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MICRO/PARA
1.Immunocyte of lymphocytes found in the germinal center of the lymphoid follicles is:
A. T cell C. NK cell
B. Null cell D. B cell
(Wheater’s Functional histology, 4th Ed., page 210)
2. What phase of the cell cycle does the cell replicates DNA?
A.GI Phase C. Interphase
B. S phase D. M phase
(Wheater’s Functional Histology,4th Ed., page 33)
3. Bone resorption by osteoclastic activity is:
A. TSH C. Calcitonin
B. PTH D. ACTH
(Wheater’s Functional Histology, 4th Ed., page 181)
4. Respiratory epithelium is seen in the following structures, EXCEPT:
A. Trachea C. Terminal bronchiole
B. Secondary bronchus D. Larynx
(Wheater’s Functional Histology, 4th Ed., page 230)
5. Endometrium of uterus is lined by:
A. Simple squamous C. Simple cuboidal
B. Simple ciliated columnar D. Stratified columnar
(Bloom and Fawcett’s Concise Histology, 2nd Ed., page 289)
6. Which of the following organs contain reticular fibers?
A. Stomach C. Pancreas
B. Appendix D. Lymph node
(Bloom and Fawcett’s Concise Histology, 2nd Ed., page 72)
7. Elastic connective tissue is seen in:
A. Walls of blood vessels C. Wharton’s jelly of umbilical cord
B. Lamina propria of intestines D. Subcutaneous tissue of skin
(Wheater’s Functional Histology, 4th Ed., page 72)
8. Destruction of these cells will lead to loss of intrinsic factor in the gastric mucosa.
A. Oxyntic cells C. G cells
B. Mucus cells D. Zymogenic cells
(Wheater’s Functional Histology, 4th Ed., page 255)
9. Apocrine sweat glands are distributed at:
A. Face C. Palm
B. Trunk D. Axilla
(Wheater’s Functional Histology, 4th Ed., page 164)
10. Lymphoid organ important for removal of particulate matters in circulation:
A. Spleen C. Lymph nodes
B. Palatine tonsils D. Thymus
(Wheater’s Functional Histology, 4th Ed., page 216)
11. Which of the following conducting airways of the lungs is characterized by a predominantly thick muscularis layer?
A. Primary bronchus C. Lobar bronchus
B. Bronchiole D. Segmental bronchus
(Wheater’s Functional Histology, 4th Ed., page 229)
12. Foreign bodies in the CNS are engulfed by:
A. Microglia C. Astrocytes
B. Ependymal cells D. Granule cells
(Bloom and Fawcett’s Concise Histology, 2nd Ed., page 130)
13. Protective barrier of the skin against UV radiation is:
A. Langerhans cell C. Melanocyte
B. Merkel cell D. Keratinocyte
(Bloom and Fawcett’s Concise Histology, 2nd Ed., page 166)
14. Part of the uterus that relaxes during time of parturition:
A. Fundus C. Body
B. Cervix D. Isthmus
(Bloom and Fawcett’s Concise Histology, 2nd Ed., page 289)
15. Which of the following statements regarding stomach is correct?
A. Mucosa is thrown into valve of Kerkring
B. Anatomic sphincter is found at the pyloric portion
C. Cells produce urogastrone
D. Mucosa is disrupted by submucosa
(Bloom and Fawcett’s Concise Histology, 2nd Ed., page 190)
16. Destruction of these cells will lead to low glucose level;
A. Beta cells C. Delta cell
B. Alpha cell D. G cell
(Wheater’s Functional Histology, 4th Ed., page 325)
17. Histologic features of appendix include:
A. Presence of taenia coli C. Few and short crypts of Lieberkuhn
B. Presence of intestinal villi D. Absence of submucosa
(Wheater’s Functional Histology, 4th Ed., page 271)
18. Adenohypophysis produced the following hormones, EXCEPT:
A. ACTH C. Prolactine
B. FSH D. Oxytocin
(Wheater’s Functional Histology, 4th Ed., page 311, 313)
19. Mucus secreting columnar cells is characteristic of:
A. Cervix C. Vagina
B. Uterus D. Oviduct
(Wheater’s Functional Histology, 4th Ed., page 357
20. The cells that participate in the tubuloglomerular feedback mechanism:
A. Podocytes C. Lacis cells
B. Endothelial cells D. Macula densa
(Wheater’s Functional Histology, 4th Ed., page 303)
21. This condition results to reduction of the total surface area available for gas exchange in which many of the alveoli beyond the terminal bronchioles coalesce:
A. Bronchitis C. Emphysema
B. Tuberculosis D. Pneumonia
(Bloom and Fawcett’s Concise Histology, 2nd Ed., page 234)
22. Benign prostatic hypertrophy will show an increase in the number of:
A. Glandular acini and fibromuscular stroma C. Prostatic vasculature
B. Corpora arenacea D. Fibrous capsule
(Wheater’s Functional Histology, 4th Ed., page 280)
23. Hirshsprung’s disease is characterized by complete absence of:
A. Parasympathetic Auerbach’s plexus C. Muscularis externa
B. Sympathetic Auerbach’s plexus D. Muscularis interna
(Langman’s Medical Embryology, 9th Ed., page 316)
24. A 50 year old female develops post surgical tetany after thyroidectomy. This is directly caused by:
A. Transection of recurrent laryngeal nerve
B. Complete removal of thyroid & parathyroid glands
C. Hyperthyroid state prior to surgery
D. Hypothyroid state prior to surgery
(Wheater’s Functional Histology, 4th Ed., page 261)
25. Marked leukocytosis with regenerative shifts to the left means:
A. Absolute lymphocytosis
B. Increase leukocytosis with neutropenia
C. Absolute neutrophilic with stabosis
D. Neutrophilia with predominantly hypersegmented forms
(Bloom and Fawcett’s Concise Histology, 2nd Ed., page 46)
26. In acute inflammation of the appendix which WBC is expected to rise significantly in the peripheral blood:
A. Eosinophil C. Lymphocyte
B. Neutrophil D. Basophil
(Bloom and Fawcett’s Concise Histology, 2nd Ed., page 48)
27. A diabetic insipidus patient manifests excessive thirst and polyuria because of deficiency of:
A. Renin C. Aldosterone
B. Oxytocin D. Vasopressin
(Wheater’s Functional Histology, 4th Ed., page 257)
28. Which of the following is associated with cryptorchidism?
A. Direct inguinal hernia C. Varicocoele
B. Hydrocoele D. Precocious puberty
(Langman’s Medical Embryology, 9th Ed., 359)
29. Vasectomy will prevent the passage of sperm from this site:
A. Ejaculatory duct C. Epididymis
B. Duct of seminal vesicle D. Prostatic urethra
(Wheater’s Functional Histology, 4th Ed., page 336)
30. Overproduction of this hormone results in cushing syndrome:
A. Cortisol C. Androgen
B. Aldosterone D. Epinephrine
(Bloom and Fawcett’s Concise Histology, 2nd Ed., page 264)
31. Which of the following controls visceral activity and the chief effector of the limbic system?
A. Fornix C. Hypothalamus
B. Thalamus D. Hippocampal formation
(Basic Clinical Neuroanatomy by Paul Young, 1st Ed., page 209)
32. The only cranial nerve that is crossed dorsally from the brainstem:
A. Optic C. Trochlear
B. Oculomotor D. Facial
(Basic Clinical Neuroanatomy by Paul Young, 1st Ed., page 49)
33. Rhomboid fossa is formed by the floor of:
A. Lateral ventricles C. 3rd ventricle
B. 4th ventricle D. Cerebral aqueduct
(Duane Haines Neuroanatomy, 6th Ed., page 34)
34. The denticulate ligaments are toothlike processes arising from:
A. Pia C. Arachnoid
B. Dura D. Ependyma
(Basic Clinical Neuroanatomy by Paul Young, 1st Ed., page 17)
35. The corticospinal tract crosses the midline at the level of:
A. Pons C. Midbrain
B. Spinal cord D. Medulla
(Basic Clinical Neuroanatomy by Paul Young, 1st Ed., page 61, 65)
36. The frontal lobe performs the following function:
A. Coordinate motor activity C. Control of motor speech
B. Control reflex activity D. Understanding speech
(Basic Clinical Neuroanatomy by Paul Young, 1st Ed., page 193)
37. Blockage of CSF drainage in the ventricles leads to:
A. Stroke C. Myelocoele
B. Hydrocephalus D. Encephalocoele
(Basic Clinical Neuroanatomy by Paul Young, 1st Ed., page 257)
38. The dorsal column of the spinal cord carries the pathway of the following sensibilities, EXCEPT:
A. Vibration C. Stereognosis
B. Position sense D. Crude touch
(Basic Clinical Neuroanatomy by Paul Young, 1st Ed., page 132)
39. A CSF pressure of 300mm H2O is significant of:
A. Normal pressure C. Increased intracranial pressure
B. Low pressure D. Hydrocephalus
(Basic Clinical Neuroanatomy by Paul Young, 1st Ed., page 257)
40. The spinal meninges is differentiated from cerebral meninges by absence of:
A. Arachnoid villi C. Epidural space
B. Pial specializations D. Subarachnoid cisterns
(Duane Haines Neuroanatomy by Paul young, 1st Ed., page 46)
41. Lesion of the facial nerve results to:
A. Inability to open the eye C. impaired parotid gland secretion
B. Impaired tearing D. Weakness of lower facial muscles
(Basic Clinical Neuroanatomy by Paul Young, 1st Ed., page 52)
42. A sudden onset of right sided weakness associated with headache and vomiting in a 40 year old hypertensive suggests:
A. Intracranial hemorrhage C. Bacterial meningitis
B. Meningioma D. Hydrocephalus
(Basic Clinical Neuroanatomy by Paul Young, 1st Ed., page 241)
43. Patient manifests past pointing intention tremor and he lists to the right on standing. The probable location of the lesion involved is:
A. Cerebral cortex C. Cerebellum
B.Brainstem D. Spinal cord
(Basic Clinical Neuroanatomy by Paul Young, 1st Ed., page 107-108)
44. Ptosis and mydriasis are manifestations of injury to:
A. Sympathetic nerve C. Abducens nerve
B. Oculomotor nerve D. Facial nerve
(Basic Clinical Neuroanatomy by Paul Young, 1st Ed., page 49)
45. In performing a light reflex on a patient, only the left eye constricts (both direct and consensual reflexes are positive on the left eye). What nerve is injured in this case?
A. Right optic C. Left optic
B. Right oculomotor D. Left oculomotor
(Basic Clinical Neuroanatomy by Paul Young, 1st Ed., page 161)
46. Impaired hearing sense on the right may be due to a lesion in:
A. Trapezoid body C. Medial geniculate body
B. Inferior colliculus D. Cochlear nerve
(Basic Clinical Neuroanatomy by Paul Young, 1st Ed., page 170)
47. Left homonymous hemianopsia results from injury to:
A. Optic nerve C. Optic tract
B. Optic chiasm D. Photoreceptors
(Basic Clinical Neuroanatomy by Paul Young, 1st Ed., page 160)
48. Brown-Sequard syndrome at T10 segment results to:
A. Weakness of the contralateral leg
B. Impaired pain on ipsilateral leg
C. Impaired position sense on contralateral leg
D. Impaired vibration sense on ipsilateral leg
(Basic Clinical Neuroanatomy by Paul Young, 1st Ed., page 141, 273)
49. Lesion of the decending brainstem pathway characterized by flexed arms and hyperextended legs:
A. Flaccidity C. Decerebrate rigidity
B. Decorticate rigidity D. Spasticity
(Basic Clinical Neuroanatomy by Paul Young, 1st Ed., page 77)
50. A focal lesion that affects the posterior limb of internal capsule can result from cerebrovascular accident of:
A. Anterior cerebral artery C. Middle cerebral artery
B. Anteior communicating artery D. Posterior cerebral artery
(Basic Clinical Neuroanatomy by Paul Young, 1st Ed., page 247)
51. The obturator internus passes through the:
A. greater sciatic foramen C. obturator foramen
B. lesser sciatic foramen D. obturator canal
( Clinical Anatomy for Medical Students by Richard Snell, 6th ed., page 90)
52. In the female, which of the following is found in the deep perineal pouch?
A. greater vestibular gland C. crus of clitoris
B. vestibular bulb D. sphincter urethrae
(Clinical Anatomy for Medical Students by Richard Snell, 6th ed., 371)
53. The lateral wall of the pelvis is covered by:
A. Pubococcygeus C. Obturator internus
B. Puborectalis D. Piriformis
(Clinically Oriented Anatomy by keith Moore & Arthur Dalley, 4th ed., page 343)
54. One of the complications of hysterectomy is accidental transection of the ureter. This may occur because the ureter:
A. forms the posterior boundary of the ovarian fossa
B. crosses the bifurcation of the common iliac artery
C. is crosses by the uterine artery
D. enters the bladder wall obliquely
( Clinically Oriented Anatomy by Keith Moore & Arthur Dalley, 4th ed., page 351)
55. A 14 y.o. boy was riding his bicycle when he stood up on the pedals and then his left foot accidentally slipped from the pedal. His perineum hit the bar of the bicycle. A few hours later he had a perineal swelling and was unable to micturate. Diagnosis: ruptured urethra. Which of the following is correct?
A. part of urethra commonly involved is the prostatic urethra
B. extravasated urine is the cause of swelling in the superficial perineal pouch
C. urine cannot possibly enter the anterior abdominal wall
D. urine can extend posteriorly to the ischiorectal fossa
(Clinically Oriented Anatomy by Keith Moore & Arthur Dalley, 4th ed., page 396)
56. A 30 y.o. woman was found to have unstable right knee joint following a car accident. On examination it was possible to pull the tibia excessively forward on the femur. Diagnosis: ruptured anterior cruciate ligament (ACL). Which of the following statements about ACL is not correct?
A. more commonly torn than posterior cruciate ligament
B. passes upward, backward and laterally from the tibia
C. attached to the lateral surface of the medial femoral condyle
D. attached to the tibia in the anterior part of the intercondylar area
(Clinically Oriented Anatomy by Keith Moore & Arthur Dalley, 4th ed., page 620)
57. During a fight a man was stabbed in the thigh which transected the femoral nerve just below the inguinal ligament. Which of the following signs and symptoms will the patient have?
A. intact knee-jerk reflex
B. skin sensation is lost over the anterior and medial thigh
C. skin sensation is lost along the medial border of the big toe
D. patient cannot flex the knee joint
(Clinically Oriented Anatomy by Keith Moore & Arthur Dalley, 4th ed., page 529 & 563)
58. A 47 y.o. man was riding his motorcycle when a jaywalker suddenly crossed his path. His sudden brake and turn caused him to lose control and he subsequently fell hitting the pavement with his head and shoulder. On examination his upper limb hung limply on the side, medially rotated and forearm pronated. Diagnosis: Erb-Duchenne Palsy. Which statement is true regarding Erb-Duchenne Palsy?
A. involves upper brachial plexus
B. caused by excessive abduction of the arm
C. there is no paralysis of the arm muscles
D. skin sensation of the whole arm is intact
(Clinically Oriented Anatomy by Keith Moore & Arthur Dalley, 4th ed., page 716)
59. A data encoder complained of “pins and needles” sensation over the right palm. She also complained that she has difficulty buttoning up her clothes. On examination, she pointed to her right thumb, index, middle and ring fingers as the areas where she felt discomfort. Diagnosis: Carpal Tunnel Syndrome. The following are true about the median nerve , except:
A. thenar muscles are supplied by the median nerve
B. enters the palm through the carpal tunnel
C. occupies a large space between the tendons behind the flexor retinaculum
D. roots derived only from the lateral cord of the brachial plexus
(Clinically Oriented Anatomy by Keith Moore & Arthur Dalley, 4th ed., page 774)