Maxillary division of trigeminal (1312/1700)

A pt with vesicles in the maxillary divison of trigeminal nerve. Which area of mucus membrane will be involved?
a. Palate
b. Cheek
c. Cornea
d. Conjunctiva

5th ICS in the anterior axillary line (525/1700)

5th ICS in the ant axillary line. What is the single most appropriate landmark?
a. Apex beat
b. Chest drain insertion
c. Stellate ganglion
d. Transpyloric plane
e. Vena cava opening into the diaphragm

Just above the mid-inguinal point (524/1700)

Just above the mid-inguinal point. What is the single most appropriate landmark?
a. Femoral artery pulse felt
b. Mcburney’s point
c. Stellate ganglion
d. Deep inguinal ring
e. Transpyloric plane

Anatomical landmarks (515/1700)

Tip of the 9th costal cartilage. What is the single most appropriate landmark?
a. Fundus of the gallbladder
b. Deep inguinal ring
c. Termination of the spinal cord
d. Transpyloric plane
e. Vena cava opening in the diaphragm

Midpoint between the suprasternal notch and pubic symphysis (514/1700)

Midpoint between the suprasternal notch and pubic symphysis. What is the single most appropriate landmark?
a. Fundus of the gallbladder
b. Mcburney’s point
c. Stellate ganglion
d. Deep inguinal ring
e. Transpyloric plane

Anatomical Landmark (474/1700)

L1 level, what is the most appropriate landmark?
a. Mcburney’s point
b. Stellate ganglion
c. Deep inguinal ring
d. Termination of the spinal cord
e. Transpyloric plane

Double vision (473/1700)

A 62yo male comes to the GP complaining of double vision while climbing downstairs. Which of
the following nerve is most likely involved?
a. Abducens nerve
b. Trochlear nerve
c. Oculomotor nerve
d. Optic nerve
e. Trigeminal nerve

Lymphatic Drainage (446/1700)

A 37yo man with an ulcer on the medial malleolus. Which of the following LN is involved?
a. External iliac LN
b. Pre-aortic LN
c. Aortic LN
d. Inguinal LN
e. Iliac LN
f. Submental LN
g. Submandibular LN
h. Deep cervical LN

Posterior Triangle of the Neck (445/1700)

A 64yo woman has difficulty moving her right shoulder on recovering from surgery of the
posterior triangle of her neck. What is the single most appropriate option?
a. Accessory nerve
b. Glossopharyngeal nerve
c. Hypoglossal nerve
d. Vagus nerve
e. Vestibule-cochlear nerve

Berry Aneurysm (435/1700)

A 40yo woman suddenly collapsed and died. At the post-mortem autopsy, it was found that
there a bleed from a berry aneurysm from the circle of Willis. In which space did the bleeding
occur?
a. Subarachnoid
b. Subdural
c. Extradural
d. Subparietal
e. Brain ventricles

Dilated veins (427/1700)

A 63yo lady with a BMI=32 comes to the ED with complaints of pigmentation on her legs. Exam:
dilated veins could be seen on the lateral side of her ankle. Which of the following is involved?
a. Short saphenous vein
b. Long saphenous vein
c. Deep venous system
d. Popliteal veins
e. Saphano-femoral junction

Mid Third of Tongue white patch - Lymph Node (417/1700)

A 34yo man with a white patch on the margin of the mid-third of the tongue. Which is the single
most appropriate LN involved?

a. External iliac LN
b. Pre-aortic LN
c. Aortic LN
d. Inguinal LN
e. Iliac LN
f. Submental LN
g. Submandibular LN
h. Deep cervical LN

Part of the brain causing Urinary Frequency? (403/1700)

A woman dx with Ca Breast presents now with urinary freq. which part of the brain is the
metastasis spread to?

a. Brain stem
b. Pons
c. Medulla
d. Diencephalon
e. Cerebral cortex

Multiple sclerosis (348/1700)

A 56yo woman with MS presents with drooping of the left side of her lips. She also has loss of
sensation over her face, hearing impairment and some in-coordination of her movements. What
is the most likely anatomical site affected?

a. Cerebellum
b. Cerebrum
c. Spinal cord
d. Brain stem
e. Optic nerve

Eye deviates outwards with diplopia (332/1700)

A man presents with outward deviation of his right eye and diplopia. Which nerve is affected?
a. Left trochlear
b. Left oculomotor
c. Right trochlear
d. Right abducens
e. Right oculomotor

Cardiac anatomy (325/1700)

In 85% of the population this artery is dominant. What is the single most appropriate option?
a. Left ant descending artery
b. Coronary sinus
c. Circumflex artery
d. Left main stem, post descending artery
e. Right coronary artery

Structures at risk with chest drains (307/1700)

A 46yo man is being treated for a pleural effusion. A chest drain has been sited just below the
4th rib in the mid-axillary line on his right side. What single structure is at particular risk of injury?

a. Arzygos vein
b. Diaphragm
c. Intercostal artery
d. Internal thoracic artery
e. Liver

Slurred speech, weakness of left half (300/1700)

A 65yo HTN man wakes up in the morning with slurred speech, weakness of the left half of his
body and drooling. Which part of the brain is affected?
a. Left parietal lobe
b. Right internal capsule
c. Right midbrain
d. Left frontal lobe

Ataxia, nystagmus, vertigo (295/1700)

A 34yo male presents with hx of headache presents with ataxia, nystagmus and vertigo. Where
is the site of the lesion?
a. Auditory canal
b. 8th CN
c. Cerebellum
d. Cerebral hemisphere
e. Brain stem

Dinner fork deformity, which nerve damaged (191/1700)

A 37yo female had a fall with outstretched hand, presented with dinner fork deformity and
tenderness over the right arm. What is the single most associated nerve injury?
a. Axillary nerve
b. Radial nerve
c. Musculocutaneous nerve
d. Median nerve
e. Ulnar nerve