During delivery, which of the following muscles is most likely to be torn?

• ischiocavernosus muscle

• bulbocavernosus muscle

• superficial transverse perineal muscle

• levator ani muscle

• coccygeus

A patient develops a neurological disease that destroys components of S2, S3, S4 bilaterally. What clinical manifestation will you expect the patient to have as a result?

• inability to abduct her thigh

• rectal incontinence

• painless menses

• labor without pain

• inability to extend her knees

During a hysterectomy, vaginal bleeding may be a significant complication. Such bleeding will most likely originate from which of the following arteries?

• internal pudendal

• superior hemorrhoidal

• inferior mesenteric

• superior vesical

• ovarian

A stethoscope placed over the left second intercostal space just lateral to the sternum would be best positioned to detect sounds associated with which heart valve?

• Aortic

• Pulmonary

• Mitral

• Tricuspid

An elderly lady suffers a coronary occlusion and subsequently it is noted that there is a complete heart block. The artery most likely to be involved is the:

• Acute marginal branch

• Circumflex branch

• Anterior interventricular (Left anterior descending)

• Posterior interventricular (posterior descending)

A patient with jaundice was diagnosed with cancer of the head of pancreas. Which structure was compressed by the tumor?

• Common bile duct

• Common hepatic duct

• Cystic duct

• Right hepatic duct

After radical hysterectomy, patient cannot adduct her left leg and there is an absence of sensation on the medial aspect of her left thigh. Most likely explanation?

• injury to the obturator nerve

• femoral nerve injury

• hematoma in the pouch of Douglas

• injury to the uterosacral nerve

• injury to the pudendal nerve

During fetal life and sometimes even persisting into the adult life, there is an opening between the right and left atria; the opening is called the:

• Coronary sinus

• Foramen ovale

• Sinus venosus

• Truncus arteriosus

A patient is unable to wink; which muscle is affected?

• Frontalis

• Levator palpebrae superioris

• Orbicularis oculi

• Superior tarsal

A 2-month old infant with a history of intermittent gastrointestinal pain and vomiting, there was lack of emptying of the stomach. Which of the following parts of the stomach was most likely to be affected?

• Cardiac notch

• Fundus

• Lesser curvature

• Pylorus