USMLE Step 1 Questions and Answers Full Test Bank with complete solution

  1. What gland is found in the muscular triangle of the neck? – Correct answer Thyroid
    gland
  2. Is an afferent or efferent pupillary defect described as B/L pupillary constriction when
    light is shined in the unaffected eye and B/L paradoxical dilation when light is shined in
    the affected eye? – Correct answer Afferent pupillary defect (CN II lesion); in an efferent
    pupillary defect (CN III), B/L constrict when light is shined in the unaffected eye and
    consentual pupil constriction occurs when light is shined in the affected eye.
  3. What is the name of the spinal cord passing within the subarachnoid space and forming
    the spinal nerves that exit the lumbar and sacral foramina? – Correct answer Cauda
    equina
  4. Name the laryngeal muscle described by the following: • Pulls the arytenoids cartilages
    closer to the thyroid, relaxing the vocal ligaments and thereby decreasing the pitch –
    Correct answer Thyroarytenoid muscles
  5. Name the laryngeal muscle described by the following: • Tenses the vocal ligaments,
    increasing the distance between the cartilages, thereby increasing the pitch – Correct
    answer Cricothyroid muscles
  6. Name the laryngeal muscle described by the following: • Adducts the vocal ligaments,
    closes the air passageway during swallowing, and allows phonation – Correct answer
    Lateral cricoarytenoid muscles
  7. Name the laryngeal muscle described by the following: • Only muscle to abduct the
    vocal cords – Correct answer Posterior cricoarytenoid muscles
  1. Where does the parotid (Stensen’s) duct enter the oral cavity? – Correct answer
    Opposite the second upper molar tooth
  2. From what aortic arch are the following structures derived? • Common and internal
    carotid arteries – Correct answer Third aortic arch MS CARD is my mnemonic for the
    aortic arch derivatives
  3. From what aortic arch are the following structures derived? • Degenerates – Correct
    answer Fifth MS CARD is my mnemonic for the aortic arch derivatives
  4. From what aortic arch are the following structures derived? • Stapes artery – Correct
    answer Second MS CARD is my mnemonic for the aortic arch derivatives
  5. From what aortic arch are the following structures derived? • Maxillary artery – Correct
    answer First MS CARD is my mnemonic for the aortic arch derivatives
  6. From what aortic arch are the following structures derived? • Arch of the aorta and right
    subclavian artery – Correct answer Fourth MS CARD is my mnemonic for the aortic arch
    derivatives
  7. From what aortic arch are the following structures derived? • Right and left pulmonary
    arteries and the ductus arteriosus – Correct answer Sixth MS CARD is my mnemonic for
    the aortic arch derivatives
  8. What abdominal muscle contributes to the anterior layer of the rectus sheath, forms the
    inguinal ligament, and in men gives rise to the external spermatic fascia of the spermatic
    cord? – Correct answer External abdominal oblique
  9. Name the compartment of the lower extremity and the nerve based on its movements.
  • Adduct the thigh and flex the hip – Correct answer Medial compartment of the thigh,
    obturator nerve
  1. Name the compartment of the lower extremity and the nerve based on its movements.
  • Plantar flex the foot, flex the toes, and invert the foot – Correct answer Posterior
    compartment of the leg, tibial nerve
  1. Name the compartment of the lower extremity and the nerve based on its movements.
  • Dorsiflex the foot, extend the toes, and invert the foot – Correct answer Anterior
    compartment of the leg, deep peroneal nerve
  1. Name the compartment of the lower extremity and the nerve based on its movements.
  • Flex the hip and extend the knee – Correct answer Anterior compartment of the thigh,
    femoral nerve
  1. Name the compartment of the lower extremity and the nerve based on its movements.
  • Extend the hip and flex the knee – Correct answer Posterior compartment of the thigh,
    tibial nerve
  1. Name the compartment of the lower extremity and the nerve based on its movements.
  • Plantar flex the foot and evert the foot – Correct answer Lateral compartment of the
    leg, superficial peroneal nerve
  1. What are the five branches of the posterior cord of the brachial plexus? – Correct
    answer STARS 1. Upper Subscapularis 2. Thoracodorsal 3. Axillary 4. Radial 5. Lower
    Subscapularis
  2. Name the correct artery. • The right recurrent laryngeal nerve passes around it. –
    Correct answer Right brachiocephalic artery
  3. Name the correct artery. • The left recurrent laryngeal nerve passes around it. – Correct
    answer Arch of the aorta
  1. The inferior mesenteric artery drains into it. – Correct answer The splenic vein
  2. Are the quadrate and caudate lobes of the liver functionally part of the left or right
    lobe? – Correct answer Functionally they are part of the left lobe of the liver because
    they receive their blood supply from the left hepatic artery. Anatomically they are
    considered part of the right lobe of the liver.
  3. What bones make up the acetabulum? – Correct answer Pubis, ilium, and ischium
  4. What is the anatomic positioning of the right and left gastric nerve plexus of the
    esophagus as they pass through the diaphragm? – Correct answer LARP: Left goes
    Anterior and Right goes Posterior (because of the rotation of the gut; remember your
    embryology!)
  5. What vessel is lacerated in an epidural hematoma? – Correct answer Middle meningeal
    artery
  6. True or false? Below the arcuate line, all the aponeurotic fibers run anterior to the
    rectus abdominis. – Correct answer TRUE
  7. What ocular muscle • Adducts the eyeball and is involved in horizontal conjugate gaze? –
    Correct answer Medial rectus (CN III) (LR6 SO4)3
  8. What ocular muscle • Elevates and adducts the eyeball? – Correct answer Superior
    rectus (CN III) (LR6 SO4)3
  9. What ocular muscle • Depresses and abducts the eyeball? – Correct answer Superior
    Oblique (CN IV) (LR6 SO4)3

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