END MODULE - MSK1
Time: 40 mins
Choose the single best answer:
BIOCHEMISTRY :
(1) Which amino acid is not present in collagen?
a- Proline
b- Hydroxyproline
c- Glycine
d- Desmosine
e- Lysine
(2) Menkes disease is due to which one of the following:
a- Deficiency of Ascorbic Acid (vitamin c)
b- Abnormal fragility of bones
c- Defective synthesis of fibrillin
d- Defective cross-linking of collagen and elastin
e- Defective synthesis elastin
(3) Which of the following statements is false about ascorbic acid?
a- It shows antioxidant activity
b- It is a strong reducing agent
c- It can be synthesized in the body
d- Involved in hydroxylation of poly- and lysyl- residues of collagen
e- It converted to oxalic acid
(4) Which of the following increase the solubility of Ca+2 in the intestines: (0.25 marks)
a- High PH
b- Low PH
c- Excess oxalate
d- Excess phytic acid
e- Excess unabsorbed fatty acids
(5) One of the following is not a cause of considering VIT D as a hormone: (0.125 marks)
a- It has cyclo-pentanoperhydrophenanthrene ring like steroids
b- The formation of the biological active forms is subject to “feedback” inhibition
c- It is found in dietary food
d- Its action has definite target organs
e- It's made of nuclear action
PHYSIOLOGY :
(6) Which of the following channel types are located on nerve axon?
a- Leakage channels
b- Passive channels
c- Mechanically gated channels
d- Voltage-gated channels
e- Ligand-gated channels
(7) Which of the following is the type of depolarization in the muscle of the uterus?
a- Spike potential
b- Action potential with plateau
c- Slow-wave potential
d- Depolarization without action potential
e- Junctional potential
(8) Decrease the extracellular concentration of which of the following ions to 50% of normal affects
the discharge in the peripheral nerves and results in Tetany? (0.25 marks)
a- Sodium
b- Potassium
c- Calcium
d- Magnesium
e- Chloride
ANATOMY :
(9) The nerve supply of this muscle is originated from which part of brachial plexus?
a- Upper trunk
b- Lower trunk
c- Medial cord
d- Lateral cord
e- Posterior cord
(10) Which one of the following bony parts is the insertion of the muscle that divides the axillary
artery into three parts?
a- Acromion
b- Coracoid process
c- Bicipital groove
d- Supraglenoid tubercle
e- Radial tuberosity
(11) A patient presented with surgical neck humerus fracture; he has weakness in rotating his arm
laterally. Which pair of muscles are paralyzed?
a- Teres Minor and Teres Major
b- Teres Minor and Deltoid
c- Infraspinatus and Deltoid
d- Supraspinatus and Subscapularis
e- Teres minor and Infraspinatus
(12) Which of the following is the most likely congenital anomaly in this radiograph?
a- Floating thumb
b- Polydactyly
c- Macrodactyly
d- Syndactyly
e- Lobster claw hand
(13) A 29-year-old patient complained of inability to flex the distal interphalangeal joint of the index
finger as a result of supracondylar fracture of the humerus, which of the following is the root value
of the affected nerve?
a- C5,6
b- C5,6,7
c- C6,7,8
d- C8, T1
e- C5,6,7,8, T1
(14) Which one of the following is the type of marked joint?
a- Ball and socket
b- Ellipsoid
c- Hinge
d- Pivot
e- Saddle
(15) The shoulder girdle movement is produced by which of the following muscle?
A- Pectoralis major
B- Serratus anterior
C- Rhomboids minor
D- Teres major
E- Supraspinatus
(16) The marked muscle produces which of the following wrist movement?
A- flexion and adduction
B- flexion and abduction
C- extension and adduction
D- extension and abduction
E- flexion and extension
(17) A muscle that produces pronation of the forearm is inserted into which of the following
numbered bony parts?
a- 1
b- 2
c- 3
d- 4
e-5
(18) Which one of the following muscles is the medial boundary of the marked space?
a- Extensor pollicis longus
b- Flexor pollicis longus
c- Extensor pollicis brevis
d- Abductor pollicis longus
e- Flexor pollicis brevis
(19) The physician in this diagram tested which one of the following muscles?
a- Palmar Interossei
b- Dorsal Interossei
c- Lumbricals
d- Extensor Digitorum
e- Flexor Digitorum Superficialis
(20) Fracture of which one of the following bony parts is most likely to cause partial claw hand ?
a- Medial Epicondyle
b- Lateral Epicondyle
c- Neck of Radius
d- Surgical neck humerus
e- Midshaft humerus
(21) The radial nerve gives cutaneous innervations to which one of the following numbered areas?
(0.25 marks)
a- 1
b- 2
c- 3
d- 4
e- 5
HISTOLOGY :
(22) Which of the following statements is correct about the triad tubular systems of the skeletal
muscle shown in this diagram?
a- It is characterized by a T tubule that contains calcium
b- It is located at the Z line
c- It is located at the M line
d- Consists of two T tubules separated by a narrow central terminal cisternae
e- Consists of two terminal cisternae separated by a T tubule
(23) The following type of CT Fibers is ossified during bone formation:
a- Collagen type I
b- Collagen type II
c- Collagen type VI
d- Elastic fibers
e- Reticular fibers
(24) Concerning this picture of the myofibril, identify this region 1 and its content:
1 1
a- I band containing actin myofilaments only
b- I band containing myosin myofilaments only
c- A band containing actin myofilaments only
d- A band containing myosin myofilaments only
e- I band containing actin and myosin myofilaments
(25) Which of the following types of cartilage contains collagen type I?
a- Hyaline cartilage
b- Elastic cartilage
c- White Fibrocartilage
d- Articular cartilage
e- Costal cartilage
(26) At electron microscope level (E/M), chondroblasts show all the features of:
a- Absorption
b- Phagocytosis
c- Protein Synthesis
d- Lipid Synthesis
e- Inactive cells
(27) One of the following connective tissues converts into spongy bone:
a- Adipose
b- Loose
c- Mucoid
d- Mesenchymal
e- White fibrous
(28) Isogenous groups are made of group of cells up to 8 cells of: (0.125 marks)
a- Fibrocytes
b- Lymphocytes
c- Osteocytes
d- Chondrocytes
e- Adipocytes
