FINALPRACTICEEXAMMSSBy:YASMEENMAHMOUDMCQandTrue/False.86questionsintotal,coversMicrobiology,Histologylab,Anatomy(notmuch/withlab),

Pathology(withlab)PBL,Embryology,andPharmacology.Goodluck!1. Asurgicalpatientdevelopsanabdominalabscess.Theabscesswasdrainedandculturerevealsa

polymicrobialinfection.Thepredominantorganismidentifiedisagram-negativeanaerobicrod.Whichofthefollowingisthemostlikelycasualagent?a. Staphylococcusaureusb. Bacteroidesfragilisc. Staphylococcusepidermisd. Pseudomonasaeruginosa

2. TheterminologybestassociatedwithtypeIInecrotizingfasciitisis:

a. Myonecrosisb. Gasgangrenec. Streptococcalgangrened. Fournier’sgangrene

3. Gasgangreneismostlikelyassociatedwithinfectionwith:

a. Staphylococcusaureusb. Clostridiumperfringenesc. Streptococcuspneumoniaed. Neisseriagonorrhoeae

4. Whatisaconcave,disk-likestructurewithinvaginatedportionpointedintowardthemiddleear

space?a. Mastoidb. Stapesc. Tympanicmembraned. Scalavestibuli

5. Thismuscleattachestothemalleus.

a. Facialb. Auricularc. Stapediusd. Tensortympani

6. Theapproximatecenterofthetympanicmembranewhichisthepointofmaximumretraction:

a. Coneoflightb. Umboc. Parstensad. Parsflaccida

7. Anothertermforparsflaccida

a. Parstensa

b. Tympanicmembranec. Shrapnel’smembraned. Mucousmembrane

8. Theliningoftympaniccavity:

a. Mucousmembraneb. Basilarmembranec. Reissnersmembraned. Noneoftheabove

9. Whichnerveisresponsibleforthecoughreflex?

a. Facialnerveb. Vagusnervec. Glossopharyngealnerved. Trigeminalnerve

10. WhichofthefollowingNSAIDsisaselectiveCOX-2inhibitor?

a. Indomethacinb. Meloxicamc. Etoricoxibd. Celecoxib

11. A16yearoldboypresentswithatumorofthelongbones.Uponhistologicallyexamination,there

appearstobesmallbluecells.Whatistheprimelocationofthetumor?a. Diaphysisb. Epiphysisc. Metaphysisd. Noneoftheabove

12. WhichsyndromeisdefinedasassociationwithOllier’sdiseaseandhemangiomatosis?

a. Maffucci’ssyndromeb. Hereditarymultipleexostosisc. Gardner’ssyndromed. Vonrecklinghausensdiseaseofbone

13.

a. Non-ossifyingfibromab. Aneurysmalbonecyst

c. Giantcelltumord. Noneoftheabove

14. 11yearoldgirlwithmetaphyseallesion

a. Non-ossifyingfibromab. Giantcelltumorc. Chondroblastomad. Aneurysmalbonecyst

15. Theciliarymuscleissuppliedby:

a. Parasympatheticfibersfromtheoculomotornerveb. Parasympatheticfibersfromtheopticnervec. Sympatheticfibersfromtheoculomotornerved. Sympatheticfibersfromtheopticnerve

16. Whichofthefollowingarefactorsfordiabeticfootulcers?

a. Neuropathyb. Peripheralvasculardiseasec. Priorfootulcerd. Alloftheabove

17. Rheumatoidarthritis(RA)isdifferentfromsomeotherformsofarthritisbecauseit:

a. Ismorepainfulthanotherformsb. Occursbelowthewaistc. Issymmetrical,affectingtherightandleftsidesofthebodyd. Generallyoccursabovethewaist

18. Rheumatoidarthritisisarelativelycommonautoimmunedisease,withmultipletreatmentoptions.

Whichofthefollowingisanexampleofadrugclassthathasbeenshowntohaltorreversetheprogressionofthisdiseaseinmostpatients?a. Aspirinb. Azathioprinec. Everolimusd. Methotrexate

19. Whichjointdiseaseisassociatedwithmorningstiffness?

a. Osteoarthritisb. Gout

c. Rheumatoidarthritisd. Ankylosingspondylitis

20. Whatkindofdepositsinyourbodycausegout?

a. Cholesterolb. Uricacidc. Fatd. Calcium

21. You’remorelikelytohavegoutifyouhave:

a. Lowbloodpressureb. Lowcholesterolc. Diabetesd. Lowbodyweight

22. Whatisthemostcommonsiteofagoutattack?

a. Bigtoeb. Footc. Kneed. Ankle

23. Identifythisstructure

a. Pacinaincorpusclesb. Meissnerscorpusclesc. Ruffiniendingsd. Merkel’sdisc

24. Identifythestructureindicatedbythewhitearrow:

a. Sebaceousglandb. Sweatglandc. Arrectorpillid. Paciniancorpuscle

25. TRUEorFALSE:Cerebralperfusionpressureisthedifferencebetweenmeanarterialpressureand

intracranialpressure26. WhichofthefollowingGlascomascalescoresinapatientwouldbemostconsistentwithsevere

headinjury?a. 4b. 10c. 14d. 20

27. Concerningacutesubduralhematomas,choosethecorrectanswer:

a. Theyarecausedbytraumaticinjuryonlyb. Theyarisefromtearingofbridgingveinsc. Theyarisefromtearingofmiddlemeningealarteriesd. Theyaremostcommonlypresentatthebaseofthebrain

28. Newboneformationsurroundingasequesteredasaresultofosteomyelitisisknownas:

a. Osteophyteb. Osteosarcomac. Sequestrumd. Involucrum

29. Whatisthemostfrequenttypeofosteomyelitis?

a. Hematogenousdiseaseb. Contiguousspreaddiseasec. Chronicdiseased. Vasculardisease

30. Whatisthemostcommonorganismcausinghematogenousosteomyelitis?

a. Pseudomonasaeruginosab. Haemophilusinfluenzaec. Staphylococcusaureusd. GroupBstreptococcus

31. Whichofthefollowingisnottrueregardingosteomyelitis?

a. Diabetesisapredisposingfactorb. Commoninfectingagentisstaphaureusc. Infectionisusuallybloodborned. Allaretrue

32. Whatisthemostcommonsiteofmetastasisforsarcomas?

a. Liverb. Brainc. Lungd. Skeleton

33. Whatismostcommonaffectedjointinpatientswithsepticarthritis?

a. Hipb. Kneec. Interphalangeald. Wrist

34. Whichofthefollowingisariskfactortodevelopsepticarthritis?

a. Weightb. Stressc. Rheumatoidarthritisd. Familyhistory

35. Whichofthefollowingisatreatmentofchronicgout?

a. Colchicineb. Reducinginflammationc. Urate-loweringtherapyd. NSAIDs

36. Whichofthefollowingdrugsshouldbeinitiatedinlowdoseswithurate-loweringdrugstoprevent

theonsetofanacutegoutattack?a. Colchicineb. NSAIDsc. Steroidsd. Probenicid

37. AllofthefollowingaretrueregardinguricosurictherapyEXCEPT:

a. Increasesriskofnephrolithiasisb. Usedinpatientswithrenaldiseasec. Increasestheexcretionofuricacidintheurined. Increasesurineuricacid

38. Whichofthefollowingdrugsblockproductionofuricacid?a. Allopurinolb. Colchicinec. Xanthineoxidaseinhibitorsd. Botha+c

39. Whichoneofthefollowingnonpharmacologicmeasuresmaybehelpfulinprovidingpainrelieffrom

anacutegoutyattack?a. Applicationofheatb. Increasedoralintakeofwaterc. Compressionappliedtotheaffectedaread. Rest

40. Whichofthefollowingiscorrectaboutnervusintermedius?

a. Itispartofthefacialnervethatrunsbetweenthemotorpartoffacialnerveandvestibulocochlearnerve

b. Itispartofthevestibulocochlearnervethatrunsbetweenthemotorpartoffacialnerveandsensorypartoffacialnerve

c. Itispartofthefacialnervethatrunsbetweenthesensorypartoffacialnerveandvestibulocochlearnerve

d. Noneoftheabove41. Bell’spalsyisassociatedwithwhichnerve?

a. Trigeminalb. Vagusc. Accessoryd. Facial

42. Apatientisstabbedintheneck.Yoususpectdamagetotheaccessorynerveintheposterior

triangle.Youwouldtestnervefunctionbyaskingthepatientto:a. Extendtheirneckagainstresistanceb. Extendtheirneckwithoutimpairmentc. Lifttheirshouldersagainstresistanced. Lifttheirshoulderswithoutimpairment

43. A40-year-oldprofessionalgolferwasadmittedbecauseofasingleepisodeofprolongedvertigo.On

walkingthatmorninghenoticedhisbalancewasnotquiteright.Afterarrivingatworkhissymptomsgotworseandheexperiencedseverevertigo,vomiting,andataxia.Hehadnoheadache,nohearingloss.Hewastakentothehospital.Onexaminationhehasspontaneoushorizontalnystagmus.Whatisthemostlikelydiagnosis?a. Meiner’sdiseaseb. Vestibularneuritisc. Migrained. Vertebrobasilarinsufficiency

44. A35-yearoldwomanwasadmittedafterasecondattackofvertigo.Shedescribedwaitingatthebusstop,thenexperiencingapressureana‘rushingsound’inherleftear.Shevomitedandwasunabletostandup.Shehadaspontaneousnystagmusandhadreducedhearingintheleft.a. Menier’sdiseaseb. Migrainec. Stroked. Vestibularneuritis

45. Vertigoismostcommonlyassociatedwithwhichbodypart?

a. Theheadb. Themindc. Theinnereard. Alloftheabove

46. Whatcausesvertigo?

a. Headtraumaandmigrainesb. Coldvirusesorearinfectionc. Balanceandhearingdisordersd. Alloftheabove

47. Whichofthefollowingdrugsisanantiepilepticglycine?

a. Tizanidineb. Gabapentinc. Baclofend. Diazepam

48. Whichofthefollowingdrugsinterfereswithexcitation-contractioncouplinginthemusclefibers?

a. Dantroleneb. Gabapentimc. Tizanidined. Noneoftheabove

49. AllofthefollowingistrueaboutBotulinumToxin,EXCEPT:

a. Producedbybotulinumbacteriab. Usedforcosmetictreatmentc. Stimulatesacetylcholinereleased. Itisusetherapeuticallyforophthalmicpurposes

50. Whichofthefollowingdrugsisantihypertensive(lowersbloodpressure)?

a. Gabapentinb. Diazepamc. Tizanidined. Noneoftheabove

51. Whichofthefollowingparticipateintheformationofthehyoidbone?a. 2ndpharyngealarchb. 3rdpharyngealarchc. 2ndand3rdpharyngealarchd. 4thand6thpharyngealarch

52. Whichofthefollowingmusclesarederivedfromthefirstpharyngealarch?

a. Themusclesofmasticationb. Themusclesofmasticationandanteriorbellyofdigastricc. Themusclesofmasticationandanteriorandposteriorbelliesofdigastricd. Themusclesofmastication,anteriorandposteriorbelliesofdigastricandgeniohyoid

53. Thefollowingmusclesarecorrectlypairedwiththepharyngealarchfromwhichtheyderive:

a. Musclesoffacialexpressionarederivedfromthefirstpharyngealarchb. Stapediusmuscleisderivedfromthesecondpharyngealarchc. Pharyngealconstrictorsarederivedformthethirdpharyngealarchd. Stylopharyngeusmuscleisderivedfromthefourth/sixthpharyngealarch

54. Thefollowingareassociatedwiththethirdpharyngealarch:

a. Stylopharyngeusmuscleb. Greaterhornofthehyoidbonec. Glossopharyngealnerved. Alloftheabove

55. Thefollowingarederivedfromthefirstpharyngealarch:

a. Themalleusb. Stylohyoidligamentc. Stylohyoidmuscled. Alloftheabove

56. Skeletalstructuresderivedfromthesecondpharyngealarchinclude:

a. Stapesb. Lesserhornofthehyoidbonec. Cricoidcartilaged. AandBonly

57. WhichofthefollowingstructuresisNOTderivedpartofthesecondpharyngealarch?

a. Stapesb. Superiorportionofbodyofhyoidbonec. Sphenomandibularligamentd. Stylohyoidligament

58. Auditoryossiclesdevelopfromthecondensedmesenchymalofthe:

a. Thirdpharyngealarchb. Fourthpharyngealarchc. Bothd. Neither

59. Themajorprotruderofthelowerjaw:a. Temporalisb. Masseterc. Lateralpterygoidd. Medialpterygoid

60. Namethemusclehighlightedingreen:

a. Temporalismuscleb. Medialpterygoidmusclec. Lateralpterygoidmuscled. Masseter

61. Whatistrueaboutthemusclehighlightedingreen?

a. Ithasdeepandsuperficialheadsb. Ithelpsintheactionofdepressionofthemandiblec. Ithelpsintheactionofretractionofthemandibled. It’sinnervatedbythefacialnerve

62. Identifythiscondition

a. Osteonecrosisb. Osteomyelitisc. Osteoidosteomad. Osteoblastoma

63. Bonefragmentsinto2ormorepieces:

a. Closedb. Openc. Comminutedd. Greenstick

64. Incompletefracturewhereonesideofthebonebreaksandtheothersidebends;occursonlyin

children:a. Closedb. Comminutedc. Greenstickd. Spiral

65. Identifythiscondition:

a. Diabeticfootb. Gasgangrenec. StevenJohnson’sd. TEN

66. Whichofthefollowingistrueaboutthiscondition?

a. Usuallycausedbyindigenousfloracolonizingtheskinb. C.perfingensisthepredominantcausec. Typicallyduetodeepcontaminatedwoundd. Noneoftheabove

67. Themicroorganismresponsibleformostcasesofcellulitisare:

a. StaphylococcusepidermiditisandStreptococcuspyogenesb. StaphylococcusaureusandStreptococcuspmeumoniaec. StaphylococcusepidermiditisandGroupAstreptococcid. StaphylococcusaureusandGroupAstreptococci

68. Whatcananinfectedhairfollicleleadtoifuntreated?

a. Eczemab. Leprosyc. Acned. Boil

69. Theinnersurfaceoftympanicmembraneisfixedto:

a. Stapesb. Handleofmalleusc. Incusd. Skin

70. Themiddlelayeroftympanicmembraneisdeficientwhere?

a. Superiorlyb. Inferiorlyc. Parstensad. Noneoftheabove

71. Nervesupplyoftensortympani:

a. Mandibulardivisionoftrigeminalnerveb. Mandibulardivisionoffacialnervec. Maxillarydivisionoftrigeminalnerved. Noneoftheabove

72. TRUEorFALSE:Thesuperiorpartofthetympanicmembraneisknownastheparsflaccida73. TRUEorFALSE:Thetensortympanicistheonlymusclepresentintheinnerear74. TRUEorFALSE:The‘coneoflight’isareflectionoflightonthetympanicmembranethatpoints

superiorly75. TRUEorFALSE:TheEustachiantubeconnectstheeyetothenose76. Whatisthenameofthecochlearductcontainingtheorganofcorti?

a. Modiolusb. Scalatympanic. Helicotremad. Scalamedia

77. Whatisthemembranethatseparatesthescalamediafromthescalatympaniandsupportingthe

organofcorti?a. Basilarmembraneb. Reissnersmembranec. Vestibularmembraned. Tympanicmembrane

78. Howmanycervicalvertebraewouldyoufindinanormalvertebralcolumn?

a. 6b. 12c. 7d. 5

79. KyphosiscanbedescribedbyallofthefollowingEXCEPT:

a. Anexcessiveposteriorcurvatureb. Occursinthoracicspinec. Excessiveanteriorcurvatured. Noneoftheabove

80. Whichofthefollowingcollectivelyprovidesapassagewayforthespinalcord?

a. Intervertebralcolumnb. Vertebralforamenc. Vertebralcanald. Transverseforamen

81. Thefacialprominencesthatcontributedirectlytotheformationofthelipsare:

a. Maxillaryandlateralnasalprominencesb. Maxillaryandmedialnasalprominencesc. Medialandlateralnasalprominencesd. Lateralandmedialandpalatineprominences

82. Obliquefacialcleftsisformedby:

a. Non-fusionofmaxillaryandlateralnasalprominenceb. Fronto-nasalprominencec. Maxillaryprominenced. Lateralnasalprominence

83. Theinter-maxillarysegmentofpalateisformedbyfusionof:a. Palatineshelvesb. Maxillaryprominencesc. Twomedialnasalprominencesd. Twolateralnasalprominences

84. ApatientpresentswithadiseaseassociatedwithHLA-B27haplotype,thatisimmunemediated,and

presentswithfibrosingankylosis.Whichofthefollowingisnotassociatedwiththisdisease?a. Rheumatoidarthritisb. Reiter’ssyndromec. Psoriaticsyndromed. Alloftheabove

85. Thebrachialplexusliesbetween:

a. Scaleneanteriorandscalenemediusb. Scalenemediusandscaleneposteriorc. Scaleneanteriorandsternocleidomastoidd. Noneoftheabove

86. Allofthefollowingmusclesdepressesthehyoidboneexcept:

a. Omohyoidb. Sternohyoidc. Thyrohyoidd. Geniohyoid

1. B2. C3. B4. C5. D6. B7. C8. A9. B10. D11. A12. A13. B14. A15. A16. D17. C18. D19. C20. B21. C22. A

23. B24. A25. TRUE26. A27. B28. D29. A30. C31. D32. C33. D34. C35. D36. A37. B38. D39. D40. A41. D42. C43. B44. A45. C46. D47. B48. A49. C50. C51. C52. B53. B54. D55. A56. D57. C58. D59. C60. B61. C62. A63. C64. C65. B66. A67. D68. D69. B70. A

71. A72. TRUE73. FALSE74. FALSE75. FALSE76. D77. A78. C79. C80. C81. A82. A83. C84. D85. A86. D