Topo Compiled Reworked (Answers)
Topo Compiled Reworked (Answers)
Topo Compiled Reworked (Answers)
10. The medial wall of the axilla is formed by which of the following
muscules
a. Teres minor
b. Serratus anterior
c. Pectoralis major
d. Pectoralis minor
12. On the level of a triangle subpectorlis from an axillary artery it is
allocated
a. A subscapular artery, artery circumplexa humeri anterior and
posterior
b. A lateral artery of a breast and a subscapular artery
c. Artery circumflexa anterior and posterior and artery suprema
thoracica
d. Artery thoraco acromialis and subscapular artery
15. How many parts distinguish in an axillary artery on all length of an axillary
fossa:
a. One
b. Two
c. Three
d. Four
16. The superficial muscular layer of area of the scapular region are:
18. Location of a median nerve to the brachial artery in the lower third of the
arm:
a. In front
b. Behind
c. Medially
d. Laterally
19. The medial wall of the axilla is formed by which of the following
muscles:
a. Teres minor
b. Serratus anterior
c. Pectoralis major
d. Pectoralis minor
FOREARM
a. Cephalic vein
b. Median cubital vein
c. Brachial artery
d. Ulnar nerve
5. In what branches the radial nerve divides in the anterior lateral canal of a
cubital fossa
a. Superficial and deep
b. Anterior and medial
c. Anterior and lateral
d. Anterior and back
6. In the elbow region an ulnar nerve passes
a. In the anterior and medial sulcus
b. In the anterior lateral sulcus
c. In the posterior lateral sulcus
d. In the posterior medial sulcus
1. The lateral wall of the ethmoid sinus Is also part of the medial wall of the-
a. Nasal cavity
b. Orbit
c. Anterior cranial fossa
d. Oropharynx
14. All of the following structures are located within the walls or cavity of the
cavernous sinus except for the-
a. Oculomotor nerve
b. Internal carotid artery
c. Ophthalmic division of the trigeminal nerve
d. Mandibular division of the trigeminal nerve
15. Which of the following statement is incorrect concerning the lymph drainage
of the scalp?
a. The lymphoid vessels in the anterior part of the scalp and forehead drain into
the submandibular lymph node
b. Drainage from the lateral part of the scalp above the ear is into the superficial
parotid nodes
c. The lymph vessels of the scalp drain into the cervical and subclavicular lymph
nodes
d. The lymph vessels in the part of the scalp above and behind the ear drain into
the mastoid nodes
16. What can be considered as an approved action while bleeding control from
the soft tissues of fronto- parieto-occipital region?
a. Clamping, pressure by the finger, application of the hemostatic suture
b. Shifting of the tissues
c. Application of the wax
d. Application of the tissue glue
17. What can be considered as an approved action while bleeding control from
the sponginous substance of the cranial bone?
a. Clamping, and application of the hemostatic suture
b. Insertion of the shift in the lumens of the vessels
c. Application of the wax
d. Application of the tissue glue
19. Pulsations felt just above the zygomatic arch and in front of the adre from
which vessel?
a. Facial
b. Internal jugular vein
c. superficial temporal artery
d. Retromandibular vein
20. which layers of the cranial bone are suffering more frequently during the head
injuries?
a. All layers
b. External lamina
c. Internal lamina
d. Diploe
21. Which of the following accompanies the optic nerve through the optic canal?
a. Cranial nerves III, IV and VI
b. Ophthalmic nerve
c. Meninges and ophthalmic artery
d. Ophthalmic veins
22. The following anatomical elements are passing in the depth of the parotid
gland-
a. External carotid artery, facial artery, facial and buccal nerves
b. External carotid adretry, retromandibular vein, auriculotemporal and
infraalveolar nerves
c. External carotid adretry, facial vein, lingual and auriculo-temporal nerves
d. External carotid artery, retromandibular vein, facial and auriculo-temporal
nerves
23. Which of the following anatomical structure passed through the external
surface of the buccinators muscle?
a. Maxillar artery, vein and nerve
b. Facial artery, vein and nerve
c. Buccinators artery, vein and nerve
d. Infraalveloar artery, vein and nerve
28. Which of the following does not open into the middle cranial fossa?
a. Foramen lacerum
b. Foramen ovale
c. Foramen rotundum
d. Superior orbital fissure
29. What is the typical feature of the hematoma localized under the galea
aponeurotica of the fronto-parieto-occipital region?
a. It pulsates
b. Has an oval shape while located longitudinally
c. Freely moves to the whole fronto-parieto-occipital region
d. Impossible to characteristic accurately
30. The tickling sensation felt in the nasal cavity, just prior to a sneeze is probably
carried in which of the following nerves?
a. Facial
b. Maxillary division of trigeminal
c. Mandibular division of the trigeminal
d. Glossopharyngeal
39. Upon examining a sick child, you notice pus draining from the middle meatus
of the nose. You might suspect and look for further evidence of an infection
originating from the
a. Nasolacrimal
b. Sphenoid sinus
c. Maxillary sinus
d. Mastoid sinus
40. The venous sinuses of the dura mater are collecting the blood from
a. From the brain, from the ventricles of the brain, from the blood of the cranium
from the subarachnoid system
b. Froom the brain, from the veins of the soft tissues of the skull, from the cranial
bones
c. Only from the brain layer
d. From the brain and from the cranial bones
44. The superior sagittal sinus is connected by the emissary veins with
a. Sub-dermal veins of the temporal regions
b. Sub-dermal veins of the occipital region
c. Sub-dermal veins of the parietal region
d. Cavernous sinus
46. The lower horizontal line as from the R.U. Kronlein scheme of the Cranio-
cerebral topography is made
a. On the superior orbital margin
b. On the inferior orbital edge and superior margin of the external auditory
meatus
c. On the superior temporal line
d. On the inferior temporal line
47. Which nerve innervates the muscle for tight closure of the eyelids?
a. Facial
b. Oculomotor
c. Sympathetic
d. Trigeminal
48. The lower horizontal line as from the R.U. Kronlein scheme of the Cranio-
cerebral topography is made
a. On the inferior orbital margin
b. Across the zygomatic arch
c. On the inferior temporal line
d. At the superior orbital margin parallel to the inferior horizontal line
49. A gag reflex overcomes your patient as you lightly swab an area
of the oropharynx
a. Mandibular
b. Maxillary
c. Facial
d. Glossopharyngeal
50. The following structure in the middle posteriorly, can be palpated above
downward
a. External occipital protuberance, nuchal groove, the spinous process
of the sixth cervical vertebra (vertebra prominens)
b. External occipital protuberance, suprasternal notch, clavicle
c. External occipital protuberance, nuchal groove, the spinous process
of the seventh cervical vertebra (vertebra prominens)
d. Thyroid cartilage, Adam’s apple, suprasternal motch
52. On what level the recurrent laryngeal nerve is branched off from the vagus?
a. At the lower margin of the thyroid cartilage
b. Below the subclavian artery (right) and at the level of the aortic arch (left)
c. Inferior thyroid artery
d. Superior thyroid artery
53. The superior carotid, or carotid triangle in bounded
a. Behind the sternocleidomastoideus
b. Below, by the superior belly of the omohyoideus
c. Above, by the stylohyoideus and the posterior belly of the digastricus
d. All of the above statements are correct
54. The muscles of mastication, their nerves and their vessels are
located primarity in which part of the head?
a. Pterygopalatine fossa
b. Jugular fossa
c. Incisive fossa
d. Infratemporal fossa
55. Which of the following statement concerning the occipital triangle is correct?
a. The occipital triangle represents the larger division of the posterior triangle
b. The occipital triangle is bounded in front by the sternocleidomastoidues
c. The occipital triangle is bounded behind by the trapezius
d. All the above statements are correct
57. The facial artery gives rise to branches that supply each of the
regions listed below except for the
a. Medial angle of the orbit
b. Lateral nose
c. Region of the eyebrow
d. Upper lip
58. During sinus attack, painful sensation from the ethmoid cells is carried in
which nerve?
a. Meningeal
b. Greater petrosal
c. Pterygoid
d. Nasociliary
59. Each of the following is characteristic of the maxillary sinus except that:
a. It is lined with mucous membrane
b. It drains through an opening under superior concha (turbinate)
c. It many become infected from an abscessed tooth
d. Its roof is the floor of the orbit
62. All of the following paranasal sinuses drain into the middle meatus, except
the:
a. Frontal
b. Maxillary
c. Sphenoid
d. Anterior ethmoid
63. When trying to locate the parotid duct a physician would consider each of the
following relationships except:
a. Its opening can be seen in the vestibule of the mouth opposite the upper 2 nd
premolar tooth
b. It extends from the anterior border of the parotid gland
c. It can be palpated as it crosses the face, superficial to the masseter muscle
d. It is superior to the zygomatic arch
64. What are the directions of the typical calvarian incisions?
a. Transversal
b. Sagittal
c. Radial
d. Cruciate
65. Loss of lacrimination (dry eye) can be due to an injury to which nerve?
a. Nasociliary
b. Greater petrosal
c. Supraorbital
d. Anterior ethmoid
66. Which of the following statements best describes the facial vein?
a. It is located within the substance of the parotid gland
b. It communicates superiorly with the ophthalmic vein
c. It is more tortuous than facial artery
d. It lies anterior to the facial artery ad it passes through the face
67. What is the typical feature of the sub-cutaneous hematoma in the fronto-
parieto-occipital region?
a. It is bump shaped
b. Spreads only in the borders of one bone
c. Freely spreads in the whole borders of fronto-parieto- occipital region
d. Freely spreads in the temporal region and sub cutaneous tissue of the face
68. What is the typical feature of the sub-epicranial hematoma in the fronto-
parieto-occipital region?
a. It is bump shaped
b. Spreads only in the borders of one bone
c. Freely spreads in the whole borders of fronto-parieto-occipital region
d. Freely spreads in the temporal region and sub cutaneous tissue of the face
69. Which of the following does not open into the middle cranial fossa?
a. Foramen lacerum
b. Foramen Ovale
c. Foramen Rotundum
d. Superior orbital fissure
70. What is the typical feature of the hematoma localized under the galea
aponeurotica of the fronto-parieto-occipital region?
a. It pulsates
b. Has an oval shape while located longitudinally
c. Freely moves to the whole fronto-parieto-occipital region
d. Impossible to characterize accurately
71. The tickling sensation felt in the nasal cavity just prior sneeze is probably
carried in which of the following nerves?
a. Facial
b. Maxillary division of trigeminal
c. Mandibular division of trigeminal
d. glossopharyngeal
72. The lateral wall of the ethmoid sinus Is also part of the medial wall of the-
a. Nasal cavity
b. Orbit
c. Anterior cranial fossa
d. Oropharynx
NECK
5. Which of the following statement concerning the position of the patient on the
table during the subtotal thyroidectomy is incorrect?
a. The patient is placed in a semi-erect position with a folder sheet underneath
the shoulders so that the head is sharply angulated bachward
b. The head rest of the table can be lowered to hyperextend the neck further
c. Any deviation to the side may cause the surgeon to make an inaccurately
placed incision
d. In the case of the active bleeding or potential danger of air embolism, the
position the patient should be change immediately
6. What forms a lateral wall of a quadrangular foramen
a. A long head of the triceps muscle
b. A surgical neck of humerous
c. A teres minor muscle
d. A subscapular muscle
16. the thyroid and parathyroid glands got the innervations from the
a. Superior laryngeal nerve
b. Recurrence laryngeal nerves and sympathetic trunk
c. All of the above
20. How many parts of the subclavian artery can be distinguished on the neck?
a. One
b. Two
c. Three
d. Four
21. Where is projected the cervical plexus?
a. At the angle of the mandibular bone
b. At the midpoint of the superior margin of the clavicle
c. At the midpoint of the medial margin of the sternohyoid muscle
d. At the midpoint of the lateral margin of the sternocleidomastoid muscle
23. Which of the cervical connective tissue is connected with the anterior
mediastinum?
a. Suprasternal connective-tissue space
b. Previsceral
c. Retrovisceral
d. Prevertebral
24. Which of the cervical connective tissue space is connected with the posterior
mediastinum?
a. Suprasternal connective-tissue space
b. Previsceral
c. Retrovisceral
d. Prevertebral
27. What are the signs to distinguish the internal and external carotid arteries in
the wound?
a. The pulsation on the internal carotid artery is lesser compares to the external
carotid artery
b. Absence of the branches
c. External Carotid Artery is located medially
d. External Carotid Artery is located laterally
29. The thyroid gland can be examined in which of the following triangles of the
neck?
a. Submental
b. Glandular
c. Carotid
d. Muscular (or visceral)
30. The pharyngeal plexus of nerves contain both motor and sensory
components. The motor nerves are to come from which of the following
a. Hypoglossal nerve
b. Glossopharyngeal nerve
c. Vagus nerve
d. Trigeminal nerve
31. Which of the following statements concerning the tracheostomy is incorrect?
a. The emergency tracheostomy is done when there is no time to prepare for a
routine tracheostomy. These may be not sterile surgical instruments available and
no assistance
b. Elective tracheostomy is done by making the vertical incision in the midline of
the neck from the middle of the thyroid cartilage to just above the suprasternal
notch
c. Special and frequent attention is not desirable after the few postoperative
days. The inner tube must be cleaned rarely.
d. During the elective tracheostomy, after the cricoid cartilage is identified the
trachea is opened vertically through its third and fourth rings
LEG
7. How the femoral vein is located to the artery in the lower third of the thigh-
a. In front
b. Behind
c. Medially
d. Laterally
11. At what level it is better to ligate a ligate a femoral artery in the upper third of
thigh
a. It is immediate behind inguinal ligament
b. Below the exit of deep femoral artery
c. Under an exit of a deep artery of a hip
d. On 1 cm below inguinal ligament
15. What arises from the anterior foramen of the adductor canal
a. A femoral artery
b. A femoral nerve
c. A saphenous nerve and a descending genicular artery
d. A descending genicular artery and a femoral nerve
16. Separation of a sciatic nerve into tibial and common peroneal
nerves occurs
a. Below the popliteal fossa
b. In the center of a popliteal possa
c. Above the popliteal fossa
d. After the exit from infra piriformi foramen
20. In a popliteal fossa in front of the femoral (tibial) nerve and medial is located
a. A popliteal artery
b. A popliteal vein
c. Femoral artery
d. Superior medial genicular artery
28. How is the femoral vein located to the artery in the upper third part of the
thigh?
a. In front
b. Behind
c. Medially
d. Laterally
38. How is the femoral vein located to the artery in the lower third of the thigh:
a. In front
b. Behind
c. Medially
d. Laterally
39. Which muscles are located in the posterior compartment of the thigh?
a. Semimembranous, semitendonous, biceps
b. Bicebs, Sartorius, semimembranous
c. Adductor longus, pectineus biceps
d. Sartorius, ilipsoas, pectineus
40. In a popliteal fossa in front of a popliteal vein and also medially located:
a. Superior lateral genicular artery
b. A popliteal inferior lateral artery
c. A popliteal artery
d. Superior medial gencicular artery
AMPUTATION
1. Aim of Amputation-
a. Saving of human life and creation of a stump suitable for prosthetics
b. Partial improvement of a condition of the patient
c. Creation of a stable condition of the patient
d. Deducing of the patient from cardiogenic shock
2.The stump defines Suitability-
a. The general condition of the patient
b. A floor of the patient
c. Age of the patient
d. Length a stump, the form of the stump
7. During amputation at what level the nerve from the bone extremity is
dissected-
a. 1-2 sm
b. 5-6 sm
c. 8-10 sm
d. 10-12 sm
8.What means an exarticulation-
a. Joint disclosing
b. A joint immobilization
c. An arthroplasty
d. Amputation of the exremity on the level of the joint
12. How the main blood vessels after amputation are ligated-
a. The artery and a vein are ligated together
b. The artery and vein are ligated separeatly
c. The artery and a vein are ligated together with a nerve
d. The artery and a vein are ligated together with a bone
29. How many ligatures are required for a dress of the main artery during
amputation:
a. 1
b. 2
c. 3
d. 4
40. Why during war a bullet wound does not sew up after a primary
surgical treatment
a. Because of strong trauma
b. Because of shock
c. To prevent the anaerobic infection
d. Because of a collapse