uptake of Ca2+ into the lateral sacs of the sarcoplasmic
reticulum.
c. Is not essential for contraction.
d. Spreads inward to all parts of the muscle via the T tubules.

48) Which of the following muscles flex the forearm at the midprone position?
a. Biceps. b. Pronator teres. c. Brachialis. d. Brachioradialis.

49) Weak thenar muscles is most likely due to injury of


a. Musculocutaneous nerve. b. Uinar nerve. c. Median nerve. d. Radial
nerve.

50) The muscle which does supination of elbow during flexion is


a. Supraspinatus. b. Subscapularis. c. Biceps. d. Infraspinatus.

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51) Regarding veins of the lower linb, the following statements are correct
EXCEPT
a. Femoral vein lies medial to the femoral artery at the base of the femoral triangle.
b. Small saphenous vein drains into popliteal vein.
c. The great saphenous vein passes behind the medial malleolus.
d. Great saphenous vein pierces cribriform fascia to enter femoral vein.

52) Concerning serratus anterior, all the following are true EXCEPT
a. Arises by digitations from the upper 8 ribs.
b. Acts as a protractor of the scapula.
c. Inserts into the axillary border of the scapula.
d. Takes part in raising the am above the head.

53) Which of the following statements is true concerning osteocytes?


a. they are found in small groups within lacunae.
b. their secretory surface Is directed towards the site of new bone.
c. they proliferate & differentiate into osteoblasts.
d. they are responsible for maintenance of the bone matrix.

54) What happens when acetylcholine binds to the receptor at neuromuscular


junction
a. Causes opening of Na+ channels in the sarcolemma
b. Causes a nerve action potential.
c. Causes opening of Nar channels in the axon terminal.
d. causes exocytosis

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55) This process aids in skeletal muscle relaxation after contraction:
a. Troponin binds calcium.
b. Calcium is released from intracellular storage sites.
c. Acetylcholinesterase degrades acetylcholine.
d. Motor neurons send electrical signal to muscle.

56) After hyperpolarization is caused by active transport of Na+ out by means of


sodium pump
a. False b. True

57) The following statements concerning the blood vessels of the upper limb are
correct EXCEPT
a. The cephalic vein arises on the palm of the hand.
b. The pulsation of the radial artery can be felt in the floor of the anatomical snuff box.
c. The axillary sheath surrounds the axillary vessels and the brachial plexus.
d. The axillary vein is formed by the union of the venae comitantes of the brachial artery
and the basilic vein.

58) The following are contents of the popliteal fossa EXCEPT


a. Popliteal lymph nodes and fat. b. Saphenous nerve.
c. Tibial nerve. d. Popliteal artery and vein.

59) The wrist joint usually communicates with the distal RUJ
a. True b. False

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60) Schwann cell is characterized by all of the following, EXCEPT
a. Helps in regeneration of the nerve fiber.
b. it forms Nissl substance.
c. It forms the myelin sheath in the PNS.
d. Forms neurilemmal sheath.

61) The Capsule of shoulder joint is attached circumferentially to the surgical


neck of the humerus
a. True. b. False.

62) The profunda femoris artery does not


a. lie behind the profunda vein.
b. give off the deep external pudendal artery.
c. arise from the lateral side of the femoral artery, 3-4cm distal to the inguinal ligament.
d. supply all the thigh muscles.

63) The....................are present in the central canal of the spinal cord


a. Oligodendroglia. b. Astrocytes. c. Ependymal cells. d. Microglial.

64) All of The following muscles are responsible for the maintenance of the
medial longitudinal arch of the foot except
a. Tibialis posterior. b. Flexor hallucis longus. c. Peroneus brevis.
d. Flexor digitorum longus. e. Tibialis anterior.
65) The posterior tibial artery is terminated by passing deep to:
a. Plantar aponeurosis. b. Flexor retinaculum.
c. Extensor retinaculum. d. Peroneal retinaculum.

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66) Membrane stabilizers are all the factors that increase nerve excitability
a. True. d. False.

67) The following muscles are supplied by the ulnar nerve EXCEPT
a. Adductor policis. b. Abductor digiti-minimi.
c. Extensor carpi-ulnaris. d. Flexor carpi-ulnaris.

68) During its course in the upper limb the radial nerve lies
a. Medial to the brachial artery in the cubital fossa.
b. In front of the medial condyle of the humerus.
c. Against surgical neck of the humerus.
d. Against spial groove of the humerus

69) The extensor indicis muscle is innervated by


a. Radial nerve. b. Ulnar nerve.
c. Musculocutaneous nerve. d. Deep branch of he radial nerve.

70) Which of the following muscles belong to the first layer of back muscles?
a. Levator scapulae. b. Latissmus dorsi.
c. Rhomboideus minor. d. Rhomboideus minor.

71) Concerning pronator teres, all the following are correct EXCEPT
a. Flexes the elbow.
b. Forms the medial boundary of the cubital fossa.
c. Inserts into the ulna.
d. innervated by the median nerve.
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72) The following are ligaments of hip joint EXCEPT
a. ligament of the head of femur. b. Transverse acetabular.
c. Pubofemoral d. Cruciate ligament. e. Iliofemoral.

73) Which of the following structures passes posterior to the lateral mallealus?
LO: 1
a. Great saphenous vein. b. Musculocutaneous nerve.
c. Short saphenous vein. d. Saphenous nerve.

74) The most carpal bone to be fractured is


a. Scaphoid. b. Tikguetra. c. Harnate. d. Psitorm.

75) Concerning scapular muscles al the following are true EXCEPT


a. Supplied by the axillary, suprascapular, and subscapular nerves.
b. Supraspinatus is an abductor.
c. Teres minor is a lateral rotator.
d. infraspinatus is a medial rotator.
76) Which of the following ligaments support the lateral longitudinal arch of the
foot
a. Deltoid. b. Annular. c. Long planter. d. Laleral collateral.

77) which of the following muscles is supplied by direct branches from the tibial
nerve
a. soleus. b. Flexor digitorum longus. c. Tibilis posterior. d. Flexor hallucis
longus
78) At the wrist All carpal bones form part of the wrist joint
a. False b. True

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79) The following statements concerning the blood vessels of the upper limb are
correct EXCEPT:
a. The axillary sheath surrounds the axillary vessels and the brachial plexus.
b. The cephalic vein arises on the palm of the hand.
c. The pulsation of the radial artery can be felt in the floor of the anatomical snuff box.
d. The axillary vein is formed by the union of the venae comitantes of the brachial artery
and the basilic vein.

80) Which of the following is suitable to axilla?


a. Contains lymph nodes draining the upper limb and lateral chest wall.
b. Communicates with the anterior triangle of the neck.
c. Has an apex bounded by the humerus clavicle and scapula.
d. Has an anterior wall made up by the serratus anterior muscle.

81) Recording the ciecthical changes that accompany propagation of the


excitation wave in a nerve trunk are narned
a. Single nerve action potential.
b. Muscle action potential.
c. Compound action potential.
d. Resting membrane potential.

82) The blood vessels in cartilage are located


a. In the inner layer of perichondrium.
b. In the outer layer of perichondrium.
c. In the extracellular matrix..
d. Surrounding the capsule of chondrocytes.

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83) Deep peroneal nerve supplies which web space
a. 2nd b. 3rd c. 4th d. 1st

84) Concerning the ulnar nerve, all are true EXCEPT


a. Contains fibers from C. 8.
b. Not affected in carpal tunnel syndrome
c. Passes superficial to the flexor retinaculum.
d. Passes between the two heads of extensor carpi ulnaris.

85) Which of the following muscles support the medial longitudinal arche of the
foot
a. Tibialis anterior. b. Extensor hallucis longus
c. Peroneus tertius d. Extensor digitorum longus.

86) Which of the following muscles produce planter flexion of the foot
a. Extensor digitorum longus. b. Peroneus longus.
c. Tibialis anterior. d. Extensor hallucis longus.

87) Which of the following muscles works on two joints?


a. vastus intermedius. b. vastus medialis. c .vastus lateralis. d. rectus
femoris.

88) Select the correct sentence describing retrograde degeneration of the injured
nerve
a. Fragmented neurofibrils. b. Loss of shiny appearance.
c. Shrinkage of perikaryon. d. Increased basophilia.

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89) The visceral type of smooth muscles act as a functional syncytium.
a. True. b. False.

90) During its course in the upper limb, the axillary nerve lies:
a. Against the surgical neck of the humerus.
b. Medial to the brachial artery in the cubital fossa.
c. In front of the lateral epicondyle of the humerus.
d. Against the spiral groove of the humerus.

91) The blood vessels in cartilage are located:


a. In the extracellular matrix.
b. In the inner layer of perichondrium.
c. Surrounding the capsule of chondrocytes.
d. In the outer layer of perichondrium.

92) In a cross section of a nerve trunk stained with osmic acid the structures that
could not be seen are:
a. Fat cells and myelin sheath. b. Myelin sheath and neurilemma.
c. Neurilemma and axon. d. Axon and fat cells.

93) After birth, continuous remodeling of bones occurs by coordinate action of.
a. chondroblast and chondroclasts. b. osteoblasts and osteoclasts.
c. osteocytes and osteoclasts. d. osteocytes and osteoblasts.

94) Which of the following muscles doesn't have an attachment to the scapula?
a. Pectoralis minor. b. Triceps. c. Pectoralis major. d. Serratus anterior muscle.
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95) The magnitude of action potential in the skeletal muscle fibers is 105 mv (-70
to +35 mv).
a. True b. False

96) The structure passing deep to inferior extensor retinaculum are all of the
following except:
a. peroneus brevis b. tibialis anterior
c. extensor digitorum longus d. extensor halluces longus

97) Mixed granule are chartered by being:


a. aggregating of rER and ribosome b. present in the
c. eosinophilic in stain d. aggregation of mitochondria & ribosomes

98) Ulnar nerve injury above the rest causes


a. partial claw hand b. complete claw hand
c. carpal lumen syndrome d. ulnar paradox

99) Paralysis of the deltoid muscle causes when one of the following
a. loss of abduction of the arm from 0 to 90
b. loss of abduction of the arm from0 to 10
c. loss of abduction of the arm from 90 to 100
d. loss of abduction of the arm from 10 to 90

100) During skeletal muscle contraction


a. the A-band b. the H-band
c. sarcomere d. the I-band

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101) Concerning pronator teres, all the following are correct except:
a. forms the medial boundary of the b. supplied by medial nerve
c. flexes the elbow d. none of the above

102) The capsule of shoulder joint is attached circumference to the neck of the
humerus
a. true b. false

103) All the following are content of the adductor canal except
a. femoral artery b. femoral nerve c. saphenous nerve d. femoral nerve

104) Which nerve is probably damaged if a patient cant abduct the arm up to 90?
a. radial b. axillary c. musculocutaneous d. median

105) The dermatome supply over the hip of the abductor is derived from
a. c3 b. c5 c. t1 d. c4

106) Select the correct statement about osteoclast


a. they are connected together by canaliculi
b. they are found in small groups within lacuna
c. they sacrele the acid phosphate
d. they are located in the outer layer of presidium

107) These structure in the front of Popliteal artery except


a. tibial nerve b. back of the knee joint
c. oblique popliteal ligament d. popletial surface of the
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108) Injury of the sciatic nerve cause sensory loss on leg and foot except
a. posterior side of the leg foot b. medial side of the leg foot
c. lateral side of the leg foot d. anterior side of the leg foot

109) Fainting index is due to


a. ulnar nerve injury above the elbow
b. median nerve injury above the wrist
c. carpal tunnel syndrome
d. median nerve injury above the elbow

110) Action of the brachialis is one of the following


a. elevation scapula b. flexion of wrist
c. protraction shoulder d. flexion of forearm
111) The radial artery is usually palpatory lateral to the tendon of flexor
carparadialis
a. true b. false

112) which of the following is supplied by the common peroneal nerve?


a. knee b. inferior tibia-fibular
c. superior tibia-fibular d. ankle

113) the depolarization phase of the action potential is caused by


a. a decrease rate of efflux of k from cell
b. an increase rate of entry of Na into cell
c. active transport of K- out of cell
d. inhibition of Na-k pump
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114) The nerve supply the deltoid arise as a branch from:
a. medial cord of brachial phase b. trunk of brachial plexus
c. root of brachial plexus d. posterior cord of brachial plexus

115) the following are true regarding the adductor canal except
a. its floor is formed by adductor longus and magnus
b. its lateral wall is formed by vastus latateralis
c. its roof and medial wall is formed by deep fascia scarious muscle
d. it enter the femoral vessel and nerve to

116) The ‫ الكلمة مش واضحه في السؤال‬have all the following component except
a. tropomyosin b. troponin c c. alpha acitin d. acitin

117) The cytoskeleton of the neuron cell body is formed of


a. microtubules and microfilament b. neurofilament and microtubule
c. neurofilament only d. neurofilament & microofilament

118) In the extended knee joint with the foot on the ground the joint is unlocked
by :
a. lateral rotation of the tibia b. median rotation of the femur
c. median rotation of the tibia d. lateral rotation of the femur

119) Which one of the following is true regarding the dorsailis pedis artery
a. joint the end of the plantar arch b. gives the tibial plantear artery
c. lies lateral to the deep peroneal artery d. pierces the 2nd dorsal intercostal muscle
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120) cuniculus bone is characterized by
a. regular arranged bone lamellae b. a large central bone marrow cavity
c. irregular bone d. well developed

121) Concerning the sciatic nerve all are true except


a. supply the hamstring group of muscle
b. leaves the pelvis through the greater sciatic
c. divide into the superficial and deep peroneal nerve
d. it is supplied by a branch from the inferior gluteal artery

122) which of the following muscle tendons is present in the second layer of the
food
a. extensor retinaculum b. flexor digitorum longus
c. tibialis posterior d. peroneus longus

123)The contractile response in the skeletal muscle


a. produce more work when muscle contract( ‫مش واضحه‬omeriticaly) than when muscle
contract
b. starts when calmodulin is activated with Ca+2
c. last for similar period as the action potential
d. produce more tension when the muscle contract somatically than when when muscle
contract

124) the interior surface of the clavicle gives attachment to all the following
except
a. conoid ligament b. pectianl major muscle c. tragoid ligament
d. Subclavius muscle e. costo scapular ligament
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125) which of the following nerve supply fibularis anterior muscle
a. posterior tibial b. medial popliteal c. deep peroneal d. common peritoneal

126) With response to smooth muscle all the following are true except
a. action potential can be suffocated by stretch
b. intracellular Ca+2 bind to calmodulin to initiate muscle contraction
c. sarcoplasmic reticulum is
d. smooth muscle contract action but not myosin
127) Retrograded transport occur when the nerve
a. true b. false

128) emerging from lesser sciatic foramen


a. superior gluteal nerve b. obturator externus c. obturator internus d. piliform

129) which of the following muscle is attached to the tendonous arch between
fibula and tibia
a. flexur digiturm longus b. tibialis posterior c. tibialis anterior d. soleus

130) The following statement concerning the blood of the upper limp are correct
except
a. the axillary sheath surround the axillary vessel and brachial plexus
b. the axillary vein is formed by the union of venae comitantes of brachial branch and
the basilic vein
c. the cephalic vein arch on the palm of the hand
d. the pulsation of the radial artery can be felt in the floor of the

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131) which of the following muscle belong to the first layer of back muscle
a. levator capsule b. rhomboid major c. rhomboid minor d. none of the above

‫قَـيــِّد صيودك بالحبال الواثقة‬ ‫صيــد والكتابة قيدُه‬


َ ُ ‫العلم‬

‫وتردها بين الخالئق طالقة‬ ‫فمن الحماقة أن تصيد غزالة‬

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