Anatomy/ Blood supply of the upper limbs PDF

 Anatomy/ Blood supply of the upper limbs 42 EOB + Midblock Q1/ share in anastomoses infront of medial epicondyle of humerus ? “seminar objective” a. profunda brachii b. superior ulnar collateral c. radial collateral d. interosseous 41 EOB + Midblock Q2/ Brachial artery starts at the...

 Anatomy/ Blood supply of the upper limbs 42 EOB + Midblock Q1/ share in anastomoses infront of medial epicondyle of humerus ? “seminar objective” a. profunda brachii b. superior ulnar collateral c. radial collateral d. interosseous 41 EOB + Midblock Q2/ Brachial artery starts at the level of: a. Upper border of teres major b. Lower border of teres major c. Upper border of pectoralis minor d. Lower border of pectoralis minor Q3/ Patient came to the hospital due to injury by sharp material that resulted in injury to the pectoralis major and the deep fascia superior to pectoralis minor, which of the following arteries is affected? a. 1st part of subclavian b. 2nd part of subclavian c. 1st part of axillary d. 2nd part of axillary 39 EOB + Midblock Q4/ Begin at outer border of first rib? a. Axillary artery Q5/ Great saphenous vein tributary? ‫ﻣﺎﺣﻄﻮا ﺧﯿﺎرات اﺣﻔﻈﻮا اﻧﮭﺎ ھﻲ ﻧﻔﺴﮭﺎ ﺣﻘﺎت ﺷﺮاﯾﯿﻦ اﻟﻔﯿﻤﻮرال‬ 38 and before Q6/ Which of the followings is a branch of the second part of the axillary artery? a. Anterior circumflex humeral b. Posterior circumflex humeral c. Lateral thoracic d. Superior thoracic e. Subscapular Q7/ A 30-vears old man transferred to the hospital due to a stab wound in the upper medial side of his right arm. After surgical exploration, the surgeon detected injury of the brachial artery. Which of the following arteries is a branch from the injured artery? a. Superior ulnar collateral b. Posterior ulnar recurrent c. Anterior circumflex humeral d. Posterior circumflex humeral 43 EOB Q8/ which of the following veins runs in the roof of anatomical snuff box? a. basalic b. cephalic c. dorsal venous arch d. median vein of the forearm SEQ 39 and before 1- Describe the beginning, course, termination, surface anatomy of femoral artery and list its branches? 1- b 2- b 3- d 4- a 5- - 6- c 7- a 8- b  Anatomy/ Blood supply of the lower limb Q1/ Which of the following direct tributaries from great saphenous vein? (slide 35) a. Superficial circumflex iliac vein Q2/ Which of the following is the branch of Anterior tibial artery? (slide 21) a. Anterior tibial recurrent artery Q3/ Case about problem in the pulse of dorsalis pedis.Where is the site of palpation of the this vessel? (slide23) a. 1st intermetatarsal space b. 2ndintermetatarsal space c. 3rdintermetatarsal space d. 4thintermetatarsal space 41 EOB+Midblock Q4/ Which of the following arises from the medial side of the dorsal venous arch? ( ‫)اﻟﺴﺆال ذا اﻋﺘﻘﺪ ﺧﻄﺄ ﺑﺎﻟﻨﻘﻞ‬ a. Basilic vein b. Cephalic vein slide31 ( dorsal venous arch its end gives great saphenous vein) ‫ﺑﺎﻟﺴﻼﯾﺪ ﻣﻜﺘﻮب‬ Q5/ Which of the following is a direct branch of the femoral artery? (slide 11) a. Inferior epigastric b. Deepcircumflex iliac c. Deepexternal pudendal d. 1st perforator Q6/ Which of the following completes the planter arch from the medial end? (slide 26) a. Medial planter b. Dorsalis pedis 39 EOB+Midblock Q7/ Dorsalis pedis is palpated in? (slide 23) a. 1st interosseous space b. 2nd interosseous space c. 3rd interosseous space d. 4th interosseous space 38 and before Q8/ Which of the following is a continuation of the anterior tibial artery? (slide 22) a. Dorsalis pedis b. Peroneal c. Medial malleolar d. Lateral planter e. Medial calcanean Q9/ largest branch of the femoral artery? (slide 11) a. profunda femoris 1- a 2- a 3- a 4- - 5- c 6- a 7- a 8- a 9- a Q10/ Great saphenous vein tributary? (slide 35) ‫ﻣﺎﺣﻄﻮ ﺧﯿﺎرات وﻟﻜﻦ اﺣﻔﻈﻮھﻦ‬ Superficial external pudendal Superficial epigastric Superficial circumflex iliac Perforators with deep veins Communication with small saphenous Dorsal veins arch Superficial veins along the medial side of leg and thigh Final43 Q11/ Which of the following is branch of external iliac? ‫ﻣﺎﻟﻘﯿﺘﮫ ﺑﺎﻟﺴﻼﯾﺪات‬ a. inferior gluteal b. superior gluteal c. inferior epigastric d. Ilio-lumber Q12/ Cruciate anastomosis around the lower limb? a. 4th perforator b. Superficial femoral circumflex ‫اﻟﺨﯿﺎرات ﻏﻠﻂ‬ ‫اﻟﺠﻮاب ھﻮ‬ 1st perforating artery or Inferior gluteal artery or Medial or lateral circumflex artery 10- - 11- c 12- -  Physiology/ systemic regulation of CV function 43 Q1/ which of the following is not associated with cushing triad ? (Slide 15 A) a. hypertension b. bradycardia c. irregular respiration d. increasing afterload 41 Q2/ Which of the following will acts as a vasoconstrictor substance? (Slide 16 A) a. NO b. Ag II c. ANP d. B agonist. 38 and before Q3/ Which of the following substances is NOT vasoconstrictor: a. ADH b. Renin c. Epinephrine d. Angiotensin II e. Angiotensin III Q4/ A 55-year old woman presented with moderate long standing uterine bleeding. As a physiological compensation, all of the following would be increased EXCEPT? (Slide 14 A) a. ANP b. ADH c. aldosterone d. Erythropoietin SEQ 43 1- Atrial baroreceptor regarding the site, stimulus, afferent, and physiological effects on blood pressure and blood volume. (Slide 12) 1- d 2- b 3- b 4- a Physiology / local regulation of cardiovascular function 43 Q1/ 59 years old man with hypertension and atherosclerosis which of the following caused hypertension? (Slide 7 A) a. ADH b. Endothelin c. NO (nitric oxide) d. Angiotensin I Q2/ under resting coronary blood flow approximate which of the following percentage of cardiac output? (Slide 8 A) a. 5% b. 10% c. 20% d. 30% 38 and before Q3/ In which of the following cases edema of the foot is not as a result of increased venous hydrostatic pressure? (Slide 22 A) a. Heart failure b. Renal failure c. venous obstruction d. pregnancy e. bandage over the leg Q4/ An edematous patient was found to have right ventricular ejection fraction of about 25%. An increase in which of the following is the likely cause of the edema in this patient? (Slide 22 A) a. Plasma oncotic pressure b. Interstitial oncotic pressure c. Plasma hydrostatic pressure d. Interstitial hydrostatic pressure SEQ 41 1- Discuss autoregulation of local blood flow regarding its definition, significance, sites, and mechanisms. 38 and before 2- Describe the local regulation of blood flow in tissues. 1- c 2- a 3- b 4- c  Pathology/ CVS Tumors Q1/ Patient with ill-defined infiltrative vascular mass..., what is the stain that is used in poorly differentiated EC tumors? a. CD31 Q2/ case.. patient with lesions develop after trauma, rapidly growing nodule on gingiva, proliferating capillaries (small vessel) , extensive edema? a. Pyogenic Granuloma b. Cavernous Hemangioma c. Capillary Hemangioma Q3/ Which of the following is the most common malignancy associated with AIDS patients? a. Kaposi sarcoma Q4/ Which of the following is a painful vascular tumor with abundant smooth muscles? a. Glomus tumor Q5/ Which of the following cause port-wine discoloration of skin? a. Vascular ectasia Q6/ Blood filled vessels a. Hemangiomas Q7/ (Case about port wine lesion) What is the diagnosis? a. Vascular ectasis Q8/ (Case about a patient who we took a biopsy from and immunohistochemical tests revealed CD31 marker) whats the diagnosis? a. Angiosarcoma Q9/ Blood vessel with a lot of smooth muscle fibers a. Glomus tumor Q10/ A biopsy from a lesion in the upper arm revealed dilated, endothelium lined spaces filled with RBCs, what of the following is the lesion most likely to be? a. Kaposi sarcoma b. angiosarcoma c. lymphangioma d. hemangioma e. Telangiectasia Q11/ Which of the following is the most common primary tumor in children’s heart? a. Lipoma b. Liposarcoma c. rhabdomyoma d. liomyosarcoma e. fibroelastoma 1- a 2- a 3- a 4-a 5- a 6- a 7- a 8- a 9- a 10- d 11- c 12- A 38-year old woman had been infected with HIV for 10 years. Which of the following neoplasms is expected to be developed most probably in this patient? a. Myxoma b. Kaposi’s sarcoma c. Hemangiopericytoma d. Rhabdomyoma 13- Which of the following is the most common tumor of the heart? (43 EOB) a. Myxoma b. Lipoma c. rhabdomyoma d. angiosarcoma 12- b 13- a Pathology/ inflammatory lesions of blood vessels 42 EOB + Midblock Q1/ (Older adults patient with headache, fascial pain, fever, and giant cells and granuloma....) Which of the following represents the pathogenesis? ( slide 16) a. Autoreactive T cells b. Immune complex deposits in wall c. Anti-neutrophil cytoplasmic antibodies d. Anti myeloperoxidase antibodies 41 EOB + Midblock Q2/ In which of the following conditions there is segmental fibrinoid necrosis of the vessel? (Slide 32) a. Polyarteritis nodosa 38 and before Q3/ A 30-year-old woman presented with coldness and numbness in the fingers. examination revealed low blood pressure. Radial pulse was not palpable, but the femoral pulse was strong. Which of the following in this condition is likely to be? ( slide 28) a. Polyarteritis disease b. Kawasaki disease c. microscopic polyangiitis d. takayasu arteries e. thromboangiitis obliterans 43 Q4/ segmental fibrosis? (slide 32) a. Giant cell b. Kawasaki c. Polyarteritis nodosa 1- a 2- a 3- d 4- c  Pharmacology/ Drug therapy of different types of MI + IHD 42 EOB + Midblock Q1/ Patient with myocardial infarction, which of the following should give him as IV infusion? (Slide 28) a. Nitroglycerin Q2/ Patient with variant angina received diltiazem which of the following mediates the effect of the following drug? (Slide 49) a. Increase heart rate b. increase contractility c. Vasodilation of large epicardial coronary d. decrease diastole perfusion Q3/ Patient with HF and IHD which of the following is the drug of choice? (Slide 50) a. Nifidipine b. Amlodipine c. Verapamil d. Diltiazem Q4/ Which of the following is Bad effect of nitroglycerin?(Slide 25) a. Increase cardiac rate (tachycardia) Q5/ Patient used transdermal NG and it relieved his pain. After a while he started developing symptoms even when he took the medication....which of the following is the cause?(Slide 32) a. Tolerance Q6/ (case about MI + HF) Which of the following can be used? (NOT SURE) a. Amlodipine b. verapamil Q7/ Prinzmetal, heart block, increased intracranial pressure? (Slide49-51) a. Nitrate b. Amlodipine c. Verapamil d. Beta blocker Q8/..Although it has beneficial effects in treatment of IHD. Which of the following is considered impediment of treatment with nitrates? (Slide 25) a. Increasing heart rate. Q9/ Patient with exertional angina has been prescribed B-blockers, his attacks became lesser but he is still symptomatic. His BP is 155/90, which of the following should be added to the B- blockers? (Slide 51) a. Nitroglycerine b. Amlodipine 41 EOB + Midblock Q10/ Patient with heart failure is currently taking optimum doses of B-blocker and ACEI, his heart rate is 80. Which of the following should be added? (Slide 61) a. Ivabradine 1- a (not sure) 2- c 3- b 4- a 5- a 6- a (not sure) 7- b 8- a 9- b 10- a 38 and before Q11/ A 65-year-old patient with unstable angina presented with severe attack of angina. The treating team decided to add metoprolol to his treatment. Which of the following is not contraindicated of the prescribed drug: (Slide 37) a. Heart rate < 50/min b. Third-degree heart block c. Systolic BP