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Anatomy Question Bank for the NExT / NEET-PG 2023 Exam
1.
2. 1. Maximum contribution to the floor of orbit
is by:
a) Maxillary
b) Zygomatic
c) Sphenoid
d) Palatine
Correct Answer - A
Ans. A. Maxillary
The maxillae are the largest of the facial bones, other than the
mandible, and jointly form the whole of the upper jaw. Each bone
forms the greater part of the floor and lateral wall of the nasal cavity,
and of the floor of the orbit
"Orbital surface of maxilla is smooth and triangular, and forms
most of the floor of the orbit"
Also know:
Maxilla is also the most commonly fractured bone of orbital floor.
The floor (inferior wall) is formed by the orbital surface of maxilla, the
orbital surface of Zygomatic bone and the orbital process of palatine
bone
The seven bones that articulate to the orbit are
1. Frontal bone
2. Lacrimal bone
3. Ethmoid bone
4. Zygomatic bone
5. Maxillary bone
6. Palatine bone
7. Sphenoid bone
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3. 2. Structures passing through Calot's triangle
are all EXCEPT:
a) Portal vein
b) Cystic artery
c) Right hepatic artery
d) Lymph node of Lund
Correct Answer - A
Portal vein
THE HEPATOBILIARY TRIANGLE OR CYSTOHEPATIC
TRIANGLE OR CALOT'S TRIANGLE:
Boundaries:
Common hepatic duct medially
Cystic duct inferiorly
Inferior surface of liver superiorly
Contents:
Cystic artery
Right hepatic artery
Lymph node of Lund
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4. 3. Which is a typical intercostal nerve?
a) First
b) Second
c) Third
d) Seventh
Correct Answer - C
Third
"Typical intercostal nerves are the ones that are confined to their
own intercostal spaces in the thoracic wall. The third, fourth, fifth and
sixth intercostal nerves are the typical nerves"
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Shivankan Kakkar, MD Set 1 3
5. 4. Trendelenburg test is positive due to injury
to which of the following nerve?
a) Obturator
b) Sciatic
c) Superior Gluteal
d) Inferior Gluteal
Correct Answer - C
Ans. C. Superior Gluteal
A positive Trendelenburg is relatively non-specific and may
indicate:
Pain (e.g. due to osteoarthritis of the hip joint)
Weak hip abductors (gluteus medius, gluteus minimus)
Short femoral neck/ fracture of neck
Dislocation or subluxation of the hip
Neuropathy
Gluteus medius and minimus are supplied by Superior Gluteal
nerve.
Trendelenburg test
Normally when a person is made to stand on one leg, the hip
abductors of the ipsilateral side raise the opposite and the
unsupported side of the pelvis. If the abductor mechanism is
defective, the unsupported side of the pelvis drops and this is known
as positive Trendelenburg test.
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6. 5. Lateral boundary of cubital fossa is formed
by:
a) Brachioradialis
b) Pronator teres
c) Brachialis
d) Biceps
Correct Answer - A
Brachioradialis
Boundaries of cubital fossa-
Laterally - Medial border of brachioradialis.
Medially - Lateral border of pronator teres.
Base - It is directed upwards, and is represented by an imaginary
line joining the front of two epicondyles of the humerus.
Apex - It is directed downwards, and is formed by the area where
brachioradialis crosses the pronator teres muscle.
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7. 6. All of the following are structures
associated with pterygopalatine fossa,
EXCEPT:
a) Pterygopalatine ganglion
b) Mid third of maxillary artery
c) Maxillary nerve
d) Greater petrosal nerve
Correct Answer - B
The pterygopalatine fossa is the region between the
pterygomaxillary fissure and the nasal cavity.
* The fossa accommodates branches of the maxillary nerve [cranial
nerve (CN) V-2], the pterygopalatine ganglion, the terminal
branches of the maxillary artery, and greater superficial petrosal
nerve.
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9. Which of the following is NOT a branch of 1st part of maxillary artery?
a) Middle meningeal artery
b) Accessory meningeal artery
c) Inferior alveolar artery
d) Greater palatine artery
Correct Answer - D
Branches of maxillary artery:
The maxillary artery consists of three parts; mandibular part,
pterygoid part, pterygopalatine part.
Branches of mandibular part:
Inferior alveolar artery
Middle meningeal artery
Deep auricular artery
Anterior tympanic artery
Occasionally an accessory meningeal branch.
Branches of pterygoid part:
Masseteric artery
Deep temporal branches
Pterygoid branches
Buccal artery
Branches of pterygopalatine part:
Posterior superior alveolar artery
Infraorbital artery
Descending palatine artery
Greater palatine artery
Lesser palatine artery
Sphenopalatine artery
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16. Cranial part of accessory nerve supplies all palatal muscles, EXCEPT?
a) Palatoglossus
b) Palato pharyngeus
c) Tensor veli palatini
d) Tensor veli tympani
Correct Answer - C
The cranial root of the accessory nerve is smaller than the spinal
root. It exits the skull through the jugular foramen and unites for a
short distance with the spinal root. Its fibers innervate the
pharyngeal and palatal muscles, except tensor veli palatini.
Because the cranial part of accessory nerve (CN XI) leaves the
jugular foramen as joining the CN X, it is sometimes considered part
of the plexus as well
The tensor veli palatini is supplied by the medial pterygoid nerve, a
branch of mandibular nerve, the third branch of the trigeminal nerve
- the only muscle of the palate not innervated by the pharyngeal
plexus
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17. 12. A patient is found to have a melanoma originating in the skin of the left
forearm. After removal of the tumor from the forearm, all axillary lymph nodes
lateral to the medial edge of the pectoralis minor muscle are removed. Which
axillary nodes would not be removed?
a) Apical lymph nodes
b) Central lymph nodes
c) Lateral lymph nodes
d) Pectoral lymph nodes
Correct Answer - A
The lymph nodes lateral to the LATERAL edge of the pectoralis
minor are the lateral axillary nodes. Pectoral or anterior axillary
nodes are deep to the lateral edge of the pectoralis major muscle.
Central axillary nodes are found directly under pectoralis minor,
while subscapular or posterior axillary nodes are adjacent to the
subscapularis muscle. The apical axillary nodes are medial to the
medial edge of pectoralis minor and so it won't be removed.
level Part of axilla Lymph nodes
I Low axilla Lymph nodes lateral to the
lateral border of pectoralis
minor(central group,
lateral group, anterior
group, posterior group)
II Mid axilla Lymph nodes between the
lateral and medial borders
of pectoralis minor. plus
interpectoral lymph nodes
III Apical axilla Lymph nodes medial to
medial margin of pectoralis
minor (including
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21. 15. In walking, gravity tends to tilt pelvis and trunk to the unsupported side, major
factor in preventing this unwanted movement is?
a) Adductor muscles
b) Quadriceps
c) Gluteus maximus
d) Gluteus medius and minimus
Correct Answer - D
The gluteus medius muscle abducts and medially rotates the femur
at the hip joint. In addition, the gluteus medius holds the pelvis
secure over the stance leg, preventing pelvic drop on the opposite
swing side during gait. The superior gluteal nerve (L4, L5, S1)
innervates this muscle.
The action of the gluteus minimus muscle is the same as that of the
gluteus medius—it abducts the femur at the hip joint, holding the
pelvis secure over the stance leg and preventing pelvic drop on the
opposite swing side during gait and hip medial rotation. The inferior
gluteal nerve (L5, S1, S2) innervates this muscle.
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22. 16. Which of the following represent the commonest variation in the arteries
arising from the arch of aorta?
a) Absence of brachiocephalic trunk
b) Left vertebral artery arising from the arch
c) Presence of retroesophageal subclavian artery
d) Left common carotid artery arising from brachiocephalic trunk
Correct Answer - D
Most common anomaly of the aortic arch seen in 10-20% individuals is characterized by the
origin of the left common carotid artery from the brachiocephalic (innominate) trunk.
Other common anomalies include: A four vessel arch with separate origins for the right
common carotid and right subclavian arteries (2.5%), Origin of the left vertebral artery
directly from a four vessel aortic arch typically between the ostia of the left common carotid
and subclavian arteries ( 2.4- 5.8%).
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23. 17. Which among the following is NOT a branch of Arch of Aorta?
a) Brachiocephalic
b) Right common carotid
c) Left common carotid
d) Left Subclavian
Correct Answer - B
The arch of the aorta begins at the level of the upper border of the second sternocostal
articulation of the right side. The branches given off from the arch of the aorta are three in
number: the brachiocephalic artery (innominate), the left common carotid, and the left
subclavian.
Brachiocephalic Artery is the largest branch of the arch of the aorta. It divides into the right
common carotid and right subclavian arteries.
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24. 18. The key to the root of the neck is the scalenus anterior muscle. Which among
the following is TRUE about scalenus anterior?
a) Not Pierced by phrenic nerve
b) Attached to scalene tubercle on 2nd rib
c) Separates subclavian artery from subclavian vein
d) Pierced by phrenic nerve
Correct Answer - A
Ans. (A) Not pierced by phrenic nerve
The subclavian vein forms an arch across the pleura at a level below
the arch of subclavian artery. The two arches are separated from
each other by scalenus anterior muscle.
Scalenus anterior arises from the anterior tubercles of C3-C6 and
attaches to the scalene tubercle and adjacent ridge on the inner
border and upper surface of the first rib.
Phrenic nerve passes vertically down across the obliquity of the
muscle, plastered there to by the prevertebral fascia.
Transcervical and suprascapular arteries lie between the scalenus
anterior and the carotid sheath.
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25. 19. Most common diaphragmatic hernia is:
a) Bochdalek hernia
b) Morgagni hernia
c) Paraesophagel hernia
d) None of the above
Correct Answer - A
Diaphragmatic hernias are of various types. The most common is a posterolateral
(Bochdalek) hernia, which occurs as a result of a defect in the posterior diaphragm in the
region of the tenth or eleventh ribs.
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Shivankan Kakkar, MD Set 1 24