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MedIS exam 2013
Course title: Nervesystemet og bevægeapparatet II – Medicine
Programme: Bachelor in education
Semester: 5. semester
Exam date: 21-1-12
Time: 9:00 - 13:00
Evaluation form 7-point scale – External censur
Important information:
Remember to bring your student identification card
Remember to put your student number – not your name and cpr no – on all sheets that
you hand in for evaluation
Remember to hand in the assignment if you leave the exam before it has ended
No written aid is allowed
Quicktionary pen is allowed
Your paper must be handed in on paper in hand written form
The study board/the university cannot be held liable if any problems should occur regarding
the electronic aid during the examination
It will be considered cheating or attempting to cheat if the technical equipment of the student is
communicating or trying to communicate with other equipment not relevant to the exam, without
an explicit permission. Before the beginning of the exam, the student should make sure that all
communication devices in the equipment at the exam are turned off.
Use of Latin nomenclature
Communication is not allowed
The exam consists of a mixture of multiple choice questions and essay questions.
The total amount of questions is 60.
The total amount of points is 108.
This lists the grades corresponding to the points:
12 (passed): 101-108 points
10 (passed): 92-100.5 points
07 (passed): 83-91.5 points
04 (passed): 74-82.5 points
02 (passed): 65-73.5 points
00 (failed): 33-64.5 points
-2 (failed): 0-32.5 points
2
1. Eye muscle innervations
A. M. levator palpebrae superioris
B. M. obliquus superior
C. M. rectus lateralis
D. M. obliquus inferior
E. M. rectus medialis
Lead in: From the list above, select the appropriate option.
This muscle is innervated by the N. trochlearis (cranial nerve IV).
This muscle is innervated by the N. abducens (cranial nerve VI).
Max point: 2 Achieved point:
2. Eye muscle functions
A. M. levator palpebrae superioris
B. M. obliquus superior
C. M. rectus lateralis
D. M. obliquus inferior
E. M. rectus medialis
F. M. rectus inferior
G. M. rectus superior
Lead in: Select the appropriate muscle function from the list above.
Eye looks laterally (abduction)
Eye rolls, looks down, laterally
Eye looks medially (adduction)
Eye rolls, looks up, laterally
Max point: 4 Achieved point:
3.
What are the three branches of the cranial nerves V (N. trigeminus)? Give
them in ascending order (V1, V2, V3)
Where do these nerves pass through?
Max point: 3 Achieved point:
4.
Which of the following cranial nerves has no primary sensory-motor function (mixed)?
A. N. vagus
B. N. vestibulocochlearis
C. N. facialis
D. N. trigeminus
E. N. glossopharyngeus
Max point: 1 Achieved point:
3
5.
Which of the following cranial nerves does not pass through the foramen
jugulare?
A. N. vagus
B. N. glossopharyngeus
C. N. hypoglossus
D. N. accessorius
Max point: 1 Achieved point:
6.
Which of the following statements is not true?
A. The vitreous humor fills the space between the lens and the retina.
B. The vitreous humor enters the Canal of Schlemm that delivers the
humor to veins in the sclera.
C. The aqueous humor fills the space in front of the lens.
D. The aqueous humor is actively secreted by epithelial cells.
E. The intraocular pressure is considered normal in the range of 12 to 21
mm/Hg.
Max point: 1 Achieved point:
7
Visual information processing from the retina to the visual cortex
involves different structures. Arrange the following terms in the correct order:
Chiasma opticum, Tractus opticus, Nervus opticus, Radiatio optica,
Corpus geniculatum laterale.
Max point: 2 Achieved point:
8. A left tractus opticus lesion induces which one of the following clinical
signs?
A. Medial deviation of the eyeball
B. Ptosis
C. Anosmia
D. Hemianopia
E. Miosis
Max point: 1 Achieved point:
9 Which one of the following statements concerning the corneal reflex is
true?
A. The afferent nerve fibers belong to the N. occulomotorius.
B. It is a monosynaptic reflex.
C. The reflex fails in a complete peripheral palsy of the N. facialis.
D. The efferent nerve fibers originate in the Mesencephalon.
E. A positive reflex is a pathological sign.
Max point: 1 Achieved point:
4
10
The pupillary light reflex mainly involves two inner eye muscles.
Give the exact latin names of these muscles and their functions.
Max point: 2 Achieved point:
11
Which one of the following statements concerning the Nervus
vestibulocochlearis is NOT true?
A. Lesions of the semicircular canals induce sensorineural deafness.
B. Sensory receptors are located in the cochlea.
C. It passes through the Meatus acusticus internus.
D. Nuclei are located in the Medulla oblongata.
E. Sensory receptors are located in the semicircular canals.
Max point :1 Achieved point:
12
Which one of the following statements concerning the
Sound Pressure Level (SPL) is true?
A. The physical unit of SPL is phon.
B. A tenfold increase of the sound pressure corresponds to an increase of
SPL by 20 dB SPL.
C. The reference pressure is 0.02 Pa.
D. The auditory pain threshold is approx. 80 dB SPL.
E. The SPL of a jackhammer is 40 dB SPL.
Max point: 1 Achieved point:
13
Clinical testing of hearing impairment includes the Weber and Rinne test.
A - Describe the performance of the Weber test.
B - Give the results of the test in a patient with a conductive hearing loss
on the right side (Weber).
C – briefly define the meaning of a positive and negative Rinne test
Max point: 4 Achieved point:
5
14 Anatomy of the ear
Lead in: Identify the appropriate name to accompany each label
Label:
A
B
C
D
Max point: 4 Achieved point:
15.
When it comes to the transmission of sound waves from the inner ear,
what are the sound amplification mechanisms that involves the 3 ossicles?
Max point: 1 Achieved point:
16
Which one of the following statements is true regarding clinical signs of
N. facialis impairment?
A. Paresis of Mm. masticatorii
B. Bell’s sign
C. Vertigo
D. Diplopia
E. Anosmia
Max point: 1 Achieved point:
6
17
Which one of the following statements is NOT a typical clinical test of
N. vagus impairment?
A. Intraoral, pharyngeal sensations
B. Uvula position
C. Speak & cough
D. Protrude & retract tongue
E. Gag reflex
Max point: 1 Achieved point:
18
Which one of the following statements concerning accommodation is
true?
A. Contraction of the Musculus ciliaris decreases the refractory power of
the lens.
B. Total loss of accommodation is called Myopia.
C. Accommodation is clinically tested by the Snellen Chart.
D. Emmetropia corresponds to loss of sympathetic innervation.
E. Parasympathetic input to inner eye muscles mediates near
accommodation.
Max point: 1 Achieved point:
19
Which one of the following vessels does NOT belong to the
Circulus arteriosus cerebri?
A. Arteria subclavia
B. Arteria cerebri anterior
C. Arteria cerebri media
D. Arteria cerebri posterior
E. Arteria basilaris
Max point: 1 Achieved point:
20
Which one of the following statements concerning Liquor cerebrospinalis
is true?
A. Flows from 4th ventricle to Cavitas subarachnoidalis via Apertura
lateralis and via Apertura mediana.
B. Is absorbed by Plexus choroideus in the 4th ventricle.
C. The rate of formation in adults is approx. 5 l/day.
D. Is secreted by Granulationes arachnoidales (Pacchioni).
E. Has a total volume of approx. 500 ml.
Max point: 1 Achieved point:
21
A minor head injury often causes a bump or bruise on the exterior of the
head. Give 3 other typical symptoms.
Max point: 3 Achieved point:
7
22 Circulus arteriosus cerebri
Lead in: Identify the appropriate name to accompany each label
Label:
A
B
C
D
E
Max point: 5 Achieved point:
23
The concept of raised intracranial pressure is described with a specific course containing the following 3 “stages” due to for example
hemorrhage: Acidosis, systemic arterial vasoconstriction, CSF
displacement. Put them into an ascending order (what appears first).
Max point: 3 Achieved point:
8
24 Which neurological disorder does NOT lead to dementia?
A Myasthenia gravis
B Parkinson’s disease
C Multiple sclerosis
D Huntington’s chorea
E Alzheimer’s disease
Max point 1 Achieved point:
25 The typical morphological feature of dementia is NOT:
A Brain atrophy
B Inflammation around white matter tracts
C Inflammatory cells dispersed in grey and white matter of the
telencephalon
D Loss of cholinergic neurons
E Neuronal loss
Max point 1 Achieved point:
26 Which of the following is not typically a symptom of dementia?:
A Aphasia
B Change of personality
C Apraxia
D Apathy
E Seizures
Max point 1 Achieved point:
27 Which of the following is not considered an appropriate new treatment
method?:
A Menantine
B Sulfasalazine
C Beta-secretase inhibitors
D Immunization with amyloid beta-peptides
Max point 1 Achieved point:
28 Mechanism of actions. Local anaesthetics work via …
A … blocking of calcium channels.
B … binding of potassium channels.
C … blocking of anionic channels.
D … blocking of sodium channels.
E … binding of chloride channels.
Max point 1 Achieved point:
9
29 Minimal alveolar concentration (MAC) is defined as …
A … the equilibration of partial pressure of oxygen and the inhaled
anaesthetic.
B … the amount of anaesthetics needed to reduce ventilation by 50%.
C … the concentration of an inhaled anaesthetic that leads to
bronchoconstricition.
D … the concentration of an inhaled anaesthetic, at which the response to
surgical incision is abolished in 50% of subjects.
E … 50% of the amount of an anaesthetic for reaching the equilibrium.
Max point 1 Achieved point:
30
Briefly describe the Overton-Meyer correlation.
Max point: 3 Achieved point:
31 Neuromuscular blocking agents.
Which of the following substance is a depolarizing neuromuscular blocking
agent?
A Gallamine
B Atracurium
C Mivacurium
D Metocurine
E Succinylcholine
Max point 1 Achieved point:
32 Which of the following nerve fibers is most sensitive to a conduction block
via local anaesthetics?
A A-alpha
B A-beta
C A-gamma
D A-delta
E C
Max point 1 Achieved point:
33 Choose the incorrect answer!
Osteoarthritis is a disease that involves the following factor(s):
A. Pannus Formation
B. Low-grade inflammation
C. Calcification of articular cartilage
D. Genetics
E. Metabolic disorders
Max point: 1 Achieved point:
10
34 Choose the correct statement in regard to gouty arthritis (GA)!
A. The formation of Bouchard nodes is a prominent sign in GA.
B. The formation of Heberden nodes is a prominent sign in GA.
C. GA is highly correlated with chronic inflammation of bursal sacks.
D. Tophi deposits typically appear in and around joints in GA.
E. Ulnar drift is one of the cardinal symptoms in GA.
Max point: 1 Achieved point:
35 Choose the correct statement in regard to septic arthritis (SA)! Lyme
arthritis is caused by …
A. Borrelia burgdorferi
B. H. influenza
C. Hepatitis C virus
D. Staphylococcus aureus
E. E. coli
Max point: 1 Achieved point:
36 Choose the correct answer!
Medical therapy of osteoarthritis can consist of treatment with …
A. Acetaminophen
B. Corticosteroids
C. Hyaluronate
D. NSAIDS
E. All of the above
Max point: 1 Achieved point:
37 An athlete has a knee injury, and the doctor performs a "drawer test" by
pulling and pushing on the leg with the knee flexed. If the leg translates
anteriorly, i. e. "gives" or moves anteriorly when the leg is pulled
anteriorly, what joint structure is most likely injured?
A. Meniscus medialis
B. Lig. collaterale fibulare
C. Ligamentum cruciatum anterius
D. Lig. collaterale tibiale
E. Lig. cruciatum posterius
Max point: 1 Achieved point:
38 Which of the following statements is NOT true of the locking or
unlocking mechanism of the knee?
A. In a weight bearing position, medial rotation of the femur accompanies
final stages of knee extension to lock the knee.
B. The unlocking mechanism is brought about by action of the
Musculus popliteus.
C. In a non-weight bearing position, lateral rotation of the tibia
accompanies final stages of knee extension to lock the knee.
D. The locking mechanism of the knee tightens the collateral and cruciate
ligaments.
E. The locking mechanism of the knee accommodates the remainder of
exposed articular surface on the Condylus lateralis femoris.
Max point: 1 Achieved point:
11
39 The Ligamentum deltoideum consists of the following ligaments
EXCEPT:
A. Ligamentum talofibularis posterior
B. Pars tibiocalcanea
C. Pars tibionavicularis
D. Pars tibiotalaris posterior
E. Pars tibiotalaris anterior
Max point :1 Achieved point:
40 During a basketball game, the center of the team went up for a rebound
and when coming down, her foot landed on the foot of another player,
sharply everting it. She limped off the floor, having severely sprained the
medial side of her ankle. Which ligament was injured?
A. Lig. deltoideum
B. Ligamentum calcaneofibulare
C. Lig. plantare breve
D. Lig. calcaneonaviculare plantare
E. Lig. collaterale tibiale
Max point: 1 Achieved point:
41 The Arteria dorsalis pedis can be palpated lateral to the extensor hallucis
longus tendon on the dorsal surface of the foot, distal to the dorsal most
prominence of the navicular bone. The A. dorsalis pedis is usually a direct
continuation of which artery?
A. A. femoralis
B. A. poplitea
C. A. tibialis anterior
D. A. fibularis
E. A. tibialis Posterior
Max point: 1 Achieved point:
42
Describe how you would perform an Anterior Drawer Test!
Max point: 2 Achieved point:
43
Name the 4 anterior leg muscles.
What are their innervations?
Max point: 5 Achieved point:
12
44 Anatomy of the Foot and Ankle
Lead in: Identify the appropriate name to accompany each label
Label:
A
B
C
D
Max point: 4 Achieved point:
45
Name the posterior leg muscles from the superficial group.
What are their innervations?
Max point: 4 Achieved point:
B
A
C
D
13
46 What is the origin of the M. gastrocnemius? Choose the correct answer.
A. Caput fibula
B. Femur (epicondylus medialis & lateralis)
C. Membrana interossea
D. Tibia (fascies posterior)
E. Tuber ischiadicum
Max point: 1 Achieved point:
47 Which of the following is not part of the medial arch of the foot?
A. Os naviculare
B. Os cuboiduem
C. Os talus
D. Os calcaneus
E. Os cuneiformis
Max point: 1 Achieved point:
48 A misplaced intramuscular injection into the gluteal region infiltrated the
Nervus ischiadicus (sciatic nerve) giving rise to temporary paralysis of the
muscles supplied by that nerve. All of the following muscles would be
involved EXCEPT for the:
A. Musculus tibialis anterior
B. M. soleus
C. M. gracilis
D. M. peroneus brevis
E. M. popliteus
Max point: 1 Achieved point:
49 Which of the following statements is NOT true for the Nervus ischiadicus
(sciatic nerve)?
A. The sensory distribution includes the medial aspect of the leg.
B. Largest and longest of all peripheral nerves.
C. Exits the pelvis through the greater sciatic Foramen infrapiriforme.
D. Divides into 2 main branches: N. tibialis, N. fibularis.
E. Receives fibers from L4-S3 spinal segments.
Max point: 1 Achieved point:
50 Dermatomes of the lower limb
A. L2
B. L3
C. L4
D. L5
E. S1
Lead in: From the list above, select the appropriate option.
Which of the above mentioned spinal nerves innervates skin over the
lower-medial part of the upper leg?
Which of the above mentioned spinal nerves innervates skin over the
lateral sole of foot?
Max point: 2 Achieved point:
14
51 Which of the following muscles is a lateral rotator of the shoulder?
A. Musculus subscapularis
B. Musculus latissimus dorsi
C. Musculus teres major
D. Musculus infraspinatus
E. Anterior fibers of the Musculus deltoideus
Max point: 1 Achieved point:
52 Most of the muscles that act on the shoulder girdle and upper limb are
supplied by branches of the Plexus brachialis. Which of the following is
NOT?
A. Musculus trapezius
B. Musculus teres minor
C. Musculus latissimus dorsi
D. Musculus rhomboideus major
E. Musculus rhomboideus minor
Max point: 1 Achieved point:
53 The Plexus brachialis
Lead in: Identify the appropriate name to accompany each label
Label:
A
B
C
D
Max point: 4 Achieved point:
B
A
C
D
C5
T1
15
54
Topic:
Anatomy of the Hand
Lead in: Identify the appropriate name to accompany each label
Label:
A
B
C
D
Max point: 4 Achieved point:
55 Which of the following statements is NOT true of the M. interossei in the
hand?
A. They are all innervated by Nervus ulnaris.
B. The Mm. interossei palmares produce flexion of the II, IV, V
Articulationes metacarpophalangeae.
C. The Mm. interossei palmares are innervated by the Nervus ulnaris and
the Mm. interossei dorsales are innervated by the Nervus medianus.
D. There are 3 Mm. interossei palmares and 4 Mm. interossei dorsales
E. The Mm. interossei dorsales originate from adjacent sides of the
Ossa metacarpalia I-V.
Max point: 1 Achieved point:
B
A
C
D
16
56 Numbness to the skin on the lateral half of the palm (thenar) of the hand
would be caused by a lesion to which nerve?
A. Nervus ulnaris
B. N. medianus
C. N. radialis profundus
D. N. axillaris
E. N. interosseus anterior
Max point: 1 Achieved point:
57 If you slide a piece of paper between a patients index finger and thumb
and ask the patient to hold onto the paper when you try to pull it from
the fingers, and the patient is unable to perform this action (Froment
sign), which nerve is suspected to be nonfunctional?
A. N. radialis superficialis
B. N. musculocutaneus
C. N. medianus
D. Nervus ulnaris
E. N. radialis profundus
Max point: 1 Achieved point:
58 Which of the following statements is NOT true of the pelvis and coxal
joint?
A. The coxal joint is a ball and socket type joint.
B. The Acetabulum is positioned in a downward and outwardly direction.
C. The Acetabulum is the fossa where the femoral head articulates.
D. Hip flexion range of motion is approx. 140°.
E. The Acetabulum is surrounded by a labrum which is thicker and more
substantial inferiorly than superiorly
Max point: 1 Achieved point:
59
Name 2 ligaments that help stabilizing the caput femoris!
Max point: 2 Achieved point:
60
Name the anterior thigh muscles and their innervations!
Max point: 6 Achieved point:
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