NEET-PG 2013 - Anatomy Practice Questions

Q: All are infraclavicular branches of brachial plexus except ?

Long thoracic nerve. Long thoracic nerve - The long thoracic nerve originates directly from the roots (C5, C6, C7) of the brachial plexus, making it a supraclavicular branch. - It does not arise from the cords of the brachial plexus, which are located infraclavicularly. Ulnar nerve - The ulnar nerve arises from the medial cord of the brachial plexus, which is an infraclavicular structure. - It supplies many intrinsic hand muscles and the ulnar half of the flexor digitorum profundus. Axillary nerve - The axillary nerve is a branch of the posterior cord of the brachial plexus, classifying it as an infraclavicular branch. - It innervates the deltoid and teres minor muscles. Thoracodorsal nerve - The thoracodorsal nerve also originates from the posterior cord of the brachial plexus, making it an infraclavicular branch [1]. - It provides motor innervation to the latissimus dorsi muscle [1].

Q: All are supplied by the anterior interosseous nerve except which of the following?

Flexor carpi ulnaris. ***Flexor carpi ulnaris*** - The **flexor carpi ulnaris** (FCU) is innervated by the **ulnar nerve**, not the anterior interosseous nerve [1]. - This is the correct answer as it is NOT supplied by the AIN. *Pronator quadratus* - The **pronator quadratus** IS supplied by the **anterior interosseous nerve**. - This deep muscle is responsible for **pronation of the forearm** and is one of the three muscles innervated by the AIN. *Flexor digitorum profundus (lateral half)* - The **lateral half of flexor digitorum profundus** (to index and middle fingers) IS supplied by the **anterior interosseous nerve**. - The medial half (to ring and little fingers) is supplied by the ulnar nerve. *Flexor pollicis longus* - The **flexor pollicis longus** (FPL) IS supplied by the **anterior interosseous nerve**. - This muscle is responsible for **flexion of the thumb's interphalangeal joint** and is one of the three muscles innervated by the AIN.

Q: Esophagus is present in which mediastinum?

Posterior. ***Posterior*** - The **esophagus** is primarily located in the **posterior mediastinum**, where the bulk of its length (from T4/T5 to T10) traverses [2]. - It lies **posterior** to the **trachea** and **heart**, anterior to the vertebral column [2]. - For examination purposes, the esophagus is considered a **key structure of the posterior mediastinum** [2]. - Note: The uppermost part (cervical and upper thoracic) does pass through the superior mediastinum, but the majority lies in the posterior compartment. *Anterior* - The **anterior mediastinum** is a small space located between the **sternum** and the pericardium. - It primarily contains **connective tissue**, remnants of the thymus, lymph nodes, and the internal thoracic vessels [1]. - The esophagus does not traverse this compartment. *Middle* - The **middle mediastinum** is centrally located and prominently contains the **heart** and the roots of the great vessels [1]. - It also houses the **pericardium**, the main bronchi, and the phrenic nerves [1]. - The esophagus passes **posterior** to this compartment, not through it. *Superior* - The **superior mediastinum** extends from the thoracic inlet to the level of the sternal angle (T4/T5). - It contains large vessels like the **aortic arch** and its branches, the SVC, trachea, and thymus [1]. - While the **uppermost part of the thoracic esophagus** does pass through the superior mediastinum, this represents only a small portion of its total length.

Q: All pass through jugular foramen except

Mandibular nerve. ***Mandibular nerve*** - The **mandibular nerve** (CN V3) exits the skull through the **foramen ovale**, not the jugular foramen. - It is a branch of the **trigeminal nerve** and is responsible for motor innervation to muscles of mastication and sensory innervation to the lower face and mouth. *Glossopharyngeal nerve* - The **glossopharyngeal nerve** (CN IX) is one of the three cranial nerves that exit through the **jugular foramen**. - It provides motor, sensory, and parasympathetic innervation including taste from posterior third of tongue and motor to stylopharyngeus muscle. *Vagus nerve* - The **vagus nerve** (CN X) is one of the major cranial nerves that exits the skull through the **jugular foramen**. - It provides extensive motor, sensory, and parasympathetic innervation to the head, neck, thorax, and abdomen. *Internal jugular vein* - The **internal jugular vein** is formed at the jugular foramen by the continuation of the **sigmoid sinus**, and it exits the skull through this foramen. - It is one of the primary venous drainage pathways for the brain.

Q: Which chamber of the heart forms the posterior surface?

Left Atrium (LA). ***Left Atrium (LA)*** - The **left atrium** forms the posterior surface of the heart, lying in front of the esophagus and thoracic aorta [1]. - Its posterior position makes it susceptible to enlargement, which can compress the **esophagus** and cause dysphagia [1]. *Right Atrium (RA)* - The **right atrium** primarily forms the right border of the heart and receives deoxygenated blood from the systemic circulation. - It lies anteriorly and to the right, behind the sternum and costal cartilages. *Left Ventricle (LV)* - The **left ventricle** forms the apex of the heart and part of the left border. - It is positioned *inferiorly* and *anteriorly*, contributing significantly to the *diaphragmatic surface* of the heart. *Right Ventricle (RV)* - The **right ventricle** forms the majority of the anterior surface of the heart, directly behind the sternum. - It also contributes to the *inferior surface* of the heart, resting on the diaphragm.

Q: Type of collagen found in space of Disse in liver is -

Collagen III & IV. ***Collagen III & IV*** - The **space of Disse** in the liver contains a delicate extracellular matrix predominantly composed of **collagen type III (reticular fibers)**, which provides structural support, and **collagen type IV**, a major component of basement membranes. - This specific collagen composition is crucial for regulating the exchange of solutes between **sinusoidal blood** and **hepatocytes**, as well as for the functional integrity of the liver [1]. *Collagen I & II* - **Collagen type I** is the most abundant collagen in the human body, found in connective tissues like **bone, skin, tendons, and ligaments**, but is not primary in the space of Disse. - **Collagen type II** is characteristic of **hyaline cartilage** and vitreous humor, and is not a significant component of the liver's extracellular matrix in the space of Disse. *Collagen II* - As mentioned, **collagen type II** is primarily found in **cartilage** and vitreous humor, which are distinct from the architectural requirements of the liver sinusoidal space. - Its presence in the space of Disse would not provide the necessary structural flexibility and support for the metabolic functions of the liver. *Collagen II & V* - While **collagen type V** is a minor fibrillar collagen that associates with collagen type I in many tissues, it is not a primary component of the space of Disse. - **Collagen type II** is, again, largely confined to cartilaginous structures, making this an unlikely combination for the liver microenvironment.

Q: Vertebral arteries of both sides unite to form

Basilar artery. Basilar artery - The paired vertebral arteries ascend through the neck via the transverse foramina of cervical vertebrae and enter the skull through the foramen magnum. - At the level of the pontomedullary junction, the two vertebral arteries merge to form a single basilar artery. Anterior spinal artery - The anterior spinal artery is formed by the union of two small branches derived from each vertebral artery near their intracranial origin. - It supplies the anterior two-thirds of the spinal cord, running along the anterior median fissure. Posterior spinal artery - The posterior spinal arteries are typically two vessels, one arising from each vertebral artery (or less commonly from the posterior inferior cerebellar artery). - They supply the posterior one-third of the spinal cord and do not form a single major merged vessel in the brainstem. Medullary artery - There is no single major artery termed the "medullary artery" formed by the union of the vertebral arteries. - The medulla oblongata is supplied by branches directly from the vertebral arteries and the basilar artery, such as the posterior inferior cerebellar artery (PICA) and direct medullary branches.

Q: Which muscle is not part of the superficial anterior compartment of the forearm?

Flexor pollicis longus (FPL). **Flexor pollicis longus (FPL)** - The **FPL** is located in the **deep anterior compartment** of the forearm, differentiating it from the superficial muscles [1]. - Its primary function is **flexion of the thumb's interphalangeal joint**, requiring a deeper anatomical position for mechanical advantage [1]. *FDS* - The **Flexor digitorum superficialis (FDS)** is a key muscle of the superficial anterior compartment, visible just beneath the skin and fascia. - It is responsible for **flexing the middle phalanges** of the medial four digits. *FCR* - The **Flexor carpi radialis (FCR)** is situated in the superficial anterior compartment, running obliquely across the forearm. - It functions in **flexion and abduction of the wrist**. *Palmaris longus* - The **Palmaris longus** is a superficial anterior compartment muscle, though it is absent in a significant portion of the population. - When present, its main action is **flexion of the wrist** and tightening of the palmar aponeurosis.

Q: What is the most dependent part of the peritoneal cavity in a female in the standing position?

Pouch of Douglas. ***Pouch of Douglas*** - The **rectouterine pouch** (Pouch of Douglas) is the most dependent part of the peritoneal cavity in females when standing. - It lies between the **rectum posteriorly** and the **uterus anteriorly**, extending down to the posterior fornix of the vagina [1]. - Due to gravity, any free fluid in the peritoneal cavity (blood, pus, ascitic fluid) collects here in the upright position. - **Clinical significance:** This is why culdocentesis (needle aspiration through the posterior vaginal fornix) can detect intraperitoneal fluid [1]. *Vesicouterine pouch* - Located between the **uterus posteriorly** and the **bladder anteriorly** [1]. - It is **superior** to the Pouch of Douglas and therefore not the most dependent part. - Fluid would collect in the Pouch of Douglas before reaching this pouch in a standing position. *Paracolic gutter* - The **paracolic gutters** are peritoneal recesses lateral to the ascending and descending colon. - While they can collect fluid, they are **not the lowest point** in the peritoneal cavity in an upright position. - The right paracolic gutter can serve as a pathway for fluid to spread between the pelvis and subphrenic spaces. *None of the options* - This is incorrect as the **Pouch of Douglas** is definitively the most dependent part of the peritoneal cavity in females in the standing position. - It is a well-established anatomical fact taught in all standard anatomy textbooks.

Q: Which thalamic nucleus has the most extensive reciprocal connections with the association areas of the neocortex?

Pulvinar. ***Pulvinar*** - The **pulvinar nucleus** is the largest thalamic nucleus and has the most extensive **妥reciprocal connections** with the **association cortices** of the parietal, temporal, and occipital lobes. - It plays a crucial role in **visual attention**, integration of visual and other sensory information, and facilitating cortico-cortical communication. - The pulvinar is unique in its dense, bidirectional connectivity with higher-order association areas, distinguishing it from other thalamic nuclei. *Intralaminar* - **Intralaminar nuclei** (centromedian, parafascicular) project **diffusely and non-specifically** to widespread cortical areas and the striatum [1]. - They are involved in arousal, attention, and consciousness but lack the **specific, reciprocal connections** with association cortices that characterize the pulvinar. - Their projections are more related to generalized cortical activation rather than specific sensory or cognitive processing [1]. *Anterior* - The **anterior nuclear group** (anteromedial, anterodorsal, anteroventral) projects primarily to the **cingulate gyrus** as part of the limbic system [1]. - While the cingulate is cortical tissue, it is **limbic cortex** with specific emotional and memory functions, not association neocortex involved in higher-order sensory integration. - Receives input from mammillary bodies and is part of the Papez circuit for memory and emotion. *None of the options* - This is incorrect because the **pulvinar nucleus** has well-established, extensive reciprocal connections with association areas of the neocortex. - The pulvinar is considered a "higher-order" thalamic nucleus specifically connecting cortical areas to each other via the thalamus.

Question 1

All are infraclavicular branches of brachial plexus except ?

Accepted Answer

Long thoracic nerve

Answer

Axillary nerve

Answer

Thoracodorsal nerve

Answer

Ulnar nerve

Question 2

All are supplied by the anterior interosseous nerve except which of the following?

Accepted Answer

Flexor carpi ulnaris

Answer

Pronator quadratus

Answer

Flexor digitorum profundus (lateral half)

Answer

Flexor pollicis longus

Question 3

Esophagus is present in which mediastinum?

Accepted Answer

Posterior

Answer

Answer

Middle

Answer

Superior

Question 4

All pass through jugular foramen except

Accepted Answer

Mandibular nerve

Answer

Vagus nerve

Answer

Internal jugular vein

Answer

Glossopharyngeal nerve

Question 5

Which chamber of the heart forms the posterior surface?

Accepted Answer

Left Atrium (LA)

Answer

Right Atrium (RA)

Answer

Left Ventricle (LV)

Answer

Right Ventricle (RV)

Question 6

Type of collagen found in space of Disse in liver is -

Accepted Answer

Collagen III & IV

Answer

Collagen I & II

Answer

Collagen II

Answer

Collagen II & V

Question 7

Vertebral arteries of both sides unite to form

Accepted Answer

Basilar artery

Answer

Anterior spinal artery

Answer

Posterior spinal artery

Answer

Medullary artery

Question 8

Which muscle is not part of the superficial anterior compartment of the forearm?

Accepted Answer

Flexor pollicis longus (FPL)

Answer

FDS

Answer

FCR

Answer

Palmaris longus

Question 9

What is the most dependent part of the peritoneal cavity in a female in the standing position?

Accepted Answer

Pouch of Douglas

Answer

Vesicouterine pouch

Answer

Paracolic gutter

Answer

None of the options

Question 10

Which thalamic nucleus has the most extensive reciprocal connections with the association areas of the neocortex?

Accepted Answer

Pulvinar

Answer

Intralaminar

Answer

Answer

None of the options

NEET-PG 2013 — Anatomy