FMGE Anatomy previous year questions

1. Q1. A woman cannot abduct her right eye and reports horizontal double vision that is worst on looking to the right. Which nerve is affected?

   • A. Right oculomotor nerve
   • B. Right trochlear nerve
   • C. Right abducens nerve
   • D. Right optic nerve

   Answer: C. Right abducens nerve

1. Q1. During vein harvesting at the ankle, the nerve accompanying the great saphenous vein just in front of the medial malleolus is divided. What deficit follows?

   • A. Weakness of ankle dorsiflexion
   • B. Loss of sensation over the lateral border of the foot
   • C. Weakness of great toe extension
   • D. Numbness along the medial side of the leg and foot

   Answer: D. Numbness along the medial side of the leg and foot

2. Q2. The growth plate between epiphysis and diaphysis is united by hyaline cartilage and permits no movement. What joint is this, and what becomes of it at skeletal maturity?

   • A. A syndesmosis, which persists as fibrous tissue
   • B. A synchondrosis, which ossifies into a synostosis
   • C. A symphysis, which remains fibrocartilaginous
   • D. A synovial joint, which retains its cavity

   Answer: B. A synchondrosis, which ossifies into a synostosis

1. Q1. After thyroid surgery a patient aspirates liquids and has reduced sensation above the vocal cords, but the voice is of normal volume and the cords move normally. Which nerve is injured?

   • A. Recurrent laryngeal nerve
   • B. External branch of the superior laryngeal nerve
   • C. Glossopharyngeal nerve
   • D. Internal branch of the superior laryngeal nerve

   Answer: D. Internal branch of the superior laryngeal nerve

2. Q2. A patient has a lurching gait, leaning over the affected side during stance, and a positive Trendelenburg sign on the left. Which nerve is most likely injured?

   • A. Left superior gluteal nerve
   • B. Left inferior gluteal nerve
   • C. Left femoral nerve
   • D. Left obturator nerve

   Answer: A. Left superior gluteal nerve

1. Q1. A newborn has a hypoplastic mandible and zygomatic bones, malformed external ears and downslanting palpebral fissures. Maldevelopment of which pharyngeal arch explains this pattern?

   • A. Fourth arch
   • B. Third arch
   • C. Second arch
   • D. First arch

   Answer: D. First arch

2. Q2. During excision of the submandibular gland the hypoglossal nerve is divided. What happens when the patient is asked to protrude the tongue, and why?

   • A. The tongue deviates towards the side of the lesion, because the intact genioglossus pushes it across
   • B. The tongue deviates away from the lesion, because the paralysed genioglossus pulls it
   • C. The tongue cannot be protruded at all
   • D. Taste is lost over the posterior third of the tongue

   Answer: A. The tongue deviates towards the side of the lesion, because the intact genioglossus pushes it across

1. Q1. Which muscle, by virtue of its low oblique fibres inserting on the medial patella, is the main restraint against lateral patellar dislocation during knee flexion?

   • A. Rectus femoris
   • B. Gracilis
   • C. Vastus lateralis
   • D. Vastus medialis obliquus

   Answer: D. Vastus medialis obliquus

1. Q1. Which tarsal bone lies between the head of the talus and the three cuneiforms, on the medial side of the foot?

   • A. Calcaneus
   • B. Cuboid
   • C. Lateral cuneiform
   • D. Navicular

   Answer: D. Navicular

2. Q2. Which basal ganglia structure is formed by the putamen and globus pallidus together, and lies lateral to the internal capsule?

   • A. Caudate nucleus
   • B. Lentiform nucleus
   • C. Claustrum
   • D. Subthalamic nucleus

   Answer: B. Lentiform nucleus

1. Q1. The deep inguinal ring is an opening in which layer of the abdominal wall, and what lies immediately medial to it?

   • A. External oblique aponeurosis, with the conjoint tendon medially
   • B. Internal oblique aponeurosis, with the rectus sheath medially
   • C. Fascia transversalis, with the inferior epigastric vessels medially
   • D. Peritoneum, with the median umbilical fold medially

   Answer: C. Fascia transversalis, with the inferior epigastric vessels medially

2. Q2. A boy has a mid-shaft humeral fracture with weak wrist extension and numbness over the dorsal first web space. Which nerve is injured, and where does it lie?

   • A. Axillary nerve, at the surgical neck
   • B. Ulnar nerve, in the cubital tunnel
   • C. Median nerve, in the antecubital fossa
   • D. Radial nerve, in the spiral groove of the humerus

   Answer: D. Radial nerve, in the spiral groove of the humerus

1. Q1. Which nerve supplies biceps brachii, brachialis and coracobrachialis, and what sensory territory does it continue as?

   • A. Radial nerve, continuing as the posterior cutaneous nerve of the forearm
   • B. Median nerve, supplying the lateral palm
   • C. Ulnar nerve, supplying the medial forearm
   • D. Musculocutaneous nerve, continuing as the lateral cutaneous nerve of the forearm

   Answer: D. Musculocutaneous nerve, continuing as the lateral cutaneous nerve of the forearm

2. Q2. At which vertebral level does the coeliac trunk arise from the abdominal aorta?

   • A. T10
   • B. L1
   • C. L2
   • D. T12

   Answer: D. T12

1. Q1. Failure of the rostral (anterior) neuropore to close around day 25 produces which malformation?

   • A. Anencephaly
   • B. Spina bifida occulta
   • C. Rachischisis
   • D. Meningocele

   Answer: A. Anencephaly

2. Q2. The inferior angle of the scapula lies opposite which vertebral level, a landmark used when auscultating the lung bases?

   • A. T3
   • B. T5
   • C. T7
   • D. T8

   Answer: D. T8

1. Q1. The parotid duct pierces buccinator and opens into the oral vestibule opposite which tooth?

   • A. The second maxillary molar
   • B. The first mandibular molar
   • C. The first maxillary premolar
   • D. The second mandibular molar

   Answer: A. The second maxillary molar

2. Q2. Trismus in tetanus and after inferior alveolar nerve block is due to spasm of which muscle?

   • A. Buccinator
   • B. Lateral pterygoid
   • C. Mentalis
   • D. Medial pterygoid

   Answer: D. Medial pterygoid

Every FMGE session paper, all 19 subjects together, is on our previous year questions page.