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本课程起止时间为:2020-03-06到2020-06-30
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第3章 躯干骨及其连接 Trunk bone & joints 练习

1、 问题:A resident physician is performing a pelvic examination on a young woman. The fingers of one of her hands are in the patient’s vagina, planting the cervix. The other hand is pressing on the abdomen. With the palm of this hand,the physician feels a bony structure in the lower midline. This structure is most likely the
选项:
A:Pubis
B:Coccyx
C:Ilium
D:Ischium
E:Sacrum
答案: 【Pubis

2、 问题:A neonate has a prominent defect at the base of this spine through which his meninges and spinal cord protrude. A failure of which the following processes is the most common cause of this type of defect?
选项:
A:Fusion of the vertebral arches
B:Development of the body
C:Development of the pedicle
D:Development of primary vertebral ossification centers
E:Development of the superior articular process
答案: 【Fusion of the vertebral arches

3、 问题:A surgeon is first on the scene after a serious automobile accident. He finds a passenger bleeding profusely from the neck and correctly surmises that bleeding is from the carotid artery. To control the bleeding, the surgeon can compress the carotid artery against the anterior tubercle of which the following vertebrae?
选项:
A:Sixth cervical
B:Second cervical
C:Third cervical
D:Fourth cervical
E:Fifth cervical
答案: 【Sixth cervical

4、 问题:A resident physician demonstrating the correct technique for inserting a subclavian central venous line. He has a medical student palpate the clavicle, then the chest wall below it. The first bony structure that can be palpated below the inferior margin of the medical portion of the clavicle is the
选项:
A:second rib
B:acromion
C:atlas
D:first rib
E:manubrium
答案: 【second rib

5、 问题:During a football game,a player sustain a powerful blow to the lateral side of weight-bearing leg. He experiences excruciating knee pain and is unable to talk. The three structures most likely to be injured are the
选项:
A:anterior cruciate and medial collateral ligaments and the medial meniscus
B:anterior cruciate and lateral collateral ligaments and the lateral meniscus
C:posterior cruciate and medial collateral ligaments and the lateral meniscus
D:posterior cruciate and medial collateral ligaments and medial meniscus
E:anterior cruciate and lateral collateral ligaments and the medial meniscus
答案: 【anterior cruciate and medial collateral ligaments and the medial meniscus

第3章 躯干骨及其连接 Trunk bone & joints 测验

1、 问题:Concerning the intervertebral disc, the right description is
选项:
A:22 in number in adults
B:is a symphysis between vertebral arches
C:is composed of anulus fibrous and nucleus pulposus
D:the nucleus pulposus protrude anterorlaterally easily
E:the anulus fibrosus is an inner soft, highly elastic structure
答案: 【is composed of anulus fibrous and nucleus pulposus

2、 问题:A 68-year-old man is admitted to the hospital due to severe back pain. Radiologic examination reveals severe osteoporosis of the vertebral column, with compression fractures to vertebrae L4 and L5. Which of the following parts of the vertebrae are most likely to be fractured in this patient?
选项:
A:Spinous process
B:Vertebral bodies
C:Transverse process
D:Superior articular process
E:Intervertebral disc
答案: 【Vertebral bodies

3、 问题:Concerning the cervical vertebrae, the right description is
选项:
A:all cervical vertebrae have vertebral body and articular process
B:the first cervical vertebra has no transverse foramen
C:the end of the spinous process of the cervical vertebrae bifurcated entirely
D:the articular facets are relatively horizontal
E:the first cervical vertebra is called axis
答案: 【the articular facets are relatively horizontal

4、 问题:Sacrum
选项:
A:is made up of four fused vertebrae
B:the base of it is downward
C:the auricular surface is on the anterior surface
D:the anterior sacral foramina is not communicating with sacral canal
E:have four pairs of posterior sacral foramina
答案: 【have four pairs of posterior sacral foramina

5、 问题:Sternum
选项:
A:is made of manubrium and xiphoid
B:the sternal angle connects the fourth costal cartilage laterally
C:the body has a series of articular facets with the first to seventh costal cartilages laterally
D:the body has the jugular notch
E:the sternal angle lies opposite the lower border of T4 posteriorly
答案: 【the sternal angle lies opposite the lower border of T4 posteriorly

6、 问题:Concerning the ribs, the right description is
选项:
A:the ribs are eleven in number on each side
B:1st~8th Ribs are called true ribs
C:8th~11th Ribs are called false ribs
D:the anterior end is called costal angle
E:the posterior end of rib enlarged to form the costal head
答案: 【the posterior end of rib enlarged to form the costal head

7、 问题:Inferior angle of scapula marks the level of
选项:
A:the 2th rib
B:the 7th rib
C:the spine of the 2nd thoracic vertebra
D:the spine of the 7th thoracic vertebra
E:the spine of the 10th thoracic vertebra
答案: 【the 7th rib

8、 问题:Which ligaments associate with the lamina of vertebral arch adjacently?
选项:
A:anterior longitudinal ligament
B:posterior longitudinal ligament
C:ligamenta flava
D:interspinal ligament
E:supraspinal ligament
答案: 【ligamenta flava

9、 问题:Sternoclavicular joint
选项:
A:is the only joint between the upper limb and the trunk
B:is formed by the sternal end of the clavicle and the clavicular notch of sternum
C:its capsule is thin and loose
D:has no the articular disc
E:it can elevate and depress only
答案: 【is the only joint between the upper limb and the trunk

10、 问题:Which joint has the articular disc?
选项:
A:shoulder joint
B:sternoclavicular joint
C:elbow joint
D:hip joint
E:talocrural joint
答案: 【sternoclavicular joint

11、 问题:A 39-year-old man presents with severe neck pain after a whiplash injury, sustained when his car was struck from the behind. Radiologic studies reveal trauma to the ligament lying on the front surface of the cervical vertebral bodies. Which ligament is most likely disrupted?
选项:
A:Anterior longitudinal ligament
B:Ligamentum flavum
C:Nuchal ligament
D:Posterior longitudinal ligament
E:Transverse cervical ligament
答案: 【Anterior longitudinal ligament

12、 问题:40-year-old woman survived a car crash in which her neck was hyperextended when her vehicle was struck from behind. At the emergency department, a plain radiograph of her cervical spine revealed a fracture of the odontoid process (dens). Which of the following was also most likely injured?
选项:
A:Anterior arch of the atlas
B:Posterior tubercle of the atlas
C:Atlanto-occipital joint
D:Inferior articular process of the axis
E:Anterior tubercle of the atlas
答案: 【Anterior arch of the atlas

13、 问题:A 29-year-old female elite athlete was lifting heavy weights during an intense training session. The athlete felt severe pain radiate suddenly to the posterior aspect of her right thigh and leg. The patient was taken to the hospital where an MRI was performed, and the result picture has been shown below. Which nerve was most probably affected?
选项:
A:L3
B:L4
C:L2
D:L5
E:S1
答案: 【L5

14、 问题:A heavily built, middle-aged man running down a flight of stone steps misjudged the position of one of the steps and fell suddenly onto his buttocks. Following the fall, he complained of severe bruising of the area of the cleft between the buttocks and persistent pain in this area. The following statements concerning the patient are correct except which?
选项:
A:The lower end of the vertebral column was traumatized by the stone step
B:The coccyx can be palpated beneath the skin in the natal cleft
C:The anterior surface of the coccyx can not be felt clinically
D:The coccyx is usually severely bruised or fractured
E:The pain is felt in the distribution of dermatomes S4 and S5
答案: 【The anterior surface of the coccyx can not be felt clinically

15、 问题:During an automobile accident, a person sustains a “broken neck” and after a small bony fragment is driven into his spinal cord. Form which of the following bones was this fragment most likely derived?
选项:
A:Atlas
B:Axis
C:Seventh cervical vertebrae
D:Sixth cervical vertebrae
E:Fifth cervical vertebrae
答案: 【Axis

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