NEET-PG 2012 - Anatomy Practice Questions

Q: A person inhaled a peanut two days ago and is now unable to cough it out. Where is the possible location?

Right lower lobe. ***Right lower lobe*** - Due to the **angle** of the right main bronchus, which is less acute than the left, aspirated foreign bodies, like a peanut, tend to preferentially enter the **right bronchial tree**. - Within the right lung, foreign bodies are most commonly found in the **right lower lobe** because its **bronchus is the most direct continuation** of the right main bronchus, especially in an upright position. *Right superior lobe* - While material can go into the right lung, the **right upper lobe bronchus** branches off at a more acute angle, making aspiration into this lobe less common than into the lower lobes when a person is in an upright or semi-recumbent position. - Aspiration into the superior lobes is more common with specific body positions or in cases of massive aspiration. *Right middle lobe* - The **right middle lobe bronchus** is smaller and branches off at an angle that is less favorable for direct aspiration compared to the right lower lobe. - Aspiration to this lobe is less frequent than to the lower lobes. *Left lower lobe* - The **left main bronchus** is narrower and branches off at a much more acute angle from the trachea compared to the right main bronchus. - This anatomical difference makes aspiration into the left lung, including the **left lower lobe**, significantly less common than into the right lung.

Q: The commonest site of aspiration of a foreign body in the supine position is into the:

Right lower lobe superior segment. ***Right lower lobe superior segment*** - When an individual is in the **supine position**, the most dependent portion of the lung (where gravity would pull aspirated material) is the **superior segment of the right lower lobe**. - This anatomical orientation, combined with the **wider and more vertical right main bronchus**, increases the likelihood of aspirated foreign bodies entering and settling in this specific segment. - The superior segment of the right lower lobe is **posteriorly located** and becomes the most dependent when lying supine. *Right upper lobe apical* - While the right upper lobe is on the favored side for aspiration due to the anatomy of the main bronchi, the **apical segment** is not the most dependent in the supine position. - Aspiration into the apical segment is generally less common than into more dependent segments when lying flat. *Left basal* - The **left main bronchus** is narrower and takes a more acute angle compared to the right, making aspiration into the left lung less common. - Even if aspiration were to occur in the left lung, the **basal segments** are not the most dependent in the supine position. *Right middle lobe medial segment* - The medial segment of the middle lobe is **not as posteriorly positioned** as the superior segment of the right lower lobe in the supine position. - While aspiration can occur into the middle lobe, it is **less common** than into the superior segment of the right lower lobe when supine due to the anatomical positioning and gravity effects.

Q: Which arteries supply the talus?

All of the options. ***All of the options*** - The **talus** has a tenuous blood supply due to its limited muscular attachments, receiving contributions from multiple surrounding arteries to ensure adequate perfusion. - The **anterior tibial artery**, **posterior tibial artery**, and **peroneal artery** all contribute branches that form an anastomotic network around the talus. *Anterior tibial artery* - The **anterior tibial artery** contributes blood supply to the talus primarily through its **dorsal pedis branch** and ascending branches that supply the neck and head of the talus. - Its major role is in supplying the **anterior and superior talar surfaces**. *Posterior tibial artery* - The **posterior tibial artery** is a significant source of blood supply, particularly to the body and posterior aspect of the talus, via branches like the **artery of the tarsal canal** and the **deltoid branch**. - Its branches contribute to the **posterior talar artery network** which is crucial for the central part of the talus. *Peroneal artery* - The **peroneal artery** provides blood supply to the lateral and posterior parts of the talus through its **communicating branch** and perforating branches. - It contributes to the **tarsal artery network**, ensuring collateral circulation to the talus.

Q: Which nerve is primarily involved in cubital tunnel syndrome?

Ulnar nerve. Ulnar nerve - **Cubital tunnel syndrome** is a condition caused by compression of the **ulnar nerve** as it passes through the cubital tunnel at the medial epicondyle of the elbow. - Symptoms typically include numbness and tingling in the **little finger** and **half of the ring finger**, along with weakness of intrinsic hand muscles [2]. *Radial nerve* - The **radial nerve** is primarily involved in conditions like **radial tunnel syndrome** or radial nerve palsy (**wrist drop**), affecting primarily extensor muscles of the forearm and hand. - Its compression site is typically in the **radial tunnel** near the elbow, distinct from the cubital tunnel. *Median nerve* - The **median nerve** is involved in **carpal tunnel syndrome** at the wrist, causing numbness and tingling in the thumb, index, middle, and radial half of the ring finger [2]. - Compression around the elbow (e.g., pronator teres syndrome) can also affect the median nerve, but this is less common than cubital tunnel syndrome [1]. *Axillary nerve* - The **axillary nerve** is responsible for sensation over the deltoid region and motor function of the deltoid and teres minor muscles. - It is often injured with **shoulder dislocations** or fractures of the surgical neck of the humerus, unrelated to cubital tunnel syndrome.

Q: In the case of a penile injury, which of the following structures prevents the extravasation of blood?

Buck's fascia. ***Buck's fascia*** - **Buck's fascia** is a strong, fibrous sheath that surrounds the **corpora cavernosa** and **corpus spongiosum**, acting as a confining layer. - In cases of **penile injury**, such as a penile fracture, rupture of the tunica albuginea leads to bleeding [1]. Buck's fascia contains this extravasated blood, preventing its spread beyond the penis and resulting in a characteristic **"eggplant" deformity** [1]. *Fascia of Camper* - The **fascia of Camper** is the superficial fatty layer of the anterior abdominal wall's superficial fascia. - It is continuous with the superficial perineal fascia but does not directly cover the erectile tissues of the penis. *Fascia transversalis* - The **fascia transversalis** is a deep fascia lining the inner aspect of the anterior abdominal wall, beneath the transversus abdominis muscle. - It plays a role in forming the posterior wall of the inguinal canal and is not directly involved in containing blood within the penis after an injury. *None of the options* - This option is incorrect because Buck's fascia specifically fulfills the function described, isolating blood within the penile shaft.

Q: Which of the following statements about the popliteus muscle is false?

Causes locking of knee. ***Causes locking of knee*** - The popliteus muscle acts as the key to **unlocking the knee** from its fully extended, locked position, not causing it to lock. [1] - It achieves this by producing **internal rotation of the tibia** on the femur (or external rotation of the femur on the tibia) at the beginning of knee flexion. *Flexor of knee* - The popliteus muscle contributes to **flexion of the knee joint**, working in conjunction with the hamstrings. - This action is particularly important during the initial phases of knee flexion. *Intracapsular origin* - The popliteus muscle originates from the **lateral condyle of the femur**, specifically from an impression just anterior and inferior to the groove for the popliteal tendon. - This origin point is indeed **intracapsular**, lying within the fibrous capsule of the knee joint. *Supplied by tibial nerve* - The popliteus muscle receives its innervation from the **tibial nerve**, a branch of the sciatic nerve. - The nerve typically arises from the posterior aspect of the tibial nerve trunk as it passes through the popliteal fossa.

Q: The tensor veli palatini muscle is innervated by which nerve?

Mandibular nerve. ***Mandibular nerve*** - The **tensor veli palatini** muscle plays a crucial role in tensing the **soft palate** and opening the **Eustachian tube**. - Its innervation is by a branch of the **mandibular division of the trigeminal nerve (V3)**, specifically the nerve to the medial pterygoid. *Facial nerve* - The **facial nerve (cranial nerve VII)** primarily innervates the muscles of **facial expression**, not the muscles of the soft palate. - It also supplies the **lacrimal, submandibular, and sublingual glands** and carries **taste sensation** from the anterior two-thirds of the tongue. *Vagus nerve* - The **vagus nerve (cranial nerve X)** innervates most muscles of the **pharynx and larynx**, and some muscles of the soft palate such as the **levator veli palatini**, **palatopharyngeus**, and **palatoglossus**. - It does not, however, innervate the **tensor veli palatini**. *Glossopharyngeal nerve* - The **glossopharyngeal nerve (cranial nerve IX)** innervates the **stylopharyngeus muscle** and provides sensation to the posterior one-third of the tongue. - While it has functions related to the pharynx, it does not directly innervate the **tensor veli palatini**.

Q: In a 3 month fetus, characteristic feature seen is:

Nails are visible. ***Nails are visible*** - By the end of the **third month** (approximately 12 weeks), the fingers and toes are fully formed, and the beginnings of fingernails and toenails usually become visible. - This marks a significant developmental milestone in fetal maturation during the first trimester. *Meconium is present in the intestines* - **Meconium** begins to form during the **second trimester**, typically around weeks 12-16, with significant accumulation in the latter part of the second and throughout the third trimester. - While some gut movements occur earlier, the presence of well-formed meconium for defecation happens later in fetal development. *Anus formation begins* - The formation of the anus is part of the development of the **cloaca**, which begins much earlier, around the **4th to 7th gestational weeks**. - By 3 months, the anorectal canal is already well-differentiated, so its formation has already been completed. *Limb buds are present* - **Limb buds** appear very early in embryonic development, around the **end of the 4th week**. [1] - By 3 months, the limbs are already well-developed with distinct fingers and toes, so these structures would have passed the "bud" stage.

Question 1

A person inhaled a peanut two days ago and is now unable to cough it out. Where is the possible location?

Accepted Answer

Right lower lobe

Answer

Right superior lobe

Answer

Left lower lobe

Answer

Right middle lobe

Question 2

The commonest site of aspiration of a foreign body in the supine position is into the:

Accepted Answer

Right lower lobe superior segment

Answer

Right upper lobe apical

Answer

Left basal

Answer

Right middle lobe medial segment

Question 3

Which arteries supply the talus?

Accepted Answer

All of the options

Answer

Peroneal artery

Answer

Posterior tibial artery

Answer

Anterior tibial artery

Question 4

Which nerve is primarily involved in cubital tunnel syndrome?

Accepted Answer

Ulnar nerve

Answer

Radial nerve

Answer

Median nerve

Answer

Axillary nerve

Question 5

In the case of a penile injury, which of the following structures prevents the extravasation of blood?

Accepted Answer

Buck's fascia

Answer

Fascia of camper

Answer

Fascia transversalis

Answer

None of the options

Question 6

Which of the following statements about the popliteus muscle is false?

Accepted Answer

Causes locking of knee

Answer

Intracapsular origin

Answer

Supplied by tibial nerve

Answer

Flexor of knee

Question 7

The tensor veli palatini muscle is innervated by which nerve?

Accepted Answer

Mandibular nerve

Answer

Facial nerve

Answer

Vagus nerve

Answer

Glossopharyngeal nerve

Question 8

In a 3 month fetus, characteristic feature seen is:

Accepted Answer

Nails are visible

Answer

Meconium is present in the intestines.

Answer

Anus formation begins.

Answer

Limb buds are present.

NEET-PG 2012 — Anatomy