LOCOMOTOR MUDULE D23
1)The three types of painful stimuli mechanical thermal and chemical Stimulate which of the
following receptors:
a)Machanoreceptors
b)Photorecpetors
c)chemoreceptors
d)nociceptors
e)osmoreceptors
2)On the gluteal surface of the ilia where is the origin of the gluteus medius muscle:
a) Posterior Gluteal line
b)Anterior gluteal lube
c)Inferior gluteal lune
d)between anterior and posterior gluteal line
e)between posterior and superior Gluteal line
3)When the membrane is only permeable to K+ ions the ratio of K inside to outside the cell is 35:1 .
The Nernst potential across the cell membrane in this case is:
a)-90 mV
b)-61 mV
c) -85 mV
d) -94 mV
e) -70 mV
4)A woman with a lump in the breast was diagnosed wiu breast cancer and underwent mastectomy
and surgical removal of axillary lymph nodes. After the surgery she was unable to use the upper limb
to climb. Which of the following nerves was damaged that disabled her to raise her upper limb in
order to climb?
a)Dorsal scapular
b)Thoraco dorsal
c)Supradcapular
d)Long thoracic nerve
e)Subscapular nerve
5)A 7 year old boy experienced a fracture on the shaft of the humerus. Which of the following
nerves is most likely to be damaged:
a)Axillary
b)Median
c)Musculocutaneous
d)Radial
e)Ulnar
6)During a school sports tournament, a student was hit with a hard ball on the medial aspect of the
thigh. He was then unable to adduct his thigh. Which of the following nerves was damaged:
a)Femoral nerve
b)Obturator nerve
c)Superior gluteal nerve
d)Inferior gluteal nerve
e)Sciatic nerve
7)Which of the following is not supplied by the obturator nerve:
a)Adductor longus
b)Gracilis
c)Adductor brevis
d)Adductor Magnus (hamstrings part)
e)Adductor minimi
8)Which of the following muscles passed through the lesser sciatic foramen?
a)Obturator internus
b)Quadratus femoris
c)Inferior gamellis
d)Superior gamellus
e)Piroformis
9)Which of the following passes through the Adductor canal:
a)Great saphenous vein
b)small saphenous vein
c)popliteal artery
d)femoral vein
10)The groove for subclavius is present where on clavicle?
A)Sternal end
B)Upper border of medial2/3
C)Lower border of medial2/3
D)Anterior surface of lateral1/3
E)Posterior surface of lateral1/3
11)Which of the following is incorrect regarding the cubit fossa?
a)It is on the front of the forearm
b)Medial border: Pronator Quadratus
c)Lateral border: Brachioradialis
d)floor: supinator and brachialis
e)base: imaginary line between the two condyles of humerus
12)A woman attempted suicide by overdosing on acetaminophen. Upon investigation the level of
acetaminophen in her blood was found to be lethal. Which of the following should be administered?
a)N- acetyl cysteine
b)Calcium gluconate
13)mechanism of action of acetaminophen:
a)inhibits COX 1 and COX2 and COX 3
b)inhibits COX 1
c)inhibits COX 1 and COX 3
d)Inhibits COX 2
e)Inhibits COX 3
14)All of the following are components of axilla except:
A) Fat
B) Trunks of brachial plexus
C) Tail of breast
D) Axillary artery
E) Axillary vein
15)About Pronation and supination which one is not true?
A) thumb lies lateral in supination
B) supination is done by supinator only
C) they exhibit rotatory movement over each other
D) Pronation is done by pronator teres and pronator quadratus
E)Forearm is most stable in midprone position
16)For rapid strong binding of myosin head to actin Which of the following is necessary to be
present:
a)Ca2+
b)Mg 2+ and ATP
c)troponin and tropomyosin complex
d)Troponin
e)tropomyosin
17)A 60 year old man presented with complain of loss of sensations in the anterolateral aspect of
thigh. Damage is to the lateral cutaneous nerve which is a branch of
A)femoral nerve
B)obturator nerve
C) lumbar plexus
D) sacral plexus
18)lateral part of Inguinal ligament attatches to:
a)Ant. inf. Iliac spine
b)Ant. Sup. Iliac spine
c)ischial spine
d)Posterior Superior iliac spine
e)Posterior Inferior iliac spine
19)A branch of the internal iliac artery that passes above the piriformis through greater sciatic
foramen?
a)Superior Gluteal
b)Inferior gluteal
c)Femoral
d)Obturator
e)Superior epigastric
20)What is the length of a single muscle fibre corresponding to a sarcomere in micro metre?
a)1
b)2
c)3
d)4
e)5
21)To treat rickets what supplement is given in addition to Calcium
a)Cholecalciferol
22)A boxer suffered an injury and was worried due to injury to his punching and pushing muscle.
Which muscle is this?
a)Serratus anterior
b)Deltoid
c)Trapezius
d)Latissimus dorsi
e)Supraspinatus
23)Cardiac Muscle develops from:
a)Lateral plate somatic mesoderm
b)Splanchic mesoderm
c)Intermediate mesoderm
d)Paraxial mesoderm
24)Which of the following passes superficial to the flexor retinaculum?
a)Flexor pollicis longus
b)Flexor digitorum superficialis
c)Flexor digitorum profundus
d)Flexor ulnaris
e)Flexor Radialis
25).A 20-year-old man fell from the parallel bar during the Olympic trial. A neurologic examination
reveals that he has a lesion of the lateral cord of the brachial plexus. Which of the following muscles
is most likely weakened by this injury?
A) Subscapularis
B)Teres major
C)Latissimus dorsi
D)Teres minor
E)Pectoralis Major
26)Which of the following causes extension of the arm?
a)Anterior fibres of deltoid
b)Posterior fibres of deltoid
c)Intermediate fibres of deltoid
d)Serratus anterior
e)Trapezius
27)Which of the following muscles is a powerful medial rotator and Adductor of the arm supplied by
all cords of brachial plexus?
a)Deltoid
b)Pectoralis major
c)Supraspinatus
d)Infraspinatus
28)A 37-year-old female patient has a fracture of the clavicle. The junction of the middle and lateral
thirds of the bone exhibits overriding of the medial and lateral fragments. The arm is rotated
medially, but it is not rotated laterally. The lateral portion of the fractured clavicle is displaced
downward by which of the following?
(A) Deltoid and trapezius muscles
(B) Pectoralis major and deltoid muscles (C) Pectoralis minor muscle and gravity (D) Trapezius and
pectoralis minor muscles
E) Deltoid muscle and gravity
29)A 21-year-old man injures his right arm in an automobile accident. Radiographic examination
reveals a fracture of the medial epicondyle of the humerus.Which of the following nerves is most
likely injured as a result of this accident?
A) Axillary
B) Musculocutaneous
C) Radial
D) Median
E) Ulnar
30)If the suprascapular notch is calcified, which of the following muscles is most likely paralyzed?
A) Deltoid
B) Teres major
C) Teres minor
D) Infraspinatus
E) Subscapularis
31)In a nerve cell two K+ are pumped intothe cell and three Na+ pumped out. This creates an
additional charge of:
a)-1 mV
b)-2 mV
c) -3 mV
d)-4 mV
e)-5 mV
32)The most cost effective intervention in health promotion:
A)health education
B)food fortification
C)nutrtional education
D)lifestyle changes
E)environmental changes
33)Mesenchymal cells of the limb bud flatten to form hand plate. It differentiates to form digital
rays. Which is correct regarding digital rays :
A. Separate digits by the end of 6th week
B. Process begins at end of 10th week
C. AER is present at the tip.
D.Tip of each day is covered by hyaline cartilage
E.The interval between the digital rays is made of compact bone
34)Cartilage is made up of Which type of collagen fibres?
a)Type 1
b)Type 2
c)Type 3
d)Type 10
e)Type 9
35)A 25 year old pregnant lady comes to you asking to terminate her pregnancy. Which of this
following is the correct response:
a)Tell her it’s against her religion
b)tell her it’s against your religion
c)tell her it’s against your culture
d)tell her you don’t know anything about terminating a pregnancy
e)you do not impose your values or beliefs upon her
36)The target group of health education for improving quality of life of children younger than 5 years
old is:
a)Common public
b)Community leaders
c)Fathers
d)Mothers
37)Which of the following is the most commonly used calcium preparation?
a)Calcium gluconate
b)Calcium lactate
c)Calcium citrate
d)Calcium carbonate
e)Calcium glubionate
38)Given diffusion potential, Nernst Potential equation is used to calculate membrane potential for?
a)one particular ion
b)several different ions
39)Which of the following is not true about the joints in the hand?
a)No movement occurs at metacarpocarpal joint of the thumb
b)There is restricted movement at the intercrpal joints
c)The metacarpophalangeal joints are synovial condyloid joints
d)the interphalangeal joints are hinge joints
e)at the metacarpophalangeal joint the base of the phalanx articulated with the the head of the
metacarpal
40)Choose false option regarding Quadrangular space?
a)Medial border: Triceps
b)Lateral border: Humerus shaft
c)Superior border: Subscapularis
d)Posterior border: radial groove
e)Inferior border: teres minor
41)Which of the following modalities should be used for upper limb soft tissues?
a)X ray
b)CT
c)MRI
d)Nuclear imaging
e)Flouroscopy
42)Characteristic of a double blind test about the effect of a drug:
a)The test group does not know the identity of the observer
b)The control group does not know the identity of the test group
c)The observer does not know which person is given the real drug and which is given the placebo
d)
43)A newborn presented in clinic with multiple fractures. There seems to be a disorder in the
arrangement of the collagen fibres. Which disease has this characteristic?
a)Osteogensis imperfecta
b)Osteomalacia
c)Osteoporosis
d)Osteopetrosis
e)Pagets disease
44)a young boy comes into clinic with an elbow fracture and loss of sensation in his little finger,
which of the following structures was damaged?
a)Biceps tendon
b)Medial collateral ligament
c)Bicipital aponeurosis
d)Radial collateral ligament
45)Which of the following can cause full flexion of the knee, while the hip is also fully flexed?
a)Semimembranosus
b)semitendinosus
c)Biceps femoris short head
d)Biceps femoris long head
e)rectus femoris
46)Key principle of health education?
a)Education
b)Motivation
c)Promotion
d)Reinforcement
47)Pus is accumulated in the pulp space of the finger and throbbing pain is felt. What is incorrect?
A. Drainage by lateral incision
B. It leads to necrosis at 4/5 of distal phalanx
C. It leads to necrosis at at 1/5 proximal part of distal phalanx
D. Space is filled with subcutaneous fat
E. Throbbing pain is due to right fascial sheath
48)At the knee joint, the Patellar ligament and oblique popliteal ligament respectively correspond
to:
a)quadriceps and semimembranosus
b)Biceps and semitendinosus
c)gracilis and Biceps
d)quadriceps and semimbranosus
49)Which of the following structures is intracasular at the knee joint?
a)Patellar ligament
b)Popletius tendon
c)Oblique patellar ligament
d)biceps femoris tendon
50)During skeletal muscle contraction when the myosin heads bind to actin the Fenn effect occurs.
Which of the following describes this phenomenon?
a)Work done is inversely proportional to ATP cleaved
b)work done is proportional to ATP cleaved
c)lwork done is proportional to ATP and Mg2+
51)Which enzymatic function of myosin head is necessary for muscle contraction ?
a)alkaline phosphatase
b)ATPase
c)lactase
d)ligase
52)To Which disc do actin molecules attach from which they extend in both directions?
a)Z
b)A
c)H
d)M
e)I
53)Prime mover of medial rotation is:
a)Teres minor
b)Deltoid
c)Supraspinatus
d)Infraspinatus
e)Subscapularis
54)A woman comes in with complain of being unable to climb stairs. Which muscle is weakened?
a)Biceps femoris
b)Gluteus medius
c)Gluteus Maximus
d)Piriformis
e)Obturator externus
55)A man underwent an accident with injury to the sciatic nerve. Which of the following motor
functions do you expect to impaired upon physical examination?
a)Knee flexion, plantarflexion/dorsalflexion, inversion eversion of ankle
b)knee extension, plantarflexion/dorsalflexion, inversion eversion of ankle
c)plantarflexion/dorsalflexion, inversion eversion of ankle
d)adduction and medial rotation of leg
56)Collagen synthesis requires hydroxylation of lysine and proline residues. Which of the following is
necessary as a coenzyme for the hydroxylation?
a)Vit A
b)Vit D
c)Vit C
d)Vitamin B12
e)Vit E
57)choose the correct statement about the Developmental disorders of the skeletal system:
a)Osteopetrosis is brittle bone disease
b)Osteoporosis is marked by denser bone
c)Achondroplasia is the most common cause of dwarfism
d)Osteopetrosis is characteristic of lesser bone mass
e)Thanatophoric dysplasia is harmless
58)Which of the following is true about Paget’s disease of bone?
a)It is more common in Pakistan than USA
b)children are more commonly affected
c)Histologically has characteristic mosaic pattern of bone
d)is due to VitD deficiency
e)another name is Osteoporosis
59)A young boy was in an automobile accident. He has weak knee extension, loss of function of
quadriceps compartment, loss of sensation over anteromedial thigh as well as medial side of calf.
Which of the following nerves was damaged?
a)Obturator nerve
b)Femoral nerve
c)Sciatic nerve
d)Superior gluteal nerve
e)inferior gluteal nerve
60)A 12 year old boy was in an accident with an injury in the posterior triangle of his neck. He was
unable to raise his hand to comb his hair. Which of the following muscles was affected?
a)Teres major
b)Deltoid
c)Latissimus dorsi
d)Serratus anterior
e)Levator scapulae
61)Which part of iliac crest is associated with Gluteus maximus?
a)Lateral slope
b)Medial slope
c)internal lip
d)external lip
e)Intermediate area
62)a 7 year old boy fell off a tree and incurred a fracture of the clavicle. Which is the most common
site of a clavicular fracture ?
a)Medial 2/3 and lateral 1/3
b)Medial 1/3 and lateral 1/3
c) acromial end
d)sternocostal end
e)Junction between medial 2/3 and lateral 1/3
63)the goltzmann equation is used to calculate membrane potential using:
a)one particular ion
b)several different ions
c)difference in ion concentration
d)ion counter transport
64)to generate an action potential, the ratio of action potential to threshold excitation (safety factor
for propagation) at all times must be greater than:
a)1
b)2
c)3
d)4
e)5
65)Choose the correct statement about AER:
a)It induces synthesis of morphogenic protein of bone
Can’t remember the rest of the options but give this a review
OSPE 1:
82)Which of the following is the characteristic feature of osteoblasts?
a)they are almond shaped cells
b)the secrete and synthesise osteoid
83)Which of the following cells are present in the hollow Howships lacunae?
a)Osteoblasts
b)Osteocytes
c)Osteoclasts
d)Osteoprogenitor cells
84)where is this structure present?
a)Bone
b)Cartilage
c)Muscle
d)Joint
85)Which of the following is incorrect regarding osteocytes:
a)Their cytoplasm stains fairly basophilic
b)They secret alkaline phosphatase
c)They are mature bone cells
d)They have gap junctions for communication
e)they lie in the lacunae
86)Which of the following regarding lamallae is incorrect:
a)In compact bone they are irregularly arranged
b)Lacunae containing osteocytes lie between lamallae
c)Lacunae containing osteocytes lie within lamallae
d)they are circular in pattern
e)they are parallel to each other
OSPE 2:
Answer the following questions with respect to the marked bone.
87) with which bone does the marked bone not articulate with?
A) radius
B) pisiform
C) scaphoid
D) triequetrium
e)capitate
88)Which bone is it?
a)Scaphoid
b)Triquetrium
c)Lunate
d)Trapezoid
e)Hamate
89)Which of the following is found on the bone:
a)a semilunar shaped articular surface
b)a hook like structure
c)a crest
d)a tubercle
e)an oval facet
90)the shape of the bone resembles:
a)A hat
b)a shoe
c)a half moon
91)What is the position of this bone:
a)2nd position distal row
b)3rd position distal row
c)2nd position proximal row
d)1st position distal row
e)3rd position proximal row
CBL:
A group of Medical students during their clinical postings came across a patient/person with
deformity in his right hand. A scar was seen at his wrist and man gave a history of accidental
piercing by a piece of broken jar.
On examination his palm looked flattened at the thenar eminence. Th thumb was laterally rotated
and adducted and he was unable to oppose it. When he was asked to make a fist, the index and
middle finger lagged behind the ring and little finger, there were some sensory loss.
92)Which structure is most likely to be damaged?
A) Radial Nerve
B) Median Nerve
C) Ulnar Nerve
D) Palmar cutaneous branch of ulnar nerve
E) Palmar cutaneous branch of median nerve
93)The thenar eminence appear flat due to:
A) Loos of muscle tone
B) Atrophy
C) Hypertrophy
D) Flaccidity
E) Aplasia
94)Which muscles are involved in thenar wasting in this man?
A) Abductor pollicis brevis, flexor pollicis brevis, opponens pollicis, adductor pollicis
B) Abductor pollicis longus, abductor pollicis brevis, extensor pollicis brevis
C) Abductor digiti minimi, flexor digiti minimi, opponens digiti minimi
D) Abductor pollicis brevis, flexor pollicis brevis, opponens pollicis
E) Abductor digiti minimi, flexor digiti minimi, adductor pollicis
95)The thumb is adducted and laterally rotated due to paralysis of:
A) Abductor pollicis and opponens pollicis
B) Abductor pollicis longus and brevis
C) Abductor pollicis brevis and opponens pollicis
D) Abductor pollicis brevis and flexor pollicis brevis
E) Flexor pollicis and opponens pollicis
96)Why the index and middle fingers are lagging behind while making a fist:
A) Paralysis of first and second tendon of flexor digitorum superficialis
B) Paralysis of first and second lumbricals
C) Paralysis of third and fourth lumbricals
D) Paralysis of flexor digitorum profundus
E) Paralysis of first and second palmar interossei
97)What is the most severe disability in this case:
A) Flexion of wrist accompanied by adduction
B) Flattening of thenar eminence
C) Inability to make a fist
D) Loss of thumb opposition
E) Sensory loss
98)Which investigation will confirm the diagnosis of muscle atrophy:
A) Muscle biopsy of his right hand
B) X-ray of his right wrist
C) X-ray of his right hand
D) Nerve conduction studies
E) Electromyogram
99)In this case if there was poor healing, what was the deficient vitamin:
A) Vitamin K
B) Vitamin A
C) Vitamin D
D) Vitamin C
E) Thiamine
100) Had this patient came earlier while he was bleeding, what is the most initial vasoconstrictor
released:
A) Histamine
B) Dopamine
C) Serotonin
D) Glutamate
E) Aspartate
