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七年制本科临床医学专业双语班《系统解剖学》期考样题2

[日期:2011-12-23]   来源:人体解剖学教研室  作者:人体解剖学教研室   阅读:1842次  [字体: ]
. A1 type choice question. (each question 1 pointtotal scores 23 points)
Directions: Each question below contains five suggested answers, A, B, C, D, and E. Choose the one best response to each question. Then on your answer sheet, find the number of the problem and using the pencil mark the letter of your answer.
1.Both sides of the sternal angle are connect with (    )
A.the second costal bons   B.the second costal cartilages   C.the second intercostal spaces
D.the second thoracic vertebra       E.the seventh ribs
2.when performed the intramuscular injection (肌肉注射) on the shoulder, the needle would be insert into (    )
A.brachialis      B.biceps brachii     C.triceps brachii
D.deltoid          E.pectoralis major
3.When performed a spinal lumbar puncture (腰椎管穿刺), the needle is usually insert between the spines (棘突) of the third and fourth lumbar vertebrae, and have to drill through (穿过) which of the following structure? (    )
A. anterior longitudinal ligament (前纵韧带)    B. posterior longitudinalligament (后纵韧带)
C. ligamenta flava (黄韧带)                  D. anulus fibrosus (纤维环)       
E. nucleus pulposus (髓核)
4Which of the following can be using as a landmark to determine the beginning of jejunum? (    )
Asuperior duodenal flexure (十二指肠上曲)    Blongitudinal fold of duodenum (十二指肠纵襞)
Cinferior duodenal flexure                  Dascending part of of duodenum
Esuspensory ligament of duodenum (十二指肠悬韧带)
5Which of the following stuctures can be a landmark to find the vermiform appendix (阑尾)  (    )
A. anterior surface of ileocecal part (回盲部)      B. posterior surface of cecum (盲肠)
C. mesoappendix (阑尾系膜)                      D. anterior surface of ileum (回肠)
E. three colic bands (结肠带) are converge (汇聚) at the root of vermiform appendix(阑尾), so you can find it along one of the colic band
6Which of the following is belong to the upper respiratory tract ? (    )
A. Trachea             B. Bronchi           C. Lungs       D. Pharynx           E. Oral cavity
7During quiet respiration (呼吸), which rib crosses the inferior margins of lung in the midaxillary line? (    )
A. 6       B. 8      C. 10      D. 11        E. 12
8.The second constriction (狭窄) of ureter (输尿管) is located at (    )
A. pelvic part of ureter            B. abdominal part of ureter   
C. intramural part (壁内段) of ureter    D. the site of ureter cross the iliac artery   
E. the junction of the ureter and the renal pelvis (肾盂)
9When the urinary bladder is examined with cystoscope (膀胱镜) , which of the following structure is the landmark to find the ureteric orifices (输尿管口)?(         )
A. interureteric fold (输尿管间襞)         B. trigone of bladder  
C. internal urethral orifice (尿道内口)         D. vesical uvula (膀胱垂)      
E. urethral ridge (尿道嵴)
10.Which portion of the ductus deferens (输精管) is the usually place where the vasectomy (输精管结扎术) is performed (    )
A. the testicular part (睾丸部)   B. the funicular part (精索部)   C. theinguinal part (腹股沟部)
D. the intramural part (壁内部)    E. the pelvic part (盆部)
11.Which portion of the uterine tube (输卵管) is the usually place where the tubal ligation (结扎) is performed. (    )
A. fimbriae (伞部) of uterine tube         B. infundibulum (漏斗部) of uterine tube
C. ampulla (壶腹部) of uterine tube            D. isthmus (峡部) of uterine tube
E. uterine part (子宫部) of uterine tube
12When operation on breast, which incision (切口) should be made to avoid cutting across the lactiferous duct (输乳管). (    )
A. horizontal incision      B. Verticalincision           C. oblique incision
D. circular incision           E. radial incision
13The structure that partition the right ventricle of heart into the inflow tract and out tract (流人道和流出道) is  (    )
A. septomarginal trabecula (隔缘肉柱)          B. septal cusp (三尖瓣隔瓣)
C. supraventricular crest (室上嵴)       D. anterior papillary muscle (前乳头肌)
E. no of above
14.About the cardiac conduction system(心传导系统), which of the the following statements is true ? (    )
A. it is embeded in the wall of heart, and consists of cardiacmyocytes (心肌细胞)
B. it not only constriction (收缩) but also conducting impulse (传导冲动)
C. the impulses begin at the sinuatrial node (窦房结), it is the normal cardiac pacemaker (正常起搏点)       D. atrioventricular bundle (房室束) splitting into anterior and posterior interventricular branches (室间支)
E. the atrioventricular node (房室结) is located at the junction of the superior venacava (上腔静脉) and the right atrum.
15.Which of the following artery is the paired visceral branches that arise from the abdominal aorta directly. (    )
A. ovarian arteries     B. uterine artery    C. superior suprarenal artery (肾上腺上动脉)
D. superior vesicle arteries (膀胱上动脉)          E. lumbar arteries
16The uterine artery (子宫动脉) passes which of the following structure about 2cm apart from the cervix  (    )
A. postrainferior to the ureter (输尿管)         B. antrainferior to the ureter      C. lateral to the ureter                         D. accompany with the round ligament (子宫圆韧带)         E. within mesosalpinx (输卵管系膜)
17.Which of the following veins belong to the tributary(属支) of hepatic portal vein (肝门静脉)  (    )
A. hepatic vein            B. renal vein            C. inferior mesenteric vein
D. ovrian vein             E. uterine vein
18.The cisterna chyli (乳糜池) is located at (    )
A. anterior to the first lumbar vertebra (第1腰椎体的前方)   
B. anterior to the second lumbar vertebra
C. anterior to the third lumbar vertebra          
D. anterior to the second and third lumbar vertebrae
E. deep to the left crura of diaphragm (左膈脚深方)
19.Which of the following is the structure of membranous labyrinth(膜迷路) (    )
A. cochlea (耳蜗)       B. cochlear (蜗管)       C. utricle and saccule (椭圆囊和前庭)
D.semicircular ducts and bony semicircular canals (膜半规管和骨半规管)
E. saccule and vestibule (球囊和前庭)
20.The lower terminal of spinal cord in adult is located at the level of  (    )
A. lower border of the first lumbar vertebra    B. lower border of the second lumbar vertebra
C. lower border of the third lumbar vertebra       D. lower border of the first sacral vertebra
E. lower border of the third sacral vertebra
21.Which of the following nucleus is related to auditory sensation (听觉) ? (    )
A. lateral geniculate body (外侧膝状体)              B. medial geniculate body
C. ventral posterolateral nucleus of dorsal thalamus (背侧丘脑腹后外侧核)
D. ventral posteromedial nucleus of dorsal thalamus       E. no of above
22.The only one cranial nerve arise from the dorsal surface of the brain stem is  (    )
A. oculomotor nerve          B. trochlear nerve          C. trigeminal nerve
D. abducent nerve            E. facial nerve
23.There are four nerves pass through the lateral wall of cavernous sinus (海绵窦) from upper downward, choose the correct order  (    )
A. 外展神经、动眼神经、眼神经和上颌神经
B. 动眼神经、滑车神经、眼神经和上颌神经
C. 滑车神经、眼神经、上颌神经和动眼神经
D. 眼神经、上颌神经、动眼神经和滑车神经
E. 上颌神经、动眼神经、滑车神经和眼神经
Ⅱ. A2 type choice question. (each question 1 pointtotal scores 17 points)
Directions: Each question below contains five suggested answers, A, B, C, D, and E. Choose the one best response to each question. Then on your answer sheet, find the number of the problem and using the pencil mark the letter of your answer.
24.The superior digestive tube does not include (    )
A. duodenum        B. oral cavity     C. stomach      D. esophagus        E. jejunum
25Which of the following statements is not true about the division (分部) of stomach (    )
A. the stomach can be divide into four parts  
B. the area surrounds the cardiac orifice (贲门) is the cardiac part (贲门部)
C. in the clinic, the fundus of stomach (胃底) also called the dome of stomach (胃穹窿)
D. the area between the fundus to the angular incisure (角切迹) is called the body of the stomach
E. the left portion of the pyloric part (幽门部) is called pyloric canal (幽门管)
26Which of the following statements is not true about the position of the liver (    )
A. it lies mainly in the right hypochondrium and epigastrium (右季肋区和腹上区)
B. the anterior surface if the liver is almost sheltered (掩蔽) by costal arch
C. below the xiphoid process (剑突) a less part of liver connect with the anterior wall of abdomen directly
D. the upper border of liver crosses the sixth rib in the right midclavicular line
E. during quiet respiration, the liver can be move up and down about 23cm
27Which of the following statements is false about the pleura (胸膜)  (    )
A. pleura is a layer of serous membrane (浆膜)   
B. parietal pleura (壁胸膜) only lining the inner surface of thoracic wall
C. pleura can be divided into parietal pleura and visceral pleura   
D. the potential space enclosed between the parietal and visceral pleurae is called pleural cavity
E. the pleural cavity is negative pressure (负压) and two pleural cavities are separated from each other
28.The following structures are paranasal sinuses except (    )
A. maxillary sinus (上颌窦)       B. frontal sinus (额窦)            C. mastoid sinus (乳突窦)
D. ethmoidalsinus (筛窦)         E. sphenoidal sinus (蝶窦)
29.The urinary system does not include (    )
A. urethra     B. uterus          C. kidneys       D. urinary bladder           E. ureters
30.Which of the following statements is false about the renal sinus (肾窦)? (    )
A. it is enclosed by the substance of the kidney (肾实质)     
B. it is a recess (凹入处) from the renal hilum leads into the central of the kidney
C. it contains fat       D. it contains minor calyx (肾小盏), major calyx (肾大盏) and ureter
E. it containsrenal artery and renal vein
31.Which of the following statements is false about the male urethra? (    )
A. it can be divided into prostatic portion (前列腺部), membranous portion (膜部) and cavernous portion (海绵体部)
B. the prepubic curve (耻骨前弯) is fixed curve which could not rectify (改变)
C. the subpubic curve (耻骨下弯) is fixed curve which could not rectify
D. the prostatic portion of urethra pass through the prostate (前列腺)
E. external orifice of urethra is one of the constrictions (狭窄)
32.Which of the following statements is false about the uterine tubes? (    )
A. 其子宫部的内径最细          B. 连于子宫底的两侧,在子宫阔韧带的上缘内
C. 左侧输卵管与乙状结肠相邻    D. 输卵管壶腹为受精场所
E. 由内向外的分部是子宫部、输卵管峡、输卵管壶腹和输卵管伞部
33.Within the spermatic cord (精索), there is not (    )
A. ejaculatory (射精管)           B. testicular artery and pampiniform (睾丸动脉和蔓状静脉丛)
C. the artery and vein of the ductus deferens         D. nervous plexus and lymphatic vessels
E. ductus deferens and remnants of the vaginal process (腹膜鞘突残余)
34.The following arteries, which one can be not palpate (触摸) its pulse on the surface of the body (    )
A. superficial temporal artery       B. facial artery    C. coronary artery
D. femoral artery               E. radial artery
35.The following arteries are the branches of abdominal aorta except  (    )
A. superior and inferior mesenteric arteries         B. left and right renal arteries
C. splenic artery          D. left and right middle suprarenal arteries       E. celiac trunk
36The following arteries are the branches of superior mesenteric artery except  (    )
A. jejunal arteries            B. ilual arteries          C. left colic artery
D. right colic artery (右结肠动脉)          E. ileocolic artery (回结肠动脉)
37.Which of the following statements is false about the cephalic vein (头静脉)? (    )
A. arise from the radial part of the dorsal venous network of hand
B. accompany with the same name artery        
C. is situated beneath skin
D. it empties into the subclavian vein or axillary vein (锁骨下静脉或腋静脉)   
E. ascends along the lateral side of the forearm
38.The following structures which one does not belong to the refractive media (屈光装置) (    )
A. iris (虹膜)           B. cornea (角膜)            C. lens (晶状体)
D. aqueous humor (房水)            E. vitreous (玻璃体)
39The following organs, which one does not endocrine organ (    )
A. hypophysis      B. thyroid gland      C. liver      D. pineal body       E. suprarenal gland
40.The following arteries consists of the cerebral arterial circle (大脑动脉环) except (    )
A. anterior cerebral artery     B. middle cerebral artery     C. posterior cerebral artery
D. anterior communicating artery (前交通动脉)       E. posterior communicating artery
Ⅲ. B type choice question.each question 1 pointtotal scores 10 points
Directions: Match each statement with five suggested answers, A, B, C, D, and E. Choose the one best response to each question. Answers can be used more than once. Mark your answers on ANSWER SHEET.
 
A. ampullary crests (壶腹嵴)       B. macula utriculi (椭圆囊斑)      C. spiral organ (螺旋器)
D. vestibular membrane (前庭膜)      E. basilar membrane (基底膜)
41. which of the above structure can be stimulated by linear movements on the acceleration or deceleration (加速或减速) of the head (    )
42. which of the above structure can be stimulated by acoustic wave (声波)
 
A. optic chiasma (视交叉)         B. left optic nerve          C. left oculomotor nerve
D. left optic tract            E. right lateral geniculate body
43. which structures of above injury would be cause bitemporal hemianopia (两眼颞侧视野偏盲) (    )
44. which structures of above injury would be produce blindness in the right halves (双眼右侧视野偏盲) of both visual fields (    )
 
A. deltoid (三角肌)        B. triceps brachii (肱三头肌)       C. sternocleidomastoid (胸锁乳突肌)
D. pectoralis major (胸大肌)        E. quadriceps femoris (股四头肌)
45. which muscle is innervated (支配) by the accessory nerve (    )
46. which muscle is innervated by the redial nerve (    )
 
A. the lower border of the sixth cervical vertebra      B. the lower border of the fourth thoracic vertebra
C. the level of the tenth thoracic vertebra          D. the level of the eleventh thoracic vertebra
E. the right side of the first lumbar vertebra
47. the third narrow of the esophagus is located at  (    )
48. the position of the trachea divided into the right and left principal bronchi is located at (    )
 
A. masseter (咬肌)        B. orbicularis oris (口轮匝肌)     C. trapezius (斜方肌)
D. sternocleidomastoid     E. latissimus dorsi (背阔肌)
49. which muscle is innervated by the facial nerve (    )
50. which muscle is innervated by the trigeminal nerve (    )
. 简答题(共20分)
1.肝门的组成及其上、下腔静脉系的交通部位。(5分)
2.精子从睾丸产生后,其排出体外依次要经过哪些管道?(5分)
3.请写出眼外肌的名称和各自的神经支配。(5分)
4.请写出语言中枢的名称和部位。(5分)
. 改进型问答题(30)
1.某患者,男性,41岁,因诊断肝癌入院,由于癌肿长在肝左叶近肝门处,不能手术切除治疗,医生决定用介入治疗,从右锁骨下动脉穿刺插入导管,然后使导管沿动脉到达营养癌肿的动脉,通过导管把药物灌到癌肿部位治疗。请问导管依次要经过哪些血管?(10分)
2.某病人因生气后突然晕倒,意识丧失,清醒后检查发现右侧上、下肢瘫痪(2个月后查为痉挛性瘫),躯干肌不瘫痪;两侧额纹存在,口角歪向左侧,伸舌时舌尖偏右;右侧半身痛、温觉消失,双眼视野右侧半偏盲,瞳孔对光反射正常。(10分)
(1)此病人的病灶可能在什么地方?(2)
(2)请解释病人口角歪向左侧的原因。(2)
(3)请解释病人右侧上、下肢瘫痪的原因。(2)
(4)请解释病人右侧半身痛、温觉消失的原因。(2)
(5)请解释双眼视野右侧半偏盲的原因。(2)
3.试述能使膝关节分别做屈和伸运动的肌肉及神经支配。(10分)
. 附加题(10)
请用所学的解剖学知识分析下列骨骨折后,断骨的近端和断骨的远端移位情况:
(1)股骨上1/3骨折。(2分)
(2)肱骨中部三角骨粗隆上方或下方骨折。(4分)
(3)桡骨旋前圆肌止点上方或下方骨折。(4分)