pg. 1 Anatomy NBME Shelf Review 2024 Complete Actual Exam Questions with Correct Detailed Answers (Verified Answers) Graded A+
What is a boxer's fracture? - Correct Answer - Fracture of necks of metacarpals
What are the 4 muscles of the *rotator cuff*? - Correct Answer - Supraspinatus Infraspinatus Teres Minor Subscapularis
What *innervate* the four muscles of the rotator cuff? - Correct Answer - Suprascapular N.Suprascapular N.Axillary N.Upper/Lower Subscapular N.
What muscle (+ nerve) initiates abduction of upper limb? - Correct Answer - 0°-15° by *supraspinatus* (suprascapular nerve)
What muscle (+ nerve) allow for abduction b/w 15° - 110°? - Correct Answer - *deltoid* (axillary nerve)
- / 4
pg. 2 What muscle (+ nerve) allow for abduction above horizontal position? - Correct Answer - *trapezius* (CN XI) and *serratus anterior* (Long Thoracic N.)
What is innervation of *visceral pleura*? - Correct Answer - sensitive to *stretch only* *autonomic nerve supply* from *pulmonary plexus*
What organs are in the *right upper quadrant*? - Correct Answer - liver, gallbladder
What organs are in the *left upper quadrant*? - Correct Answer - spleen, stomach
What organs are in the *right lower quadrant*? - Correct Answer - appendix, cecum
What organs are in the *left lower quadrant*? - Correct Answer - descending colon, sigmoid colon
What are the *three regions* for *referred abdominal pain*? - Correct Answer - a. foregut structures - *epigastric*
- midgut structures - *umbilical*
- hindgut structures - *hypogastric*
Which fascia make up layers of *abdominal hernias*? - Correct Answer - innermost -> outermost
- transversalis fascia 2 / 4
pg. 3
- internal oblique fascia
- external oblique fascia
Where does the *indirect inguinal hernia* pass through? - Correct Answer - *lateral* to inferior epigastric vessels congenital deep inguinal ring -> inguinal canal -> superficial inguinal ring -> scrotum
Where does the *direct inguinal hernia* pass through? - Correct Answer - *medial* to inferior epigastric vessels acquired through *hesselbach's triangle* inguinal canal -> superficial inguinal ring
What are the contents of the *lesser omentum* - Correct Answer - *portal triad* (portal v., bile duct, proper hepatic a.) - *hepatoduodenal ligament* R./L. Gastric Vessels
What two *ligaments* make up the *lesser omentum*? - Correct Answer -
- hepatogastric
- hepatoduodenal
What are the four borders of the *epiploic foramen*? - Correct Answer - anterior - *free border of hepatoduodenal ligament* ["DVA"] posterior - IVC superior - caudate lobe of liver inferior - 1st part of duodenum 3 / 4
pg. 4 What is commonly found in the *rectouterine pouch* (of Douglas)? - Correct Answer - pelvic abscess
What is tennis elbow? - Correct Answer - AKA lateral epicondylitis; painful inflammation of common extensor tendon -> lateral epicondyle
What is golfer's elbow - Correct Answer - AKA medial epicondylitis; inflammation of common *flexor* tendon
What are the arterial anastomoses around the scapula? - Correct Answer -
Problem: blockage of subclavian or axillary a.
Sol'n: anastomoses b/w branches of *subscapular a.* and *thyrocervical
trunk*
What are contents of *cubital fossa*? - Correct Answer - From lateral to
medial:
biceps brachii tendon brachial a.median n.
What two muscles form borders of *cubital fossa*? - Correct Answer - Pronator Teres (medial) and Brachioradialis (lateral)
What are *subcutaneous* structures of cubital fossa? - Correct Answer -
From lateral to medial:
- / 4