GIT MODULE 1st WEEK 1-All the muscle of the following act by elevation of the mandible except: A. B. C. D.

temporalis muscle masseter muscle medial pterygoid muscle lateral pterygoid muscle

C. Medial pterygoid D. Temporalis 4- Which ganglion is present as one of the content of the infratemporal fossa? A. Otic ganglion B. Pterygopalatine ganglion C. Retinal ganglion cell

2-The following is some of the branch of mandibular nerve: i-buccal nerve ii-lingual nerve iii-parasympathetic nerve of glossopharangeal nerve iv-meningeal branch A. B. C. D. E. I &ii I, ii, & iii I,ii, & iv iii & iv iii only

5- Maxillary is originates from ------ and have ----- parts of the branches A. Internal carotid artery --- 2 B. External carotid artery ----3 C. Common carotid artery ----4

3- Which of the following muscle that is inserted in the coronoid process of the mandible? A. Lateral pterygoid B. Masseter

6- which of the following is the first branch of the maxillary artery? i. Middle meningeal artery ii. Anterior tympanic artery iii. Inferior alveolar artery iv. Infraorbital artery

A. B. C. D.

I and ii only Ii, iii and iv I , ii and iii Iii and iv only

B. Iv-iii-ii-i C. iv-ii-iii-i D. i-ii-iii-iv 10-What is the function of GIT is the breakdown of food material into smaller pieces? A. Digestion B. Absorption C. Secretion D. Endocrine function 11- the characteristic of the salivary secretion under the control of parasympathetic nerve of 7th and 9th Cranial nerve is: a)profuse secretion and watery b)low content of mucin c)low content of enzyme d)all the above 12-which part of the digestive tract is not from the smooth muscle fibre? i. Mouth ii. Upper part of oesophagus iii. Internal anal sphincter iv. External anal sphincter

7- Which plexus of veins those act as the peripheral heart? A. B. C. D. Vesical venous plexus Vaginal venous plexus Uterine venous plexus Pterygoid plexus of veins

8- What are the types of the otic ganglion? A. Sympathetic ganglion B. Parasympathetic ganglion

9-Which of the following is the correct arrangement from inner to outer layer of the structure wall of alimentary canal? i. ii. iii. iv. Serosa Submucosa Muscular coat Mucosa

A. Ii-iv-iii-i

A. B. C. D.

Iii only Ii and iv only Ii, iii and iv I, ii and iv

15- All of the statement is true about the mucous surface of the lip, except A. It is richly supplied by nerve endings B. It is supported by a corium of dense connective tissue

13-this following are the true character of the Aurbachs plexus? i. Located in the musculosa layer ii. Controlling the motor activity of alimentary canal iii. Controlling the local secretory function of GIT iv. Contains the neurons of the sensory afferent nerves A. B. C. D. I and ii only Ii and iii only Iii and iv only All are correct

C. The epithelium cells contain abundant glycogen granules D. It is covered by thin skin of non keratinized stratified squamous epithelium

16- The tongue is A. the outer smaller portion bounded externally by the lips and cheeks B. covered by oral mucosa on its dorsal and ventral surface

14-Parasympathetic is generally inhibitory to the enteric nervous system while sympathetic is generally excitatory to the nervous system. A. True B. False

C. a muscular organ adapted for water absorption D. extends behind the nasal cavities, the mouth, and the larynx

17- The circumvallate papillae have Von Ebners Gland secretions functioning as all below, except

19- Which statement is true about boundaries of the mouth cavity proper A. the floor is formed by the posterior 1/3 of the tongue B. the roof is formed by the gums and tongue C. posteriorly it is communicated with the hard and soft palate D. anterior and laterally is related to gums and teeth

A. for removing food particles from the vicinity of the taste buds B. to secrete lipase enzyme that prevent the hydrophobic layer over the taste buds C. to increase the surface area of the lingual mucous membrane D. for dissolving the food particles to be tasted

20- Those are the contents of the soft palate A. palatine aponeurosis

18- Below is the characteristic of filiform papillae A. the secondary papillae is very poorly developed B. they are rudimentary in human but well developed in rodents C. they are most numerous lingual papillae and have many taste buds D. the covering epithelium is non keratinized stratified squamous epithelium.

B. Muscles and Nerves C. Vessels and lymphoid tissue D. All of the above

21- The statement below is true about soft palate except A. it ends posteriorly with the uvula and is continous on both sides with the lateral wall of the pharynx B. it is bounded by the alveolar arches

C. consist of musculus uvulae muscle D. contains the palatine aponeurosis

24- Below is the true statement for sublingual salivary gland, except A. medial relation is related to mucous membrane of the mouth

22- All of the boundaries of the parotid gland below is true, except

B. Inferiorly the gland is supported by the mylohyoid muscle C. It is supplied by branches of fascial and lingual arteries

A. Upwards : zygomatic arch B. Downwards : Angle of mandible C. : Anterior : Buccinator D. Posterior : Sternomastoid

D. it lies beneath the mucous membrane of the floor of the mouth close to the midline

23- Structures within parotid gland is A. Retromandibular vein B. Auriculotemporal nerve C. A and B D. Non of the above

25-Which of the following nerves provides taste fibers to the posterior one-third of the tongue? A. Facial nerve B. Glossopharyngeal nerve C. Hypoglossal nerve D. Trigeminal nerve E. Vagus nerve 26-Sympathetic fibers reach the tongue by way of the: A. lingual nerve B. maxillary artery C. hypoglossal nerve D. lingual artery E. glossopharyngeal nerve

27-All of below are the arterial supply for the tonsil except A. B. C. D. Tonsillar artery Lingual artery Posterior superior alveolar artery Lingual artery

E. B and C 31-Where does the pharyngeal opening of the auditory tube located? A. B. C. D. Medial wall of nasal pharynx Lateral wall of nasopharynx Upper surface of soft palate Palatopharyngeal arch

28-What is the lymphatic drainage of the pharynx? A. B. C. D. Deep cervical Superficial cervical Retromandibular Lingual

32-4 masses of lymphoid tissues are in the lateral wall of the oropharynx A. True B. False 33-All of the muscles of the pharynx are supplied by the pharyngeal plexus A. True B. False 34-What is the main type of acini for the submandibular gland? A. Serous acini B. Mucous acini C. Both (mixed acini)

29-The gap laterally between the superior and middle constrictors gives passage to A. B. C. D. E. Internal laryngeal nerve Superior laryngeal nerve Stylopharyngeus Glossopharyngeal nerve C and D

30-All of below are the muscles of the pharynx except A. B. C. D. Stylopharngeus Salpingopharyngeus Glossopharyngeus Palatopharyngeus

35-What is the percentage for the intralobular ducts i.e for intercalated and striated secretory segment for sublingual gland? A. B. C. D. E. 50% and 50% 10 % and 90% 99 % and 1% 80% and 20% None of the above

d-reabsorption of Na+ in exchange with K+ and H+

38-Which one is not the inorganic constituents of saliva ? a-epidermal growth factor b-lingual lipase c-uric acid d-potassium thiocyanate

36-Which one is false about saliva ? a- it is a hypotonic solution b-its obey the laws of physical chemistry c-needs energy for the manufacture of its constituents d-undergo modification under the effects of aldosterone

39-Which one is false regarding the controlling of the salivary secretion ? a-nervous regulation is achieved via two types of reflexes which are conditioned and unconditioned reflexes b-hormonal regulation is too slow compared to nervous mechanism c- the centre of conditioned reflexe is at the salivatory centre in medulla oblongata d-conditioned reflexes is occurred by stimulation of any sensory nerve ending in the body in the absence of food inside the buccal cavity

37-What are the effect of parasympathetic nerve supply on salivary glands ? a-release small amount of viscid saliva b-marked vasoconstriction c-profuse secretion of watery saliva

40-All of these are the importants of chewing except ? a-swallowing b-stimulations of gastrointestinal secretion c-digestion d-temperature regulations

d-intertubercular planes reaches upper part of body of L5

43-The following pairs below are TRUE except ? a-Pyramidalis - intercostal nerve 7-11 b-Rectus abdominis intercostal nerve c- External abdominal oblique ilioinguinal nerve

41-Linea alba is the insertion of the following muscles EXCEPT a- Pyramidalis muscle b-Rectus abdominis c-Transversus abdominis d-Internal abdominal oblique

d- Internal abdominal oblique subcostal nerve

44-The following are TRUE regarding boundaries of inguinal triangle EXCEPT ? a-Medial Linea Semilunaris b-Lateral Inferior epigastric vessels

42-Which one of the followings statement is FALSE ? a-the abdomen is divided into 9nregions by 3 pairs of planes b-subcostal plane passes posterior through body of L2 vertebra c-deep fascia of anterior abdominal wall contains fibrous tissue

c-Inferior Inguinal ligaments d-Apex Internal oblique muscles

45-The conjoint tendon is formed of a-lower fiber of both external abdominal oblique and internal abdominal oblique

b-upper fiber of both internal oblique and transversus abdominis c- lower fiber of both internal oblique and rectus abdominis d-lower fiber of both internal oblique and transversus abdominis

49-Mumps virus usually affect testis and ovary bilaterally a. True b. False 50-Polioviruses are prevented by Salk vaccines, Sabin (oral) vaccine and also recombinant DNA a. True b. False 51-What is the muscle of posterior abdominal wall that fixes 12th rib during inspiration? a) b) c) d) Iliacus Quadratus lumborum Psoas major Psoas minor

46-The rectus sheath is formed by: a. b. c. d. Aponeurosis of posterior abdominal wall muscles Diaphragm Aponeurosis of the anterior abdominal wall muscles Intercostal muscles

47-All of the options are the content of rectus sheath, except: a. b. c. d. Rectus Abdominis Superior epigastric artery Subcostal nerves Intercostal muscles

52-Which muscles of posterior abdominal wall that has insertion to lesser trochanter of femur a) b) c) d) Psoas major + Psoas minor Psoas minor + Iliacus Psoas major + Iliacus Iliacus + Quadratus lumborum

48-The anterior abdominal wall is innervated by: a. b. c. d. Illiohypograstric and illioinguinal nerve Brachial and femoral nerve Subcostal and intercostal nerves A and c.

53-All of these branches of abdominal aorta is true except : Branches I. II. III. IV. a) b) c) d) Superior mesenteric artery Inferior mesenteric artery Gonadal artery Renal artery I, II, III II, III, IV I, II, IV I, III, IV Vertebra level L1 ( Upper border) L3 L2 L1 Paired/Single Paired Single Paired Single

b) Within psoas major muscle c) Formed by posterior rami, L1-L3, upper part L4 d) Iliohypogastric nerve and ilioinguinal nerve are its lateral relation

56- Arrange the course of sympathethic trunk I. II. III. IV. a) b) c) d) Passes inferiorly behind common iliac vessels Terminate by joining to form unpaired ganglion impar Enter abdomen deep to medial arcuate ligament of diaphragm Along medial border psoas major III, I, IV, II III, IV, I, II III, I, II, IV I, III, IV, II

54-Which one is the true statement of abdominal aorta? a) Anterior longitudinal ligament is its posterior relation b) Direct continuation of descending thoracic aorta and 12 cm long c) Dividing into 2 common iliac artery opposite to 5th lumbar vertebra d) Duodeno-jejunal junction is its right relation

57-What are anterior relations of Inferior Vena Cava? I. Coils of small intestine II. 3rd part of duodenum III. Head of pancreas IV. Anterior longitudinal ligament V. Common iliac artery a) I, II, III, V b) I, II, III, IV

55-All of these are true for lumbar plexus except : a) Genitofemoral nerve is its anterior relation

c) II, III, IV, V d) I, III, IV, V

d. Tongue-like protrusions

58-All diseases of GIT are common in male except : a. Traumatic stomatitis b. Xerostomia c. Pleomorphic adenoma d. Sialolithiasis

61-All of the following are TRUE regarding sialolithiasis except : a. Obstruction leading to enlargement of gland at meal b. Dilatation of the principal ducts c. Atrophy of the acini and their replacement by fat cells or fibrous tissue d. Acute and chronic inflammation of the gland

59-The most frequent site for Pleomorphic adenoma is : a. submandibular gland b. sublingual gland c. parotid gland 62- All of the following are malignant tumour of salivary glands except : a. Acinic cell tumour b. Warthin tumour 60-Which one is NOT TRUE regarding the gross morphology of pleomorphic adenoma ? a. Firm in consistency b. 2-5cm in diameter c. Complete capsule c. Pleomorphic adenoma d. Non-Hodgkins lymphoma 63- Sialadenitis is inflammation of the major salivary glands may be : a. Viral

b. Bacterial c. Autoimmune d. All of the above

64- In childhood, mumps is self-limited and rarely leaves residue. a. True b. False

65- Mikulicz syndrome is a combination of unilateral diffuse inflammatory enlargement of both salivary and lacrimal glands. a. True b. False

Answers1:D 2:C 3:D 4:A 5:B

6:C 7:D 8:B 9:C 10:A 11:D 12:D 13:A 14:B 15:D 16:B 17:C 18:A 19:D 20:D 21:B 22:C 23:C 24:A 25:B 26:E 27:C 28:A 29:C 30:C 31:B 32:B

33:B 34:A 35:C 36:B 37:C 38:D 39:C 40:D 41:B 42:D 43:A 44:D 45:D 46:C 47:D 48:D 49:B 50:A 51:B 52:C 53:D 54:A 55:C 56:B 57:A 58:C 59:C

60:C 61:D 62:B 63:D 64:A 65:B