Faculty of Medicine,
University of Jaffna, Srilanka
1st Incourse Anatomy Compilation Draft
46th Batch
MSU Academic Circle - 2024/2025
M.C.Q
01. Regarding shoulder joint
A. Abduction of shoulder joint is accompanied by movement of the scapula
B. In anterioinferior dislocation, the upper lateral cutaneous nerve of arm has to be tested
C. Subacromial bursa separates the joint capsule from supraspinatus tendon
D. The tendon of the long head of biceps is intrasynovial
E. Injury to glenoid labrum and capsule may result in recurrent dislocation with minimal force.
02.Regarding superficial palmer arch
1.Its formed mainly by ulnar artery
2.Lies along Kaplan’s line
3.Proximal to the deep palmer arch
4.lies on ulnar bursa
5.Gives off palmer metacarpal arteries
03.Regarding the carpus
A. Start to ossify after birth
B. Flexor surface of the articulated carpus is deep concave
C. Scaphoid gives attachment to both flexor and extensor retinaculum
D. Triquetral is the most commonly dislocated bone
E. Hamate fracture may leads to median nerve injury
04.A muscle testing is shown in the figure
A. 2nd dorsal interosseous muscle is tested in this patient
B. T1 myotome supply the interossei
C. Interossei are tested by asking the patient to place the hand flat on the table
D. Dorsal guttering is observed in interossel muscle wasting
E. 1st dorsal interossei abduct the thumb
05.Regarding the ring finger
A. Sensation from it is reaches the 6th cervical spinal segment
B. Its digital synovial sheath is the continuation of ulnar bursa
C. Flexion at the interphalangeal joint is completely lost in injury to median nerve above the level of elbow
D. It is extended at the metacarpophalangeal joint solely by extensor digitorum.
E. Trigger finger results when the flexor tendons can’t glide smoothly in the synovial sheath
06.Regarding clavicular fracture
A.Occurs after fall on the outstretched hand
B.Region between medial 1/3rd and lateral 2/3rd is the weakest point
C.Medial fragment moves downwards
D.lateral fragment moves upwards and outwards
E.Risk in vascular damage is minimum
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MSU Academic Circle - 2024/2025
07.Regarding colles fracture,
A-Risk factor post menopause
B-Cause acute carpal tunnel syndrome
C-Distal fragment displaced ventrally
D-Radial styloid process is distal compared to ulnar styloid process on fractured side
E-POP cast is applied incoporating elbow joint.
08.Which of the following gives correct combination
A.Posterior Interroseous Nerve palsy - can’t extend IPJ of thumb
B.Carpal tunnel syndrome-can’t perform pen test
C.Upper trunk damage-klumpky palsy
D.Ulnar nerve injury-pointed finger
E. Radial nerve injury-forman’s sign positive
09.Regarding Axilla
A.Trunks of brachial Plexus is one of the content of axilla
B.Teres Major forms posterior border of axilla
C.Medial cord of brachial plexus lies medial to the first part of the axillary artery
D.Anteroir scalene muscles divide the axillary artery in to 3 parts
E.Cephalic veins become axillary vein at the lower border of the teres major
10. Which of the following arteries involves in scapular anastomosis?
A.Dorsal scapular artery
B.Subscapular artery
C.Superior thoracic artery
D.Lateral thoracic artery
E.Suprascapular artery
11. Regarding skin,
A.Collagen Fibre irregularly arranged in dermis
B.Sweat glands are absent in palm
C.Meissner corpuscles found in dermal papilae
D.Axillary region consists of obliquely oriented hair follicles
E.Sebaceous gland is simple branch tubular structure
12.Regarding cartilage
A.Matrix of elastic cartilage is avascular
B. More than one chondrocytes are present in lacune
C.Collagen fibers of hyaline cartilage can visible under light microscope
D.Fibrocartilage consists of network of elastic fibers
E.Chondroblasts synthesize matrix of the cartilage
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MSU Academic Circle - 2024/2025
13.Development of skeletal system
A.Base of the skull only from neural crest cells
B.Prenature closure of Corona sature only on one side leads to plagiocephaly
C.Notochord entirely regresses in the regiom of vertebral bodies
D.Lower limb rotates approximately 90 degrees laterally
E.In long bones epiphyseal plate in found on each extremity
14.True or false for genetic disorders- karyotype
A. Down’s syndrome 46,XY/47,XY +21
B. Edward’s syndrome 47,XX +18
C. Triploidy 69,XXX
D. Klinfelder’s syndrome 47,XYY
E. Turners syndrome 44,X
15 .State whether true or false
A. Chromosome22 is classified as metacentric
B.Teenagers affected by turner syndrome may have primary or secondary amenorrhoea
C.Terminal elimination in chromosome 7 result in cri du chat. Syndrome
D.Chromosomal analysis phytoheamogulttenin for arrest of cell cycle
E.Sub class of class numbering from centeromere to terminal of chromosome
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MSU Academic Circle - 2024/2025
SRQ
1. A 50-year-old carpenter presented to the emergency clinic with a cut injury just above the wrist
joint at the ulnar site. Nerve injury was suspected. Which of the following is correct except:
A) 4th metacarpal phalangeal joint are in hyperextension
B) Flexion at the interphalangeal joint in little finger
C) Impaired sensation in hypothenar region
D) Impaired sensation in the ulnar side of the dorsum of the hand
E) Unable to adduct the thumb
2.A patient was asked by the doctor to shrug his shoulder against resistance. The muscle tested here
is?
A. Sternocleidomastoid
B. Levator scapulae
C. Trapezius
D. Latissimus Dorsi
E. Rhomboid major
3.In the mid shaft fracture what is the possible thing happen except
A.Finger drop
B.Wrist drop
C.Elbow extension
D.Weak supination
E.
4.Regarding superficial palmer arch
A.Its formed mainly by ulnar artery
B.Lies along Kaplan’s linea
C. Proximal to the deep palmer arch
D.lies on ulnar bursa
E.Gives off palmer metacarpal arteries
5. Masectomy, axillary clearance is done , Which is fault
A. Axillary clearance is removal of axillary lymph node to stop the spread of cancer
B. Most of the lymph drain into anterior group of axillary lymph node
C. Lymph edema of upper limb that drain into axillary lymph node
D. Sentinel node is the first lymph node which receives lymph drain from cancer
E. Winged scapula occur because of thoraco dorsal nerve
6.Regarding pulp space which statement is correct
A.Thumb, Finger tip
B.Closed space
C.Fibrous septa seperate the space
D.A vascular necrosis occur in the epiphysis of distal phalanges
E.Infection cause severe pain
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MSU Academic Circle - 2024/2025
7.Muscle with Dual nerve innervation
A- FDS
B- Biceps
C- Brachialis
D- Interoseous muscle
E- Corocobrachialis
8.Following the statements are true EXCEPT
A.Supra scapular artery pass above the supra scapular ligament.
B.Superior ulnar collateral artery pierce medial intermuscular septum with Ulnar nerve.
C.Ulner nerve is lateral to ulnar artery in forearm
D.Median nerve pass between two head of pronator teres
E.Lateral cutaneous nerve of forearm is continuation of musculocutaneous nerve.
9.Development skeltal muscle statement are true except
A. Skeletal muscle is derived from lateral mesoderm
B.Somitermers give rise to head of the muscle
C.
D.
E.
10.Which part secretes HCG?
A.Yalk sac
B.Cytotrophoblast
C.
D.
E.Synctiotropoblast
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MSU Academic Circle - 2024/2025
SEQ
1.1.1 Mention the bones that can be palpated in the anatomical snuff box
1.1.2 Write the nerve supply of structure ‘B’ precisely
1.1.3 Classily the joint the structure “C’ forms with the metacarpal bone
1.1.4 Mention the prime action of structure ‘D’
1.1.5 Menion a special feature of blood supply of structure ‘E’
1.1.6 Mention the distribution of structure ‘F’
1.1.7 Mention the clinical use of structure ‘G’
1.18 Mention 2 clinical uses of vascular structure ‘H’
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MSU Academic Circle - 2024/2025
1.2 Answer the question using the line diagram given below
1.2.1 Mention 2 clinical importance of the region indicated by the dash (.....) line
1.2.2 ‘A’ could be injured at this region. How will you test the integrity of the structure
‘A’ during such injury
1.2.3 Mention the deformity that occurs in long-term due to injury to ‘B’
1.2.4 Write the nerve supply of ‘C’
1.2.5 Indicate the structure that accompany ‘D’
1.2.6 Write the movement produced by ‘E’
1.2.7 How will you test ‘F’
1.2.8 Structure ‘G’ winds around which bone when it reaches the forearm
