NicolaeTestemitsanuStateUniversity of Medicine and Pharmacy Department of Topographic Anatomy and Operative Surgery 192, Stefan cel Mare Blvd Chisinau, MD-2004 Republic of Moldova Tel.: 37322-205209 Tel/fax: 37322-295384 To: Class of 2010-2011, year 2, semester 4 TESTS Course in Topographical Anatomy Upper limb Infraclavicular region 1. a) b) c) d) e) Boundaries of the infraclavicular region are: Inferior border of the major pectoral muscle Edge of the sternum Anterior border of the deltoid muscle Clavicle The III rib 2. a) b) c) d) e) Which fascia forms the capsule of the mammary gland: pectoral fascia clavipectoral fascia superficial fascia transversal fascia endothoracic fascia 3. a) b) c) d) e) 4. a) b) c) d) e) Determine which of the following statements are true: the sheath of pectoralis major muscle represents superficial fascia the sheath of pectoralis major muscle is pectoral fascia pectoralis major muscle does not have sheath pectoralis major muscle forms the anterior wall of the superficial subpectoral space pectoralis major muscle is surrounded by clavipectoral fascia The deep layer of pectoral fascia is called: coracoclavicostalis fascia pectoral fascia endocervical fascia clavipectoral fascia axilar fascia 5. a) b) c) d) e) The following statements are true: deltoidopectoral trigonum is limited by: clavicle, deltoid muscle and pectoral major muscle cephalic vein is situated in the deltoidopectoral trigonum supraclavicular nerves are situated in the subcutaneuous infraclavicular layer superficial fascia forms suspensory ligament of mammary gland cephalic vein flows into the basilic vein 6. a) b) c) d) e) The sheath of which muscle is formed by clavipectoral fascia? pectoralis major muscle pectoralis minor muscle serratus anterior muscle deltoid muscle intercostal muscles 7. a) b) c) d) e) Superficial subpectoral space is situated: posterior to pectoralis major muscle anterior to pectoralis minor muscle and clavipectoral fascia posterior to superficial fascia anterior to deep fascia in the subcutaneous fatty tissue 8. a) b) Deep subpectoral space is located between: pectoral fascia pectoral major muscle c) d) e) clavipectoral fascia pectoral minor muscle deep lamina of the clavipectoral fascia 9. a) b) c) d) e) Pus gathering in the superficial subpectoral space may spread to axilar cavity through the course of: coracohumeral ligament suspensory ligament of axilla cephalic vein thoracoacromial artery and anterior thoracic nerves all answers are true 10. a) b) c) d) e) Clavipectoral fascia inserts on clavicle coracoid process sternum ribs I-V pectoralis muscle 11. a) b) c) d) e) The mammary gland is enervated by: branches of intercostal nerves II-VII brancehs of cervical plexus anterior thoracic braches of brachial plexus phrenic nerves vagus nerves 12. a) b) c) d) e) What neurovascular formation crosses through superficial subpectoral space? Branches of toracoacromial trunk Anterior thoracic nerves Lateral thoracic nerves and arteries superior thoracic artery. Thoracodorsal artery and descending scapular artery 13. a) b) c) d) e) Where flows cephalic vein? In axillary vein In subclavicular vein In bazilic vein In jugular vein In brahial vein 14. What is the projection of the axillary artery in the infraclaviculară region? a) a line drawn from the border of the medial and middle third of the clavicle to the internal margin of coraco-brachial muscle in arm abduction b) a line drawn from the lateral edge of the sternum to the greater tubercle of the humerus in arm adducted c) a line drawn from the sternal manumbrium to the greater tuberucle of the humerus in arm adducted d) a line drawn from the lateral edge of the sternum to the greater tubercle of humersului in arm abduction. e) a line drown between the medial part and middle third of the clavicle to the inside part of the coraco-brachial muscle in arm adduction 15. a) b) c) d) e) In trigonum clavi-pectorales vessels and nerves are placed in the following sequence: Inferior axillary vein , above axillary artery and higher brachial plexus Inferior axillary artery , above axillary vein and higher brachial plexus Inferior axillary vein , above brachial plexus and higher axillary artery Inferior axillary artery , above brachial plexus and higher axillary vein Inferior brachial plexus, above axillary vein and higher axillary artery 16. a) b) c) d) e) In trigonum clavi-pectorales from the axillary artery starts following branches: a. thoracica superior a. toracoacromialis a. clavipectoralis ramura pectoralis ramura deltoidea 17. a) b) c) d) e) Lymphatic drainage from the infraclavicular region occurs in: Infraclavicular lymph nodes Axillary lymph nodes Brachial lymph nodes Sternal lymph nodes Prescapular lymph nodes Scapular region 1. a) b) c) d) e) Deep fascia of scapular region forms sheath for next muscles: supraspinatus muscle infraspinatus muscle teres minor muscle latissimus dorsi muscle trapezius muscle 2. d) e) The superficial group of muscles from scapular region are: teres major teres minor latissimus dorsi supraspinatus trapezius 3. a) b) c) d) e) The osteofibrous scapular sheaths are filled with: trapezius muscle supraspinatus muscle latissimus dorsi muscle infraspinatus muscle teres minor et major muscles 4. a) b) c) d) e) Main arteries that form the scapular arterial anastomosis are: a. suprascapularis a. axilaris a. toracoacromialis a. circumflexa scapulae ramus descendens a. transversae colli 5. a) e) The scapular region is enervated by the following nerves: suprascapular n. infrascapular n. subscapular n. lateral thoracic n dorsal scapular n. 6. a) b) c) d) e) What is the optimal segment for the axillary artery ligation? more distal to the site of emergence of the subscapular artery less proximal to the site of emergence of the tireocervical trunk More distal from the origin of anterior and posterior humeral circumflex artery in the segment between subscapular artery and supreme thoracic artery in the segment between subscapular artery and tireocervical trunk 7. a) b) c) d) e) What is the critical segment of the axillary artery ligation? proximal to the site of emergence of the tireocervical trunk in the segment between subscapular artery and supreme thoracic artery in the segment between subscapular artery and tireocervical trunk in the segment between the subscapular artery and deep arm artery in the segment between the lateral thoracic artery and supreme thoracic artery 8. a) b) c) d) e) What are the osteofasciale lodges within the scapular region? supraspinatus lodge (between the supraspinatus fossa and fascia supraspinatus) medium box (between fossa supraspinatus and infraspinatus fascia) infraspinatus lodge (between the infraspinatus fossa and infraspinatus fascia) what is situated previously to scapula (between subscapular fossa and fascia covering the subscapularis m) subscapularis lodge (between fascia infraspinatus and supraspinatus fossa) 9. a) b) c) d) e) Suppurative process in cellular space located between m trapezius and supraspinatus muscle can be spread to: axillary fossa subdeltoid space lateral triangle of the neck in supraspinatus lodge in infraspinatus lodge a) b) c) b) c) d) Deltoid region 1. b) c) d) e) Axilary nerve can be injured in the deltoid region: by the acromial process on the posterior margin of deltoid muscle on the anterior margin of deltoid muscle at the inferior limit of deltoid muscle at the superior limit of deltoid muscle 2. What vessels and nerves are situated in the subdeltoid space? a) a) b) c) d) e) anterior circumflex humeral a. posterior circumflex humeral a. dorsal scapular n. axillary n. subscapular a. 3. c) d) e) Wound on the posterior margin of deltoid muscle. Arm abduction suffers. Probably is injured: brachial plexus suprascapular nerve axillary nerve musculocutaneus nerve radial nerve 4. a) b) c) d) e) In the fracture of the surgical neck of the humeral bone the following can be injured: long head of the brachial biceps muscle circumflex posterior humeral artery axillary nerve radial nerve circumflex anterior humeral artery 5. a) b) c) d) e) What vessels pump blood into the Deltoid muscle? deltoid branch of toracoacromiale artery humeri posterior circumflex artery humeri anterior circumflex artery scapular artery circumflex artery scapulae a) b) Axillary region 1. a) b) c) d) e) Which of the following limits of axillary fosae are correct: inferior margin of pectoralis major muscle inferior margin of pectoralis minor muscle inferior margin of latissimus dorsi muscle conventional lines which connect pectoralis major muscle with latissimus dorsi muscle laterally and medially inferior margin of subscapular muscle 2. a) b) c) d) e) Posterior wall of the axillary cavity is made of: subscapular muscle teres major and minor muscles latissimus dorsi muscle long head of the brachial triceps muscle pectoral major and minor muscles 3. a) b) c) d) e) Through the quadrilateral foramen of the posterior wall of the axillary cavity passes: axillary artery subscapular nerve scapular circumflex artery axillary nerve posterior circumflex humeral artery 4. a) b) c) d) e) Through the trilateral foramen of the posterior wall of the axillary cavity passes: subscapular artery subscapular nerve circumflex scapular artery circumflex posterior humeral artery and axillary nerve toracodorsal artery 5. a) b) c) d) e) Anterior wall of the axillary cavity is made of: pectoral minor muscle with clavipectoral fascia axillary fascia deep subpectoral space pectoral major muscle serratus anterior muscle 6. a) b) c) d) e) Lateral wall of the axillary cavity is made of: coracobrachial muscle and short head of the biceps brachial muscle triceps brachial muscle humeral bone proper fascia brachioradial muscle 7. a) b) Medial wall of the axillary cavity is made of: clavipectoral fascia thoracic wall c) d) e) serratus anterior muscle pectoral minor muscle pectoral major muscle 8. a) b) c) d) e) The projection line of the axillary artery is drawn between: anterior and medial 1/3 of axillary fossa inferior margin of pectoralis major muscle posterior and medial 1/3 of axillary fossa half distance between pectoralis major muscle and latissimus dorsi muscle coracoid process medial epicondyle of humerus 9. a) b) c) d) e) The quadrilateral foramen is bounded by: teres major muscle coracobrachial muscle teres minor and subscapular muscles humeral bone long head of the triceps brachial muscle 10. a) b) c) d) e) The trilateral foramen is bounded by: teres major muscle coracobrachial muslce teres minor and subscapular muscles humeral bone long head of the triceps brachial muscle 11. a) b) c) d) e) Apex of the axillary cavity is situated between: elements of the shoulder articulation I rib clavicle pectoralis minor muscle deltoid muscle 12. a) b) c) d) e) In the clavipectoral triangle the syntopy of the neurovascular bundle regarding the axillary artery is: medially - axillary vein laterally - brachial plexus medially - the medial fascicle of the brachial plexus laterally - the lateral fascicle of the brachial plexus medially - cephalic vein 13. a) b) c) d) e) In the pectoral triangle the following branches start from the axillary artery: superior thoracic artery thoracoacromial artery and lateral thoracic artery lateral thoracic artery, circumflex posterior humeral artery and circumflex scapular artery lateral thoracic artery all answers are false 14. a) b) c) d) e) In the subpectoral triangle the following branches start from the axillary artery: thoracoacromial artery circumflex posterior humeral artery circumflex scapular artery subscapular artery circumflex anterior humeral artery 15. a) b) c) d) e) Collateral circulation will be more efficient if the ligature of the axillary artery will be placed: proximal to the lateral thoracic artery distal to the circumflex humeral posterior artery proximally to the subscapular artery distal to the subscapular artery proximal to the thoracoacromial artery 16. a) b) c) d) e) In the subpectoral triangle the axillary artery is surroundingby: median n. musculocutaneus n. ulnar n., medial cutaneus n. of arm and forearm radial n., axillary n. suprascapular n. 17. a) b) c) d) e) What are the possible directions of pus direct diffusion from axillary cavity? to the subdeltoid cellular space to subpectoral superficial cellular space to antescalen and interscalen cellular spaces to infraspinatus lodge and prescapular cellular spaces to supraspinatus lodge 18. a) b) c) d) Axillary cavity is lined by: 5 groups of lymph nodes adipose tissue cell axillary neurovascular bundle branches generated by axillary artery e) suprascapular artery and suprascapular n. 19. a) b) c) d) e) Which of the following statements regarding the axillary lymph nodes are correct: all groups of axillary lymph nodes drain into subclavian lymphatic trunk Medial Group collects lymph from the anterolateral wall of the abdomen and upper chest navel mammary gland lymph node from the IIIrd coast, which is first affected in mammary gland cancer metastasis - gang. Zorghius posterior nodes situated on the path of subscapular artery collecte lymph from the top of the back and posterior cervical area all groups of axillary lymph nodes drais into the jugular lymphatic trunk 20. a) b) c) d) e) Which is the possible way for pus diffusion from axillary cavity to the superficialsubpectoral space? in the path of axillary n and posterior humeral circumflex artery in the path of subscapular artery and downward branch in the path of lateral thoracic artery and circumflex prior humeral artery in the path of thoracodorsal artery in the line of the toracoacromial trunk 21. a) b) c) d) e) Which is the possible way for pus diffusion from the axillary cavity to antescalen and interscalen adipose cellular spaces? in the path of the scapula circumflex artery and axillary nerve in the path of lateral thoracic artery and supreme thoracic artery in the line of the cephalic vein and lateral cutaneous nerve of the arm in the line of the axillary neurovascular bundle in proximal direction on the path of toracoacromiale artery and pectoral muscle branches 22. a) b) c) d) e) Which is the possible way to disseminate the pus from axillary cavity to subdeltoid space? in the path of radial n and subscapular artery in the path of axillary n and anterior and posterior circumflex humeral artery in the pathof ulnar n and musculocutaneous n in the path median n and radial n. on the path of circumflex scapular artery 23. a) b) c) d) e) What are the limits of subpectoral trigone? is located between the lower edge of the pectoralis minor and the lower edge of the pectoralis major the lines drawn through the edges of the lower pectoral muscle the line drawn through the lower edge of the major pectoralis muscle line drawn through the bottom of the clavicle and the lower edge of pectoralis minor muscle the line drawn through the bottom of the pectoralis major and the coast XII 24. a) b) c) d) e) What are the limits of pectoral trigone corresponds to the lower edge of the minor pectoralis and lower edge of the major pectoralis corresponds to the boundary of the lower pectoral muscle corresponds to the limit major pectoralis muscle corresponds to the lower edge of the clavicle and the bottom of the minor pectoralis corresponds to the lower edge of the major pectoralis and the XII rib 25. a) b) c) d) e) Posterior cellular tissue of the axillary cavity communicates with? with the cellular tissue of scapular region through the crack formed between the medial and posterior wall of the axillary cavity with the subdeltoid cellular tissue through the quadrilateral hole in the line of axillary nerve and posterior circumflex humeri artery with infraspinatus osteo-fibrous box through the trilateral hole with the infraclavicular cellular tissue in the path cephalic vein with the brachial cellular tissue on axillary n path 26. a) b) c) d) e) Which statements regarding the axillary artery are true: the axillary artery is a continuation of subclavian artery the first portion of the axillary artery passes from the lateral edge of the pectoral muscle until small ribs (within triangle clavipectoral) a second portion of the axillary artery lies posterior to the lower pectoral muscle (the pectoral triangle limit) the third portion of the axillary artery is found within subpectoral triangle The fourth part of the axillary artery passes the quadrilateral hole 27. a) b) c) d) e) From where is collected the lymph in medial axillary lymph nodes? from the mammary gland from the anterolateral thoracic walls from the upper limb from the neck region of the anterolateral abdominal walls 28. a) b) c) d) e) Where is performed the lymph drain from axillary lymph nodes carried out? in the subclavicular lymph nodes in the brachial lymph nodes in abdominal lymph nodes in mediastinal lymph nodes none of the mentioned above refer to axillary lymph nodes 29. a) b) c) d) e) Which of the following statements are true? axillary fossa is bounded from axillary cavity by its own fascia anterior muscle forms the medial wall of the axillary cavity latisimus dorsi muscle, teres major and subscapularis muscle form the lateral wall of the axillary cavity rectangle hole is on posterior wall of axillary cavity trilateral hole is located on the posterior wall of the axillary cavity 30. a) b) c) d) e) Which of the following statements are false? pectoral and subpectoral trigone is situated on anterior wall of the axillary cavity ulunar nerve passes on medial wall of the axillary cavity axillary vein lies anterior and lateral to the axillary artery axillary vein lies anterior and lateral to the axillary artery scapulae circumflex artery passes the quadrilateral hole Shoulder joint 1. a) b) c) d) e) Which portion of the shoulder joint is not supported by muscles: anterior posterior extern medial is supported by muscles all around 2. a) b) c) d) e) Which nerve can be injured if the shoulder is dislocated antero-inferior: median n. radial n. ulnar n. axillary n. all nerves can be injured 3. a) b) c) d) e) Humeral dislocation occurs more often in cases of absence or underdevelopment of which ligament: coracohumeral oracoacromial tendon of the long head of biceps brachial muscle median glenohumeral superior glenohumeral 4. a) b) c) d) e) Articular surface of the humeral head bone and articular fossa of the scapula is increased because of: superior glenohumeral ligament inferior glenohumeral ligament glenoid labrum lateral epicondyle medial epicondyle Brahial region 1. a) b) c) d) e) The projection line of the brachial artery and median nerve is drawn between: anterior and medial 1/3 of the axillary fossa posterior 1/3 of the axillary fossa centre of cubital plica medial epicondyl ateral epicondyl 2. a) b) c) d) e) The projection line of the ulnar nerve in the inferior 1/3 of the arm connects the following points: the limit between medial and inferior 1/3 of the bicipital groove medial epicondyl lateral epicondyl centre of cubital plica lateral bicipital groove 3. a) b) c) d) e) In the anterior region of the arm the radial nerve corresponds to: the inferior 1/3 of the lateral bicipital groove the inferior 1/3 of the medial bicipital groove corresponds to the medial bicipital groove corresponds to the projection of the ulnar nerve has no projection on the anterior region of the arm 4. a) b) c) d) e) In the subcutaneous fatty tissue of the anterior region of the arm lies: cephalic vein basilic vein median nerve medial cutaneus nerve of arm and forearm radial nerve 5. a) Proximal third of the anterior fascial lodge of the brachial region contains: m. triceps brachii, n. radialis b) c) d) e) m. coracobrachialis, m. biceps brachii, m. brachialis a., v. brachialis, n. medianus, n. musculocutaneus ulnar n. teres minor m. 6. a) b) c) d) e) Distal third of the anterior fascial lodge of the brachial region contains: Coracobrachialis muscle, n. radialis, v. basilica long head of biceps brachii m., n. cutaneus brachii lateralis biceps brachii muscle, m. brachialis, a. and v. brachialis, a. collateralis ulnaris inferior N. medianus, n. musculocutaneus cutaneus brachii medialis nerve, n. cutaneus antebrachii medialis 7. a) b) c) d) e) Syntopy of the main brachial neurovascular bundle in the inferior third is: ulnar nerve, median nerve, brachial vein, brachial artery median nerve, brachial vein, brachial artery brachial vein, radial nerve, brachial artery ulnar nerve, musculocutaneous nerve, brachial vein. brachial artery, forearm cutaneus medialis nerve, vena basilica 8. a) b) c) d) e) Ulnar nerve in the superior 1/3 of the arm is situated: medial and posterior to the median n. lateral from the brachial a. medial to the brachial a. lateral to the basilic v. medial to the basilic v. 9. a) b) c) d) e) Ulnar nerve in the inferior 1/3 of the arm is situated: anterior and medial to the brachial a. between the medial epicondyl of humerus and olecranon in the fascial sheath of the triceps brachii m. between brachial m. and biceps brachii m. in the fascial sheath of the biceps brachii m. 10. a) b) c) d) e) Critical area of the main arterial trunk of the upper limb is situated between: deep brachial artery anterior circumflex humeral artery scapular circumflex a. posterior circumflex humeral artery subscapular artery 11. a) b) c) d) e) In the medial 1/3 of the arm the musculocutaneus nerve is situated between: coracobrachial m. brachial m. brachioradial m. triceps brachii m. biceps brachii m. 12. a) b) c) d) e) Identify the anatomical structures situated in the posterior fascial lodge of the medial 1/3 of the arm: triceps brachii m. radial n. deep brachial a. musculocutaneus n. superior collateral ulnar a. 13. a) b) c) d) e) The projection line of the radial nerve on the arm is the line that connects: posterior margin of the deltoid m inferior 1/3 of the lateral bicipital groove greater tubercle of the humerus bone lateral epicondyle of the humerus inferior 1/3 of the medial bicipital groove 14. a) b) c) d) e) Through the humeromuscular canal passes: axillary nerve and lateral ulnar collateral artery posterior circumflex humeral a. musculocutaneous nerve and medial ulnar collateral artery radial n. deep brachial a. and v. 15. a) b) c) d) e) In the groove formed by the medial humeral epicondyle and the olecranon are situated: ulnar n. superior ulnar collateral a. inferior ulnar collateral a anterior ulnar recurrent a. deep brachial a. 16. The humeromuscular canal is situated: a) b) c) d) e) in the posterior fascial lodge of the arm in the anterior fascial lodge of the arm between the humerus and the triceps brachii m. between the humerus and the biceps brachii m. this canal is situated in another region 17. a) b) c) d) e) Terminal branches of the deep brachial a. are: radial collateral a. medial collateral a. superior collateral ulnar a. inferior collateral ulnar a. none of the answers are true 18. a) b) c) d) e) Determine which of the statements are true radial n. can be injured in cases of fracture of the humerus in the middle 1/3 radial n. passes through tha humeromuscular canal ligature of the brachial a. is better to be performed proximal to the deep brachial a. in the inferior 1/3 of the brachial region the ulnar n. is situated in the posterior fascial lodge radial n. gives branches in the middle 1/3 of the forearm 19. a) b) c) d) e) In case of fracture of the humeral bone proximal to the insertion of the deltoid m. bone fragments displace: proximal fragment is externally rotated under the action of infraspinatus and teres minor mm. proximal fragment is displaced lateral and anterior under the action of supraspinatus and deltoid mm. proximal fragment is displaced medial under the action of teres major and pectoralis major mm. distal fragment is displaced lateral and superior under the action of deltoid m. distal fragment is displaced posterior under the action of biceps brachii m. 20. a) b) c) d) e) Which of the following statements about the basilica vein in the distal third of the arm are correct? is located more superficially from the own fascia is accompanied by medial cutaneous nerve of forearm is disposed in superficial fascia is disposed between the superficial fascia blades (channel Pirogov) is located appropriate to medial bicipital groove 21. a) b) c) d) e) Cephalic vein is located on the arm: between slats of the fascia propria under their own fascia in subcutaneous adipose tissue in the middle third it is situated in Pirogov channel in the proximal third is under their fascia propria 22. a) b) c) d) e) Basilica vein in the middle third of the arm is situated: under fascia propria under superficial fascia in a duplication of fascia propria (Pirogov channel) in subcutaneous adipose tissue between the superficial fascia and fascia propria 23. a) b) c) d) e) Which of the following statements about brachial neurovascular bundle syntopy is incorrect: the median nerve in the proximal third of the arm is more laterally disposed from artery the median nerve in the proximal third of the arm is disposed posterior from brachial artery median nerve intersects in the middle third the anterior brachial artery median nerve intersects in the middle third the posterior brachial artery median nerve in the distal third of the arm is disposed medial to the brachial artery 24. a) b) c) d) e) At the border with cubital region radial nerve is located between the following formations: biceps brachii muscle brahioradial muscle triceps brachii muscle pronator teres muscle brachial muscle 25. Which of the following statements about the topography of the ulnar nerve on the arm are correct: a) ulunar nerv at the border between proximal and middle third of the arm leaves the anterior lodge of the arm by penetrating medial intermuscular septum b) in the limits of middle third is disposed in anterior lodge of the arm c) in the limits of middle third it locates parallel to medial intermuscular septum in posterior lodge of the arm d) is accompanied in middle and lower third by the superior ulnar collateral artery e) in the distal third of the arm is located in the lodge of the triceps brachii muscle 26. a) b) c) d) e) Which of the following statements about the topography of musculocutaneous nerve on the arm are correct: in the proximal third penetrates coracobrahial muscle in the proximal third penetrates biceps brachii muscle in the middle third is arranged between brachial muscle and biceps brachii muscle in the lower third gushes from under the lateral edge of the biceps brachii muscle penetrating brachial fascia in the lower third it locates between triceps brachii muscle and brahioradial muscle 27. What cutaneous vein accompanies medial cutaneous nerve on the arm? a) b) c) d) e) basilic vein cephalic vein axillary vein brachial vein cubital vein 28. a) b) c) d) e) Brachial artery pulsation can be determined at the mid of medial edge of the arm at the medial edge of the deltoid muscle at the lateral edge of the biceps muscle at the point of attachment to the arm of the deltoid muscle artery pulsation can not be appreciated on the arm 29. a) b) c) d) e) Which is the optimal place for ligation of brachial artery in the upper third of the arm? distal ligation to the origin of the deep brachial artery ligation until deep brachial artery both methods are possible none of those listed is preferable to ligation deep brachial artery ligation only 30. a) b) c) d) e) Skin of posterior region of the arm is innervated by posterior cutaneous nerve of arm that derived from: radial nerve ulunar nerve axillary nerve musculo-cutaneous nerve the median nerve 31. a) b) c) d) e) At what level basilic vein passes through subcutaneous cellular layer of the brachial region? in lower third in medium third in upper third basilica vein do not pass in the subcutaneous space of the brachial region from cubital region immediately is placed in his fascial channel 32. a) b) c) d) e) At compression of which nerve installs paresthesia after tourniquet application in the middle third of the arm? median nerve musculo-cutaneous nerve ulunar nerve radial nerve axillary nerve Cubital region 1.In the subcutaneuous fatty tissue of the anterior cubital region are situated: a) basilica and cephalic vv. b) medial and lateral cutaneus nerves of forearm c) intermediate vein cubits in case of H type anastomosis presence d) median cephalic and median basilica veinsin case of M type anastomosis presence e) median n. 2.In the cubital fossa the brachial a. is: a) medial to the tendon of the biceps brachii m. b) lateral to the tendon of the biceps brachii m. c) accompanied by the median n. d) accompanied by the musculocataneous n. e) superficial to the proper fascia 3.What muscles are situated in the lateral fascial lodge of the cubital fossa: a) brachioradial m. b) biceps brachii m. c) brachial m. d) supinator m. e) pronator teres m. 4.What muscles are situated in the medial fascial lodge of the cubital fossa: a) pronator teres m. b) palmaris longus m. c) flexor digitorum mm. d) supinator m. e) all answers are true 5.Where in the cubital fossa is situated the radial nerve: a. in the lateral intermuscular septum, between the brachioradial and brachial mm. b. in the lateral intermuscular septum, between the brachial and biceps mm. c. d. e. in the medial intermuscular septum adhere to the joint capsule in the thickness of the pronator teres m. 6.Determine what statements are true: a) in the cubital fossa the superficial branch of the radial n. is situated between the brachioradial and supinator mm. b) the deep branch enters the supinator canal c) the radial n. has only one branch d) the superficial branch of the radial n. is accompanied by the radial a. e) the deep branch of the radial n. is accompanied by the radial a. 7.About the radial artery are true: a) is situated between the pronator teres and the brachioradial mm. b) is situated under the palmaris longus m. c) is accompanied by the median n. d) is accompanied by the superficial branch of the radial n. e) is accompanied by the ulnar n . 8.About the ulnar artery are true: a) is situated between the superficial and deep flexor digitorum mm. b) is accompanied by the deep branch of the radial n. c) from the ulnar a. starts ulnar recurrent a. d) is situated superficially above the pronator teres m. e) is situated on the interosseous membrane 9. The arterial net of the elbow joint region is formed by the anastomoses between: a) posterior circumflex humeral a. and recurrent interosseous a. b) superior ulnar collateral a. and deep brachial a. c) superior ulnar collateral a. and posterior ulnar recurrent a. d) radial collateral a. and radial recurrent a. e) inferior ulnar collateral a. and anterior ulnar recurrent a. 10. The osteofibrous canal through which the ulnar n. passes in the cubital region is formed by: a) medial epicondyl of humerus b) lateral epicondyl of humerus c) olecranon d) proper fascia and superficial tissues e) the head of radial bone 11. Through the canal of the ulnar n. in the cubital region passes: a) ulnar n. b) radial n. c) median n. d) superior ulnar collateral a. e) inferior ulnar collateral a. 12. Vena basilica in the cubital region is found: a) in the celualar subcutaneous space b) between muscle c) under its fascia d) between the superficialis fascia and the proper fascia e) in the superficial fascia space 13. Which of the subcutaneous veins of the cubital region is more convenient for veno-puncture. a) cephalic vein b) vena basilica c) the radial vein d) vein ulunară e) anastomosis between the cephalic and basilica vein 14. During blood pressure measurement phonendoscopic capsule in the cubital fossa should be placed...? a) at the lateral edge of the biceps brachii tendon b) at the medial edge of the brachial biceps tendon c) on the brachial biceps tendon d) at the medial edge of the epicondyle radial e) none of the above mentioned 15. In cubital fossa the median nerve is located in relation to the brachial artery...? a) posterior to brachial artery b) medial to brachial artery c) above the brachial artery d) lateral to brachial artery e) These two anatomical structures go separately Atebrachial region 1. a) b) c) d) e) Projection of the ulnar neurovascular bundle on the forearm is the line that connects: tendon of the biceps brachii m. styloid process of the ulna medial epicondyle of the humerus pisiform bone olecranon 2. a) b) c) d) e) Projection of the radial neurovascular bundle on the forearm is the line between: tendon of biceps brachii m. middle of the cubital fossa styloid process of the radius lateral epicondyl of the humerus scaphoid bone 3. a) b) c) d) e) The projection line of the median nerve on the forearm connects: tendons of the biceps brachii m. middle of the cubital fossa middle point between the styloid processes of radius and ulna medial epicondyl of the humerus middle point between the tendon of the flexor carpi radialis m. and palmaris longus m. 4. a) b) c) d) e) In the subcutaneous fatty tissue of the anterior region of the forearm we can find: cephalic and basilic vv. medial and lateral cutaneous nerves of the forear ulnar and radial aa. median n. median a. 5. a) b) c) d) e) Determine which of the statements are true: 2 septums start from the proper fascia in the forearm region the muscles are stratified in 3 layers in the anterior region of the forearm the 4th layer is represented by pronator quadratus m. main neurovascular bundles of the forearm are situated in the subcutaneous layer the Paron-Pirogov space is situated between the 3rd and 4th layer of flexor muscles 6. b) c) d) e) Determine between which muscles is situated the radial artery in the medial 1/3 of the forearm: brachioradialis m. pronator teres m. flexor carpi radialis m. flexor digitorum superficialis m. supinator m. 7. a) b) c) d) e) The median nerve in the medial 1/3 of the forearm is situated between: superficial flexor of the fingers m. deep flexor of the fingers m. palmaris longus m. flexor carpi ulnaris m. flexor carpi radialis m. 8. a) b) c) d) e) The adipose space of Paron-Pirogov on the forearm is delimited by: deep flexor of fingers m. long flexor of policis m. superficial flexor of fingers m. interosseous membrane pronator quadratus 9. a) b) c) d) e) The lateral neurovascular bundle of the forearm is formed by: radial artery and vein radial n. median n. superficial branch of radial n. deep branch of radial n. 10. a) b) c) d) e) The medial neurovascular bundle of the forearm is formed by: radial a. ulnar artery and vein radial n. median n. ulnar n. 11. a) b) c) d) e) The median nerve is accompanied on the forearm by: comitans a. median a ulnar a. radial a. none of the answers a) 12. In the medial 1/3 of the forearm the median nerve is situated: a) under the proper fascia b) c) d) e) between carpiradialis mm. and palmaris longus m. between brachioradialis and flexor carpi radialis m. between superficial flexor of fingers and flexor carpi ulnaris m. between superficial digitorum mm. and deep digitorum mm. 13. a) b) c) d) e) The radial groove in the medial and inferior 1/3 of the forearm is limited by: brachioradial m. flexor carpi radialis m. pronator teres m. palmaris longus m. pronator quadratus m. 14. a) b) c) d) e) The ulnar groove of the forearm is limited by: flexor carpi ulnaris m. superficial flexor of fingers m. brachioradial m. palmaris longus m. pronator teres m. 15. a) b) c) d) e) What passes through the supinator canal? radial nerve deep branch of the radial nerve together with the radial collateral artery deep branch of the radial nerve posterior interosseous nerve of the forearm radial artery 16. a) b) c) d) e) The supinator canal has the following boundaries: anular radial ligament supinator m. brachioradial m. middle diaphysis of the radial bone neck of the radial bone 17. a) b) c) d) e) What is the manifestation of the supinatory canal syndrome: diminished skin sensibility of the anterior-lateral region of the forearm diminished skin sensibility of the posterior region of the forearm diminished force of extension of the hand and fingers inability to flex the hand and fingers ischemia of the tissues of the posterior region of the forearm 18. a) b) c) d) e) Neurovascular bundle of the posterior region of the forearm is formed by: posterior nerve of the antebrachii the terminal branch of the deep branch of the radial n. posterior interosseous artery and two interosseous veins radial a. posterior artery of the forearm 19. a) b) c) d) e) The adipose layer from the posterior region of the forearm communicates with the Pirogov space: along the perivascular tissue of the interosseous arteries through the supinator canal through the openings into the interosseous membrana through the ulnar groove through the radial groove 20. a) b) c) d) e) The fatty tissue space from the posterior region of the forearm is displaced: between the superficial and the deep layers of muscles between the deep layer of muscles and the interosseous membrana above the superficial layer of muscles between the superficial muscles in this region the fatty tissue space does not exist 21. a) b) c) d) e) The median groove is situated between: flexor carpi radialis m. flexor carpi ulnaris m. superficial flexor of fingers m. deep flexor of fingers m. pronator teres m. 22. a) b) c) d) e) The neurovascular interosseous anterior bundle from the forearm region represents branches of: median n. ulnar n. ulnar a. and v. radial a. and v. radial n. 23. a) b) c) The third layer of muscles from the anterior region of the forearm consists of: long flexor of thumb m. deep flexor of fingers m. superficial flexor of fingers m. d) e) pronator teres m. pronator quadratus m. 24. a) b) c) d) e) Which of the following statements about the topography of median nerv in proximal third of the forearm are correct: passes under the pronator teres muscle passes under the supinator muscle passes through the heads of pronator teres muscle passes under the flexor digitorum superficialis muscle passes between flexor digitorum superficialis and profundus muscles 25. a) b) c) d) e) Which of the following statements regarding the ulnar n topography in the proximal third of the forearm are correct: at the border with the middle third is dispose in ulunar canal of the forearm within the proximal third goes under the flexor carpi ulnar muscle passes through the carpal ulnar flexor muscle passes through ulnar carpal flexor muscle and pronator teres muscle passes under pronator teres muscle 26. a) b) c) d) e) Which of the following statements regarding the topography of ulnar a. in the proximal third of the forearm are correct: from the bifurcation place goes under pronator teres m from the bifurcation site goes under ulnar carpal flexor muscle passes under the surface flexor m of the fingers passes under the deep flexor m of fingers passes through superficial mand deep flexor m. of fingers 27. a) b) c) d) e) Which of the following statements describe the topography of the neurovascular bundle in radial forearm region: in the proximal third of the forearm there is located between pronator teres m and brahioradial m in the middle and distal third is located between radial carpal flexor m and brahioradial m superficial branch of the radial n is more laterally disposed towards artery The superficial branch of the radial n is disposed more medial to artery radial n is disposed laterally to artery 28. a) b) c) d) e) Ulnar neurovascular bundle within the forearm has the following topography: ulnar neorovascular package itself is present in all three thirds of the forearm ulnar neorovascular package is present only in the middle and distal third of the forearm ulnar nerve is dispoesd more laterally to ulnar artery ulnar nerve is disposed more medial to ulnar artery the ulnar nerve in the limitsof proximal third of the forearm passes under ulnar carpal flexor musсle 29. a) b) c) d) e) Between tendons of what muscles there is situated the median n.in the lower third of the forearm between the pronator teres between flexor carpi radialis m between palmaris longus m between flexor carpi ulunaris m between the flexor digitorum superficialis 30. At patient B in the lower third of the forearm on the front part it could be seen a cut wound. The examination determines flexion lack of the fingers 1, 2 and 3, skin sensitivity loss in the palmar region of the fingers 1, 2, 3; which nerve is damaged? a) the median nerve was injured b) the ulunar nerve was injured c) the superficial branch of the radial nerve was injured d) deep branch of the radial nerve was injured e) lateral cutaneous nerve of the forearm was injured 31. a) b) c) d) e) Between the ends of which muscles passes the median nerve in the upper third of the forearm? \ brahioradial m flexor carpi ulunaris m flexor carpi radialis m pronator teres m long palmar m 32. a) b) c) d) e) What muscles cover the anterior interosseous neurovascular bundle in the lower third of the forearm? pronator round m pronator teres muscle deep flexor of fingers flexor carpi ulunaris flexor carpi radialis 33. a) b) c) d) e) List the elements that enter into the composition of the anterior interosseous neurovascular bundle of the forearm? the median nerve radial artery anterior interosseous artery anterior interosseous nerve posterior interosseous vein 34. a) b) c) d) To assess the pulse in the lower third of the forearm, radial artery is the most optimal, which is this due to? location of the artery just below its fascia propria of the forearm locating the artery to the external surface of radius bone the large diameter of the radial artery lack of blood collaterals and nerve e) the location of the artery in the subcutaneous space 35. a) b) c) d) e) Lateral surface of the forearm skin is innervated by the lateral cutaneous nerve, which is the origin of this nerve? from musculo-cutaneous nerve from the median nerve from the radial nerve from the side beam of the brachial plexus from medial bundle of the brachial plexus Hand region 1. a) b) c) d) e) In the subcutaneous tissue of the carpian region we can find the following structures: cephalic and basilic vv. intermediate v. medial cutaneus nerve of the forearm radial n. lateral cutaneus nerve of the forearm 2. a) b) c) d) e) Carpal canal contains the following anatomical structures: ulnar n. superficial branch of the radial n. tendons of the superficial and deep flexors of fingers tendon of the long flexor muscle of the thumb median n. 3. a) b) c) d) e) Carpi-ulnar canal (of Guyon) contains: tendon of the flexor carpi ulnar m. ulnar artery and vein ulnar n. tendon of the flexor digiti minimi m. all answers are true 4. a) b) c) d) e) The syntopy of the anatomical structures in the carpiulnar canal (of Guyon) : the artery is situated medial to the nerv the nerv is situated superficially the artery is situated lateral and superficially the nerv is situated deep and medial to the artery the vein is situated medial to the nerv 5. a) b) c) d) e) The carpi-radial canal contains: radial artery and vein radial n. tendon of the flexor carpi radialis m. medial n. superficial branch of the radial n. 6. a) b) c) d) e) Median nerve compression syndrome in the carpian region is determined by: localization of the nerve between dense fibrous structures with low stretchability localization of the comitans artery of the median n. limitrophe localization of the pisiform bone thickening of the carpal volar ligament thickness of the median n. 7. a) b) c) d) e) In the subcutaneous tissue of the posterior carpian region are situated the following structures: cephalic and basilic vv. tendons of the extensors medial and lateral cutaneus nn. of the forearm posterior cutaneus n. of the forearm superficial branch of the radial n., dorsal branch of the ulnar n. 8. a) b) c) d) e) The radiocarpian joint is formed by: the radial bone the trapezoid bone the ulnar bone with the articular cartilage the proximal line of the carpian bones the pisiform bone 9. a) b) c) d) Among the proximal carpal bones are the following: scaphoid semilunar tricvetrum trapezius e) pisifor 10. a) b) c) d) e) The palmar aponeurosis formed by: the extension of the palmaris brevis m. tendon the extension of the palmaris longus m. tendon superficial fascia tendons of the flexors a triangular plate of dense connective tissue, thick and solid 11. a) b) c) d) e) The superficial palmar arterial arch is projected: on the proximal transverse palmar crease in the middle of metacarpian bones on the distal transverse palmar crease on the metacarpophalangean crease on the longitudinal palmar crease 12. a) b) c) d) e) The deep palmar arterial arch is situated: more proximal than the superficial arch more distal than the superficial arch at the same level with the superficial arch in the thenar fascial lodge in the mesothenar fascial lodge 13. a) b) c) d) e) In the mesothenar fascial lodge can be found: tendons of the superficial and deep flexors of the fingers muscles common palmar digital nn., superficial palmar arterial arch tendon of the flexor policis longus muscle subaponeurotic cellular space, subtendinous cellular space lumbrical mm. 14. a) b) c) d) e) Show possible ways of spreading the pus from the subaponeurotic space of the mesothenar fascial compartment: along neurovascular bundles of the finger to the subcutaneous palmar tissue along the deep branch of the ulnar nerve and artery into subtendineous space on the way of the carpal canal to the forearm and to the Paron-Pirogov space along the lumbrical muscles to the dorsal region of the hand along the deep palmer arch to the dorsal part of the hand 15. a) b) c) d) e) Ulnar synovial bursa contains the tendons of: superficial flexor of the fingers carpi radial flexor deep flexor of the fingers long flexor of the thumb carpi ulnar flexor 16. a) b) c) d) e) The motor branch of the median nerve enervates the following muscles of the thenar eminence: adductor policis m. flexor policis brevis m. (deep head) abductor policis brevis m. oponens policis m. flexor policis brevis m. (superficial head) 17. a) b) c) d) e) The deep branch of the ulnar nerve enervates the following muscles: palmaris brevis m. interosseous mm. adductor policis m. flexor policis brevis m. (deep head) flexor policis brevis m. (superficial head) 18. a) b) c) d) e) Which branches enervate the palmar region of the fingers: superficial branch of ulnar n. - ulnar surface of the 5th and 4th fingers median n. - radial surface of the 1st, 2nd, 3rd and 4th fingers radial n. - radial surface of the 1st, 2nd, 3rd and 4th fingers radial n. - 1st finger, median n. - 2nd, 3rd and 4th, ulnar n. - 5th finger all answers are wrong 19. a) b) c) d) e) The dorsal region of the fingers is enervated as follows: superficial branch of radial n. - radial surface of the 2nd and 5th fingers median n. - radial surface of the 1st, 2nd, 3rd and 4th fingers dorsal branch of ulnar n. -ulnar surface of the 2nd and 5th fingers radial n. - radial surface of the 5th finger median n. - 3rd and 4th finger 20. a) b) c) d) e) The superficial palmar arterial arch is formed by: radial a. and deep branch of the ulnar a. ulnar a. and deep branch of the radial a. metacarpian aa. digital aa. anastomosis between the ulnar a. and superficial branch of the radial a. 21. a) b) c) d) e) The limits of the mesothenar fascial lodge are: ligaments of the flexors palmar aponeurosis medial and lateral intermuscular septums the space under the ligaments interosseous deep fascia 22. a) b) c) d) e) What type of whitlow is the perinychial and subungual whitlows of the fingers of the hand: of the skin subcutaneuos onychia pandactilitis tendineous 23. a) b) c) d) e) The osteofibrous canals of the fingers are formed from: periosteum of the falanx palmar fascia of the fingers the parietal layer of the sinovial sheath the visceral layer of the sinovial sheath flexor's ligaments 24. a) b) c) d) e) The tendon of the deep flexor of fingers m. inserts on the: base of medial phalanx base of distal phalanx tuberosity of distal phalanx midpoint of medial phalanx proximal margin of the nail 25. a) b) c) d) e) Tendon's bands of the superficial flexor of fingers m. inserts on the: base of medial phalanx base of distalphalanx tuberosity of distal phalanx midpoint of medial phalanx none of the answers 26. a) b) c) d) e) The sinovial sheats of the flexors on the fingers are formed by: fibrous canal peritenon peribone of the phalanx epitenon mezotenon 27. a) b) c) d) e) Articular line of the metacarpophalangeal joint is distal from the prominence of the metacarpal bone head at a distance of: 10-12 mm 8-10 mm 6-8 mm 4-6 mm 2-4 mm 28. a) b) c) d) e) Articular line of the proximal interphalangeal joint is distal from the prominence of the phalanx head at a distance of: 10-12 mm 8-10 mm 6-8 mm 4-6 mm 2-4 mm 29. a) b) c) d) e) Articular line of the distal interphalangeal joint is distal from the prominence of the phalanx head at a distance of: 2-4 mm 4-6 mm 6-8 mm 8-10 mm 10-12 mm 30. To the doctor comes a patient with a right hand trauma. During examination edema and pain are revealed at palpation in the "anatomic snuffbox". A bone fracture is supposed. Which bone could it be? a) trapezium bone b) scaphoid bone c) trapezoid bone d) lunate bone e) pisiform bone 31. A patient has tendosinovitis of the II finger; by the 4th day from the beginning of the illness necrosis of the tendon of the deep flexor of fingers m. is revealed. What might be the cause of the necrosis of the tendon? a) compression of the digital arteries b) compression of the mesothenon by the liquid accumulated in the sinovial sheath c) compression of the tendon d) compression of the digital muscles e) compression of the digital nerves 32. a) b) c) d) e) Pus from the synovial sheath of the little finger may spread to: subcutaneous fatty tissue of the distal phalanx Paron-Pirogov cellular space through mesothenar compartment and carpal canal mesothenar compartment dorsum of the hand along with the lumbrical mm. dorsal region of the forearm 33. What type of whitlow is drawn: a) b) c) d) e) subcutaneous paronychia of the bone subungual tendineous 34. What type of whitlow is drawn: a) b) c) d) e) of the skin of the joint subepidermal tendineous subcutaneous 35. What type of whitlow is drawn: a) b) c) d) e) cutaneo-subcutaneous "as a buttonhole" paronychia tendineous subungual subcutaneous 36. What type of whitlow is drawn: a) b) c) d) e) of the skin paronychia subcutaneous subungual tendineous 37. What type of whitlow is drawn: a) b) c) d) e) subcutaneous pandactilitis of the bone subungual tendineous 38. What type of whitlow is drawn: a) b) c) of the skin paronychia of the bone d) e) subungual tendineous 39. What type of whitlow is drawn: a) b) c) d) e) of the skin paronychia of the bone subungual subcutaneous 40. What type of whitlow is drawn: a) b) c) d) e) of the skin paronychia subcutaneous subungual tendineous 41. What type of whitlow is drawn: a) b) c) d) e) Subperiosteal of the joint of the bone subungual subcutaneous 42. a) b) c) d) e) In case of tendo-vaginitis and tendon bursitis of I hand finger, the purulent process may spread: on the entire trajectory of the first finger on palmar surface of the metacarpal region in the lower third of the anterior region of the forearm in the extensor carpi ulnaris muscle sheath in the synovial sheath of the V finger 43. a) b) c) d) e) Cellular subaponeurotic space of the metacarpal region is between: between the skin and the palmar aponeurosis between superficial palmar aponeurosis and superficial finger flexor between deep and superficial finger flexor between the deep finger flexor and deep palmar fascia the deep palmar fascia and palmar interosseus muscles 44. a) b) c) d) e) Subaponeurotic cellular space of the median hand lodge contains the following anatomical structures: common digital arteries and common digital nerves muscular branches of the median nerve superficial palmar arch muscular branches of ulnar nerve lax cellular tissue 45. a) b) c) d) e) Cellular space of the median subtendinos hand lodge communicates with the Pirogov-Paron cellular space through: the commissural holes lumbricali muscles channels interosseus muscles tendons of long flexor of the fingers the radial and ulunare rteries 46. a) b) c) d) e) Fascial lodge of I finger communicates with the cellular space Pirogov-Paron through: extensor digitorum longus m abductor longus policis m abductor policis brevis m flexor policis brevis m flexor policis longus m Lower Limb Gluteal region 1. a) b) c) d) e) Projection of the superior gluteal a. is: the superior quadrant of the gluteal region middle of the gluteal region the line that connects the posterior-superior iliac spine with the great trochanter, the point between the superior and medial 1/3 the middle of the line that connects posterior-superior iliac spine with the ischial tuberosity none of the answers 2. a) b) c) d) e) Projection of the inferior gluteal a. is: the line that connects the posterior-superior iliac spine with the great trochanter, the point between the superior and medial 1/3 more inferior and extern from the line that connects posterior-superior iliac spine with the ischial tuberosity the region of the ischial tuberosity on the external line of the sacrum the superior-inferior quadrant 3. a) b) c) d) e) Projection of the sciatic nerve is the line that connects: middle of the distance between the ischial tuberosity and the apex of the greater trochanter middle of the popliteal fossa ischial tuberosity gluteal fold the suprapiriform orifice 4. a) b) c) d) e) Which muscle does not take part in the formation of the middle layer of the gluteal region: gluteus medius m. piriformis m. obturator internus m. obturator externus m. quadratus femoris m. 5. a) b) c) d) e) What muscles are part of the deep layer of the gluteal region: gemellus mm. obturator internus m. obturator externus m. gluteus minor m. piriformis m. 6. a) b) c) d) e) The fatty tissue space under the gluteus maximus m. communicates with: small pelvis cavity ischiorectal fossa posterior lodge of the thigh anterior compartment of the thigh anterior lodge of the thigh 7. a) b) c) d) e) The fatty tissue space from the gluteal region communicates with the small pelvis through the means of: sciatic minor orifice suprapiriform orifice proximal part of the ligament of the gluteus major m. infrapiriform orifice all answers are correct 8. a) b) c) d) e) Through the suprapiriform orifice pass the following structures: superior gluteal a. and v. superior gluteal n. sciatic n. inferior gluteal a. external pudendal n. 9. a) b) c) d) e) Through the suprapiriform orifice pass the following structures: inferior gluteal a., v., n. sciatic n., n. cutaneus femoris posterior lateral cutaneous nerve of thigh internal pudendal a., v., pudendal n. external pudendal a., v., n. 10. a) b) c) d) e) The great sciatic foramen is limited by: sacrotuberal lig. sacrospinous lig. lesser sciatic notch greater sciatic notch sacrum 11. a) b) c) The lesser sciatic foramen is limited by: greater sciatic notch sacrospinous lig. sacrotuberous lig. d) e) lesser sciatic notch sacrum 12. a) b) c) d) e) Superior gluteal nerve exits the pelvis through: greater sciatic foramen lesser sciatic foramen obturator foramen suprapiriform foramen infrapiriform foramen 13. a) b) c) d) e) Pudendal Alcock's canal contains: obturator a., v., n. pudendal a., v., n. internal pudendal a., v. pudendal n. inferior gluteal a., v., n. 14. a) b) c) d) e) Which of the muscles have their insertion on the greater trochanter? piriformis m. gluteus maximus m. gluteus minimus m. quadratus femoris m. iliopsoasm. 15. a) b) c) d) e) The piriformis muscle attachments are the following structure: posterior superior iliac spine ala of ilium coccyx anterior part of sacrum anterior superior iliac spine 16. a) b) c) d) e) What is the sintopy of the sciatic nerve in the infrapiriform foramen: lateral from all structures more medial from all structures between the pudend and gluteal inferior neurovascular bundles medial from the inferior gluteal a. in general passes through the suprapiriform foramen 17. a) b) c) d) e) Where goes the internal pudendal a. and v. and the pudendal n. from the gluteal region: parietal space of the pelvis the posterior compartment of the femur ischiorectal fossa the anterior part of the femur the retrorectal space of the pelvis 18. a) b) c) d) e) Which of the following configurations are correct regarding the topography of internal pudent neurovascular bundle: leaves the basin through the suprapiriform hole goes out of the basin through the infrapiriform opening is located more medially in relation to the other formations surrounds the sacrospinal ligament and penetrates back into the basin through the small ischial hole is situated in obturatory membrane duplication (Alcock canal) and enters theischiorectal fossa 19. On the path of which formations communicates the adipose cellular tissue space of the gluteal region with medial lodge space of the thigh? a) on the line of anastomosis of the superior gluteal artery and obturatoryartery b) on the line of anastomosis between inferior gluteal artery and obturatory artery c) on the line of anastomosis of the superior gluteal artery and medial femoral circumflex artery d) on the line of anastomosis of the superior gluteal artery and lateral femoral circumflex artery e) on the line of anastomosis of the superior gluteal artery and internal pudent artery 20. a) b) c) d) e) Which of these limits refer to the gluteal region? midline of the sacrum and coccyx the inguinal ligament line connecting the pubic symphysis to the medial condyle of the femur gluteal fold the line connecting the pubic symphysis to the anterior superior iliac spine 21. a) b) c) d) e) The greater sciatic orifice in the gluteal region is crossed by the following muscles: iliopsoas m. internal obturator m. external obturator m. piriform m. gluteus medial m. 22. a) b) c) d) Superficial gluteal cellular space is located between: between the superficial and deep sheet of the gluteal fascia between the skin and superficial sheet of gluteal fascia between gluteus maximus m and superficial sheet of proper fascia between gluteus maximus m and deep sheet of proper fascia e) between the gluteus maximus m. and piriform m. 23. a) b) c) d) e) To the gluteus medius muscle from inferior joins the following muscles: external obturator muscle piriform muscle internal obturator muscle square lumbar muscle muscle gemelus 24. a) b) c) d) e) Through suprapiriform opening in the gluteal region pass these anatomical formations ,except: cellular adipose tissue the sciatic nerve femoral nerve inferior gluteal veins internal pudenta artery 25. a) b) c) d) e) The most medial anatomical formation which leaves the infrapiriform hole: the pudendal nerve superior gluteal nerve inferior gluteal nerve the sciatic nerve cutaneus femoris posterior nerve 26. a) b) c) d) e) Deep gluteal cellular space is located between the following muscle: between gluteus maximus and minimus m. between piriform m and internal obturator m. between internal and external obturator m. between internal obturator and squared lumbar m. none of the above variants 27. a) b) c) d) e) Superficial gluteal cellular space communicates with the posterior lodge of the thigh on the trajectory of: obturatoryartery the sciatic nerve femoral nerve superior gluteal artery the pudendal nerve 28. Superficial gluteal cellular space communicates with thigh the abductor lodge of the thigh on the trajectory of: a) b) c) d) e) the sciatic nerve tendon of the internal obturator m. tendon of the external obturator m. femoral nerve obturatoryartery and vein 29. a) b) c) d) e) Superficial gluteal cellular space communicates with the pelvic parietal cell space in the line of: the sciatic nerve obturatoryvessels iliopsoas muscle piriform muscle femoral canal 30. a) b) c) d) e) Superficial gluteal cellular space communicates with ischiorectal fossa on the path of: pudental vessels the sciatic nerve obturatory vessels femoral vein lacuna musculorum 31. a) b) c) d) e) The deep phlegmon of the gluteal region mostly is situated : between the large, medium and small gluteal muscles between the skin and superficial fascia between large and medium gluteal muscles between the superficial fascia and the proper one between the superficial and deep foil of the proper fascia Hip joint (coxofemoral ) region 1. a) b) c) d) e) Which are the internal ligaments of the coxofemural joint: iliofemoral lig. pubofemoral lig. ischiofemoral lig. lig. capitis femoris orbicular zone 2. a) Which are the weak points of the capsule of the coxofemural joint: capsule of coxofemural joint does not have weak points b) c) d) e) the collections of pus can spread through every region of the joint capsule anterior between the pubofemural and the iliofemural ligaments posterior and inferior under the inferior margin of the ischiofemural ligament the lateral part 3. a) b) c) d) e) The pus from the hip joint can spread anterior through the pubofemural and iliofemural ligaments towards: the fascial sheath of the iliopsoas m. iliopectineal bursa gluteal region medial region of the thigh antero-lateral region of the abdomen 4. a) b) c) d) e) Blood supply of the hip joint is provided by the following arteries: internal pudendal artery ascending branch of the lateral circumflex femoral artery acetabular branch of the obturator artery inferior gluteal artery medial circumflex femoral artery 5. a) b) c) d) e) Arterial net of the hip joint region is formed by the following arterial anastomosis: glutea superior with ascending branch of a. circumflexae femoris lateralis glutea inferior with ascending branch of a. circumflexae femoris lateralis glutea superior with obturator artery obturatoria with a. circumflexae femoris lateralis a. obturatoria with a. circumflexae femoris medialis 6. a) b) c) d) e) In case of purulent damage of coxofemoral joint the exudate spreads into the gluteal region on path of: medium gluteal muscle the sciatic nerve iliopsoas muscle external obturator muscle obturator canal 7. a) b) c) d) e) In case of purulentdamage of coxofemoral joint the exudate spreads to pelvic cavity on path of: external obturator muscle the femoral canal femoral artery lacuna musculorum internal obturator muscle Anterior-medial region of the thigh 1. a) b) c) d) e) Lacuna musculorum contains: femoral branch of the genitofemoral nerve femoral a., v. iliopsoas m. femoral n. lateral cutaneus n. of thigh 2. a) b) c) d) e) In the subinguinal vascular gap (lacuna vasorum) are: lateral cutaneus n. of thigh iliopsoas m. femoral n. femoral a., v. femoral branch of the genitofemoral n. 3. a) b) c) d) e) The projection of the deep femoral ring is: the medial 1/3 of the inguinal ligament the extern 1/3 of the inguinal ligament in the middle of the inguinal ligament lateral from the femoral v. medial from the femoral v. 4. a) b) c) d) e) Projection of the femoral artery is the line that connects: middle of the inguinal ligament medial epicondyle of the femoral bone proximal edge of the patella anterior superior iliac spine distal edge of the patella 5. a) b) c) d) e) Projection of the femoral nerve is: 1 - 2cm laterally from the femoral a. interior from the femoral a. posterior from the femoral a. anterior from the femoral a. between the femoral artery and vein 6. Limits of the femoral triangle of Scarp are: a) b) c) d) e) inguinal ligament adductor longus m. vastus literalis m. sartorius m. gracilis m. 7. a) b) c) d) e) The bottom of the femoral triangle is represented by: Iliopsoas muscle Vastus lateralis muscle Adductor longus muscle Pectineus muscle Gracillis muscle 8. a) b) c) d) e) The superficial branches of the femoral artery are: internal pudendal a. inferior epigastric a. external pudendal a. superficial circumflex iliac a. superficial epigastric a. 9. a) b) c) d) e) In the subcutaneous fatty tissue of the femoral region are situated the following nerves: genitofemoral n. lateral cutaneus n. of thigh femural n., anterior cutaneous branches obturator n., cutaneous branches pudendal n. 10. a) b) c) d) e) Anterior part of the proximal third of the thigh contains: sartorius m. femoral a, v., n., tensor fascia latae m. adductor longus m. quadriceps femoris m. articularis genus m. 11. a) b) c) d) e) Identify the structures placed in the medial (internal) part of the thigh: adductor brevis m., pectineus m. adductor longus m. adductor magnus m. gracilis m. sartorius m. 12. a) b) c) d) e) Which of the statements are correct: fascia lata forms the iliotibial tract fascia lata forms the lateral and medial intermuscular septums in the femoral triangle it has 2 layers the femoral vessels are situated under the deep lamina of fascia lata lamina cribrosa is part of the fascia lata 13. a) b) c) d) e) Which of the following statements are correct: the falciform margin is situated above the sartorius m. the falciform margin is situated above the femoral n. fascia cribrosa is situated above the femoral v. fascia cribrosa is situated under the femoral v. the falciform margin and fascia cribrosa are a portion of the superficial lamina of fascia lata 14. a) b) c) d) e) The fatty tissue space from the femoral triangle (Scarp) communicates with: retroperitoneum and subperitoneal space through lacuna vasorum and musculorum subcutaneous fatty tissue of the femur through lamina cribrosa adductor canal over the femoral neurovascular bundle anterior fascial compartment of the femoral region over the femoral n. femoral canal over the femoral v. 15. a) b) c) d) The limits of the deep femoral ring: inguinal ligament pectineal ligament lacunar ligament arcus iliopectineus femoral vein e) 16. a) b) c) d) e) The limits of the superficial femoral ring: medial margin of the sartorius m. the falciform margin, superior and inferior horns femoral n. femoral a. none of the answers 17. The femoral canal has the following limits: a) superficial lamina of fascia lata, superior - anterior horn b) femoral a. c) d) e) lateral - femoral v. posterior - deep lamina of fascia lata transversal fascia 18. a) b) c) d) e) Through the femoral canal passes the following structures: femoral artery the bag of femoral hernia femoral nerve femoral vein saphenus nerve 19. The femoral canal contains: a) b) femoral v safena magna v. c) hernial bag d) soft connective tissue e) lymphatic nodes 20. a) b) c) d) e) The main vessel that forms "Corona mortis" is: external pudendal a. femoral v. obturator a. from the inferior epigastric artery inferior epigastric a. obturator a. from internal iliac a. 21. a) b) c) d) e) The adductor canal lays between: adductor magnus m. adductor longusm. vastus medialis m. gracilis m. lamina vastoadductoria 22. a) b) c) d) e) Which of the statements are not true: through the superior foramen of the Hunter canal pass the femoral vessels and saphenous n. through the anterior foramen of the Hunter canal pass the saphenous n. and the genus descendens a. and v. through the inferior foramen of the Hunter canal pass the femoral vessels and femoral n. through the inferior foramen of the Hunter canal the femoral vessels pass into the popliteal fossa through the superior foramen of the Hunter canal pass the femoral vessels and femoral n. 23. a) b) c) d) e) Identify which of the following statements are correct? lacuna musculorum is bounded from lacuna vasculorum by the iliopectineal tract the falciform margin bounds the saphenous opening superficial epigastric a. takes part in forming the "corona mortis" saphenous n. exits through the anterior foramen of the Hunter's canal great saphenous v. flows into the femoral v. 24. a) b) c) d) e) Through the adductor canal (Hunter) pass the following structures: femoral artery hernial sac of femoral hernia femoral nerve femoral vein saphenus nerve 25. a) b) c) d) e) Distal fragment of the femoral bone in case of fracture of the inferior third usually is displaced: medial lateral posterior, under the pressure of gastrocnemius m. medial and anterior, under the action of quadriceps femoris and sartorius mm. lateral and anterior 26. a) b) c) d) e) In case of fracture of the femoral neck the lower limb takes the following position: internally rotated externally rotated semiflected in the hip and knee joint abducted no determined position 27. a) b) c) d) e) The femoral nerve in the superior third of the thigh is situated between: iliac m. Iliopsoas m. femoral v. femoral a. sartorius m. 28. Quenu line represents the projection of: a) the popliteal artery b) the sciatic nerve c) d) e) the femoral vein the femoral artery the deep femoral artery 29. a) b) c) d) e) the femoral vein in comparison to femoral artery is placed in lacuna vasculorum: posterior to artery lateral to artery prior to the artery anterolateral to artery medial to artery 30. a) b) c) d) e) Medial to femoral vein within the deep femoral hole is situated: the femoral artery the femoral nerve the obturatoryartery cellular tissue and lymph nodes the genito-femoral nerve 31. a) b) c) d) e) Femoral artery within the femoral triangle is covered from anterior by: lamina cribrossa hiatus saphenus deep foil of fascia lata superficial foil of fascia lata the superficial fascia 32. a) b) c) d) e) Femoral nerve within lacuna musclorum is situated in: the sheath of sartorius m. the sheath of right femoral m. the sheath of iliopsoas m. the sheath of pectineal m. the sheath of adductor brevis m. 33. a) b) c) d) e) In case of femoral artery ligation below the deep femoral a departure , in collateral vascularization participates: circumflex femoris medialis а. ascending branches ofa. perforantes popliteal а. deep circumflex ilium а. all the above variants Posterior region of the thigh 1. a) b) c) d) e) Projection of the sciatic nerve is the line that connects: ischial tuberosity middle of the popliteal fossa middle of the distance between the greater trochanter and the ischial tuberosity medial border of the fibular head lateral border of the fibular head 2. a) b) c) d) e) Identify the structures placed in the middle third of the posterior part of the thigh: gracilis m. semimembranosus and semitendinosus mm. biceps femoris m. sciatic n., perforating aa., descendent branch of lateral circumflex femoral a. pectineus m., adductor magnusm. 3. a) b) c) d) e) The sciatic nerve lays in the posterior compartment of the thigh: by the gluteal plica - under fascia lata in the superior third - covered by the long head of biceps fomoris m. in the middle third - posterior from the adductor magnus m. in the inferior third between the biceps femoris and the semimembranosus mm. in the inferior third between the semimembranosus and the semitendinosus mm. 4. a) b) c) d) e) The fatty tissue space from the posterior region of the thigh communicates directly with: gluteal region the antero-medial region of the limb popliteal fossa lateral region of the femur all answers are true 5. a) b) c) d) e) External rotation of the lower leg is determined by: biceps femoris m. semimembranosus, semitendinosus, gracilis, sartorius and popliteus mm. vastus medialis m. medial part of the patellar ligament vastus lateralis m. 6. Internal rotation of the shank is determined by: a) b) c) d) e) biceps femoris m. semimembranosus, semitendinosus, gracilis, sartorius and popliteus mm. vastus medialis m. medial part of the patellar ligament vastus lateralis m. Knee region 1. a) b) c) d) e) Bursas of the anterior region of the knee are the following: bursa prepatellaris subcutanea, subfascialis and subtendinea bursa infrapatellaris superficialis bursa infrapatellaris profunda bursa suprapatellaris bursa poplitea 2. a) b) c) d) e) Which structures consolidate fascia propria of the anterior region of the knee: retinaculum patellae mediale retinaculum patellae anterior retinaculum patellae laterale oblique popliteal ligament proper patellar ligament 3. a) b) c) d) e) Which arteries do not participate in the patellar arterial net: a. genus descendens a. poplitea with its branches a. recurrens tibialis anterior r. circumflexus fibulae a. peronea 4. a) b) c) d) e) The limits of the popliteal fossa are: tendon of the biceps femoris m. semimembranosus and semitendinosus mm. adductor magnus m. gastrocnemius m. gracilis m. 5. a) b) c) d) e) What are the projection lines of the structures in the popliteal fossa region: popliteal vessels and the tibial n. - middle region of the superior angle of the popliteal fossa popliteal vessels and the tibial n. - medial margin of the tendon of the biceps femoris m. the common fibular n. - medial margin of the tendon of the biceps femoris m. the common fibular n. - lateral margin of the biceps femoris m. the common fibular n. - medial margin of the semimembranosus m. 6. a) b) c) d) e) What structures can be found in the subcutaneous layer of the popliteal fossa: great and small saphenous vv. saphenus n., posterior femoral cutaneous n. tibial n. popliteal a. common fibular n. 7. a) b) c) d) e) Syntopy of popliteal neurovascular bundle from posterior to anterior: n. tibialis, v. poplitea, a. poplitea a. poplitea, n. ischiadicus, v. poplitea n. ischiadicus, a. poplitea, v. poplitea v. poplitea, n. ischiadicus, a. poplitea none of answers 8. a) b) c) d) e) Which of the following statements are correct: popliteal artery is situated lateral to the popliteal vein popliteal vein is situated lateral to the tibial nerve popliteal artery is situated medially and deeper to popliteal vein and tibial nerve popliteal artery is situated lateral to the peroneal nerve all answers are incorrect 9. a) b) c) d) e) The sural nerve is: continuation of the saphenus n. continuation of the femoral n. continuation of the cutaneus surae lateralis n. continuation of the cutaneus surae medialis n. all answers are correct 10. a) b) c) d) e) Branches of the popliteal artery in the popliteal fossa are: a. tibialis anterior a. tibialis posterior aa. genus superiores lateralis and medialis a. genus media aa. genus inferiores mediales and laterales 11. a) b) c) d) e) Surgical approach to the popliteal artery is more convenient via the following access: posterior popliteal medial, through fossa of Jobert lateral transarticular (through the joint) transligamentar (through the ligament) 12. a) b) c) d) e) Fossa of Jober is bounded by: medial condyle of the femur and the medial head of gastrocnemian m. gracilis m. tendons of the adductor magnus m., semimembranosus and semitendinosus mm. sartorius m. popliteus m. 13. a) b) c) d) e) What are the ways of spreading the pus from the fatty tissue space of the popliteal fossa: inguinal canal femural canal obturator canal posterior region of the thigh posterior and anterior region of the shank Knee joint 1. a) b) c) d) e) The structures that form the knee joint are: femur fibula tibia patella all answers are correct 2. a) b) c) d) e) Which of the following ligaments from the knee joint region are extraarticular: anterior cruciate lig. fibular collateral lig. tibial collateral lig. oblique popliteal lig. posterior cruciate lig. 3. Which ligaments strengthen the anterior portion of the knee joint: a)rpatellar lig. b)rtibial collateral lig. c)rfibular collateral lig. d)ranterior and posterior cruciate lig. e)medial and lateral patellar retinaculum 4. a) b) c) d) e) A maximum relaxation of the knee joint ligaments can be obtained in case of: maximum flexion of the articulation maximum extension of the articulation Semiflexion internal rotation it is impossible to obtain a simultaneous relaxation of ligaments 5. a) b) c) e) The intraarticular ligaments of the knee joint are represented by: anterior cruciate lig. posterior meniscofemoral lig. arcuate popliteal lig. posterior cruciate lig. transverse genicular lig. 6. The oblique popliteal ligament is the continuation of the following muscle tendon: a) b) c) d) e) semimembranosus semitendinosus sartorius gracilis adductor magnus d) Leg region 1. a) b) c) d) e) Projection of the anterior tibial artery and of the deep peroneal nerve is the line that connects: middle of the distance between the head of the fibula and the tibial tuberosity middle of the bimalleolar distance medial malleolus tibial tuberosity head of fibula 2. a) b) c) d) e) Projection of the posterior tibial artery and of the tibial nerve is the line that connects: middle of the distance between the head of the fibula and the tibial tuberosity medial border of the tibia middle of the distance between Achilles tendon and the medial malleolus 1 cm posterior from the medial border of tibia medial malleolus 3. a) b) c) d) e) The following structures can be found in the subcutaneous tissue of the leg: small saphenous v. cutaneous sural nn. anterior tibial v. great saphenous v. and saphenous n. anterior tibial a. 4. a) b) c) d) e) Anterior fascial sheath of the lower leg region at the level of proximal third contains: anterior tibial artery and vein and the deep fibular nerve brevis et longus fibular mm. anterior tibial m. extensor digitorum longus m. common fibular nerve 5. a) b) c) d) e) Anterior fascial sheath of the lower leg region at the level of proximal third contains: anterior tibial artery and vein and the deep fibular nerve brevis et longus fibular mm. anterior tibial m. extensor digitorum longus m. common fibular nerve 6. a) b) c) d) e) The superior musculoperoneus canal is formed by: fibularis longus m. neck of the fibula fibularis brevis m. anterior tibial m. extensor hallucis longus m. 7. a) b) c) d) e) Identify structures present at the level of medial third of the lower leg in the lateral fascial sheath: fibularis longus m. superficial fibular n. fibularis brevis m. fibular a. and v. deep fibular n. 8. a) b) c) d) e) The deep fibular nerve has the following position according to the anterior tibial artery: in the superior 1/3 - lateral in the superior 1/3 -medial in the middle 1/3 - anterior in the middle 1/3 - posterior in the inferior 1/3 - medial 9. a) b) c) d) e) The sintopy of the neurovascular bundle of the anterior region of the leg is: in the superior 1/3 - between the anterior tibial m. and extensor digitorum longus m. in the superior 1/3 - between the extensor digitorum longus m. and extensor hallucis longus m. in the inferior 1/3 - between the anterior tibial m. and extensor hallucis longus m. in the inferior 1/3 - between the extensor digitorum longus and extensor hallucis longus m. posterior from all muscles 10. a) b) c) d) e) Between which muscles is located the deep fibular nerve in the inferior third of the lower leg: interosseus membrane anterior tibial m. extensor hallucis longus m. extensor digitorum longus m. fibularis longus m. 11. a) b) c) d) e) The course of the superficial fibular nerve is: in the superior and medial 1/3 passes through the fibers of the fibularis longus m., parallel to anterior intermuscular septum in the superior and medial 1/3 passes through the fibers of the fibularis brevis m. in the inferior 1/3 parallel to the posterior intermuscular septum between the fibers of the anterior tibial m. in the inferior 1/3 is situated in the subcutaneous tissue 12. a) b) c) d) e) What muscles lay in the superficial compartment of the posterior region of the leg: gastrocnemius m. posterior tibial m. soleus m. flexor digitorum longus m. plantaris m. 13. a) b) c) d) e) What are the muscles from the deep fascial sheath of the posterior region of the leg: flexor digitorum longus m. flexor hallucis longus m. soleus m. plantaris m. posterior tibial m. 14. a) b) c) d) e) Which structures unite to form the calcaneal tendon of Achilles: tendon of the soleus m. tendon of the posterior tibial m. tendon of the gastrocnemius m. tendon of the plantar m. tendon of the flexor hallucis longus m. 15. a) b) c) d) e) The limits of the cruropopliteus canal (Gruber) are: interosseus membrane posterior tibial m. from anterior soleus m. from posterior flexor hallucis longus m. from lateral, flexor digitorum longus m. from medial plantar m. from posterior 16. a) b) c) d) e) The cruropopliteus canal (Gruber) contains the following structures: posterior tibial a. and v. anterior tibial a. and v. tibial n. common fibular n. peroneal vessels 17. a) b) c) d) e) The limits of the inferior musculofibular canal are: fibularis longus m. fibularis brevis m. posterior tibial m. flexor hallucis longus m. fibula 18. a) b) c) d) e) Which structures are situated in the inferior musculofibular canal: common fibular n. tibial n. posterior tibial a. fibular a and v. fibularis brevis m. 19. a) b) c) d) e) Identify structures present at the level of middle third of the lower leg in the posterior fascial sheath: fibularis longus m. soleus m., gastrocnemius m. flexor digitorum longus and flexor hallucis longus mm., tibial n., posterior tibial a. and v. posterior tibial and plantaris longus mm., fibular a. and v. anconeus m. 20. a) b) c) d) e) Which structures are situated in the inferior musculofibular canal: common fibular n. tibial n. posterior tibial a. fibular a and v. fibularis brevis m. 21. a) b) c) d) e) Which of the following statements are correct: superior musculofibular canal is formed by the neck of the fibula and the fibularis longus m. inferior musculofibular canal is formed by the fibula and the fibularis brevis m. inferior musculofibular canal contains the peroneal a., v. and n. superior musculofibular canal contains the common fibular n. inferior musculofibular canal is formed by the fibula and the long fibular m. 22. a) b) c) d) e) Identify the wrong statements: arterial trunks can be pressed at the proximal third of the thigh pseudoartrhoses of distal third of tibia are determined by the insufficient blood supply superficial and deep venous system of the lower leg connects via communicating veins small saphenous vein flows into the femoral vein in the distal third of the hip sural nerve is a motor nerve 23. a) b) c) d) e) Posterior tibial a. and tibial n. are localized in the middle third of the lower leg between: soleus m. gastrocnemius m. posterior tibial m. flexor hallucis longus m. flexor digitorum longus m. 24. To which direction spreads the pus from the cruropopliteal canal: a) b) c) d) e) popliteal fossa medial malleolar canal anterior fascial sheath of the leg lateral malleolar canal anerior region of the knee 25. a) b) c) d) e) Injury of the tibial nerve compromises (leads to): dorsal flexion of the foot and extension of the toes plantar flexion of the foot flexion of the toes dorsal flexion of the foot and flexion of the toes blood supply of the lower leg The talocrural (ankle) region 1. What structures form the ankle joint? a) tibia b) fibula c) astragalus (talus) d) calcaneus e)navicular bone 2. a) b) c) d) e) What structures are situated between the superficial and proper fascia in the talocrural joint region: great saphenous v. and saphenous n., anterior from medial malleolus small saphenous v. and sural n., posterior from lateral malleolus great saphenous v. and saphenous n., posterior from lateral malleolus superficial fibular n. in the anterior part of the articulation small saphenous v. and sural n., anterior from medial malleolus 3. a) b) c) d) e) The medial malleolar canal is formed by: retinaculum of flexorum mm. medial part of the calcaneus bone retinaculum of extensorum superior mm. lateral part of the calcaneus bone retinaculum of the extensorum inferior mm. 4. a) b) c) d) e) The medial malleolar canal contains the following structures: tendon of the posterior tibial m. tendons of flexor digitorum longus and flexor hallucis longus mm. Achilles tendon posterior tibial a. and v., tibial n. tendon of soleus m. 5. a) b) c) d) e) Syntopy of the anatomical structures in the medial malleolar canal starting with the posterior tibial m. is: tendon of flexor digitorum longus m. the most posterior is the tendon of the flexor halucis longus m. neurovascular bundle lyes between the tendons of flexor digitorum longus and flexor halucis longus mm. the neurovascular bundle is situated immediately posterior from the medial malleolus posterior from the tendon of the posterior tibial m. is situated the tendon of the flexor halucis longus m. 6. a) b) c) d) e) Which of the following answers are correct: under the superior fibular retinaculum the fibular mm. are situated in a common osteofibrous sheath by the inferior fibular retincaculum the fibular mm. have separate osteofibrous sheaths fibular mm. have a separate osteofibrous sheath through the whole length fibular mm. have a common osteofibrous sheath through the whole length there is no superior and inferior fibular retinaculum, there is just one retinaculum 7. a) b) c) d) e) In the subcutaneous tissue of the lateral malleolar region can be found: small saphenous v. sural n. great saphenous v. deep fibular n. tibial n. 8. a) Which are the ligaments of the talocrural joint: medial deltoid lig. calacaneofibular lig. tendon of Achile anterior talofibular lig. posterior talofibular lig. b) c) d) e) Foot region 1. Projection of the dorsal neurovascular bundle of the foot is the following line: a) b) c) d) e) head of the I metatarsian bone head of the II metatarsian bone the II interdigital space the middle of the bimalleolus distance the I interdigital space 2. a) b) c) d) e) In the subcutaneous tissue of the dorsal region of the foot can be found: dorsal venous network dorsalis pedis a. superficial fibular n. sural and saphenous nn. fibular a 3. a) b) c) d) e) The following structures are situated under the proper fascia of the dorsal region of the foot: extensor digitorum brevis m. extensor halucis brevis m. dorsalis pedis a. and deep fibular n. anterior tibial m. superficial fibular n. 4. a) b) c) d) e) Branches of dorsalis pedis artery are: arcuat a. deep plantaris branch medialis et lateralis tarsea aa. lateral plantar a. medialis plantar a. 5. a) b) c) d) e) Between which two structures is placed a. dorsalis pedis? tendon of the tibial anterior muscle tendon of m. extensor hallucis longus extensor hallucis brevis m. extensor digitorum longus m. extensor digitorum brevis m. 6. a) b) c) d) e) The deep fibular nerv enervates: skin of the IV interdigital space skin of the I interdigital space skin of the medial malleolar region extensor digitorum brevis m. flexor mm. 7. a) b) c) d) e) What muscles are situated in the medial fascial sheath of the foot: flexor digitorum brevis m. quadratus plantae m. adductor halucis m. abductor halucis m. lumbrical mm. 8. a) b) c) d) e) What anatomical structures are situated in the medial fascial sheath of the foot: flexor halucis brevis m. abductor halucis m. tendon of the flexor halucis longus m. tendon of the flexor digitorum longus m. tendon of the posterior tibial m. 9. a) b) c) d) e) In the lateral fascial sheath of the foot are: abductor digiti minimi m. flexor digitorum brevis m. flexor digiti minimi m. quadratus plantae m. lumbrical mm. 10. a) b) c) d) e) The walls of the plantar canal are: medial and lateral intermuscular septums long plantar lig. deep fascia of the foot superficial fascia of the foot quadratus plantae m. 11. a) b) c) d) e) The plantar canal comprises: quadratus plantae m. flexor halucis brevis m. tendons of the flexor hallucis and digiti longus mm. lateral and medial neurovascular bundles flexor digitorum brevis m. 12. Boundaries of the calcaneus canal are: a) calcaneus bone b) c) d) e) abductor halucis m. adductor halucis m. quadratus plantae m. flexor halucis brevis m. 13. a) b) c) d) e) In the calcaneus canal are situated: medial neurovascular bundle tendon of the flexor digitorum longus m. tendon of the long fibular m. tendon of the flexor halucis longus m. tendon of the posterior tibial m. 14. a) b) c) d) e) The medial plantar nerve enervates the following structures: flexor of I toe and digitorum brevis mm. adductor halucis m. 2 medial lumbrical mm. 2 lateral lumbrical mm. the skin of the internal part of the I, II, III and IV toes 15. a) b) c) d) e) The structures enervated by the lateral plantar nerve are: 5th toe mm. , quadratus plantae m. adductor halucis m. 2 lateral lumbrical mm. and interosseus mm. extern part of the skin of the 5th and 4th toes flexor dgitorum brevis m. 16. a) b) c) d) e) Where do the tendons of the long extensor muscles insert on the dorsal part of the toes: lateral portions - at the base of distal phalanges medial portions - at the base of medial phalanges lateral portions - at the base of proximal phalanges medial portions - at the base of distal phalanges all portions are inserted at the base of distal phalanges 17. a) b) c) d) e) Find the correct answers: tendons of the flexors from the toes region are united in osteofibrous canals tendons of the flexors have synovial sheaths synovial sheaths of the flexors begin from the metatarsal bones synovial sheaths begin from the calcaneus bone synovial sheaths of the flexors finish at the base of distal phalanges 18. a) b) c) d) e) Joint of Chopart is formed by: the head of metatarsal bones base of proximal phalanx cuboid bone astragalus (talus) and calcaneus navicular bone 19. a) b) c) d) e) Tarsometatarsal joint of Lisfranc is formed by: head of metatarsal bones base of proximal phalanx cuboid and three cuneiform bones base of metatarsal bones astragalus (talus) and calcaneus 20. a) b) c) d) e) Which of the following statements concerning the propagation of the plant medial lodge purulents are correct: in rear leg lodge through calcaneal channel and medial malleolar in plant medial lodge the on the tendon path of the long flexor hallucis m in the interdigital spaces in the path of lumbrical mm. in the back of the foot on path deep plantar a. in the the lateral lodge of plant on the path of the short flexor m. of the fingers 21. a) b) c) d) e) Which of the following statements about the topography of the medial portion of the plant are correct: muscles are disposed in three layers muscles are arranged in four layers there are two cellular tissue spaces between the 1-2 layer and 2-3 layer of muscle the third layer of muscles is represented by the adductor halucis muscle and the tendon fibularis longus muscle. the first layer is represented by the short flexor of the fingers muscle 22. a) b) c) d) e) Indicate the place of pulse palpation for dorsalis pedis artery. posterior to the medial malleolus anterior the lateral malleolus between 1st and 2nd metatarsal bones between the 3rd and 4th metatarsal bones in the midway of the intermaleolare distance Head 1. Why the incisions on the face are made in radial direction: a) to obtain a broader approach b) not to injure the branches of the trigeminal nerve c) not to injure mimic muscles d) not to injure the branches of the facial a. and v. e) to avoid the injure of the branches of the facial n. 2. What type of hematoma is formed in case of injury of medial meningeal artery: a) epydural b) subdural c) subarahnoidal d) subpial e) intracerebral 3. a) b) c) d) e) What causes ambundente bleeding in the case of epicraniene tissue damage? epicranial vessels are located over cranial aponeurosis intimate of vessels is intimately attached to the vertical fibrous septums epicranial vessels are placed under the cranial aponeurosis epicranial vessels do not collapses intima of vessels is lax fixed by the vertical fibrous septums 4. The posterior auricular nerv is branch of which nerve: a) trigemenal n. b) facial n. c) trochlear n. d) oculomotor n. e) zigomatic n. 5. a) b) c) d) e) Sides of the Chipaut's triangle of trepanation for mastoidotomy are: a line traced from spina suprameatum to the tip of mastoid process facial canal a line continuing the zygomatic arch on the mastoid process sigmoid sinus anterior border of mastoid crest 6. a) b) c) d) e) Sides of attack quadrangle are: the posterior side is triangle bisector of trepanation. the inferior horizontal line parallel to superior thru external acoustic pore superior horizontal line containing the zygomatic arch on mastoid lateral side is the facial nerve canal line between suprameatum spina and the apex of mastoid proces, ½ superioră 7. a) b) c) d) e) Not paing attention to what side in trepanning of mastoid process is possible facial nerve damage? medial side anterior side posterior side superior side inferior side 8. a) b) c) d) e) Superior and inferior ophthalmic veins drain into: sinus sagittalis superior sinus cavernosus sinus sagittalis inferior posterior part of orbit do not drains 9. a) b) c) d) e) What structures pass through the superior orbital fissure? maxillar n. oculomotor and ophtalmic nn. trochlear and abducens nn. superior ophthalmic vein zygomatic n. 10. a) b) c) d) e) What passes through oval foramen: maxillar n. meningeal accessory branch of middle meningeal a. mandibular n. accessory n. zygomatic n. 11. a) b) c) d) Venous drainage from the cavernous sinus goes to: superior petrosal sinus transverse sinus inferior petrosal sinus venous plexus of the carotid canal e) sigmoid sinus 12. a) b) c) d) e) Great cerebral vein drains into: sagital sinus sinuses of the base of the skull straight sinus transverse sinus occipital sinus 13. a) b) c) d) e) What is projected on the middle of zygomatic arch? central cerebral sulcus of Rolando trunk of middle meningeal artery anterior cerebral a. internal carotid a. lateral cerebral sulcus of Sylvius 14. a) b) c) d) e) Facial artery arises from: external carotid a. internal carotid a. basilar a. common carotid a. maxillary a. 15. a) b) c) d) e) Angular artery anastomoses with: ophthalmic artery dorsal artery of the nose parotid arterial branches posterior auricular artery superficial temporal artery 16. a) b) c) d) e) What passes through the mandibular foramen: mental a. inferior alveolar a. and v. superior alveolar a. artery of the inferior lip inferior alveolar n. 17. a) b) c) d) e) Innervation of the face skin is done by: facial n. trigeminal n., terminal branches glossopharyngeal n. auricular magnus n., anterior branch petrosus major n. 18. a) b) c) d) e) Facial nerve passes through: foramen rotundum foramen spinosum carotid canal facial canal of Fallppio stylomastoid foramen 19. a) b) c) d) e) Indicate the terminal branches of the facial nerve after its exit from the stilomastoid foramen: temporal branches zygomatic and buccal branches marginal mandibular and cervical branches pharyngeal branches posterior auricular n. 20. a) b) c) d) e) Where is situated the trigeminal ganglion: on the posterior surface of the pyramid of the temporal bone in the carotid canal of the pyramid of the temporal bone in the region of the small wings of the sphenoid bone in the region of the big wings of the sphenoid bone on the superior surface of the pyramid temporal bone 21. a) b) c) d) e) What regions are innervated by the maxillary nerve: temporal region lateral surface of the nose and cheek superior lip mucous layer of the nasal septum mucous layer of the frontal and maxaillary sinuses 22. What branches start from the maxillary nerve in the pterygopalatine fossa: a) zygomatic nerve b) lachrymal nerve c) d) e) superior posterior alveolar branches infraorbital nerve deep petrosal nerve 23. a) b) c) d) e) What structures are innervated by motor portion of mandibular nerve? mylohyoidian muscle maseter muscle venter posterior of m. digastricus venter anterior of m. digastricus entire digastricus m. 24. a) b) c) d) e) What structures accompanies the auriculotemporal nerve? middle meningeal artery deep temporal artery and vein superficial temporal vein superficial temporal artery lateral pterygoid m. 25. a) b) c) d) e) Where is localized the lingual nerve? in the interpterygoid space in the temporopterygoid space in the submucous space of the buccal floor in the submandibular triangle under the mucous layer of the tongue frenulum 26. a) b) c) d) e) Through what orifices the orbit communicates with the cranial cavity? superior orbital fissure inferior orbital fissure optic canal sphenoidal sinus anterior and posterior ethmoidal foraminas 27. a) b) c) d) e) Ophthalmic vein drains into: pterygoidian venous plexus internal jugular vein cavernous sinus sagittal superior sinus superior petrosus sinus 28. a) b) c) d) e) Lymph from the region of lips drains into: submandibular lymph nodes buccinator lymph nodes retroauricular lymph nodes submental lymph nodes supraclavicular lymph nodes 29. a) b) c) d) e) What muscle forms the diaphragm of the oral cavity: genioglossus hyoglossus mylohyoid geniohyoid palatoglossus 30. a) b) c) d) e) Blood supply of the tongue is provided by: lingual a. descending palatinal a. ascending palatinal a. pharyngeal ascending a. sphenopalatinal a. 31. a) b) c) d) e) Lymph from the tongue draines into: submental lymph nodes submandibular lymph nodes retropharyngean lymph nodes mastoidian lymph nodes deep cervical lymph nodes 32. a) b) c) d) e) Indicate the motor nerves for the tongue muscles: mandibular n. hypoglossal n. glossopharyngian n. intermedius n. superior laryngeal n. 33. Boundary between head and neck is: a) b) c) d) e) imaginary horizontal line passing through the hyoid bone the imaginary line which connects the upper edge of the thyroid cartilage with the superior nuchal line the line passing through the lower edge of the mandible apex of the mastoid process occipital superior nuchal line and external occipital protuberance 34. a) b) c) d) e) The boundary between the visceral cranium and the cerebral cranium passes through: the upper margin of the orbit, the zygomatic bone and arch, all the way to the external acoustic meatus infraorbital margin, zygomatic arch, mastoid apex, external occipital protuberance atlas, mastoid apex, zygomatic arch, infraorbital margin atlas, mastoid apex, zigomatic arch, supraorbital margin atlas, stiloid apex, zigomatic arch, supraorbital margin 35. a) b) c) d) e) Boundary between the skull base and vault passes through: external occipital protuberance, inferior nuchal line, mastoid apex, crysta infratemporalis external occipital protuberance, superior nuchal line, base of the mastoid process, crysta infratemporalis internal occipital protuberance, inferior temporal line, mastoid apex, crysta infratemporalis internal occipital protuberance, superior temporal line, base of the mastoid, crysta infratemporalis internal occipital protuberance, inferior nuchal line, mastoid apex, crysta infratemporalis 36. a) b) c) d) e) In the limits cerebral fornix distinguish the following regions: frontoparietoccipital region frontotemporomastoid region temporal region mastoid region occipitotemporalis region 37. a) b) c) d) e) What fatty tissue spaces comprise the epycranian layers: subcutaneous, subaponeurotic, subperiostal intradermal,subcutaneous, subaponeurotic, subperiostal intradermal, paravascular, subperiostal intradermal, subcutaneous, subaponeurotic subcutaneous, paravascular, subaponeurotic 38. a) b) c) d) e) Galea aponeurotica connects the following muscles: frontal temporal occipital nucal trapezius 39. a) b) c) d) e) In the temporal region we can find the following fatty tissue layers: subcutaneous interaponeurotic subaponeurotic intermuscular subperiostal 40. a) b) c) d) e) What are the vascular characteristics of the epicranian tissues: the vessels lay above the aponeurose the vessels are fixed by conjunctive septums have a radial track do not collabate in case of injury the arteries form anastomoses with medial meningeal a. through the emissary foramens 41. a) b) c) d) e) Which of the answers represents the venous layers of the cerebral region: subcutaneous vv., diploic vv., sinuses of the dura mater intradermic vv., periostal vv., cerebrale vv. subcutaneous vv., perforant vv., sinuses of the dura mater diploic vv., emissary vv., cerebral vv. diploic vv., emissary vv., perforant vv. 42. a) b) c) d) e) What true emissary veins can be mentioned: parietal emissary vv. mastoid emissary vv. orbital emissary vv. frontal emissary vv. temporal emissary vv. 43. a) b) c) d) e) Mastoid emissary veins flow into: sinus transversus sinus sigmoideus sinus sagitalis superior sinus petrosus superior vena cerebri magna 44. a) b) c) d) e) Parietal emissary veins flow into: sinus sagitalis inferior sinus sagitalis superior sinus sigmoideus sinus rectus sinus occipitalis 45. a) b) c) d) e) Which bony structure is fractured more frequent on a wider area in craniocerebral trauma: lamela vitrea diploe external lamela periostum mastoid process 46. a) b) c) d) e) The trajectory of the neurovascular bundles in the head region is: radial parallel oblique perpendicular in the form of "S" letter 47. a) b) c) d) e) Terminal branches of the ophthalmic artery are: frontal a. supraorbital a. superficial temporal a. transvers a. of the face angular a. 48. a) b) c) d) e) Find the correct answers: a. frontalis passes at 2cm from the median line through incisura frontalis a. supraorbitalis passes at 2,5cm from the median line through incisura supraorbitalis a. frontalis passes through incisura supraorbitalis at 2cm from the median line a. supraorbitalis passes at 5cm from the median line a. supraorbitalis passes through incisura frontalis 49. a) b) c) d) e) Lymphatic vessels from the frontoparietooccipital region flow into: nodi limphatici auricularis anteriores nodi limphatici auricularis posteriores nodi limphatici occipitalis nodi limphatici frontalis nodi limphatici buccalis 50. a) b) c) d) e) Inferior sagitalis sinus flows into: sinus rectus sinus petrosus superior confluens sinus sinus sigmoideus magna cerebri vein 51. a) b) c) d) e) How many laminas form the temporalis fascia: one two three four it does not have laminas, it is an aponeurosis 52. a) b) c) d) e) How many cellular fatty tissue layers are in the temporal region: one two three four five 53. Find the true sentence: a) meningeia media insures blood supply to the dura mater, starts from the a. maxilaris, passes through foramen spinosum, gives two branches in the cranium b) meningeia media insures blood supply to the arachnoida, starts from the a. maxilaris, passes through foramen lacerum, gives two branches in the cranium c) meningeia media insures blood supply to the pia mater, starts from the a. maxilaris, passes through foramen ovale, gives three branches in the cranium d) meningeia media insures blood supply to the arachnoida, starts from the a. carotis interna, passes through foramen lacerum, gives two branches in the cranium e) meningeia media insures blood supply to the orbit, starts from the a. carotis interna, passes through foramen rotundum, gives two branches in the cranium 54. a) b) c) d) e) What muscles insert on the mastoid process: m. longisimus capitis and splenius m. sternocleidomastoideus posterior belly of m. digastricus m. omohyoid lateral pterygoid m. 55. a) b) c) d) e) Communication between cavum tympani and mastoid cells is insured by: aditus ad antrum recessus epitimpanicus tegmen tympani sinus sigmoideus Eustache's trump 56. a) b) c) d) e) Auditive bones are situated in: recessus epitimpanicus cavum tympani antrum tympanicum antrum mastoideum celullae mastoidea 57. a) b) c) d) e) On which side of the trepanation triangle is projected the sigmoid sinus: posterior side superior side anterior side anterior and superior side does not have tangencies with the trepanation triangle 58. a) b) c) d) e) At what depth and on which side of the trepanation triangle can be injured the facial nerve: anterior side, at 1,5 - 2 cm depth superior from porus acusticus externum, at 1cm posterior from spina suprameatum, subperiostal anterior side, at 0,5 cm facial n. is not projected in this region 59. a) b) c) d) e) How many structures can be injured in case of trepanation of the mastoid process: one two three four five 60. a) b) c) d) e) What foramens can be found in the anterior cranial fossa: foramen caecum foramens of the lamina cribrosa foramen rotundum fisura orbitalis superior foramen opticum 61. a) b) c) d) e) What passes through the openings from the anterior cranian fossa: filea olfactoria a. ethmoidalis anterior a. ethmoidalis posterior a. ethmoidalis media a. meningeia media 62. a) b) c) d) e) Through the cavernos sinus passes: a. carotis interna n. abducens n. trochlearis plexul pterigoideus n. oculomotorius 63. a) b) c) d) e) Through the external wall of the cavernos sinus pass the following structures: n. oculomotor n. trochlearis n. ophtalmicus a. carotis interna n. abducens 64. a) b) c) Through the superior ophthalmic fissure pass: n. ophtalmic n. trochlearis n. abducens d) e) n. facial n. oculomotor 65. a) b) c) d) e) Which structures are situated between the external and internal lamina of the bones of the cranium: lamina vitrea spongious bone tissue diploic veins epidural veins a. meningea medie 66. a) b) c) d) e) Frontal nerve is the branch of which nerve: n. infraorbitalis n. supratrochlearis n. trochlearis n. ophthalmicus n. supraorbitalis 67. a) b) c) d) e) What structure is situated between the laminas of the temporal aponeurosis: a. temporalis superficialis interaponeurotic fatty tissue aa. temporalis profundae m. temporalis n. auriculotemporal 68. a) b) c) d) e) If not following the rules of trepanation in the Chipaut triangle we can enter into medial fosa thru: on the superior edge - the line that constitutes the extension of zygomatic arch on mastoid apophysis on the lateral edge - line that goes posterior to porus acusticus externus în aditus ad antrum on the posterior edge – at medial edge of the mastoid ttuberosity no answer is correct 69. a) b) c) d) e) What structures pass through etmoid bone: v. ophtalmica superior fila olfactoria ethmoidalis anterior nerve ethmoidalis posterior nerve v. emissariae 70. a) b) c) d) e) What passes through foramen rotundum: n. maxilaris n. petrosus minor vv. emissariae n. vagus ramus meningeus n. mandibularis 71. a) b) c) d) e) Where does the dura mater intimly join with the bones of the cranium: on the vertex of the cranium on the sfenoidal bone, circular from the cella turcica lamela cribrosa of the etmoid bone temporal pyramid squamos part of the temporal bone 72. a) b) c) d) e) In which anatomical structure flows the sagital sinus: sinus sagitalis superior sinus rectus sinus sigmoideus sinus transversus sinus occipitalis 73. a) b) c) d) e) Which artery is formed at the confluence of the aa. vertebralis dextra et sinistrsa: posterior communicating a. anterior communicating a. a. basilaris a. cerebri media a. carotis interna 74. a) b) c) d) e) What nerve enervates the mimic muscles: n. trigemenus n. facialis n. oculomotorius n. accessorius n. trochlearis 75. What branches gives a. temporalis superficialis at the superior margin of the orbit: a) r. parietalis b) c) d) e) rr. parotidei a. auriculars posterior rr. auriculares anterior r. frontalis 76. a) b) c) d) e) Which artery is situated in the temporopterygoid space: a. meningeia media a. alveolaris inferior a. maxilaris a. auricularis profunda a. tympanica anterior 77. a) b) c) d) e) Through which foramen passed the a. meningeia media into the cranian cavity: foramen rotundum foramen spinosum foramen ovale foramen magnum foramen stilomastoideum 78. a) b) c) d) e) With which vein communicated the pterygoidian plexus: with v. facialis through v. faciei profunda with v. retromandibularis through v. maxillares with sigmoidian sinus with cavernos sinus through emissary veins from the spinosum, ovale and lacerum foramena with sinus rectus 79. a) b) c) d) e) Which nerv evervates the masticator muscles: n. trochlearis n. facialis n. glossopharyngeus n. accesorius n. trigemenus 80. a) b) c) d) e) Which nerves begin from the semilunar ganglion (Gasser): n. opthalmicus n. auricularis posterior n. zigomaticus n. maxillaris n. mandibularis 81. a) b) c) d) e) What structures can be found in the sphenopalatin fossa: n. auriculotemporalis n. zigomaticus rr. ganglionares of n. maxilar ganglionum pterigopalatinum ganglionum ciliare 82. a) b) c) d) e) Through which foramen the mandibular nerve leaves the cranium cavity: foramen ovale foramen spinosum foramen rotundum foramen stylomastoideum none of the answers 83. a) b) c) d) e) The projection of the transvers sinus is: inferior temporal line superior nuchal line inferior nuchal line the line that connects lambda with asterion zygomatic arch 84. a. a) b) c) d) Which structures pass through the internal acustic prus: auditiva interna n. facialis n. vestibulochohlearis n. petros maior n. petros minor 85. a) b) c) d) e) Which structures pass through the jugular foramen: n. glossopharyngeus n. vagus n. accesorius internal jugular v. n. hypoglossus 86. a) b) c) d) e) The intercranial portion of the facial nerve is situated in the midst of which bone: temporal parietal sphenoidal occipital frontal 87. a) b) c) d) e) Inintracerebral cisterns are formed in the following spaces: subarahnoidean subdural epidural in cerebral ventricles none of the answers 88. a) b) c) d) e) In which space is the circulus arteriosus Willissii situated: subarahnoidian subdural epidural subperiostal extracranial 89. a) b) c) d) e) What regions does the lateral compartment of the face include: buccal (oralis) parotydomasseteric deep facial genian nasolabialis 90. a) b) c) d) e) Where is the ganglion of trigeminal nerve situated: on the impressio trigemeni of the pyramid in the dura mater's duplicature (cavum Meckeli) subdural on the impressio trigemeni of the pyramid epidural on the impressio trigemeni of the pyramid on the impressio trigemeni of the pyramid in the pia mater duplicature none of the answers 91. a) b) c) d) e) What does the aponeurosis pharyngoprevetebralis limit: retropharyngeal space from the parapharyngeal space anterior parapharyngeal space from the posterior parapharyngeale space retropharyngeal space from the pterygomandibular space retropharyngeal space from the prevertebral cervical space previsceral cervical space from the cervicale neurovascular space 92. a) b) c) d) e) What are the limits of the parotideomasseteric region: anterior - anterioar margin of the masseter m. posterior - anterior margin of the sternocleidomastoidean m., porus acusticus externus and mastoid process anterior - anterioar margin of the parotid gland inferior - mandible margin superior - zygomatic arch 93. a) b) c) d) e) How many weak points has the capsule of the parotid gland One - infratemporal Two - auricular and pharyngeal Three - mastoid, interpterigoidian and pharyngeal Four - mastoid, temporopterigoidian, interpterigoidian and pharyngeal None 94. a) b) c) d) e) What are the limits of the cellular fatty tissue space of the sublingual gland: superior - mucosa of the buccal cavity lateral - the mandible medial - genyoglossus and genyohyod mm. inferior - mylohyoid and hyoglossus mm. inferior - platisma m. 95. a) b) c) d) e) What muscles does the facial nerve enervate: mimmic mm. frontal and occipital mm. stylohyoid m. and posterior belly of the digastric m. platisma m. mylohyoid m. 96. a) b) c) d) What muscles are enervated by the IIIrd branch of the trigeminal nerve? masseter m. temporal m. medial and lateral pterygoid mm. mylohyoid m. and anterior belly of the digastric m. e) frontal m. 97. a) b) c) d) e) Where does the sphenoidal sinus open: above the superior nasal conchae in the medial nasal meatus in the inferior nasal meatus in the mesopharynx in the maxilar sinus 98. a) b) c) d) e) The maxillary sinus opens: in the medial nasal meatus in the inferior nasal meatus in the superio nasal meatus in the bulla ethmoidalis nasopharynx 99. a) b) c) d) e) Where does the nasolacrimal canal open: medial nasal meatus inferior nasal meatus superior nasal meatus nasopharynx buccal cavity 100. a) b) c) d) e) Which muscles cover the arch of the mandible and contribute to the formation of the buccal diaphragm: mylohyoid m. digastric mm. geniohyoid mm. genioglossus m. hyoglossus m. 101. a) b) c) d) e) Which muscles form the soft palate: uvulae m. levator veli palatini m. tensor veli palatini m. lateral pterygoid m. medial pterigoid m. 102. The posterior margin of the soft palate passes into the lateral wall of the pharynx by the means of two folds which contain the following muscles: a) palatoglossal m. b) m. palatopharyngeal c) uvulae m. d) levator veli palatini m. e) tensor veli palatini m. 103. a) b) c) d) e) What are the limits of the genian region: superior - inferior magin of the orbit inferior - margin of the mandible posterior - anterior margin of the masseter m. anterior - nasolabial and nasobuccal fold posterior - ramus of the mandible 104. a) b) c) d) e) Where is situated the corpus adiposum buccae of Bichat: on the buccal m., anterior from the masseter m. under the bucal m. under the zygomatic bone on the parotid gland under the bucopharingian fascia 105. a) b) c) d) e) Which structures are in direct neighbourhood with the weak points of the parotid gland: parapharinx cartilage portion of the extern acustic porus canal of the facial n. retropharinx the capsule of the submandibular gland 106. a) b) c) d) e) Where does the external carotid artery give branches: in the mass of parotid gland posterior from the parotid gland at the entrance of the parotid gland above the zygomatic arch between the pteygoid mm. 107. Which are the branches of the extern carotid artery: a) b) c) d) e) a. temporalis superficialis a. maxilaris a. facialis a. temporalis profunda a. meningeia madia 108. a) b) c) d) e) Name the branches of the facial nerve which spread from the parotidean plexus: temporal and zygomatic buccal marginal of the mandible cervical auriculotemporal 109. a) b) c) d) e) Name formations located in the facial canal: facial n. stilomastoidian a and v. big and smallsuperficialpetros nn. chorda tympani. auriculotemporal n. 110. a) b) c) d) e) What passes through the anterior parapharyngeal space? ascendent palatine a branches. maxilar a. vague n. retromandibulară v.. maxilar n. 111. a) b) c) d) e) What passes through the posterior parapharyngeal space? internal jugular v. and internal carotid a. external carotid a. glossopharyngeal, vagus and accessory nn. hypoglossal and sympathetic nn.. mandible n. 112. a) b) c) d) e) Retropharyngeal space limits are: retropharyngeal fascia. prevertebrală fascia. fascial sheet betweenthe pharynx and fascia prevertebralis endocervical fascia. parotid fascia. 113. a) b) c) d) e) In what direction can be propagated purulent collections located in the adipos body of the cheek? temporal cellular space infratemporal cellular space cellular space cellular space of the floor of the mouth cellular parapharyngeal space 114. a) b) c) d) e) Purulent collections of temporopterigoidian space may spread to: cranial cavity orbital and nasal oral adipose body of cheek none is correct 115. a) b) c) d) e) Purulent collections of interpterigoidian space may spread to: temporopterigoidian and parapharyngeal space cranial cavity oral retropharyngeal space none is correct 116. a) b) c) d) e) What are the limits of lateral parapharyngeal space? Medial - pharynx with its fascia lateral- parotid capsule and medial pterigoidm. superior - the skull base lateral - parotid capsule and lateral pterigoid m medial - pharynx and parotid gland 117. a) b) c) d) e) What anatomical structures are located in the anterior portion of the parapharyngeal space? ascending palatine a. and v. sympathetic trunk vagus n. hypoglossal n. facial n. 118. What anatomical structures are located in the anterior portion of the parapharyngeal space? a) b) c) d) e) ascending palatine a and v. sympathetic trunk vague n hypoglossal n facial n 119. a) b) c) d) e) What anatomical structures are located in the posterior portion of the parapharyngeal space? ascending palatine a and v. internal jugular v and internal carotid a. glossopharyngeal and vagus nn. accessory , hypoglossal nn. and sympathetic trunk facial and mandibular nn. 120. a) b) c) d) e) Retropharyngeal space it is situated between: pharynx and prevertebral fascia pharynx and endocervical fascia pharynx and parotid capsule pharynx and pterygoid mm. none is correct 121. a) b) c) d) e) Select parts through which passes the limit between cerebral portion of the head and facial portion of the head. superficial temporal line supraorbital edge of the frontal bone superior edge of the zygomatic arch nucal superior line inferior edge of the orbit 122. a) b) c) d) e) Select the bones that form the lateral wall of the orbit. frontal apophyses of the maxilar bone lacrimal bone greater wing of sphenoid bone small wing of the sphenoid bone zygomatic bone 123. a) b) c) d) e) Select the bones that form the superior wall of the orbit. ethmoid bone frontal bone greater wing of sphenoid bone zygomatic small wing of the sphenoid bone 124. a) b) c) d) e) Select the muscles innervated by the oculomotor nerve. obliquesuperior elevating muscle of upper eyelid rectussuperior rectus inferior oblique inferior 125. a) b) c) d) e) Select dura mater expansions. falx sella falx cerebri tentorium cerebelli diaphragm sella tentorium rectus 126. a) b) c) d) e) Select cisterns derived from the pia mater. temporal cistern interpeduncularcistern chiasmaticacistern the cistern of anterior cerebral fossa cisterna medullaris 127. a) b) c) d) e) Select arteries which pump blood into the brain. internal carotid artery vertebral artery meningeal posterior artery ophthalmic artery medium meningitis artery 128. a) b) c) d) e) Middle meningeal artery branches are the following. anterior superior inferior lateral posterior 129. Facial nerve branches are. a) great rocky n b) stapedius n c) d) e) supraorbital n chorda tympani tear n 130. a) b) c) d) e) Frontal sinus opens into: superior nasal meatus medial nasal meatus external nose mouth inferior nasal meatus 131. a) b) c) d) e) Pirogov-Waldeyer's lymphatic ring consists of the following elements: laryngeal tonsil palatine tonsils lingual tonsils tubal tonsils pharyngeal tonsils 132. a) b) c) d) e) Excretory duct of the parotid gland opens at the level of: inferior nasal meatus the first two lower molars the upper incisors the first two upper molars upper canines 133. a) b) c) d) e) The components of the nasal septum are: the membranous the cartilaginous the spongios the cutaneus the bone 134. a) b) c) d) e) Through the round opening of sphenoids bone large wings passes: the first branch of the trigeminal nerve the second branch of the trigeminal nerve the third branch of the trigeminal nerve medial meningeal artery vertebral artery 135. a) b) c) d) e) Superior nasal meatus communicates with: posterior ethmoid cells sphenoid sinus maxillary sinus frontal sinus oral cavity 136. a) b) c) d) e) Lymphatic drainage from the lateral region of the face is carried out in the following lymph nodes: buccinator lymph nodes deep facial lymph nodes parapharyngeal and retropharyngeal lymph nodes para-auricular lymph nodes any one of the following call called 137. a) b) c) d) e) Buccinator lymph nodes are situated in: the anterior border of the masseter muscle the thickness of the parotid gland parenchyma in the parotid capsule the inner edge of the buccinator muscle the line of facial vein 138. a) b) c) d) e) Lymph paraauricularnodes are situated: just below the parotid capsule posterior parathyroid gland on the edge of the masseter muscle lateral masseter muscle capsule the line of the internal carotid artery 139. a) b) c) d) e) The superior orbital fissure communicates with the orbit through: pterygopalatine fossa middle cerebral fossa fossa subtemporală the mastoid bone cells temporal fossa 140. Through the inferior orbital fissure, orbit communicates with: a) pterygopalatine fossa, temporal and infratemporal b) anterior ethmoid cells c) d) e) posterior ethmoid cells inferior nasal meatus middle cranial fossa 141. a) b) c) d) e) Posterior ethmoid canal joins the posterior ethmoid cells with: anterior etomoidale cells orbit middle cranial fossa anterior cranial fossa paranasal sinuses 142. a) b) c) d) e) Ways of exudate spreading from ethmoidal labyrinth: to inferior nasal meatus to orbit to the dura mater to maxillary sinus to parapharyngeal cellular tissue 143. a) b) c) d) e) The anterior wall of frontal sinus is formed by: nasal and frontal processes of the nasal bones paranasal sinuses inferior nasal meatus radix nazi and supraciliar arch all the above-named versions are correct 144. a) b) c) d) e) From superior to the sphenoid sinus join next anatomical structures: Turkish saddle the body of the sphenoid bone pituitary Optical chiazma cavernous sinus of the dura mater 145. a) b) c) d) e) From inferior to the sphenoid sinus join next anatomical structures: upper jaw body the body of the sphenoid bone the posterior superior nasal meatus the average posterior nasal meatus pharyngeal tonsils 146. a) b) c) d) e) Towards the posterior sphenoid sinus adhere the following anatomical structures except: Turkish saddle upper jaw body cavernous sinus ophthalmic vein dura mater 147. a) b) c) d) e) To bilateral sphenoid sinus adhere the following anatomical structures except: upper jaw body cavernous sinus maxillary nerve and the round foramen walls ophthalmic vein anterior face of the occipital bone clivus 148. a) b) c) d) e) Towards the lower maxillary sinus join these anatomical stuctures: upper jaw body branch of infraorbital artery and nerve maxillary tuberosity alveolar processes of the upper jaw pterygopalatine ganglion 149. a) b) c) d) e) Towards the posterior maxillary sinus join these anatomical structures except: body and maxillr superior tuberosity pterygopalatine artery superior alveolar nerves pterygopalatine ganglion zygomatic process of the maxilla 150. a) b) c) d) e) Superficial lymph nodes group from the parotidomaseteric region is located: between the skin and subcutaneous cellular space between subcutaneous cellular space and superficial fascia between the superficial fascia and parotid parenchyma between parotid parenchymal septum between the parenchymal gland and internal sheet of fascia propria 151. Parotid parenchyma contains anatomical formations except the following: a) b) c) d) e) external jugular vein the main trunk of the facial nerve sublingval vein the external carotid artery maxillary artery 152. a) b) c) d) e) Parotid parenchyma contains anatomical formations except the following: the external carotid artery maxillary artery superior alveolar nerve deep group of lymph nodes superficial temporal artery 153. a) b) c) d) e) The Cellular deep subpterigoidian space of the deep face region is sitauted between: temporal muscle and the lateral pterigoid muscle medial and lateral pterigoid muscle the mandible and medial pterigoid muscle the maxillary tuberosity and the pterigoid process none of the above mentioned 154. a) b) c) d) e) Possible ways of propagation of infected exudate from parotido-masseteric area are: temporo-pterygoid cellular tissue interpterigoidian cellular tissue parapharyngeal cellular tissue external aduitv channel maxillary sinus 155. a) b) c) d) e) Interpterigoidian cellular space of the deep face region includes: mandibular nerve with its branches internal carotid artery the internal jugular vein IX pair of cranial nerves all the above variants 156. a) b) c) d) e) The third branch of the trigeminal nerve is located in: celuar tissue under the masseter muscle cellular tissue under buccinator muscle cellular temoro-pterigoidean space cellular interpterigoid space cellular pterigomandibular space 157. a) b) c) d) e) Towards the maxillary sinus from posterior join these anatomical structures except: body and maxillr tuberosity middle nasal meatus pterygopalatine ganglion pterygoid muscles the pterygopalatine proccess 158. a) b) c) d) e) Mental nerve is a branch of the nerve: maxillary nerve (branch 2 of the trigeminal nerve) trochlear nerve (fourth pair of cranial nerves) optic nerve (cranial nerves II pair) inferior alveolar nerve (3rd branch of trigeminal nerve) oculomotor nerve 159. a) b) c) d) e) Interaponeurotic cellular space of the temporal region communicates with the following cellular spaces: subcutaneous space of the temporal region the cellular tissue of the temporomandibular region pterigoidiene interpterigoidean cellular tissue the cellular tissue of the bucal region do not communicate 160. a) b) c) d) e) Clinical significance of emissary veins: propagation of the inflammatory process the compensatory adjust of intracerebral pressure triggers arterio-venous shunt at the increasion of HTA triggers veno-venous shunt at the increasion of HTA have no great importance due to small size 161. a) b) c) d) e) What type of hematoma presents the lenticular aspect: epicranial subaponeurotic subdural epidural subarachnoid intraparenchimatos 162. a) b) c) d) e) Trauma of the temporal region is aggravated by the following regional particularities: presence on the internal face of art. Menigeea media presence on the internal face of art. cerebri media the absence of diploe proximity to art. sphenopalatina thickness of 2 mm of temporal squamus 163. a) b) c) d) e) Name the possible variety of hematoma of fronto-parietal-occipital reg: intradiploic subcutaneous subperiosteal subaponevrotic intraparenchymal 164. a) b) c) d) e) Suggest hemostasis method available to diploic vein injury: ligation endoscopic ligation application of hemostatic forceps treating the defect edge with Wax procoagulant intravenous medication 165. a) b) c) d) e) Scalp injuries represents: epicranien tissue takeoff together with the periosteal covering epicraniene tissue takeoff including the aponeurosis sever injury, high regenerative potential injury of medium gravity, low regenerative potential obligatory association with bone fracture 166. a) b) c) d) e) The presence of inflammatory / purulent affections at the nasal-labial triangle generate: compression of the facial v. by edema of soft tissues septic emboli migration throughAngular v. dissemination process through lingual v. pterigodian venous plexus thrombosis cavernous sinus thrombosis 167. a) b) c) d) e) Differentiation of cerebral sinus and cisterns includes: sinuses are expansion of dura matter sinuses - circulatory system for cerebrospinal fluid cisterns- provide cerebral venous return path cisterns-circulatory system for cerebrospinal fluid cisterns - sectoral expansion of subarachnoid space 168. a) b) c) d) e) Facial nerve injury results in: ipsilateral paralysis of mimic muscles ipsilateral eyelid ptosis, lacrimation contralateral ptosis of the eyelid, lacrimal hyposecretion moving the mouth corner toward the healthy side naso-labial fold attenuation on the healthy side 169. a) b) c) d) e) Theft from cerebral circulation (Steal syndrome) can take place through: obstruction of the brachiocephalic arterial trunk obstruction axillary art. obstruction proximal art. subclavian emergence of vertebral art. the polygon offset arterial circulatory Willis shunting cerebral circulation 170. a) b) c) d) e) Clinical significance of fontanels: allow the increase in the amount of neurons during their active division allow passage of the head through the birth canal increase cerebral tissue oxygenation serve as evidence for late diagnosis of meningeal inflammatory conditions allow venous abord of thevsuperior sagittal sinus 171. a) b) c) d) e) Cephalic shape "the tower"met in hereditary pathologies of hemoglobin is called: dolichocephalics platicefalic braficefalic ortocefalic hipsicefalic 172. a) b) c) Normal volume of the nasal cavity ventilation include: medial meatus + superior meatus medium meatus superior meatus d) e) inferior meatus + medium meatus all nasal meatus are included 173. a) b) c) d) e) Location of the olfactory mucosa is bounded by: superior edge of superior nasal concha superior edge of rhe medial nasal concha superior edge of the inferior nasal concha thevault of the nasal cavity a horizontal line drawn through the anterior ethmoid hole 174. a) b) c) d) e) Superior nasal meatus can serve as a death cause in: minimally invasive treatment of neoplasms of the sella turcica lateral ventriculostomia realization decompression of the optic chiasm punction of the maxillary sinus meatus is only the upper segment of the nasal cavity 175. a) b) c) d) e) retroocular adipose tissue damage is encountered in: hypoparathyroidism hyperparathyroidism hypothyroidism hypogonadism hyperthyroidism Neck 1. a) b) c) d) e) Choose the correct answer concerning the limits between neck and head: Inferior edge of the mandibule, tip of the mastoid process, superior nuchal line, external occipital protuberance Horizontal plane which passes through inferior edge of the mandibule Frontal plane which passes through transverse processes of cervical vertebrae Horizontal plane which passes at the level of C7 and sternal notch Horizontal plane which passes through sternal notch and superior edge of clavicle 2. a) b) c) d) e) Borders of the medial triangle of the neck: Edge of mandibula, sternocleidomastoid muscle, middle line of the neck Posterior belly of digastricus muscle, sternocleidomastoid muscle, middle line of the neck Edge of mandibula, sternocleidomastoid muscle, superior belly of omohyoid muscle Posterior belly of digastricus muscle, sternocleidomastoid muscle, inferior belly of the omohyoid muscle Horizontal line which on the level of hyoid bone, middle line of the neck, trapezius muscle 3. a) b) c) d) e) Borders of the lateral triangle of the neck: Inferior edge of the mandibula, sternocleidomastoid muscle, trapezius muscle Posterior belly of digastricus muscle, sternocleidomastoid muscle, trapezius muscle Inferior edge of the mandibula, sternocleidomastoid muscle, omohyoid muscle Clavicle, sternocleidomastoid muscle, trapezius muscle Horizontal line traced on the hyoid bone, sternocleidomastoid muscle, trapezius muscle 4. a) b) c) d) e) Indicate the structures localized in the medial triangle of the neck: Common carotid artery Vagus nerve Internal jugular vein Medial supraclavicular nerves Anterior supraclavicular nerve 5. a) b) c) d) e) Indicate the structures localized in the lateral triangle of the neck: common carotid artery vagus nerve internal jugular vein medial supraclavicular nerves anterior supraclavicular nerves 6. a) b) c) d) e) Borders of the submandibular triangle: Inferior edge of mandible Anterior edge of sternocleidomastoid muscle Superior belly of omohyoid muscle Both bellies of digastricus muscle Free edge of mylohyoid muscle 7. a) b) c) Borders of the carotid triangle Posterior belly of digastricus muscle Anterior edge of sternocleidomastoid muscle Posterior edge of sternocleidomastoid muscle d) e) Inferior edge of the mandible Superior belly of omohyoid muscle 8. a) b) c) d) e) Limits of the omotrapezoid triangle: Clavicle Trapezius muscle Inferior belly of omohyoid muscle Sternocleidomastoid muscle Posterior belly of digastricus muscle 9. a) b) c) d) e) What structures are situated in the suprasternal interaponeurotic space? Extern jugular veins Lymph nodes Anterior jugular veins Jugular venous arch Anterior supraclavicular nerves 10. a) b) c) d) e) Indicate the extension of the previsceral cervical space: From the edge of mandible till manubrium sterni and clavicles From the edge of mandible till the hyoid bone From the hyoid bone till manubrium sterni From the superior edge of the thyroid cartilage till manubrium sterni and clavicles From the edge of the mandibula till the superior edge of the thyroid cartilage 11. a) b) c) d) e) Which celluloadipose spaces of the neck communicates with the anterior mediastinum? Suprasternal interaponeurotic space Previsceral cervical space Retrovisceral cervical space Retropharyngian space Paravascular space of the main neurovascular bundle of the neck 12. a) b) c) d) e) Borders of the infrahyoid region: Hyoid bone and the posterior belly of digastricus muscle Anterior edge of sternocleidomastoid muscle Horizontal line traced on the level of thyroid cartilage Inferior edge of mandible sternum and clavicle 13. a) b) c) d) e) Syntopy of the cervical portion of the trachea: Anteriorly – thyroid gland isthmus Anteriorly and bilaterally – thyroid gland lobes Posteriorly - esophagus At the level of jugular notch – common carotid arteries Internal carotid arteries 14. a) b) c) d) e) Indicate arteries that supply the thyroid gland: Superior thyroid arteries Inferior thyroid arteries Medium thyroid arteries Recurrent thyroid artery Thyroid imaartery 15. a) b) c) d) e) Lymphoepithelial pharyngeal ring is formed by: Pharyngeal tonsils Palatine tonsils Tubal tonsils Submandibular tonsils Lingual tonsils 16. a) b) c) d) e) Innervation of the cervical part of esophagus is provided by: Vagus nerve Accesor nerve Cervical ganglia of the sympathetic trunk Hypoglossus nerve Recurrent nerves 17. a) b) c) d) e) Indicate three possible levels of the common carotid artery bifurcation: Superior border of C5 Superior border of C6 Superior border of thyroid cartilage At the level of cricoid cartilage Inferior border of C4 18. Indicate differences between internal and external carotid arteries: a) External carotid artery is positioned anteriorly and medially to the internal carotid artery b) c) d) e) External carotid artery has branches but the internal carotid artery has no branches in the region of neck Internal carotid artery begins with a dilatation – carotid sinus Pressure of the external carotid artery in wound stops pulsation of the superficial temporal artery on zygomatic arch Internal carotid artery gives rise to the superior thyroid artery just at the bifurcation 19. a) b) c) d) e) Carotid reflexogenic zone is situated: At the level of hyoid bone At the level of superior border of thyroid gland In the region of manubrium sterni In the region of cricoid cartilage In the region of common carotid artery bifurcation 20. a) b) c) d) e) Indicate the walls of interscalenic space: Sternothyroid muscle Anterior scalene muscle Posterior scalene muscle Omohyoid muscle Medium scalene muscle 21. a) b) c) d) e) What veins participate in the formation of the jugular venous angle? Subclavicular vein Internal jugular vein Anterior jugular vein External jugular vein Brachiocephalic vein 22. a) b) c) d) e) What structures are situated in the scalenovertebral triangle? A. subclavia, thyriocervical trunk, a. vertebralis Thoracic lymphatic duct Internal jugular vein Middle cervical ganglion of the sympathetic chain Inferior cervical ganglion of the sympathetic trunk 23. a) b) c) d) e) Arterial branches that arise from the subclavian artery in the scalenovertebral triangle: Vertebral artery Transverse cervical artery Suprascapulary artery Thyriocervical trunk Internal thoracic artery 24. a) b) c) d) e) Thoracic lymphatic duct drains into: Right subclavian artery Right brachiocephalic vein Right internal jugular vein Left external jugular vein Left jugular venous angle 25. a) b) c) d) e) Main routes of the inflamation spreading from the region of the neck are: Posterior mediastinum Abdominal cavity Retroperitoneal space Anterior mediastinum Pleural cavity 26. a) b) c) d) e) In which triangle is performed the ligature of the lingual artery? Lingual triangle of Pirogov Carotid Submandibular Lateral triangle of the neck Medial triangle of the neck 27. a) b) c) d) e) Borders of the omoclavicular triangle: Superior belly of the omohyoid muscle Sternocleidomastoidian muscle Clavicle Inferior belly of the omohyoid muscle Median line of the neck 28. a) b) c) What is the syntopy of the stellate ganglion? Inferiorly – cupola of pleura Anteriorly – vertebral and subclavicular artery Vertebral nerve originates from it d) e) Medially – phrenic nerve Posteriorly - the long cervical muscle 29. a) b) c) d) e) Choose the structures that have sheath from the first superficial fascia of the neck: Sternocleidomastoid muscle Submandibular gland Parotid gland Platysma Posterior belly of digastricus muscle 30. a) b) c) d) e) The projection of the carotic tubercle on the neck is: middle of the anterior margin of sternocleidomastoideus m. middle of the sternocleidomastoideus m.when the head is turned laterally at the level of cricoid cartilage middle of the sternocleidomastoideus m. when the head is in maximal extension none of the answers 31. a) b) c) d) e) What can be palpated under the inferior margin of the mandible: submandibular gland lymphatic nodes carotic a. lingual a. hyoid bone 32. a) b) c) d) e) Which vessel intersects the sternocleidomastoidian muscle from the exterior: external jugular v. internal jugular v. anterior jugular v. jugular venous arch thyroid ima v. 33. a) b) c) d) e) The projection of the vocal ligaments is at the level of: inferior margin of the thyroid cartilage hyoid bone crycothyroid membrane angle of the mandible crycoid cartilage 34. a) b) c) d) e) Apex of the pleural cupola is projected: in the supraclavicular fossa in the infraclavicular fossa incisura jugularis does not come out of the thoracic boundaries in the deltopectoral fossa 35. a) b) c) d) e) According to V. N. Şevkunenko how many cervical fascias we have: one two three four five 36. a) b) c) d) e) Which fascias serve as boundary for he suprasternal interaponeourotic space: fascia superficialis colli and lamina superficialis of the fascia colli propria superficial and deep lamina of the colli propria fascia omoclavicular aponeurosis and endocervical fascia endocervical fascia and prevertebral fascia visceral and parietal sheaths of the endocervical fascia 37. a) b) c) d) e) The surface of the retrovisceral cervical space is limited by: basis of the cranium and the diaphragm basis of the cranium and the hyoid bone basis of the cranium and incisura jugularis basis of the cranium and Th5 basis of the cranium and Th1 38. a) b) c) d) e) The prevertebral space is limited by: cervical vertebra and prevertebral fascia mm. longus capitis and prevertebral fascia mm. longus colli and prevertebral fascia lamina superficialis fasciae colli propriae and fascia prevertebralis parietal and prevertebral fascias 39. a) b) c) The prevertebral space contains: mm. longus capitis mm. longus colli sympathetic trunk d) e) vagus n. mm. splenius capitis 40. a) b) c) d) e) The external jugular vein forms at the confluence of: retromandibular v. posterior auricular v. facial v. deep facial v. angular v. 41. a) b) c) d) e) The cutaneous nerves of the neck can be found in the superficial layers at the level of: middle of the posterior margin of the sternocleidumastoidian m. middle of the anterior margin of the sternocleidumastoidian m. angle of the mandible hyoid bone vertebra C3 42. a) b) c) d) e) The subcutaneous nerves of the neck are localized: subcutaneous between the I and the II fascia between the II and the III fascia between the I and the III fasc none of the answers 43. a) b) c) d) e) Which cervical fascia forms a fascial sheth for the submandibular gland: I fascia II fascia III fascia IV fascia V fascia 44. a) b) c) d) e) Where do the sheaths of the II cervical fascia which form a capsule for the submandibular gland fix: inferior margin of the mandible linea mylohyoidea superior magine of the mandible body of the hyoid bone submandibular duct 45. a) b) c) d) e) What are the limits of the lingual triangle (Pirogov)? superior - hypoglossus n. inferior - intermediar tendon of the digastric m. medial - free margine of the mylohyoideus m. superior - lingual n. anterior - free margin of the hyoglossus m. 46. a) b) c) d) e) The floor of the lingual triangle (Pirogov) is formed by: hyoglossus m. mylohyoid m. digastric m. deep lamina of the II fascia stylohyoid m. 47. a) b) c) d) e) Which branch is the lingual artery from its origin - external carotid artery: first second third fourth does not originate from the external carotic artery 48. a) b) c) d) e) Which fascias participate at the formation of linea alba colli: I fascia II fascia III fascia IV fascia V fascia 49. a) b) c) d) e) For which muscles the omoclavicular aponeurosis forms a fascial sheath: pretraheal mm. prevertebral mm. suprahyoid mm. scalen mm. submandubular mm. 50. a) b) c) Which nerves enervate the pretraheal muscles: ansa cervicalis vagus n. phrenic n. d) e) n. recurrens dexter ganglion stellatum 51. a) b) c) d) e) What is the syntopy of the elements of the main neurovascular bundle of the neck: medial - a. carotis communis, lateral - v. jugularis interna, between the vein and the artery and posterior -vagus n lateral - a. carotis communis, medial - v. jugularis interna, between the vessels -vagus n. medial - a. carotis communis, between the artery and nerve - v. jugularis interna, lateral - vagus n. between v. jugularis interna and vagus n.- a. carotis communis, medial -vagus n. lateral - a. carotis communis, between the artery and nerve - v. jugularis interna 52. a) b) c) d) e) What is the origin of the subclavicular arteries: right - from the brachiocephalic arterial trunk, left - aortic arch left - from the brachiocephalic arterial trunk, right - aortic arch left - from the brachiocephalic trunk, right - brachiocephalic arterial trunk left - aortic arch, right - aortic arch none of the answers 53. a) b) c) d) e) In what cases is affected the interaponeurotic suprasternal space: in case of purulent myositis in case of osteomyelitis sternal manumbrium in case of osteomyelitis of the clavicles in case of trachea diseases in case of larynx damage 54. a) b) c) d) e) In what cases is affected the previsceral space from cervical region in the case of damage to the farynx in case of damage to the trachea in case of damage to the larynx in case of damage to the esophagus in the case of diseases of the thyroid gland 55. a) b) c) d) e) In what cases is affected the retrovisceral space? tirioide gland lesions the trachea lesions in the lesions of the larynx in the cervical segment of the thoracic duct injuries injury (iatrogenic, post-combustion) of the esophagus 56. a) b) c) d) e) What separates the previsceral space from the anterior mediastinum? fascia propria omoclavicular fascia deep tab of the own throat fascia parietal blade moving in the visceral endocervical fascia (being penetrated by vessels and nerves) prevertebral fascia 57. a) b) c) d) e) In what cases is affected sternocleidomastoid m cellular tissue sheath space? in some types of mastoiditis in purulent myositis in purulent affecting of the parotid gland in purulent diseases of the submandibular gland in thymic disorders 58. a) b) c) d) e) Which of the following statements concerning the area of superficial cellular tissue located in lateral triangle of the neck are correct? is disposed between the II and III fascia is disposed between the II and V fascia within omotrapezoidian triungle is disposed between the III and V fascia within the omoclavicular triangle on the trajectory of suprascapular artery communicates with the deep spaces of scapular region on the trajectory of lateral neurovascular bundle items of the neck communicates with axillary cavity 59. a) b) c) d) e) Which of the following statements concerning the area of cellular tissue located in deep lateral triangle of the neck are correct? is disposed between the II and III fascia is disposed between the fascia II and V within omotrapezoidian triungle is deeper disposed to V fascia around the lateral neurovascular bundle neck items the line of suprascapular artery communicates with the deep spaces of scapular region on the trajectory of lateral neurovascular bundle items of the neck communicates with axillary cavity 60. a) b) c) Read the following statements carefully and enumerate the correct ones: accessor n penetrates II fascia 1.5 cm higher of the middle rear edge of the sternocleidomastoid m accesor n within the lateral triangle limits of the neck is located on. levator scapula muscle tumors localized in the lateral triangle of the neck can compress the cervical plexus branches accompanied by pain radiating in all directions common carotid artery pulsation can be seen between the front edge of the sternocleidomastoid m and cervical viscera subclavian artery passes through antescalen space d) e) d) e) Which of the following statements about topography of the superior laryngeal nerv are correct? move within the carotid triangle passes psterior to thebasics element of the medial neurovascular bundle of the neck, oblique from top to bottom branches into external branch (which along with another branch of the vagus n tion in forming n - n depressant cordis) and internal branch is a branch of the vagus nerv passes anterior to the basics element of the medial neurovascular bundle of the neck 62. a) b) c) d) e) In case of surgical interventions on thyroid ,which nerve can be damaged? recurrent laryngeal n inferior laryngeal n superior laryngeal n vagus n sympathetic trunk 63. a) b) c) d) e) Which of the following statements are correct about the topography of cervical loop (cervical ansa)? superior branch descends into composition of hypoglossal nerve, from which emerges in limits of the carotid triangle superior branch starts from II cervical spinal nerve inferior branch start from. III and IV cervical nerves innervate pretracheal groups muscle so it is a motor branch is a sensory branch 64. a) b) c) d) e) Which of the following statements about the topography of the cervical sympathetic trunk are correct? has superior and inferior lymph nodes (permanent), medium and intermediar (non-permanent) is mostly located deeper of V fascia on prevertebral mm superior ganglion is located in the spinous and transverse processes of the cervical II-III vertebrae medium ganglion, intermediar and inferior are located in limits of the scalenovertebral triangle medium ganglion, intermediar and inferior are located in limits of the intescalen area 65. a) b) c) d) e) The following triad of symptoms: miosis, narrowing of the palpebral fissure and enophthalmos may occur at: damage vagus nerve in the cervical region damage of hypoglossal nerve damage of sympathetic trunk (cervical spine trauma, compression by tumors in the cervical region) damage of phrenic nerve damage of superior and inferior laryngeal nerves 66. a) b) c) d) e) During surgical intervention on the thoracic duct in limit of the cervical region can be injured: vague n inferior laryngeal n recurrent laryngeal n phrenic n sympathetic trunk 67. a) b) c) d) e) In what cases is affected deep space of adipos cellular tissue (deeper the V fascia)? in case of trachea damage in case of tuberculous disease of the cervical vertebrae (cold abscess) in case of esophagus damage in case of myositis in case of larynx damage 68. a) b) c) d) e) limits of submandibular triangle: the inferior border of the mandible milohioid muscle strenocleidomastoidian muscle anterior and posterior belly of digastric muscle hyoid bone 69. a) b) c) d) e) Fascia No.3 of the neck is called: endocervical fascia submandibular fascia omoclaviculara fascia fascia propria superficial fascia 70. a) b) c) d) e) Submandibular gland bag contains: submandibular gland facial artery trigeminal nerve lingual artery thyroid arteries 71. a) b) c) Boundaries of sternocleidomastoid region are: edge of the trapezius muscle the inferior edge of the mandible the superior edge of the clavicle 61. a) b) c) d) e) correspond to the sternocleidomastoid muscle the superior edge of the manubrium sterni 72. a) b) c) d) e) Extra lobe of the thyroid gland is called: pyramidal lobe basal lobe parathyroid lobe tracheal lobe lingual lobe 73. a) b) c) d) e) The esophagus begins at the vertebra: C3 C2 C7 C6 C5 74. a) b) c) d) e) Superficial fascia after Shevkunenko classification is located between: skin and subcutaneous fat tissue skin and platysma muscle platysma muscle and sternocleidomastoid muscule sternocleidomastoid muscle and the anterior scalene muscle sternoclediomastoidian muscle and common carotid artery 75. a) b) c) d) e) Superficial sheet of fascia propria of the neck formes a sheath for: submandibular gland platysma muscle sternotiroidian muscle common carotid artery the internal jugular vein 76. a) b) c) d) e) Visceral sheet of neck fascia covers the following formations: parotiroide glands recurrent laryngeal nerve esophagus submandibular gland thyroid gland 77. a) b) c) d) e) Suprasternal interaponeurotic cellular space contains: common carotid artery internal jugular vein external jugular vein jugular venous arch (juguli venous arch) aortic arch 78. a) b) c) d) e) Subcutantat cellular tissue in limits of the carotid triangle contains: platysma muscle external jugular vein and cervical plexus branches the internal jugular vein facial vein descending branch of the nerve sublingval 79. a) b) c) d) e) The vagus nerve in relation to carotid artery in the region of carotid triangle is situated: anterior and medial posterior and medial anterior and lateral posterior and lateral between the artery and vein 80. a) b) c) d) e) In limits of submandibular triangle posterior of platysma muscle there is: inframandibular nerve sublingval nerve lingual nerve facial nerve (cervical branch) cervical plexus 81. a) b) c) d) e) In omoclavicular triangle the external jugular vein is situated in: subcutaneous adipose tissue the thickness of the platysma muscle prevertebralis fascia superficial sheet of deep fascia none of the above variants 82. In the omoclavicular triangle the phrenic nerveis between: a) superficial and deep sheet of the fascia propria b) c) d) e) anterior scalene muscle and preverterbal fascia anterior and medium scalene muscle medial and posterior scalene muscle superficial fascia and propria fascia 83. a) b) c) d) e) Scheletotopic larynx corresponds to cervical vertebrae: Th2 - Th4 Th1 - Th 3 Th3 - Th 4 Th5 - Th6 Th7 - Th 8 84. a) b) c) d) e) Posterior to tracheal adheres intimately the following organ: cervical portion of the esophagus pharynx with pharyngeal lobe of the parotid gland common carotid artery impair thyroid venous plexus cervical vertebrae 85. a) b) c) d) e) Pretracheal cellular space of the neck region communicates with the cellular space of: innteraponeurotic suprasternal space anterior mediastinum posterior mediastinum retroesofagian none of the above variants 86. a) b) c) d) e) Lingual artery ligation in the Pirogov triangle: provides postlesional intraoperative hemostasis is used in lingual neoplasm resection contribute to decrease the organ in volume is not used in lingual artery ligation in the lingual triangle all answers are correct 87. a) b) c) d) e) Innervation of Carotid sinus (Hering n) is achieved by: mandibular n short and long ciliary n. vagus n glossopharyngeal n sphenopalatin n 88. a) b) c) d) e) Major clinical sign of laryngeal recurrent nerve damage is: loss of appetite dysphagia dyspnoea aphonia euphoria 89. a) b) c) d) e) The afonia cause in the recurrent laryngeal n lesion: reflector spasm of the vocal cords vocal muscle paresis epiglottis contracture regurgitation of food withaspiration acute laryngeal dilatation 90. a) b) c) d) e) Branches of subclavian artery in the prescalen segment are: vertebral artery transverse coli artery internal thoracic artery costocervical trunk tireocervical trunk 91. a) b) c) d) e) Branches subclavian artery in the interscalen segment are: vertebral artery transvera coli artery internal thoracic artery costocervical trunk tireocervical trunk 92. a) b) c) d) e) branches subclavian artery in the interscalen segment are: vertebral artery transvera coli artery internal thoracic artery costocervical trunk tireocervical trunk 93. a) b) c) d) e) The major risk of plagues with cervical localization is conditioned by: presence of main (magistral) arterial trunk the negative pressure in the venous system at this level lymphatic lesion of magistral pathways the possibility of diffusion of the inflammatory process to the mediastinum veins ambience due to parietal fixing through fascia 94. a) b) c) d) e) Central venous abord is done by catheterization of: anterior jugular v. external jugular v. internal jugular v. jugular venous arch subclavian v. 95. a) b) c) d) e) What fascia forms the sternocleidomastoid and trapezoid muscles sheath: superficial fascia superficial lamina of the fascia colli propria deep lamina of the fascia colli propria endocervicalis fascia prevertebralis fascia 96. a) b) c) d) e) Which of the cervical fascia form sheath for infrahyoid muscles: superficial fascia superficial lamina of the fascia colli propria deep lamina of the fascia colli propria fascia endocervicalis fascia prevertebralis 97. a) b) c) d) e) The highest vascularization index organ (5ml/min/g) is: myocardium thymus brain tissue thyroid parathyroid Thoracic cavity 1. a) b) c) d) e) Thoracic cavity is delimited by: ribs only sternum and vertebral column only ribs, sternum, vertebral column, intercostals muscles and diaphragm intercostal muscles and diaphragm clavicles and costal arch 2. a) b) c) d) e) What does the pleural cavity represent:? Cavity that is delimited by the visceral and parietal pleura Space between lung and mediastinum Cavity between lugs, diaphragm and mediastinum Cavity delimited by the sheaths of the parietal pleura It is a part of the thoracic cavity where the magistral vessels pass 3. a) b) c) d) e) Which statements are correct conserning the lymphatic dranage from the mammary gland? There is superficial and deep lymphatic reflux Parasternal lymphatic nodes recieve lymph from the axillary lymph nodes Lymph node of Sorgius that lays at the edge of the pectoral major muscle is a sentinel node of the first step From the internal-superior quadrat the lymph reaches the epigastric ganglia Main collectors of lymph are the axillary lymph nodes 4. a) b) c) d) e) Venous system of mammary gland is composed by: Superficial venous rete Deep venous rete Intercostal veins Subclavian veins Axillary veins 5. a) b) c) Which fascia forms the capsule for the mammary gland? Pectoral fascia Clavipectoral fascia Superficial fascia d) e) Transversal fascia Endocervical fascia 6. a) b) c) d) e) Which arteries vascularise the mammary gland? Internal thoracic artery Lateral thoracic artery Intercostal arteries Inferior thyroid artery Subclavian artery 7. a) b) c) d) e) Mammary gland is innervated by: Branches of the II-VII intercostal nerves Branches of cervical plexus Branches of the brachial plexus Phrenic nerves Vagus nerves 8. a) b) c) d) e) How is called the deep sheath of pectoral fascia: Superficial fascia Pectoral fascia Endocervical fascia Clavipectoral fascia Axillary fascia 9. a) b) c) d) e) The fascial sheath of which muscle is formed by the clavipectoral fascia: Major pectoral muscle Minor pectoral muscle Seratus anterior muscle Deltoid muscle Intercostal muscles 10. a) b) c) d) e) Superficial subpectoral space is placed: Behind the major pectoral muscle In front of the clavipectoral fascia and minor pectoral muscle Behind the fascia superficialis In front of deep fascia In the subcutaneous fatty tissue 11. a) b) c) d) e) Deep subpectoral space is placed: In front of the major pectoral muscle Behind the major pectoral muscle In front of the minor pectoral muscle Behind the minor pectoral muscle In front of clavipectora fascia 12. a) b) c) d) e) Which of the following sinuses of the pleural cavity is the deepest? Costodiaphragmatic sinus Costomediastinic sinus Diaphragmomediastinic sinus Costal sinus Mediastinal sinus 13. a) b) c) d) e) Space between the sternal part and costal part of the diaphragm on the right side is named? Triangle of Pirogov Fissure of Larey Triangle of Morganye Triangle of Bohdalec Triangle of Ghesselbach 14. a) b) c) d) e) Space between the sternal part and costal part of the diaphragm on the left side is named? Triangle of Pirogov Fissure of Larey Triangle of Morganye Triangle of Bohdalec Triangle of Ghesselbach 15. a) b) c) d) e) Diaphragm is vascularized by: musculophrenic arteries intercostal arteries superior phrenic arteries inferior phrenic arteries superior epigastric artery 16. Main respiratory muscle is: a) b) c) d) e) M. rectus abdominis M. obliqus abdominis externus M. obliqus abdominis internus mm. intercostales Diaphragm 17. a) b) c) d) e) All of the mentioned below refer to congenital anomalies of the heart besides: Persistence of the duct of Botallo Interatrial sept undevelopment Dextro-position of the heart Acquired mitral stenosis Interventricular septum underdevelopment 18. In the azygos vein flows: a) hemiazygos v. b) Left intercostal veins c) Esophageal veins d) Posterior bronchial veins e) Mediastinal veins 19. To which rib corresponds the sternal angle (Ludovic): a) I b) II c) III d) IV e) V 20. In the intercostal spaces are situated: a) superficial and deep intercostals muscles b) intercostals aa. c) intercostal vv. d) intercostals nn. e) endothoracic fascia 21. a) b) c) d) e) Syntopy of the intercostal neurovascular bundle from superior to inferior: superior - intercostal a., inferior - nerv and more inferior - vein superior - nerv, inferior - vein and more inferior - intercostal a. superior - vein, inferior - intercostals a. and more inferior - nerv the nerv is situated more medial, vessels - more lateral lateral is situated the nerv, medial - vessels 22. a) b) c) d) e) What represents the pulmonary ligament: Ligament that bind the right lung with the left lung Ligament between the pulmonary artery and vein Double fold of pleura extending from the pulmonary hilum toward diaphragm Duplication of the parietal pleura in which are placed the pulmonary vessels Ligament between the aortic arch and the pulmonary artery 23. At the level of what rib can be found the inferior border of the right lung: a) Vth rib - on the medioclavicular line b) Xth rib - on the anterior axillar line c) Xth rib - on the scapular line d) XIth rib - on the paravertebral line e) IXth rib - on the posterior middle line 24. a) b) c) d) e) What band intersects from anterior and posterior the right bronchus right ventricle internal thoracic a. superior vena cava left atrium azygos vein 25. a) b) c) d) e) Syntopy of the right pulmonary root components from superior to inferior: Artery, bronchus, vein Bronchus, vein, artery Vein, artery, bronchus Bronchus, artery, vein Artery, vein, bronchus 26. What intersects the left bronchus: a) descendent aorta b) left vagus nerve c) left phrenic nerve d) hemiazygos vein e) left pulmonary vein 27. a) b) c) d) e) What branches originate from the arch of aorta from right to left? Right common carotid artery Left common carotid artery Arterial brachiocephalic trunk, leftcommon carotid artery, left subclavicular artery Left subclavicular artery Left common subclavicular artery 28. a) b) c) d) e) What nerve crosses the arch of aorta from anterior? Right phrenic nerve Right vagus nerve Left phrenic nerve Left splanchnic nerve Left vagus nerve 29. a) b) c) d) e) Where is situated the arterial canal of Botallo? Between aorta and superior vena cava Between inferior vena cava and aorta Between pulmonary artery and arch of aorta Between the right auricle and superior vena cava Between the left common carotid artery and subclavian artery 30. a) b) c) d) e) At what level right and left recurrent laryngeal nerves start? Right – at the level of right subclavian artery Left – at the level of left brachiocephalic trunk Left – at the level of aortic arch Right – at the level of trachea bifurcation Left and right – at the level of IV cervical vertebra 31. a) b) c) d) e) Where does the right phrenic nerve cross superiorly to the pulmonary hilum pass? Between aorta and superior vena cava Between the superior vena cava and right common carotid artery Between superior vena cava and mediastinal pleura Between the brachiocephalic truk and superior vena cava Anteriourly to the arch of aorta 32. Anterior the trachea and manubrium sterni are placed: a) superior vena cava b) left subclavian a. c) sympathetic trunk d) recurrent laryngean nerve e) arch of aorta with brachiocephalic trunk, left common carotid artery and left brachiocephalic vein 33. a) b) c) d) e) What passes immediately posterior from the right bronchus Azygos vein and right vagus nerve Right pulmonary artery Right pulmonary vein Sympathetic trunk Inferior vena cava 34. a) b) c) d) e) What criteria correspond to the pulmonary arteries? Deliver oxygenated blood to the heart Deliver oxygenated blood to the lung Deliver unoxygenated blood from the the heart to the lung Are parallel to the bronchi Vascularise the pulmonary parenchim 35. a) b) c) Anterior mediastinum contains everything except: Thymus Ascending aorta and arch of aorta Magistral veins thoracic lymphatic duct trachea d) e) 36. a) b) c) e) Posterior mediastinum contains the following, except: esophagus descending aorta thoracic lymphatic duct pulmonary hilum, bifurcation of the trachea, arch of aorta azygos and hemiazygos veins 37. a) b) c) Posterior mediastinum contains: Azygos and hemiazygos veins and sympathetic trunks Thoracic lymphatic duct, thoracic aorta Esophagus and vagus nerves d) d) e) Pulmonary arteries and veins Inferior vena cava and portal vein 38. a) b) c) d) e) Deviation of esophagus in the thoracic part (at the level of thoracic vertebra II-V): To left To right Posterior Anterior Localized strictly on the lateral side of the vertebral column 39. a) b) c) d) e) On the level of whichs vertebra esophagus intersects the aorta from anterior: Th3 Th5 Th6 Th7 Th8 40. a) b) c) d) e) Venous reflux from the inferior 1/3 of the esophagus directed to: Vena cava inferior Vena cava superior Azygos and hemiazygos veins Left gastric vein Portal vein 41. a) b) c) d) e) Lymphatic thoracic duct passes through: Esophageal opening of the diaphragm Aortal opening of the diaphragm Costo-lumbar triangle of the diaphragm Inferior vena cava opening Vena azygos opening 42. a) b) c) d) e) How many outstanding narrowing path esophagus: a single narrow two narrowings three narrowings four constrictions does not have on the trajectory or narrow 43. a) b) c) d) e) Which organ lesion is a criterion for a thoraco-abdominal trauma? Lung Liver Spleen Diaphragm Heart and pericardium 44. a) b) c) d) e) What nerve bends Aorta and ascends cranial? frenic n. vague n intercostal n the sympathetic trunk n. the left recurrent laryngeal n. 45. Which statement is correct concerning the stratigraphy of the chest wall? a) skin, subcutaneus cellular layer, superficial fascia., external intercostal muscle, neuroo-vascular package, internal intercostal muscle., fascia endotoracica, prepleural tissue, pleura. b) skin, subcutaneus celluar layer, superficial fascia, fascia propria, external intercostal muscle, nerve vascular package, internal intercostal muscle, fascia endotoracica, prepleural tissue, pleura. c) skin, subcutaneus celluar layer, superficial fascia, fascia propria, external intercostal muscle, vasculo-nervous package., subcostall muscle, fascia endotoracica, prepleural tissue, pleura. d) skin, subcutaneus cellular layer, superficial fascia, fascia propria, external intercostal muscle, vasculo-nervous package., internal intercostal muscle, fascia endocervical, prepleural tissue, pleura. e) skin, subcutanues celullar layer, fascia superficialis, fascia propria, external intercostal muscle., vasculo-nervous package, internal intercostal muscle., endotoracica fascia, preperitoneal tissue, pleura. 46. Which nerves enervate the diaphragm: a) phrenic nn. b) branches from vagus and sympathetic nn. c) 6 pairs of inferior intercostals nn. d) branches of the lombar plexus e) infraclavicular nn. 47. What are the internal thoracic artery branches? a) pericardophrenic a. b) c) d) e) superior epigastric a. musculophrenic a. mediastinal branches superior diaphragmatic aa. 48. a) b) c) d) e) What is the terminal branch of the internal thoracic artery? artery pericardiacofrenică superior epigastric artery musculophrenic artery mediastinal branches superior diaphragmatic artery 49. Which of the following statements about the toracoacromial trunk are correct: a) toracoacromial arterial trunk strarts from the subclavian a. b) toracoacromial trunk is a branch of the axillar a. c) toracoacromial trunk penetrates the coracoclavipectoral fascia d) penetrates into the superficial subpectoral fatty tissue space e) gives pectoral, acromial and deltoid branches 50. Which of the following statements about the costodiaphragmatic sinusare wrong: a) has a hight of 5 - 7 cm b) extends from the VIIth to the Xth rib c) as a rule the lung enters this sinus at a deep inspiration d) forms as a result of passing costal pleura into the diaphragmatic pleura e) in case of hydrothorax, hemothorax, chylothorax and pyothorax in this sinus liquid does not cumulate 51. The syntopy of the right pulmonary pediculus from superior to inferior is as follows: a) ABV b) BVA c) BAV d) VAB e) VBA 52. The syntopy of the left pulmonary pediculus from superior to inferior is as follows: a) ABV b) BVA c) BAV d) VAB e) VBA 53. The syntopy of the left pulmonary pediculus from superior to inferior is as follows: a) left - VAB b) right - VAB c) left - AVB d) right - VBA e) right - AVB 54. Which are the pericardiac sinuses: a) transversal b) vertical c) oblique d) antero-inferior (apycal) e) anterior 55. Internal thoracic artery is situated between the following structures of the thoracic wall: a) endothoracic fascia b) parietal pleura c) transversal thracic m. d) internal face of the ribs and of the internal intercostals mm. e) parapleural tissue 56. a) b) c) d) e) Which of the following statements concerning the topography of the phrenical nerves in the anterior mediastinum are correct: penetrate into the anterior mediastinum between the subclavian a. and v. right phrenic n. initially is situated between the lateral wall of the superior vena cava and mediastinal pleura pass anterior from the pulmonary hilum pass posterior from the pulmonary hilum the left nerve passes on the anterior surface of the esophagus, the right - on the posterior surface 57. The azygos vein drains into: a) inferior vena cava b) right brachiocephalic vein c) superior vena cava d) internal thoracic vein e) hemyazygos vein 58. Which are the weak points of the diaphragm: a) esophagian opening b) aortal opening c) central tendon d) sterno-costal triangles e) lumbo-costal triangles 59. Which are the weak points of the diaphragm: a) esophagian opening b) aortal opening c) central tendon d) sterno-costal triangles e) lumbo-costal triangles 60. a) b) c) d) e) The most common source of purulent collections in the mediastinum is: pretracheal space neurovascular bundle space of the neck antescalen space retrovisceral space sterno cleido –mastoid space 61. a) b) c) d) e) In case of anterior mediastinal purulences can be propagated in the following areas: the external intercostal spaces pleura central tendon pericardium triangles lumbo-costal 62. a) b) c) d) e) In case of posterior mediastinum purulences can be propagated in the following areas: subpleural cellularspace Cellular retroperitoneal space lungs sterno-costal triangles pericardium 63. a) b) c) d) e) What cellular spaces of the mediastinum do you know? prepericardial aortic hiatus tendinous center pretracheal paraesofagian 64. a) b) c) d) e) Prepericardial Area has the following limits: above - fascia endotoracică posterior - thymus and pericardium previous - costal pleura posterior - mediastinal pleura inferior - pleural fascia - Aperture 65. a) b) c) d) e) Pretracheal space has the following limits: anterior - posterior wall of the thymus and pericardium posterior - fascia of the trachea and bronchi right - costal pleura and vena hemiazygos left aortic arch and its branches right - mediastinal pleura and Azygos vein 66. a) b) c) d) e) paraesofagian area communicates with: cervical retrovisceral space cervical previsceral space retroperitoneal space preperitoneal space paranefral space 67. a) b) c) d) e) What are the factors that contribute to the purulent spread the mediastinum? mediastinal cellular spaces are not strictly delimitated continuous movement of the diaphragm and pleura well-developed cellular spaces changing the volume of mediastinal organs affirmations are wrong 68. a) b) c) d) e) In what direction can be propagated purulences in prepericardial space? retropharyngeal space preperitoneal space paracolon previsceral cervical space parapleural cell tissue 69. a) b) c) d) e) What branches of the sympathetic trunk take part in forming the reflex areas of the thoraco-abdominal region? large and small splanchnic nerve cardiac thoracic and splachnicus imus nn. vague nn phrenic nn. esophageal and pulmonary branches 70. a) b) c) d) e) Thoracic portion of the vague nn. have the following branches: bronchial diaphragmatic oesophageal pericardial mediastinal 71. a) b) c) d) e) What nerve plexus are situated in the heart region? right and left anterior plexus the right and left posterior plexus right and left atrial plexus right and left ventricular plexus anterior-inferior plexus 72. a) b) c) d) e) What statements about the thoracic duct are true? is formed on the Th. 12 - L.1 are formed on the L.2 - L.3 are formed at the merger of two groups of lombar lymph collectors beginning of the duct has a dilatation the beginning of the duct has no feature 73. a) b) c) d) e) Plan which separates Upper and Lower mediastinum passes through: sternal manubrium bifurcation of the trachea I thoracic vertebra aortic arch xiphoid apophysis 74. a) b) c) d) e) The mammary gland is located between the ribs: 2 rib 3 rib 6 rib 7 rib 5 rib 75. a) b) c) d) e) Locating of the Zorghius lymph node corresponds to: the outer edge of the sternum I intercostal space, medioclavicular anterior edge of the sternocleidomastoid muscle seratus anterior muscle under the pectoral pinor muscle 76. a) b) c) d) e) True ribs are: the first 4 the last 2 the first 10 the first 7 all are true ribs 77. a) b) c) d) e) Upper chest aperture is limited by: thoracic vertebrae Th1 cervical vertebra C7 sternal notch of the manumbriului first rib clavicle 78. a) b) c) d) e) Muscular portion of the diaphragm is divided into: vertebral portion sternal portion costal portion lumbar portion pulmonary portion 79. a) b) c) d) e) Upper lobe of the right lung has the following segments: apical segment posterior segment tmedium segment lower segment anterior segment 80. How many lobes has the thymus gland? a) b) c) d) e) 4 lobes 3 lobes 1 lob 2 lobes 6 lobes 81. a) b) c) d) e) Oval fossa is located on: interventricular septum early portion of the aorta interatrial septum left atrial wall early portion of the pulmonary trunk 82. a) b) c) d) e) The lower limit of the right lung on the average axillary line corresponds to: cartilage of the 7 rib the upper edge of the 11 rib the lower edge of the 9 rib 6 rib 5 intercostal space 83. a) b) c) d) e) The lower limit of the left lungs on medioclaviculara line corresponds to: 7 rib 5 rib 8 rib 9 rib 6 intercostal space 84. a) b) c) d) e) Right lung is divided into lobes by following fissures: oblique fissure transverse fissure horizontal fissure lateral fissure sagittal fissure 85. a) b) c) d) e) Middle mediastinum contains: Heart the lower portion of the superior vena cava the ascending aorta pulmonary arteries and veins the esophagus 86. a) b) c) d) e) Atrioventricular node is located in: wall of the right atrium wall of the left atrium the lower portion of the interatrial septum in the upper portion of the interventricular septum the wall of the left ventricle 87. a) b) c) d) e) Diaphragmatic triangle Larey: can be used as surgical access to pulmonary pedicle can be used for transepigastric puncturing of the pericardium represent a strong place, corresponds to the tendinous center is a weak point of the diaphragm corresponds to the esophageal hiatus 88. a) b) c) d) e) The most common diaphragm hernias have the location in: lombocostal Bogdalek triangle sternocostal Larey triangle hiatus aorticus hiatus esofageus central tendon 89. a) b) c) d) e) Puncture of pleural cavity is made between the lines: anterior axillary medial axially posterior axillary scapular paravertebral 90. a) b) c) d) e) Vertical level of pleural cavity puncture corresponds to: V intercostal space VI intercostal space VII intercostal space VIII intercostal space IX intercostal space 91. As norm,costodiafragmatic sinus: a) b) c) d) e) containing 20-50 ml pleural fluid has a depth of 6-8 cm is occupied entirely by lung at maximum of inspiration is occupied partialy by the lung even at maximum of inspiration becomes evident in the accumulation of pathological collections 92. a) b) c) d) e) Intercostal spaces puncture is performed by the absolute rule at the level of: upper costal margin margin of intercostal space lower cost margin costal angle aponeurotic intercostal membrane 93. a) b) c) d) e) According to anatomical particularities, localization od foreign body occurs more often in the: middle segment of trachea bifurcation of the trachea right bronchial left bronchial anatomical narrowing of the trachea in the lower third 94. a) b) c) d) e) Cavo-portal anastomosis by v. esophageal and gastric v. gets maximum clinic value: erosive esophagitis Acute pancreatitis fatty liver dystrophy hepatic cirrhosis calculous cholecystitis 95. a) b) c) d) e) Separation of mediastinum anterior from posterior is performed by a plan: sagittal went through the pulmonary trunk origin frontal went through the pulmonary trunk bifurcation sagittal went through the tracheal bifurcation frontal went through tracheal bifurcation bringing together the origin of the pulmonary trunk with tracheal bifurcation 96. a) b) c) d) e) Select anterior mediastinum elements: the thoracic aorta side pulmonary trunk internal thoracic artery superior vena cava hemiazygos v. 97. a) b) c) d) e) Select posterior mediastinum items: ascending portion of the aorta aortic arch hemiazygos vein thoracic duct internal thoracic vein 98. a) b) c) d) e) Select anterior mediastinum elements: diaphragatic nerv vague nerv the sympathetic chain parasternal lymph nodes prevertebrali lymph nodes Abdomen Anterolateral wall of the abdomen 1. a) b) c) d) e) 2. a) b) c) d) e) Resistance of which wall is lowered in case of direct inguinal hernias? posterior anterior superior inferior all walls Congenital inguinal hernia can be: through sliding direct strangulated oblique through sliding and direct 3. a) b) c) d) e) What is the cause of congenital inguinal hernia formation? tension of abdominal press muscle increase of intra-abdominal pressure persistent peritoneo-vaginal process cryptorchidism inguinal space dilatation 4. a) b) c) d) e) What nerves innervate the inguinal region? iliohypogastric nerve ilioinguinal nerve genitofemural nerve subcostal nerves all are correct 5. a) b) c) d) e) What are the structures that form the external orifice of the inguinal canal? external abdominal oblique muscle and pubic symphysis internal abdominal oblique muscle and pubic tubercle splitting of the aponeurosis of external oblique muscle the reflex ligament from the inguinal ligament superficial fascia and pubic tubercle 6. a) b) c) d) e) Which vessel forms "corona mortis"? obturator artery inferior epigastric artery obturator branch of the inferior epigastric artery femoral vein obturator vein 7. a) b) c) d) e) What fossa on the inner surface of the abdominal wall corresponds to the internal orifice of the inguinal canal? medial inguinal fossa supravesicular fossa lateral inguinal fossa femoral fossa umbilical fossa 8. a) b) c) d) e) What structure forms the anterior wall of the inguinal canal in patients with hernia? superficial fascia external abdominal oblique muscle transverse abdominal muscle aponeurosis of the external oblique abdominal muscle inguinal ligament 9. a) b) c) d) e) What structure forms the posterior wall of the inguinal canal? transversal fascia interior margin of external oblique muscle Jimbernat's ligament inguinal ligament iliac bone crest 10. a) b) c) d) e) What structure forms the inferior wall of the inguinal canal? transversal fascia interior margin of external oblique muscle Jimbernat's ligament inguinal ligament iliac bone crest 11. a) b) c) d) e) What separates the lateral inguinal fossa from the medial one, on the inner surface of the abdominal wall? median umbilical fold medial umbilical fold lateral umbilical fold umbilical artery transverse peritoneal fold 12. a) b) c) d) e) What inguinal fossa is implicated in descending of testicle? medial lateral supravesicular lateral and medial lumbar triangle (of Petit) 13. a) b) c) d) e) Which nerves passes through the external orifice of the inguinal canal? iliohypogastric nerve ilioinguinal and subcostal nerve ilioinguinal nerve and genital branch of genitofemural nerve obturator nerve and external spermatic nerve ilioinguinal nerve and external spermatic nerve 14. Which are the sides of the inguinal triangle? a) b) c) d) e) inferior-lateral - inguinal ligament medial - pectineal ligament medial - lateral margin of rectus abdominis m. superior - the line that connects the umbilic with anterior superior iliac crest superior - the line that connects the point between the lateral and medial 1/3 of the inguinal ligament 15. a) b) c) d) e) What represents the inguinal space? the space between the anterior and posterior wall of the inguinal canal the space between the superior and inferior wall of the inguinal canal the space between the anterior and superior wall of the inguinal canal the space between the posterior and inferior wall of the inguinal canal the space between the inguinal ligament and the pectineal ligament 16. a) b) c) d) e) The elements of the spermatic cord are all, except: testicular a. pampiniform plexus deferent duct the artery of deferent duct genital branch of genitofemural nerve 17. a) b) c) d) e) Which of the following statements concerning the process of descending the testicle are correct: the testicle begins to descend under the action of gubernaculums testis, starting with the 4th month of intrauterine development in the 7th month the testicle can be found at the level of future internal inguinal orifice initially it can be found in the lombar region near the primary kigney in the 9th month it descends in the scrotum in the 7th month descends in the scrotum 18. a) b) c) d) e) The walls of the inguinal canal in people with hernia are: anterior - aponeurosis of external oblique abdominal m. superior - free margins of the internal oblique abdominal and transvers abdominal mm. inferior -inguinal ligament posterior - aponeurosis of internal oblique abdominal m. posterior - transvers fascia 19. a) b) c) d) e) Which of the following statements are wrong? the inguinal canal is a weak point of the antero-lateral wall of the abdomen direct inguinal hernia prolabates through lateral fossa hernial sac in oblique inguinal hernia can be found in the spermatic cord hernial sac in direct inguinal hernia can descend in the scrotum (inguino-scrotal hernia) congenital inguinal hernia is oblique 20. a) b) c) d) e) What represents the anterior wall of the inguinal canal in patients without hernias (healthy): aponeurosis of internal oblique abdominal m. aponeurosis of external oblique abdominal m. fibers of the transvers abdominal m. fibers of cremaster m. fibers of internal oblique abdominal m. 21. a) b) c) d) e) What anatomical structures consolidate the floor of the inguinal space (transverse fascia): falx aponeurotica inguinalis falx aponeurotica femoralis fibers of m. cremaster lig. Interfoveolare fibers of transvers abdominal m. 22. a) b) c) d) e) Common vaginal sheath of the testicle and spermatic cord is formed as a result of: spermatic cord penetration through the transverse fascia descend of the testicle infundibular prolabation of the transvers fascia by the spermatic cord prolabation of the parietal peritoneum all answers are true 23. a) b) c) d) e) What is the lateral limit of the antero-lateral wall of the abdomen: a line that represents the continuation of the anterior axillary line below a line connecting the middle of the XIIth rib with the anterior superior iliac spina a continuation of the medial axillary line below - Lesgaft line left and right paravertebral lines a line that represents a continuation of the posterior axillary line below 24. a) b) c) d) e) What structures define from the superior and inferior the anterolateral region of abdominal wall: a line passing through the upper edge of the pubis, inguinal ligament and iliac crest a line that connects the anterior iliac spine with the umbilic a line perpendicular from the anterior-superior ileacă spina to the lateral margin of the rectus abdominal m. a line which passes through the xiphoid process and costal margin a line which passes through the XIth rib 25. Which nerves innervate the skin from the hipogastric region of the anterolateral wall of the abdomen a) intercostal nn. V-VIII b) intercostal nn. IX - XI c) d) e) intercostal nn. XII (n. subcostalis) ileohypogastric n. ileoinguinal n. 26. a) b) c) d) e) Which nerves innervate the skin from the mezogastric region? intercostal nn. X - XI intercostal nn. IX intercostal XII nn. (n. subcostalis) ileohypogastric n. ileoinguinal n. 27. a) b) c) d) e) Which nerves innervate the skin from the epigastric region: n. iliohypogastric n. intercostal X - XI n. intercostal XII (n. subcostalis) nn. intercostal VI - IX n. ileoinguinal 28. a) b) c) d) e) Which subcutaneous veins take part at formation of cavo-caval anastomosis around the umbilic: thoracoepigastric v. paraombilical vv. inferior epigastric v. superficial epigastric v. superior epigastric v. 29. a) b) c) d) e) Which subcutaneous veins take part at formation of porto-caval anastomosis around the umbilic: superficial epigastric v. paraombilical vv. epigastric inferioar v. thoracoepigastric v. epigastric superior v. 30. a) b) c) d) e) Which anatomical structures define the internal femoral orifice: medial - lacunar ligament (Gimbernati) lateral - femoral a. lateral - fascial sheath of femoral vein anterior and superior - inguinal ligament (Poupart) posterior and inferior - pectineal ligament (Cooperi) 31. a) b) c) d) e) List the layers at the level of umbilical ring: skin subcutaneous fatty tissue cicatriceal tissue ombilical fascia parietal peritoneum 32. a) b) c) d) e) Where are situated the main trunks of the intercostal arteries on the anterior-lateral abdominal wall: between the internal oblique and transverse abdominal mm. between the external and internal oblique abdominal mm. between the aponeurotic laminas of the external and internal oblique abdominal mm. between the subcutaneous fatty tissue and the external oblique abdominal m. into the fascial sheath of the rectus abdominis mm. 33. a) b) c) d) e) Where is situated the inferior epigastric artery at the level of hypogastrium? between the internal oblique and transverse abdominal mm. between the transverse muscle and the peritoneum between the transverse fascia and parietal peritoneum (in the preperitoneal tissue) between the aponeurosis of external and internal oblique abdominal mm. in the subcutaneous fatty tissue 34. a) b) c) d) e) In the thickness of which umbilical fold is situated the inferior epigastric artery: medial umbilical fold median umbilical fold transverse vesical fold lateral umbilical fold inferior epigastric fold 35. a) b) c) d) e) Which of the following statements are correct? deep lamina of the superficial fascia of the antero-lateral wall of the abdomen in the hypogastrium region - fascia Thompson superficial lamina of the superficial fascia of the antero-lateral wall of the abdomen in the hypogastrium region - fascia Thompson in case of portal hypertension syndrom the superficial venous network around the umbilic expand, which is called "caput medusae" the round ligament of the liver forms as a result of obliteration of the umbilical vein in the postnatal period umbilical hernias more frequent prolabate through the superior semicircumference of the umbilical canal 36. a) b) c) d) In the surgical treatment of which type of hernia "corona mortis" can be injured: oblique inguinal hernia strangulated direct inguinal hernia strangulated femoral hernia obturator hernia e) strangulated oblique inguinal hernia 37. a) b) c) d) e) The connection between the portal vein and the veins of the abdominal wall is done through: paraombilical vv. testicular v. inferior epigastric v. superior epigastric v. intercostal v. 38. a) b) c) d) e) Which muscles form the anterolateral abdominal wall? rectus abdominis and pyramidal mm. transvers abdominal mm. external oblique mm. internal oblique mm. iliopsoas m. 39. a) b) c) d) e) From which artery start the superficial epigastric artery? femural a. extern iliac a. intern a. iliac profunda femoris a. obturator a. 40. a) b) c) d) e) Vascularization of the antero-lateral abdominal wall is insured by: superficial epigastric a., inferior epigastric a. superior epigastric a., intercostal aa. left gastric a., external pudend a. internal pudend a., extern iliac a. lumbal aa. 41. a) b) c) d) e) Inferior epigastric artery starts from: femoral a. internal iliac a. external iliac a. obturator a. a. profunda femoris 42. a) b) c) d) e) The preperitoneal tissue immediately communicates with: parametral tissue prevezical tissue paranephral tissue retroperitoneum pararectal 43. a) b) c) d) e) Which structure covers the rectus abdominis muscle from posterior below the Duglas's arcuate line? parietal peritoneum parietal peritoneum and aponeurosis of transvers m. transversal fascia parietal pelvic fascia aponeurosis of transversal m. 44. a) b) c) d) e) The anterior fascial sheath of the rectus abdominis muscle superior from the arcuat line of Douglas is formed by: aponeurosis of transversal abdominal m. aponeurosis of external oblique abdominal m. transversal fascia anterior lamina of the aponeurosis of internal oblique abdominal m. aponeurosis of internal oblique abdominal m 45. a) b) c) d) e) The anterior wall of the fascial sheath of the rectus abdominis muscle below the arcuat line of Douglas is formed by: aponeurosis of transversal abdominal m. aponeurosis of external oblique abdominal m. transversal fascia anterior lamina of the aponeurosis of internal oblique abdominal m. aponeurosis of internal oblique abdominal m. 46. a) b) c) d) e) The posterior wall of the fascial sheath of the rectus abdominis muscle superior from the arcuat line of Douglas is formed by: aponeurosis of transversal abdominal m. aponeurosis of external oblique abdominal m. transversal fascia posterior lamina of the aponeurosis of internal oblique abdominal m. aponeurosis of internal oblique abdominal m. 47. a) b) c) d) e) What represents the arcuate line of Douglas: the limit of passing from anterior to posterior of the external oblique abdominal muscle's aponeurosis the limit of passing from anterior to posterior of the transversal abdominal muscle's aponeurosis the limit of passing from posterior to anterior of the transversal abdominal muscle's aponeurosis the limit of passing from posterior to anterior of the posterior lamina of internal oblique abdominal muscle's aponeurosis the limit of passing from posterior to anterior of the transversal fascia 48. a) b) c) d) e) The superior and inferior epigastric arteries are situated: between the internal and external oblique abdominal mm. in the subcutaneous fatty tissue posterior from the rectus abdominis m. into the sheath of the rectus abdominis m. between the internal oblique and the transversal abdominal mm. 49. a) b) c) d) e) The superficial arteries in the hypogastrium region: superficial epigastric a. superior epigastric a. superficial circumflex iliac a. inferior epigastric a. external pudend aa. 50. a) b) c) d) e) What represents the semilunar line of Spigel? the limit of passing the internal oblique abdominal m. into his aponeurosis the limit of passing the external oblique abdominal m. into his aponeurosis the limit of passing the mezogastric region into hypogastric region a line situated 2-3 cm below the umbilic the limit of passing the transversal abdominal m. into his aponeurosis 51. a) b) c) d) e) Which of the following statements concerning the umbilical ring are correct: is a weak point of the antero-lateral wall of the abdomen in the intrauterine period through the inferior 1/2 of the ring passes the urahus and two umbilical aa. is a region where the subcutaneous fatty tissue and the preperitoneal tissue is absent in the intrauterine period through the superior 1/2 of the ring passes the umbilical a. stratigraphycally has 6 lalyers 52. a) b) c) d) e) In how many anatomo-topographical regions is devided the antero-lateral wall of the abdomen: 6 8 9 4 10 53. a) b) c) d) e) The lower limit of the anterolateral abdominal wall passes through: the upper edge of the pubic symphysis iliac crest arcuate line of Douglas the inguinal ligament Spigelia semilunar line Peritoneal cavity 1. a) b) c) d) e) Which veins form the portal vein of liver? vv. gastrica sinistra and mesenterica superior vv. mesenterica inferior and renalis vv. mesenterica inferior, testicular (ovarian) sinistra vv. mesenterica superioris, inferioris and lienalis vv. renalis and mesenterica superior 2. a) b) c) d) e) Where is situated the portal vein of the liver? in the bursa omentalis initially in retroperitoneal space, posterior from the head of pancreas in front of the head of pancreas between the laminas of hepatoduodenal ligament behind the stomach 3. a) b) c) d) e) Which part of the duodenum crosses the portal vein of the liver: superior descending inferior horizontal ascending does not pass behind the duodenum 4. a) b) c) d) e) How is situated the common bile duct with regard to portal vein of the liver: in front behind to the right to the left above 5. a) b) Left from the portal vein passes: right gastroepiploic artery left gastroepiploic artery c) d) e) left gastric artery hepatic proper artery hepatic common artery 6. a) b) c) d) e) The hepatoduodenal ligament starts from? from the left hepatic lobe from the right hepatic lobe from the quadrate lobe from the hepatic hilum from the caudate lobe of the liver 7. a) b) c) d) e) The content of the hepatoduodenal ligament is: a. hepatica comunis, bile duct, a. lienalis choledoc duct, v. porta, a. hepatica propria a. gastrica sinistra, vv. hepatica, bile duct a. hepatica comunis, a. gastrica dextra, a. lienalis v. porta, a. lienalis, bile duct 8. a) b) c) d) e) Which structures contribute to the formation of the hepatoduodenal ligament? fascia endoabdominalis and transversus parietal peritoneum two sheaths of the visceral peritoneum from the lesser omentum transversal fascia and aponeurosis of transverse abdominal muscle transversal fascia and visceral peritoneum 9. a) b) c) d) e) Which part of the omental foramen does hepatoduodenal ligament forms? anterior posterior superior inferior medial 10. a) b) c) d) e) Lesser omentum is supplied with blood by: a. hepatica propria, a.lienalis a. lienalis, aa.gastrici brevis a. hepatica propria, a. colica media a. hepatica propria, a.gastroduodenalis a. gastrica sinistra, a. gastrica dextra, a. hepatica propria 11. a) b) c) d) e) A. gastrica sinistra originates from: a. mesenterica superior a. mesenterica inferior truncus arteriosus celiacus a. lienalis a. hepatica comunis 12. a) b) c) d) e) A. gastrica dextra originates from: truncus celiacus a. hepatica comunis a. hepatica propria a. lienalis abdominal aorta 13. a) b) c) d) e) Where is situated the main trunk of the left gastric artery: hepatogastricum ligament phrenicocolicum ligament phrenicogastric ligament gastrocolicum ligament hepatoduodenal ligament 14. a) b) c) d) e) Lesser omentum is formed by the following ligaments: gastrocolic, hepatogastric, gastrolienal gastrolienal, inghinal, lacunar hepatoduodenal, hepatogastric, phrenicogastric hepatogastric, gastropancreatic gastrolienal, pectinal 15. a) b) c) d) e) Hepatoduodenal ligament goes to? Descending part of duodenum Ascending part of duodenum Superior part of duodenum Lesser curvature of the stomach Omental bursa 16. a) b) c) d) Hepatoduodenal ligament is part of: greater omentum small omentum gastro-pancreatic lig. duodenorenal ligament e) hepatogastric ligament 17. a) b) c) d) e) Which structures delimitate the omental foramen? Inferiorly – duodenum Superiorly – hepatic caudate lobe Anteriorly – hepatoduodenal ligament Posteriorly – parietal peritoneum which covers inferior vena cava Laterally – stomach 18. a) b) c) d) e) Between the laminas of the hepatogastric ligament are situated the following structures: artera gastrica sinistra artera hepatica propria artera gastrica dextra v. coronaria ventriculi vena lienalis 19. a) b) c) d) e) Posterior wall of the omental bursa is formed by: spleen left hepatic lobe parietal peritoneum which covers the pancreas, aorta, inferior vena cava and left kidney visceral peritoneum hepatic caudate lobe 20. a) b) c) d) e) What structures form the superior wall of the omental bursa? Diaphragm Inferior surface of the caudate lobe Posterior wall of the stomach Posterior part of the left hepatic lobe Inferior part of the duodenum 21. a) b) c) d) e) Right gastroepiploic artery originates from: Lienal artery Superior mesenteric artery Gastroduodenal artery Inferior mesenteric artery Left gastric artery 22. a) b) c) d) e) What is the relationship between the stomach and peritoneum? Retroperitoneal Intraperitoneal Mesoperitoneal Posterior wall is retroperitoneal Anterior wall is mesoperitoneal 23. a) b) c) d) e) Abdominal portion of the esophagus can be situated: Retroperitoneal Intraperitoneal Mesoperitoneal In posterior mediastinum In anterior mediastinum 24. a) b) c) d) e) Portal vein of liver is situated in: Hepatogastric ligament Gastropancreatic ligament Hepatoduodenal ligament Gastrocolic ligament Gastrolienal ligament 25. a) b) c) d) e) In hepatoduodenal ligament are localized the following ducts: Left and right hepatic ducts Cystic duct Bile duct Pancreatic duct Accessory pancreatic duct 26. a) b) c) d) e) Blood drainages from the liver to: V. cava inferior V. cava superior V. lienalis V. mesenterica superior V. gastrica dextra 27. a) b) c) d) e) What is the relationship of the gallbladder with peritoneum? Intraperitoneal Retroperitoneal Mesoperitoneal In peritoneal cavity Posterior to the peritoneum 28. a) b) c) d) e) Veins of the esophagus flow into: Portal v. azygos, hemiazygos vv. V. gastrica sinistra V. cava inferior V. mezenterica superior 29. a) b) c) d) e) Where is situated the motor branch of vagus, the nerve of Latarget? Near the greater curvature of stomach In the lesser omentum parallel to lesser curvature of stomach Near the fundus of stomach Along the duodenum Along the gastrolienal ligament 30. a) b) c) d) e) A. gastroepiploica sinistra originates from: a. gastrica sinistra a. gastrica dextra a. lienalis a. mezenterica superior a. hepatica propria 31. a) b) c) d) e) Blood supply of the greater curvature of stomach is provided by: a. mesenterica superior a. gastroepiploica dextra a. lienalis a. gastroepiploica sinistra short gastric arteries 32. a) b) c) d) e) Which nerves go along with the abdominal portion of the esophagus? splanhnic nn. n. diafragmalis laryngeal recurrent nn. anterior and posterior vagus trunks Inferior intercostal nerves 33. a) b) c) d) e) Anterior wall of the omental bursa is composed by: Lesser omentum and spline Lesser omentum and spline, stomach, lobuus caudatus of liver Hepatogastric ligament, anterior gastric wall Right hepatic lobe, lesser omentum Lesser omentum, posterior gastric wall and gastrocolic ligament 34. a) b) c) d) e) Omental foramen forms a communication between: Superior and inferior “storeys” of abdominal cavity Abdominal cavity and retroperitoneal space Subhepatic recess and omental bursa Abdominal cavity and the cavity of small (true) pelvis Abdominal cavity and posterior mediastinum 35. a) b) c) d) e) Common hepatic duct is formed through joining of: Cystic and left hepatic ducts Cystic and right hepatic ducts Right and left hepatic ducts Left hepatic and bile ducts Bile duct and pancreatic ducts 36. a) b) c) d) e) Bile duct is formed by joining: Cystic and common hepatic ducts Cystic and right hepatic ducts Right and left hepatic ducts Left hepatic and coledochus ducts Coledochus and pancreatic ducts 37. a) b) c) d) e) Gallbladder is situated on the following surface of the liver: Posterior Anterior Diaphragmal Visceral Medial 38. a) b) c) d) e) Cyctic artery begins from? Common hepatic artery Proper hepatic artery Lienal artery Right hepatic artery Left gastric artery 39. a) b) c) d) e) Boundaries of the Buddle triangle are: Superior-liver Inferior-cystic duct Medial-common hepatic duct Superior-right hepatic artery Medial-bile duct 40. a) b) c) d) e) Superior storey (level) of abdomen is delimited from inferior storey (level) by: Lesser omentum Greater omentum Transverse colon Root of transverse colon mesenterium Small intestine 41. a) b) c) d) e) The following parts of duodenum are situated retroperitoneal: Superior part Descending part Inferior horizontal part Ascending part whole duodenum 42. a) b) c) d) e) Bile duct drains into: Small intestine Hepatopancreatic ampulla Descending part of duodenum Transverse colon Superior part of duodenum 43. a) b) c) d) e) The relationship between the spleen and the peritoneum is: retroperitoneal intraperitoneal it is not covered by peritoneum mesoperitoneal partially covered by peritoneum 44. a) b) c) d) e) Pancreas is situated: In hepatic bursa In the inferior floor of the peritoneal cavity In retroperitoneal space In duodenojejunal recess Into the cavity of omental bursa 45. a) b) c) d) e) Pancreatic duct opens into: Horizontal inferior portion of the duodenum Descending portion of the duodenum On the greater duodenal papilla Hepatopancreatic ampulla Omental bursa 46. a) b) c) d) e) Hepatopancreatică ampulla opens into: the lower horizontal portion of the duodenum descending duodenum the superior horizontal portion of the duodenum pancreatic duct omental bursa 47. a) b) c) d) e) Hepatic bursa is limited by: posterior - right coronary lig. right - falciform lig left -falciform lig. superior - diaphragm inferior - right lobe of the liver 48. a) b) c) d) e) What represents the right subdiaphragmatic space? the lowest point of subhepatic recess the lowest point of the hepatic bursa is situated posterior from the superior surface of the right lobe of the liver can serve as a site of accumulation of pathologic liquids does not have any practical importance 49. a) b) c) d) e) Limits of pregastric bursa: posterior - lesser omentum and anterior wall of the stomach superior - diaphragm anterior - antero-lateral abdominal wall superior - hepatic hilum inferior communicates freely with the preepiploic space 50. What are the limits of prepyloric space a) b) c) d) e) posterior - the greater omentum anterior - visceral peritoneum anterior - anterolateral abdominal wall posterior - small omentum inferior - communicate freely with inframesocolic floor 51. a) b) c) d) e) Which of the following statements concerning about bursa omentalis are correct? is situated posterior from the stomach and lesser omentum serves as a way of access to the pancreas serves as space of accumulating the exudates in pancreatites or of the gastric contents in gastric perforations has three recesses - inferior, superior and left none of the answers are correct 52. a) b) c) d) e) What are the limits of the Callot's triangle: left - proper hepatic a. right - common biliar hepatic duct left - common hepatic biliar duct inferior-lateral - ductus cysticus at the base - a. cistica or right hepatic a. 53. a) b) c) d) e) The bile duct (choledoch) has the following portions: hillar supraduodenal retroduodenal pancreatic intramural 54. a) b) c) d) e) In case of cancer of pancreatic head first is compressed the following portion of the bile duct: hilar supraduodenal retroduodenal pancreatic intramural 55. a) b) c) d) e) Enumerate the superficiale ligaments of the stomach: lig. hepatogastric lig. gastropancreatic lig. phrenicogastric lig. gastrocolic lig. gastrolienal 56. a) b) c) d) e) Enumerate the deep ligaments of the stomach: lig. hepatogastric lig. gastrocolic left gastropancreatic lig. lig. gastrolienal right gastropancreatic lig. 57. a) b) c) d) e) Which veins participate at formation of porto-caval anastomosis at the level of abdominal esophagus: inferior diaphragmatic vein medial diaphragmatic vein left gastric vein right gastric vein esophagean veins 58. a) b) c) d) e) Which are the branches of the celiac trunk? left gastric a. right gastric a. common hepatic a. proper hepatic a. lienal a. 59. a) b) c) d) e) Which of the following statements concerning the Letarje nerve are correct: is a long branch of the vagus nerve is a branch that innervate cardia portion of the stomach is a branch that innervate the antral and pyloric portion of the stomach passes on lesser curvature of the stomachbetween sheets of hepatogastric ligament passes between the laminas of phrenicogastric ligament 60. a) b) c) d) e) Which vessels start from the lienal artery? a. gastrica sinistra a. gastrica dextra a. gastroepiploica sinistra aa. gastrici brevis a. hepatica propria and gastroepiploica dextra 61. a) b) c) d) e) The route of the lienal artery is: along the posterior margin of the pancreas along the inferior margin of the pancreas along the superior margin of the pancreas through the pancreatic parenchyma it has no attachment with the pancreas 62. a) b) c) d) e) Right mesenteric sinus is bounded by: Mesentery of sigmoid colon superior - transverse colon and its mesocolon from the right - ascending colon medial - descendent colon from the left and inferior –the mesentery of small intestine 63. a) b) c) d) e) What parts of the large bowel are located intraperitoneally? cecum ascending colon appendix, transverse and sigmoid colon, supra ampullary portion of rectum descending colon ampullary portion of the rectum 64. a) b) c) d) e) What parts of the large bowel are located mezoperitoneal? cecum ascending colon appendix, transverse and sigmoid colon descending colon ampullary portion of the rectum 65. a) b) c) d) e) Which of the following statements concerning the small bowel are wrong? is situated mesoperitoneal is situated intraperitoneal receives blood supply from superior mesenteric a. receives blood supply from the inferior mesenteric a. ileal aa. and jejunal aa. start from the left semicircumference of the superior mesenteric a. 66. a) b) c) d) e) The righ portion of the large intestine receives blood supply from the following branches: lienal a. gastroepiploic aa. inferior mesenteric a. superioare mesenteric a. appendycular a. 67. a) b) c) d) e) Predict routes for pus spreading in perforating appendicitis: omental bursa duodenojejunal recessus of Treitz subdiaphragmal space pregastric bursa cavity of pelvis 68. a) b) c) d) e) What veins join the portal vein of liver with inferior cava vein? left gastric vein, esophageal veins, azygos and hemiazygos superior rectal vein, medial rectal veins, and internal iliac vein paraumbilical veins, inferior epigastric vein, external iliac vein superior epigastric vein and internal thoracic vein all are incorrect 69. a) b) c) d) e) Appendicular artery passes: retroperitoneal within small intestine mesenterium within appendicular mesenterium on the posterior surface of the cecum between cecum bands 70. The appendicular artery is a branch of: a) right colic a. b) ileocolic a. c) a. colica media d) ileal a. e) extern ileac a. 71. a) b) c) d) e) What nerves form celiac plexus? greater and lasser splanchnic nerves vagus and phrenic nerves hepatic plexus lumbar plexus intercostal and subcostal nerves 72. a) b) c) d) e) Which of the following statements concerning the right lateral canal are correct? from the right is limited by the antero-lateral wall of the abdomen from the left is limited by ascendent colon superior communicates with the subhepatic bursa and right hepatic bursa inferior communicates with the right iliac fossa and cavity of the pelvis is situated more medial from the ascendent colon 73. a) b) c) d) e) Which of the following statements refer to the topography of the left lateral canal? from the left is limited by the antero-lateral wall of the abdomen from the right is limited by ascendent and sigmoid colon superior from the phrenicocolic lig. inferior communicates with the cavity of the pelvis inferior does not communicate with the cavity of the pelvis 74. a) b) c) d) e) Which of the following recesses are situated in the ileocecal flexure of the intestine? subhepatic ileocecal superior ileocecal inferior retroappendicular retrocecal 75. a) b) c) d) e) Branches of which artery supplies with blood the left half of the colon? superior mesenteric a. inferioară mesenteric a. coeliac trunk lombar aa. renal aa. 76. a) b) c) d) e) The Riolani arcade is formed by the anastomosis of the following arteries: a. colica media and right colic a. a. ileocolica and right colic a. a. colica media and left colic a. left colic a. and sigmoid aa. a. colica media and ileocolic a. 77. a) b) c) d) e) The critical segments in the colon vascularisation are: incipient portion of the jejunum terminal ileon and iliocecal flexure (Trave) lienal flexure of the colon (Griffiths) hepatic flexure of the colon rectosigmoid portion of the colon (Zudeck) 78. a) b) c) d) e) List superior mesenteric a branches: ileocolic a. right colic a. left colic a. sigmoid aa. a. colica media 79. a) b) c) d) e) Peritoneum covers the liver in all parts except: Superior part Posterior part Inferior part Anterior part none is correct 80. a) b) c) d) e) How many segments are distinguished in the duodenum? 2 4 5 3 7 81. a) b) c) d) e) Projection point of the appendix is: Moris Chimmel McBurney Douglas Sonnemburg Lanz 82. a) b) c) d) Sphincter of Oddi is composed of: 2 portions 4 portions 1 portion 3 portions e) none is correct 83. a) b) c) d) e) Littre hernia represents: vermicular Appendix the intestinal wall Mekeldiverticulum omentum large bowel 84. a) b) c) d) e) Scheletotopic left kidney is projected at: vertebrae 11 to 12 Th vertebrae 10 to 11 Th vertebrae 1-2 L vertebrae, 12 Th and first L vertebrae 2-3 L Spinal region, lumbar region and retroperitoneal space Spinal region 1. a) b) c) d) e) Indicate the physiological curves of the vertebral column directed anterior in sagittal plane: Cervical curvature – lordosis Thoracic curvature – lordosis Lumbar curvature – chiphosis Sacral curvature – chiphosis Lumbar curvature – lordosis 2. a) b) c) d) e) Which ligaments fix the vertebral bodies along the vertebral column? Interspinal ligaments of vertebrae Anterior longitudinal ligament Posterior longitudinal ligament Ligamenta flava Transversal ligaments 3. a) b) c) d) e) Determine the right sequence (order) of the medulla’s sheaths: Pia matter, arachnoid, dura matter Dura matter, arachnoid, pia matter Arachnoid, dura matter, pia matter Arachnoid, pia matter, dura matter Dura matter, pia matter, arachnoid 4. a) b) c) d) e) Determine which of the following represents kyphosis: Curvature of the vertebral column segment with posterior convexity Curvature of the vertebral column with anterior convexity Curvature of the vertebral column with lateral convexity Curvature of the vertebral column with medial convexity Vertebral column without curvatures 5. a) b) c) d) e) Determine which of the following statements represents scoliosis? Curvature of the vertebral column with posterior convexity Curvature of the vertebral column with anterior convexity Curvature of the vertebral column with lateral convexity Curvature of the vertebral column with medial convexity Vertebral column without curvatures 6. a) b) c) d) e) Determine which of the following statements represents lordosis? Curvature of the vertebral column with convexity posteriourly Curvature of the vertebral column with convexity anteriourly Curvature of the vertebral column with convexity lateraly Curvature of the vertebral column with convexity medialy Vertebral column without curvatures 7. a) b) c) d) e) Indicate the incorrect determination of the vertebral column’s curvatures Cervical curvature with the convexity in anterior - lordosis Thoracic curvature with the convexity in posterior - kyphosis Lumbar curvature with the convexity in anterior - kyphosis Sacral curvature with the convexity in posterior - lordosis Lumbar curvature with the convexity in anterior - lordosis 8. a) b) c) d) e) Which arteries participate in the supply of cervical vertebras? vertebral arteries ascending cervical arteries deep cervical arteries external carotid artery internal carotid artery 9. a) b) c) d) e) Which arteries participate in the supply of thoracic vertebras? Inferior epigastric arteries Superior intercostal arteries Intercostal arteries Transverse arteries of the neck Superficial cervical arteries 10. a) b) c) d) e) Which arteries participate in the supply of lumbar and sacral vertebras: lombar aa. lateral sacral aa. median sacral a. superior rectal a. inferior rectal a. 11. a) b) c) d) e) At what intervertebral level can be done the lumbar puncture in adults? Between spinous processes of Th11-12 vertebras Between spinous processes of Th12-11 vertebras Between spinous processes of L1-2 vertebras Between spinous processes of T2-3 vertebras Between spinous processes of L4-5 vertebras or L4-5 12. a) b) c) d) e) At what level can be done the lumbar puncture in children? Between spinous processes of Th12 - L1 vertebras Between spinous processes of L1-2 vertebras Between spinous processes of L2-3 vertebras Between spinous processes of L3-4 vertebras Between spinous processes of L4-5 vertebras 13. a) b) c) d) e) Where is situated the spinal epidural space? between spinal dura mater and spinal arachnoid between the wall of vertebral canal and spinal dura mater between arachnoid and spinal pia mater under dura mater under pia mater 14. a) b) c) d) e) Where is situated the spinal subdural space? under pia mater under the arachnoid membrane between dura mater and the arachnoid membrane between dura mater and the wall of vertebral canal between the arachnoid membrane and pia mater 15. a) b) c) d) e) Where is situated the spinal subarachnoid space? under pia mater under the arachnoid between dura mater and the arachnoid membrane between dura mater and the wall of vertebral canal between the arachnoid membrane and pia mater 16. a) b) c) d) e) How many pairs of spinal nerves with the origin in the spinal cord we can distinguish: C - 7, Th - 12, L - 5, S - 5, Co - 1 = 30 pairs C - 8, Th - 12,L - 5, S - 5, Co - 1 = 31 pairs C - 8, Th - 12, L - 5, S - 5, Co - 2 = 32 pairs C - 9, Th - 13, L - 6, S - 4, Co - 1 = 33 pairs C - 10, Th - 12, L - 5, S - 5, Co - 3 = 35 pairs 17. a) b) c) d) e) Indicate the correct answer: imaginary line that connects both angles of the scapula corresponding to spinous apophysis Th.VII imaginary line that connects both scapula angles corresponding to spinous apophysis Th.V imaginary horizontal line passing through the spina scapulae corresponds Th. III the imaginary line connecting both iliac crest corresponds L. IV - LV imaginary line connecting both iliac crest corresponds L. III - L.IV 18. What layers are traversed with a needle for the extraction of cerebrospinal fluid? a) skin and subcutaneus fat tissue b) ligaments: supraspinal, interspinous and yellow c) d) e) dura mater and arachnoid dura mater and pia mater ligaments: supraspinal, intertransversal and yellow 19. a) b) c) d) e) The epidural space contains: cellular tissue arteries venous plexus fascia cerebrospinal fluid 20. a) b) c) d) e) Where is the subdural space situated? under the pia mater under arachnoid between the dura mater and arachnoid between the dura mater and periosteum spinal canal between the arachnoid and pia mater 21. a) b) c) d) e) In what space is the cerebrospinal fluid situated? epidural subdural subarachnoid between dura mater foils none is correct 22. Which statement are correct? the average diameter of the spinal canal is 2.5 cm2 lumbar region of spinal canal has a diameter of 3.5 cm2 cervical regin of spinal canal has a diameter of 2.9 cm2 lumbar region of spinal canal has a diameter of 2.5 cm2 the average diameter of the spinal canal is 3.5 cm2 a) b) c) d) e) 23. What is the relationship between the output of the roots from the spinal cord and spinal nerves from the spinal canal in the cervical region? a) upper cervical region - roots have a horizontal direction b) upper cervical region - roots have a diagonally direction c) inferior neck region and upper chest regions - nervous segments are located by own vertebrae above the the output level d) inferior neck region and upper chest regions - nervous segments are located above two vertebe to output level e) inferior neck region and upper chest regions - nervous segments corresponding to vertebrae 24. What is the relationship between the output of the roots from the spinal cord and spinal nerves from spinal canal in the thoracic and lumbar region? a) medial thoracic region - nervous segments are located two vertebrae above the output to b) inferior thoracic region - nervous segments are located two vertebrae above the output to c) inferior thoracic regions – nervous segments are located three vertebrae above d) output level of lumbar nervous segments is Th. X, XI and partially Th. XII e) output level of lumbar nervous segments is LI, II and III 25. a) b) c) d) e) The link between the sympathetic trunk and spinal nerves is done by? meningiene branches postganglionic branches communicating branches preganglionic branches spinal ganglia 26. a) b) c) d) e) Mark the correct statements: Adamchevici artery supply practically two thirds lower of the spinal cord Adamchevici artery enters in 75% of cases from the left Adamchevici artery enters in 25% of cases from the left Adamchevici artery have a diameter of approximately 2 mm Adamchevici artery has a diameter about 8 mm Lumbar region 1. a) b) c) d) e) Boundaries of lumbar region: Superior – XIIth rib Inferior – iliac crests and sacrum Medial – paravertebral line Medial – vertical line vertical line passing on the spinous processes of lumbar vertebras Lateral – vertical line passing as a continuation of the middle axilary line towards the iliac crest 2. a) Which muscles are situated in the medial portion of the lumbar region? m. psoas b) c) d) e) m. erector spinae m. quadratus lumborum internal oblique abdominal m. external oblique abdominal m. 3. a) b) c) d) e) Which muscles are situated in the lateral portion of the lumbar region? transversal abdominal m. internal oblique abdominal m. external oblique abdominal m. psoas m. quadratus lumborum m. 4. a) b) c) d) e) Dedublation of the aponeurosis of which muscle forms the sheath of sacrospinal (erector spinae) muscle? fascia thoracolumbalis external oblique abdominal m. internal oblique abdominal m. transversal abdominal m. trapezius m. 5. a) b) c) d) e) Sides of inferior lumbar triangle of Petit: edge of latissimus dorsi muscle edge of external oblique abdominal muscle edge of internal oblique abdominal muscle iliac crest transverse abdominal muscle 6. a) b) c) d) e) The floor of lumbar triangle of Petit: m. latissimus dorsi external oblique abdominal m internal oblique abdominal m. iliac crest transverse abdominal muscle 7. a) b) c) d) e) Between the limits and the floor of the lumbar triangle of Petit passes: lombar a. subcostal neurovascular bundle iliohypogastric n. ilioinghinal n. no vessels, no nerves 8. a) b) c) d) e) Sides of superior lombar triangle (or rhombus) of Lesgaft-Grynfeldt: serratus posterior inferior muscle and XII rib internal oblique abdominal muscle erector spinae muscle aponeurosis of transverse abdominal muscle 9. a) b) c) d) e) What is the bottom of superior lumbar triangle (or rhombus) of Lesgaft-Grynfeldt: serratus posterior inferior muscle and XII rib internal oblique abdominal muscle erector spinae muscle aponeurosis of transverse abdominal muscle 10. a) b) c) d) e) The lumbar space of Lesghaft-Grynfelt is situated under: m. serratus posterior inferior m. trapezius internal oblique abdominal muscle m. erector spinae m. latissimus dorsi 11. a) b) c) d) e) The floor of the lumbar space of Lesghaft-Grynfelt is pierced by: subcostal neurovascular bundle XIIth rib iliohypogastric n. lumbar a. m. psoas minor 12. a) b) c) The triangle of Petit and the lumbar space of Lesghaft-Grynfelt have clinical importance because: they are weak points and here can form lumbar hernias can serve as a miniinvasive gateway (endoscopic) place of draining the inflammation processes from the retroperitoneal space d) e) serve as extern landmarks can be easily determined anatomically, but do not have clinical importance 13. a) b) c) d) e) Lombocostal ligament is made on based of which anatomical structures: transverse abdominal muscle aponeurosis lombodorsal fascia fascia propria fascia quadrata none is correct 14. a) b) c) d) e) What nerves pass between quadratus lumborum muscle and fascia that covers it from anterior: subcostal n iliohipogastric n ilioinguinal n femoral n sciatic n Retroperitoneal space 1. a) b) c) d) e) The limits of the retroperitoneal space are: posterior -endoabdominal fascia posterior -retroperitoneal fascia anterior -retroperitoneal fascia anterior -posterior lamina of parietal peritoneum anterior - prerenal fascia 2. a) b) c) d) e) In the retroperitoneal space we can find the following fascias: fascia retroperitonealis fascia prerenalis fascia retrorenalis fascia retrocolica (Toldti) fascia endoretroperitonealis 3. a) b) c) d) e) The proper retroperitoneal fatty tissue space is limited by: fascia endoabdominalis (transversa) fascia retrorenalis fascia prerenalis fascia retroperitonealis parietal peritoneum 4. a) b) c) d) e) The paranefral fatty tissue space is limited by: fascia endoabdominalis fascia retrorenalis fascia prerenalis fascia retroperitonealis parietal peritoneum 5. a) b) c) d) e) The paracolon fatty tissue space is limited by: fascia endoabdominalis fascia retrorenalis fascia prerenalis fascia retroperitonealis fascia retrocolica (Toldti) and parietal peritoneum 6. a) b) c) d) e) What anatomical structures are situated in paranephral celluloadipose space? branches of the lumbar plexus Sympathetic neural trunk lymph nodes celiac plexus superior mesenterial plexus 7. a) b) c) d) e) What anatomical structures are situated in paranephral celluloadipose space? kidneys and renal pedicles adrenal gland the abdominal aorta inferior vena cava portal vein 8. a) b) c) d) e) What anatomical structures are situated in paracolonic celluloadipose space? ureter doudenum, descendent portion and inferior horizontal pancreas suprarenal gland aorta and inferior vena cava 9. a) b) c) d) e) Fascial sheath for the suprarenal gland is formed by: fascia endoabdominalis fascia retrorenalis fascia prerenalis fascia retroperitonealis fascia retrocolica 10. a) b) c) d) e) Possible routs of pus and hematomas spreading from proper retroperitoneal space: in the paranephral fatty tissue space in the paracolic fatty tissue space in the parapleural space through weak points of the diaphragm in the infrainguinal region through lacuna musculorum in the paraureteral space 11. a) b) c) d) e) Possible routs of primary pus spreading from paranefral space: in the proper retroperitoneal fatty tissue space in the paracolic fatty tissue space primary spreading is not possible, because the inflamtory process forms strong fascial septums parietal fatty tissue space of the pelvis in the paraureteral space 12. a) b) c) d) e) Possible routs of primary pus spreading from paracolic space: in the subdiafragmal extraperitoneal and parapleural space in the proper retroperitoneal fatty tissue space in the parapleural space in the parietal fatty tissue space of the pelvis in the paraureteral space 13. a) b) c) d) e) The ureter's relationship with the retroperitoneal structures is: posterior from the lumbar arteries and veins posterior from the testicular (ovarian) vessels anterior from the genitofemoral nn. attached to the parietal peritoneum at the level of terminal line lateral from the quadratus lumborum m. 14. a) b) c) d) e) Where is situated the femoral nerve? Between the greater psoas and quadratus lumborum muscles Between iliac and greater psoas muscles Between the greater and lesser psoas Between quadratus lumborum and its fascia No correct answer 15. a) b) c) d) e) Where is situated the genitofemoral nerve? Protrudes the fascia projecting on the anterior surface of the greater psoas muscle On the posterior surface of the greater psoas Between greater psoas and quadratus lumborum muscles Between greater psoas and iliac muscles Between transverse fascia and the parietal peritoneum 16. a) b) c) d) e) The aberrant renal artery: can cause hydronephrosis starts from the renal a. or the aorta the majority of aberrant aa. supply with blood the inferior pole ignoring this artery can lead to abundent hemorrhages or necrosis of the inferior pole of the kigney does not present clinical interest 17. a) b) c) d) e) Which vessels cross the ureter in the retroperitoneal space? left - common iliac artery right - external iliac artery left - external iliac artery right - common iliac artery left and right - common iliac artery 18. a) b) c) d) e) Kidney projection on the anterolateral abdominal wall is: In epigastric and hypochondriac right and left regions In mesogastric and lateral abdominal regions In epigastric region In hypogastric region In umbilical region 19. a) b) c) Renal hilum projection on the anterior abdominal wall is: On the intersection of rectus abdomini muscle with costal arch 10 cm below the intersection of rectus abdomini muscle with costal arch On the level of costal arch and xiphoid process d) e) On the level of umbilicus On the level of apex of xiphoid process 20. a) b) c) d) e) Renal hilum projection on posterior abdominal wall is: On the intersection of lateral edges of erector spinae muscle with XII rib 10 cm below the intersection of lateral edges of erector spinae muscle with XII rib On the intersection of erector spinae muscle with XI rib On the intersection of erector spinae muscle with X rib On the intersection of erector spinae muscle with IX rib 21. a) b) c) d) e) Interrelation between structures of renal hilum from anterior to posterior: Artery, vein, ureter Vein, artery, ureter Artery, ureter, vein Ureter, artery, vein Vein, ureter, artery 22. a) b) c) d) e) Right kidney has interrelation with limitrophe organs, from anterior are situated: right lobe of liver descending part of duodenum superior portion of the ascendent colon and the small bowel loops aorta stomach 23. a) b) c) d) e) Left kidney has interrelation with limitrophe organs, from anterior are situated: tail of pancreas and spleen superior portion of the descendent colon small bowel loops posterior wall of the omental bursa sigmoid colon 24. a) b) c) d) e) Right suprarenal gland has interrelation with the following limitrophe structures: right lobe of the liver from anterior diaphragm from posterior abdominal aorta inferior vena cava coeliac plexus ganglia 25. a) b) c) d) e) Left suprarenal gland has interrelation with the following limitrophe structures: body of pancreas posterior wall of omental bursa inferior vena cava abdominal aorta et plexus coeliacus diaphragm from posterior 26. a) b) c) d) e) Projection of the ureters on anteriolateral abdominal wall: on lateral edge of the rectus abdomini muscles on medial edge of the rectus abdomini muscles 6 cm lateral to the lateral edge of rectus abdomini muscle 6 cm medial to the medial edge of rectus abdomini muscle on linea alba 27. a) b) c) d) e) Projection of the ureters on the posterior abdominal wall: parallel to the tips of spinous processes of lumbar vertebrae the line that connects the transversal processes of lumbar vertebrae on scapular lines on posterior axillary lines on midaxillary lines 28. a) b) c) d) e) Which of the following are visceral branches of abdominal aorta? Celiac trunk testicular aa. (ovarian) superior and inferior mesenteric aa. renal arteries and medial suprarenal a. inferior phrenic aa. 29. a) b) c) d) e) Which of the following are parietal branches of abdominal aorta? inferior phrenic arteries Lumbar arteries Median sacral artery Testicular (ovarien) arteries median suprarenal arteries 30. What anatomical structures cross inferior vena cava from posterior? a) b) c) d) e) Right renal artery Left renal artery Right lumbar arteries Left testicular (ovarien) artery Superior phrenic artery 31. a) b) c) d) e) Which of the following are visceral branches of the inferior vena cava? Lumbar veins Hepatic veins Superior mesenteric vein right testicular vein (ovarian) renal and suprarenal veins 32. a) b) c) d) e) Which of the following are parietal branches of inferior vena cava? inferior phrenic veins testicular (ovaric) veins renal veins medial sacral vein lumbar veins 33. a) b) c) d) e) How many narrowings has the ureter? one two three four five 34. a) b) c) d) e) How many equal parts of the ureter are considered? None Two Three Four Five 35. a) b) c) d) e) Anterior from abdominal aorta are situated: pancreas ascending portion of duodenum root of the small bowel mesentery left renal v. left testicular (ovarian) v. 36. a) b) c) d) e) Proximal from the iliac vessels, the ureter is situated posterior from: terminal portion of the ileum from right cecum - from right root of the sigmoid mesentery - from left descendent colonum - from left rectosigmoid portion of the colon - from left 37. a) b) c) d) e) XII rib intersect kidneys in the following way: left kidney is crossed about the middle left kidney: 1/3 superiorly and 2/3 inferiorly the right kidney: 1/3 superiorly and 2/3 inferiorly right kidney is crossed in the middle XII rib do not intersect kidneys 38. a) b) c) d) e) What are the anatomical structures and factors that maintain kidneys in their position: hepato-duodeno-and lienorenal ligaments adipose and external capsule renal pedicle intra-abdominal pressure visceral peritoneum 39. a) b) c) d) e) Paracolitis (damage of paracolonum) may develop as a result of pathological processes: pancreas and duodenum check intestine and appendix ascending and descending colon transevers colon small bowel 40. Purulent collections in the kidneys and ureters rise to: a) paranefritis b) paraurethritis c) d) e) paracolitis retroperitonitis peritonitis 41. a) b) c) d) e) Retroperitonitis (retroperitoneal phlegmon) develops as a result of damage of : parapleural space transverse colon cellular space in small basin duodenum the cell space around the kidney Pelvis 1. a) b) c) d) e) Innominated line of the pelvic inlet is delimited by: Superior branches of pubic bones Superior border of pubic symphysis Sacrotuberous and acrospinous ligaments and sacrum Inferior border of pubic symphysis, ischial bones and coccyx Promontory 2. a) b) c) d) e) Internal walls of the pelvis are covered by the next muscles: Obturator external Piriformis Gemellus superior and inferior Gluteus minor and iliopsoas Obturator internal 3. a) b) c) d) e) Exit from the pelvic cavity is closed by: Gluteus major and medius transversus perinei profundus m. (urogenital diaphragm) ischiocavernosus and bulbocavernosus mm. m. levator ani (anal diaphragm superficial perineal transvers m. 4. a) b) c) d) e) Greater sciatic foramen is delimitated by: Sacrotuberal ligament Sacrospinal ligament Lesser sciatic notch Greater sciatic notch Sacrum 5. a) b) c) d) e) Lesser sciatic foramen is delimitated by: Sacrococigian ligament Sacrospinal ligament Sacrotuberal ligament Lesser sciatic notch Sacrum 6. a) b) c) d) e) Piriform muscle originates from: Posterior superior iliac spine Iliac wings Coccyx Anterior surface of sacrum Anterior superior iliac spine 7. a) b) c) d) e) Levator ani muscle originates from: Terminal line of pelvis iliac bone wings Tendinous arch of pelvic fascia Schiatic bones Sacrospinal ligament 8. a) b) c) d) e) Gluteal superior nerve is coming out from pelvis through: Greater sciatic foramen Lesser sciatic foramen Obturator foramen Suprapiriform foramen Infrapiriform foramen 9. a) b) c) d) Visceral pelvic muscles are: Sphincter ani externus Obturator internal muscle Sphincter ani internus Levator ani muscle e) Piriform muscle 10. a) b) c) d) e) Pelvic fascia is a continuation of: Fascia lata Obturator fascia Transverse aponeurosis Endoabdominal fascia Retroperitoneal fascia 11. a) b) c) d) e) In the anterior compartment of subperitoneal storey (level) of pelvis in male are the following: Urinary bladder and pelvic portion of the ureters Prostate Seminal vesicles Rectum Ampulla of ductus deferens 12. a) b) c) d) e) In the anterior compartment of the subperitoneal storey (level) of pelvis in female are the followeing: uterine cervix greater vestibular gland of Bartholini ampulla of rectum extraperitoneal portion of the urinary bladder incipient portion of the vagina 13. a) b) c) d) e) What is situated behind the peritoneo-perineal fascia of Denonvilliers in female? Vagina Posterior fornix of vagina Rectum Internal ilieac a. Lumbar plexus 14. a) b) c) d) e) Tendinous arch of pelvic fascia is between: Ischial tuberosities Inferior margin of pubic symphysis and ischial spine Superior margin of pubic symphysis and ischial tuberosity Inferior margin of pubic symphysis and sacrum Spina sciatica 15. a) b) c) d) e) Urogenital organs in pelvis are separated from rectum by: Capsule of prostate of Retzius-Pirogov Capsule of rectum of Amussat Obturator fascia Endopelvin fascia Peritoneo-perineal fascia of Denonvilliers 16. a) b) c) d) e) Purulence of the lateral celluloadipose space of pelvis can spread to the gluteal region through: Suprapiriform foremen Infrapiriform foramen Pudendal (Alcock’s) canal Obturator canal Along the round ligament of uterus 17. a) b) c) d) e) Purulence of the lateral celluloadipose space of pelvis can spread to the medial fascial sheath of the thigh: Along the femoral branch of genitofemoral nerve Along the lateral femural cutaneous nerve Through the Alcock’s canal Through the obturator canal Along the round ligament of uterus 18. a) b) c) d) e) Parametral cellular space is localized between: Layers of the broad ligament of uterus Around the cervix uteri Transverse perineal muscles In the rectouterine pouch of Douglas In the vesicouterine pouch 19. a) b) c) d) e) Purulence of parametral celluloadipose space can spread immediately to: anterior region of the thigh along the femoral branch of genitofemural n. Retrovezical space Retroperitonial fatty tissue space Retrorectal fatty tissue space Lateral pelvic fatty tissue space 20. In the parametrium cellular space is localized: a) Uterine and ureteral arteries b) Sacral plexus c) d) e) Venous and nervous uterine plexuses Cardinal ligament of the uterus Mackenrodt Ovaries 21. a) b) c) d) e) How many stories distinguish in the pelvis One Two Three Four It is not separated into stories 22. a) b) c) d) e) 23. a) b) c) d) e) Peritoneal storey of pelvis is localized: Between wings of the iliac bones Between pelvic diaphragm and peritoneum Between peritoneum and fascia of Denonvilliers Between urogenital diaphragm and peritoneum In portion of the pelvic organs covered by the peritoneum Indicate the folds and excavations of the peritoneal pelvic storey in female: Transverse vesical fold Vesicouterine fold Rectovesical folds Sacrouterine folds, rectouterine excavations Vesicouterine excavations 24. a) b) c) d) e) Indicate the folds and excavations of the peritoneal pelvic storey in male: Transverse vesical fold Vezicorectale fold Sacrorectal fold Lateral umbilical folds Vesicouterine excavations 25. a) b) c) d) e) Subperitoneal storey of the pelvis is delimited by: Iliac wings Fascia that covers levator ani muscle Fascia of Denonvilliers Bottom of the peritoneal bag Represent pelvic organs coverd by peritoneum 26. a) b) c) d) e) Subcutaneous pelvic storey is localized between: iliac wings skin and pelvic diaphragm skin and superficial fascia the superficial and deep transverse perineal muscles peritoneum and muscle levator ani 27. a) b) c) d) e) Ischiorectal fossa is delimited by: iliac bone wing rectum skin levator ani muscle tuber of ischial bone together with the obturator internal muscle 28. a) b) c) d) e) The position of the internal iliac vein with relation to the internal iliac artery is: Medial Lateral Posterior Superior Anterior 29. a) b) c) d) e) Pelvic portocaval anastomosis, it is a connection between: superior rectal vv. and vv. rectale medii inferior and superior rectal vv middle and inferior rectal vv. in the pelvis there are no portocaval anastomoses venous plexus around the urinary bladder 30. a) b) c) d) e) Where is localized sacral plexus? On the obturator internal muscle On the obturator external muscle On the gemelli muscles On the piriform muscle On the anterior surface of the sacrum 31. a) b) c) d) e) Where is localized the sympathetic trunk in pelvis? On the obturator internal muscle Medial to the anterior sacral foramens On the gemelli muscles On the piriform muscle Lateral to the anterior sacral foramens 32. a) b) c) d) e) Lymph draines from the external genital organs to lymph nodes that are situated: Along the common iliac artery Internal iliac artery On the anterior surface of sacrum Along the external iliac artery Along the obturator artery 33. a) b) c) d) e) Pudendal (Alcock’s) canal is delimited by: Ischial tuberosity and obturator membrane Fascial duplication of the internal obturator muscle Obturator membrane and obturator internal muscle Ischial tuberosity and obturator internal muscle Sacrospinous and obturator internal muscle 34. a) b) c) d) e) Pudendal (Alcock’s) canal contains: Obturator artery, vein, and nerve Pudendal nerve Pudendal internal artery and vein Gluteus inferior artery, vein and nerve Pudendal external artery and vein 35. a) b) c) d) e) What is situated immediately before the rectum in female? peritoneo-perineal aponeurosis of Denonvillier uterine tubes cervix uteri Posterior fornix of vagina Uterus 36. a) b) c) d) e) How many arteries provide the vascularization of rectum? One Two Three Four Five 37. a) b) c) d) e) Rectum is divided, concerning anatomo-topographical structure, in to how many parts: One Two Three Four Five 38. a) b) c) d) e) The largest portion of rectum is: Ampullar part Rectosigmoid part Anal part Sigmoid part Transverse part 39. a) b) c) d) e) What is situated in front of the rectum in men? peritoneo-perineal aponeurosis of Denonvillier Ureter Urethra Ductus deferens Prostate ,seminal vesicles 40. a) b) c) d) e) How many curves forms rectum in sagittal plane? One ( sacral) Two (sacral superior and perineal inferior) One ( perineal) Three (sacral superior, coccygeal middle and perineal inferior ) Rectum does not form any curves 41. Indicate the sphincters of the rectum: a) External b) Internal c) d) e) Tertiary Longitudinal Intermediate 42. Which of the following statements are correct? a) peritoneum covers the bottom and the body of the uterus, the posterior surface of the cervixand a portion of the posterior wall of the vagina b) Longitudinal axe of the uterus is bended anteriorly c) Position of the body of the uterus to its neck is that of anteflexion d) on the surface of vesical peritoneum get up to anterior fornix of the vagina e) Uterus has no mesenterium 43. a) b) c) d) e) What within anatomical structure is situated the mesenterium of the uterine tube and ovary? Round ligament of uterus Cardinal ligaments Sacropubic ligaments Broad ligament of uterus Parietal pelvic celluloadipose space 44. a) b) c) d) e) The uterine tube is located: In the round ligament of uterus Along the cardinal ligament of uterus On the inferior border of the sacropubic ligament On the superior edge of the broad ligament of uterus In the parietal pelvic celluloadipose space 45. a) b) c) d) e) What ligaments stabilize the position of uterus? Round ligaments of uterus infundibulopelvic ligament Sacrouterine ligaments Broad ligament of the uterus Cardinal ligaments of uterusMackenrodt 46. a) b) c) d) e) Uterine tube is divided into the following parts: Uterine part Isthmus of uterine tube Intermediar part Ampulla and infundibulum of uterine tube Ovarian part 47. a) b) c) d) e) How many ligaments the ovary has? One Two Three Four It has no ligaments 48. a) b) c) d) e) Indicate the main ligaments of the ovary: Suspensory ligament Proper ligament Round ligament Cardinal ligament Broad ligament 49. a) b) c) d) e) How many proper ligaments the ovary has? One Two Three Four It has no proper ligaments 50. a) b) c) d) e) Ovary in the pelvis is located: On the round ligament of uterus Between the leaves of broad ligament of uterus On the ampulla of the uterine tube On the posterior leaf of the broad ligament of uterus On the anterior leaf of the broad ligament of uterus 51. a) b) c) d) e) What structures does the suspensory ligament of ovary contain? Cardinal ligament Ovarian vein Ovarian artery Tubular artery and vein Uterine artery and vein 52. a) b) c) d) e) Pathway of the cardinal ligament of the uterus is: Along the uterine vessels Through the mesosalpinx Through the mesovarium Along the ovarian artery Along the posterior wall of the vagina 53. a) b) c) d) e) What parts does the fornix of the vagina include? Anterior Posterior Left Right It does not have any parts 54. a) b) c) d) e) The projection of the tendinous center of the perineum on skin? From the pubic symphysis to the sacrum the middle point of the line that connects ischial tuberosities anteriorly to anus Between the ureters and the vagina posterior from the rectum Middle point of the innominate line 55. a) b) c) d) e) Urogenital diaphragm is considered as: Levator ani muscle Superficial transverse muscle of the perineum and superficial fascia Superficial and deep transverse muscles of the perineum Deep transverse perineal muscle and the fascias that cover it Bulbocavernos muscle 56. a) b) c) d) e) What structures pass through the urogenital diaphragm in female? Ducts of greater vestibular (Bartholin’s) glands Genital branch of the genitofemoral nerve Urethra Vagina Round ligament of the uterus 57. a) b) c) d) e) What structures pass through the urogenital diaphragm in male? Seminal ducts Genital branch of the genitofemoral nerve Urethra Obturator artery when occur as “crown of death” Spermatic cord 58. a) b) c) d) e) Innervation of skin in the region of perineum is accomplished in women by: Genitofemoral nerve Ilioinguinal nerve Iliohypogastric nerve Pudental nerve Cutaneous femoris posterior nerve 59. a) b) c) d) e) Between what band is placed dorsal artery of the penis? Spongious head skin lamina albuginea between the cavernous bodies proper fascia 60. a) b) c) d) e) How many segments can be distinguished in a man’s urethra? One Two Three Four Five 61. a) b) c) d) e) What segments can be distinguished in a man’s urethra? Membranous part Spongy part Terminal part Vesical part Prostatic part 62. How many segments can be distinguished in a woman’s urethra? a) b) c) d) e) One Two Three Four Five 63. a) b) c) d) e) Indicate with which structures does the inferior wall of the urinary bladder come in contact in men? Prostate seminal vesicles and the ampullas of deferent ducts Posterior wall of the rectum urethra ureters 64. a) b) c) d) e) Indicate with which structures does the lateral wall of the urinary bladder come in contact in men? Prostate ductus deferens Posterior wall of the rectum urethra ureters 65. a) b) c) d) e) Involuntary sphincter of the urinary bladder is located in the: Terminal, intramural part of ureters Membranous part of urethra Initial part of urethra Spongy part of urethra All of the sphincters of the urinary bladder are voluntary 66. a) b) c) d) e) The voluntary sphincter of the urinary bladder is located in the: Terminal, intramural part of ureters Membranous part of urethra Initial part of urethra Spongy part of urethra All of the sphincters of the urinary bladder are voluntary 67. a) b) c) d) e) Which one of the following statements are corect? Length of the pelvic part of the ureter is of 15-16cm Pelvic part of the ureter is divided into the rectal and visceral portions At the level of the terminal line the left ureter crosses the left common iliac artery At the level of the terminal line the right ureter crosses the right common iliac artery In front of the initial part of the ureter on the right is located the ileum, on the left the mesentery of the sigmoid colon 68. a) b) c) d) e) Where does the ureter form its first cross with the uterine artery? At the level of initial part of internal iliac artery, being located superficially to the artery On the lateral pelvic wall, at the level of initial part of internal iliac artery, being located deeper to the artery At the level of cervix uteri, being located deeper to the uterine artery At the level of cervix uteri, being located superficially to the uterine artery At the entrance of pelvis, being located lateral to the uterine artery 69. a) b) c) d) e) Where does the ureter form its second cross with the uterine artery? On the lateral pelvic wall, at the level of initial part of internal iliac artery, being located superficial to the artery On the lateral pelvic wall, at the level of initial part of internal iliac artery, being located deeper to the artery At the level of cervix uteri, being located deeper to the uterine artery At the level of cervix uteri, being located superficially to the uterine artery At the entrance of pelvis, being located lateral to the uterine artery 70. a) b) c) d) e) Which of the statements involves the description of the prostate? It is a musculoglandular organ with the shape of a chestnut In its structure can be distinguished the apex, base, anterior and posterior parts, two lateral and one middle lobes It is surrounded by a dense fascial sheath (capsule of Retzius-Pirogov) Gland is separated from the urinary bladder by celluloadipose tissue Prostate venous plexus is located outside of the prostate capsule 71. a) b) c) d) e) Which of the statements describes correctly the location of the seminal vesicles? It is a glandular organ with the shape of a chestnut They are situated in the pelvis upper to the prostate They are close to the posterior wall of the urinary bladder They are located between two structures: ampulla of ductus deferens is medially and ureter is laterally Adheres to peritoneo-perineal aponeurosis Denonvillier 72. Which muscles are inserted in the tendinous center of the perineum in women? a) Bulbospongiosus b) Sphincter ani externus, levator ani c) d) e) Sphincter ani internus Transversus perinei profundus and superficialis Ischiocavernosus 73. a) b) c) d) e) Round ligaments of uterus end in: Labium minus pudendi Pubic symphesis Anterior wall of the vagina Labium majus Aponeurosis of external oblique abdominal muscle 74. a) b) c) d) e) What are the regions of the perineum? anal region perianal region the genital region urinary region urogenital region 75. a) b) c) d) e) Which of the statement are correct? The perineum represents the superior wall of the pelvic cavity The perineum represents the inferior wall of the cavity pelvic The perineum represents the anterior wall of the pelvic cavity The perineum represents the posterior wall of the pelvic cavity None of the answers 76. a) b) c) d) e) Landmarks for determining the limits of perineum are: anterior –inferior margin of the pubic symphisis posterior - coccyx posterior-lateral - ischiosacral ligaments lateral - ischial tuberosities none of the answers 77. a) b) c) d) e) Thru the subcutaneous fatty tissue of the anal region pass Perineal nerves perineal branches of cutaneus femoris posterior nerves cutaneous branches of the inferiorgluteal artery and vein branches of inferior rectal artery and vein superior clunium nerves 78. a) b) c) d) e) External fascia of spermatic cord is an extension of: superficial fascia of the abdominal wall aponeurosis of the obliquus externus abdominis muscle transverse fascia peritoneum fascia propria of the abdominal wall 79. a) b) c) d) e) Internal fascia of spermatic cord is an extension of: superficial fascia of the abdominal wall aponeurosis of the obliquus externus abdominis muscle transverse fascia peritoneum fascia propria of the abdominal wall 80. a) b) c) d) e) Fascia cremasterica is an extension of: is an extension of: superficial fascia of the abdominal wall fascia propria of the abdominal wall transverse fascia peritoneum is no correct answer 81. a) b) c) d) e) Vaginal tunic of the testicle is an extension of: superficial abdominal fascia aponeurosis of the obliquus externus abdominis muscle transverse fascia peritoneum pelvic fascia 82. a) b) c) Embryogenesis of the testicle occurs: in the peritoneal cavity in the pelvic cavity in retroperitoneal space d) e) in scrotum is no correct answer 83. a) b) c) d) e) The elements of the spermatic cord are: deferent duct, a. and v. of the deferent duct testicular artery and vein cremasteric artery and vein peritonealvaginal process external pudendal artery 84. a) b) c) d) e) Testicular artery is a branch of the artery: the internal pudendal perineal external pudendal abdominal aorta inferior mesenteric 85. a) b) c) d) e) That form testicular veins?: prostatic plexus pampiniform plexus perineal plexus sacral plexus scrotal plexus 86. a) b) c) d) e) Which answers are correct: both testicular vein draining into inferior vena cava right testicular vein flows in acute angle in the inferior vena cava left testicular vein flows in right angles to the left renal vein right testicular vein flows in right angles in right renal vein both veins draining into renal veins 87. a) b) c) d) e) Which answers are correct: right testicular vein flows in acute angle in the inferior vena cava left testicular vein flows in acute angles in the inferior vena cava left testicular vein flows in right angles in the inferior vena cava both veins draining into renal veins both testicular vein draining into inferior vena cava 88. a) b) c) d) e) The length of the prostatic urethra is: 2 cm 4cm 8cm 12cm 15cm 89. a) b) c) d) e) The urethra length in the memebranoasă portion is: 2 cm 4cm 8cm 12cm 15cm 90. a) b) c) d) e) The length of the spongious portion of the urethra is 2 cm 4cm 8cm 12cm 15cm 91. a) b) c) d) e) Great vestibular glands (Bartholin) are located? on the medial face of the labium minus on the posterior base of the labium majus in the vestibulum of the vagina in the thickness of bulbocavernos muscle in the ischiorectal fossa 92. a) b) c) d) e) Where do the orifices of the great vestibular glands (Bartholin) open? between the labia minora and hymen at the base of major labium between small and minor labia on the clitoris in urethral meatus 93. a) b) c) d) e) Which of the following statements are correct about the pelvic fascia: parietal lamella covers parietal muscles of the pelvis continue on the upper surface of the levator ani muscle obturatory fascia represents a more compact portion of the parietal fascia and forms tendinous arches of the pelvic fascia visceral lamella covers intraperitoneal portions of the pelvic organs visceral lamella covers extraperitoneal portions ofvthe pelvic organs in case of males 94. a) b) c) d) e) Which of these capsules are formed by fascia pelvis: Amiussv capsule Pirogov-Retsius capsule Littre capsule Anderson capsule Paron capsule 95. a) b) c) d) e) For prevezicală fascia is characteristic: has a triangular form is stretched between the lateral umbilical folds subperitoneal ruptures of the urinary bladder are accompanied by prevesical fascial ruptures, which leads to urinary bladder infiltration not only of the preperitoneal space but also of the prevesical space separates the two areas of adipose tissue located between the pubic bone and the bladder prevezicală fascia is stretched between the medial umbilical folds 96. a) b) c) d) e) Which of the following statements are correct concerning the limits of retrovesical space: is bounded above the visceral fascia that covers the vesical bladder is bounded laterally by longitudinal septa of visceral pelvic fascia posterior is bounded by peritoneo-perineal aponeurosis inferior is bounded by superior fascia of the urogenital diaphragm anterior is bounded by the vesical bladder 97. a) b) c) d) e) What structures are contained in retrovezical cellular tissue space in the case of men? prostate seminal vesicles ductus deferens ureter urethra 98. a) b) c) d) e) What structures are contained in retrovezical cellular tissue space in the case of women? vagina cervix uterus ureter urethra 99. a) b) c) d) e) Possible ways of pus diffusion in the retrovesical space are: on the trajectory ductus deferens in the inguinal canal on the trajectory of vesical arteries in the parietal area of the pelvis on the trajectory of the ureter in the retroperitoneal space on the trajectory of vesical veins in the parietal space of the pelvis the pus is not diffused 100. a) b) c) d) e) Which of the following statements about retrorectal space are wrong: is located between the rectum capsule and sacrum contains the sacral portion of the sympathetic trunk, sacral and median arteries contains superior rectal arteries ,on the trajectory pus may spread into the retroperitoneal space and the parietal area of the pelvis is located between the capsule and the wall of the rectum contains the aorta and inferior vena cava 101. a) b) c) d) e) List the components of the epididymis: head body neck tail bulb 102. a) b) c) d) e) List the parts of the penis: two cavernous bodies one spongios body one cavernous body two spongy bodies two membranous bodies 103. a) b) c) We distinguish the following parts of Fallopian tube: uterine part isthmus of fallopian tube ampulla of fallopian tube d) e) vesical part pavilion of fallopian tube 104. a) b) c) d) e) The limit between external female genitals organs and the internal one are: small labia big labia incipient portion of the vagina hymen cervix 105. a) b) c) d) e) The coccygeal muscle insertion points are: ischial spine the lateral edge of the coccyx the top of the sacrum pubis bone the iliac crest 106. a) b) c) d) e) Perineum is composed of the following sections: urogenital diaphragm tendinous part of diaphragm superficial diaphragm pelvic diaphragm coccygeal diaphragm 107. a) b) c) d) e) Perineal region boundaries are: anterior to the lower edge of pubic symphysis posterior to coccyx anterior of line drown between superior anterior iliac spines lateral sacrotuberale ligaments lateral to the lower branches of the pubic and ischial bones 108. 1. 2. 3. 4. 5. The length of the female urethra is: 5 - 6 cm 3,5 - 4 cm 4,5 – 5,5 cm 2 - 3 cm 7 - 8 cm 109. a) b) c) d) e) Choose the correct statements about the labia minora. contain a large number of elastic fibers are composed of connective tissue posterior edges forms frenulum of labia minora have a length of 7-8 cm constitutes a skin fold 110. a) b) c) d) e) What vaginal fornixis punctured to extract patologic fluid from the peritoneal cavity. anterior fornix posterior fornix left lateral fornix right lateral fornix in this case is not made fornix puncture