e-anatomy Paper 2 Exam Monday, 4 Level 9, 51 Druitt Street, Sydney NSW 2000, Australia Ph: +61 2 9268 9777 Fax: +61 2 9268 9799 Web: www.ranzcr.edu.au Email: ranzcr@ranzcr.edu.au ABN 37 000 029 863
CASE 1 : MRI right knee sagittal proton density weighted images (2 images) and transverse fat saturated Proton density weighted image (1 image). Label the structures 1-16. Please be specific. (1/2 mark each) : Posterior specimen photograph of the right knee. a) Name structure A. (1 mark) b) Name its proximal and distal attachments. c) Name structure B (1 mark) d) Name the adjacent vascular and neural structures e) Name the muscle that attaches to C (1 mark) f) Give details of the tendon insertion of it (1 mark) g) Name its proximal attachment (1 mark) h) Name structure D (1 mark) i) Describe its action and the effect on initiating knee flexion : Name five (5) anatomical variants of popliteal artery branching. (5 marks) Page 2 of 9
CASE 2 : Transverse CT images (2) of the chest with IV contrast. Label the structures 1-16. Please be specific. (1/2 mark each). : AO barium oesophagram. a) Name structures labelled A and B. (1 mark) b) What vertebral level does the oesophagus pass through structure B? (0.5 mark) c) What causes the indent at structure C? (0.5 mark) d) List the relations of the oesophagus at the level of the carina (4 marks) e) List the structures that traverse the diaphragm at the oesophageal hiatus (2 marks) f) List the structures that the phrenic nerves supplies in the thorax g) List the structures that the vagus nerves supply in the thorax Name five (5) common or important variants of the superior vena cava (SVC). (5 marks) Page 3 of 9
CASE 3 : Transverse CT pyelogram image of the male pelvis with IV contrast. Label the structures 1-16. Please be specific. (1/2 mark each) : Transverse T1 weighted-image of the male lower pelvis. a) Name structures labelled A, B, C and D b) Describe the arterial supply and venous drainage of structure B (6 marks) c) What structure is located in the groove between structure A and B and where does it drain? d) What ligament attaches to structure C and which muscle exits the pelvis above it? Name five (5) common or important variants of internal iliac artery (IIA) (5 marks) Page 4 of 9
CASE 4 Frontal and right oblique radiographs of the lumbar spine. Label the structures 1-16. Please be specific. (1/2 mark each) Midsagittal T2 weighted-image of the lumbosacral spine. b) What are the boundaries of a typical lumbar intervertebral foramen? (4 marks) c) What structures pass through a typical lumbar intervertebral foramen? d) Which nerve root exits at the level of structure B? (1 mark) e) Which nerve root is located in the subarticular (lateral) recess at the level of structure B? (1 mark) f) At what level does structure C exist in a neonate and an adult? List the variants of the lumbar vertebrae. (5 marks) Page 5 of 9
CASE 5 Midsagittal T1 weighted-image with IV contrast. Label the structures 1-16. Please be specific. (1/2 mark each) Left dacryocystogram. b) Where does structure D drain to? (1 mark) c) Which nerve carries parasympathetic innervation to the lacrimal gland and which ganglion does it involve? (1 mark) d) Where do the superior and inferior orbital veins drain to? e) Which nerves pass through the superior orbital fissure inside the ring of Zinn? (3 marks) f) Which nerves pass through the superior orbital fissure outside the ring of Zinn? (3 marks) Name five (5) common or important variants of the Circle of Willis. (5 marks) Page 6 of 9
CASE 6 Orthopantomogram (OPG). Label the structures 1-16. Be specific with both the part of the tooth and the tooth number. (1/2 mark each) Specimen photograph of the first rib from above. b) What attaches to structures B and D? (1 mark) c) What are the boundaries of the superior thoracic aperture? (3 marks) d) Describe the division of the subclavian artery. (3 marks) e) What are the branches of each part of the subclavian artery? (3 marks) Name five (5) common or important variants of the vertebral arteries (5 marks) Page 7 of 9
CASE 7 Frontal and lateral elbow radiographs. Label the structures 1-16. Please be specific. (1/2 mark each) Specimen photograph of the arm from behind. b) Which muscles attach to structure A? (3 marks) c) Which structures pass through structure B? d) Which space is structure C seen passing through and what artery accompanies it? e) Which muscles does structure C innervate in the arm? f) Which nerve innervates flexor carpi radialis? (1 mark) Name five (5) common or important variants of the brachial artery. (5 marks) Page 8 of 9
CASE 8 Abdominal radiographs in three (3) different patients. Label the structures 1-16. Please be specific. (1/2 mark each) Left lower limb lymphogram b) All lymphatics drain to which structure in the abdomen, and where is it located? c) Which diaphragmatic hiatus does the thoracic duct pass through and what else passes through with it? (3 marks) d) Name four (4) organs located in the anterior pararenal space? (4 marks) e) Which fascial layer is formed laterally by the fusion of the anterior and posterior perirenal fasciae? (1 mark) Name the common and important variants of the extrahepatic biliary tree excluding the gallbladder and pancreatic ducts. (5 marks) Page 9 of 9