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Anatomy and Physiology 6th Edition Marieb Test Bank instant download all chapter
Anatomy and Physiology 6th Edition Marieb Test Bank instant download all chapter
Anatomy and Physiology 6th Edition Marieb Test Bank instant download all chapter
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SHORT ANSWER. Write the word or phrase that best completes each statement or answers the question.
Figure 8.1
1) Periosteum.
Answer: A
2) Articular cartilage.
Answer: C
4) Synovial membrane.
Answer: E
5) Fibrous layer.
Answer: D
1
MATCHING. Choose the item in column 2 that best matches each item in column 1.
Figure 8.2
Using Figure 8.2, what type of axial movement does each joint have?
6) Joint 1. A) uniaxial
Answer: B
B) multiaxial
7) Joint 2.
Answer: A
8) Joint 3.
Answer: A
2
9) Joint 4. A) biaxial
Answer: B
B) nonaxial
10) Joint 5.
Answer: A
11) Joint 6.
Answer: A
Figure 8.2
3
14) Joint 3. A) plane
Answer: B
B) hinge
15) Joint 4.
Answer: A C) condyloid
17) Joint 6.
Answer: C
MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.
22) The amount of movement permitted by a particular joint is the basis for the functional classification of that joint.
A) True
B) False
Answer: A
23) All joints permit some degree of movement, even if very slight.
A) True
B) False
Answer: B
25) Synovial fluid is a viscous material that is derived by filtration from blood.
A) True
B) False
Answer: A
4
26) The articular surfaces of synovial joints play a minimal role in joint stability.
A) True
B) False
Answer: A
27) The major role of ligaments at synovial joints is to unite bones and prevent undesirable movement.
A) True
B) False
Answer: A
28) The only movement allowed between the first two cervical vertebrae is flexion.
A) True
B) False
Answer: B
29) Movement at the hip joint does not have as wide a range of motion as at the shoulder joint.
A) True
B) False
Answer: A
30) A person who has been diagnosed with a sprained ankle has an injury to the ligaments that attach to that joint.
A) True
B) False
Answer: A
31) Supination is the movement of the forearm in which the palm of the hand is turned anteriorly or superiorly.
A) True
B) False
Answer: A
32) The wrist joint can exhibit adduction and eversion movements.
A) True
B) False
Answer: B
34) Flexion of the ankle so that the superior aspect of the foot approaches the shin is called dorsiflexion.
A) True
B) False
Answer: A
35) The gripping of the trochlea by the trochlear notch constitutes the "hinge" for the elbow joint.
A) True
B) False
Answer: A
5
36) Pronation is a much stronger movement than supination.
A) True
B) False
Answer: B
37) The structural classification of joints is based on the composition of the binding material and the presence or
absence of a joint cavity.
A) True
B) False
Answer: A
38) Synovial fluid contains phagocytic cells that protect the cavity from invasion by microbes or other debris.
A) True
B) False
Answer: A
39) A person who has been diagnosed with rheumatoid arthritis would be suffering loss of the synovial fluids.
A) True
B) False
Answer: B
42) Dislocations in the TMJ almost always dislocate posteriorly with the mandibular condyles ending up in the
infratemporal fossa.
A) True
B) False
Answer: B
43) Symphyses are synarthrotic joints designed for strength with flexibility.
A) True
B) False
Answer: B
6
45) The cruciate ligaments of the knee ________.
A) attach to each other in their midportions
B) tend to run parallel to one another
C) are also called collateral ligaments
D) prevent hyperextension of the knee
Answer: D
46) Articular cartilage found at the ends of the long bones serves to ________.
A) provide a smooth surface at the ends of synovial joints
B) produce red blood cells (hemopoiesis)
C) form the synovial membrane
D) attach tendons
Answer: A
47) A joint united by fibrocartilage tissue that usually permits a slight degree of movement is a ________.
A) gomphosis
B) suture
C) syndesmosis
D) symphysis
Answer: D
49) Connective tissue sacs lined with synovial membrane that act as cushions in places where friction develops are
called ________.
A) menisci
B) ligaments
C) tendons
D) bursae
Answer: D
7
52) The gliding motion of the wrist uses ________ joints.
A) plane
B) hinge
C) pivot
D) condyloid
Answer: A
53) The ligaments that protect the alignment of the femoral and tibial condyles and limit the movement of the
femur anteriorly and posteriorly are called ________.
A) anterior ligaments
B) tibial collateral ligaments
C) cruciate ligaments
D) patellar ligaments
Answer: C
58) In symphysis joints the articular surfaces of the bones are covered with ________.
A) synovial membranes
B) hyaline cartilage
C) fibrocartilage
D) tendon sheaths
Answer: B
8
59) Synovial fluid is present in joint cavities of freely movable joints. Which of the following statements is true
about this fluid?
A) It contains hydrochloric acid.
B) It contains hyaluronic acid.
C) It contains enzymes only.
D) It contains lactic acid.
Answer: B
63) What is moving a limb away from the midline of the body along the frontal plane called?
A) abduction
B) extension
C) adduction
D) flexion
Answer: A
64) The terms inversion and eversion pertain only to the ________.
A) arms
B) hands
C) feet
D) hands and the feet
Answer: C
65) The hip joint is a good example of a(n) ________ synovial joint.
A) uniaxial
B) biaxial
C) multiaxial
D) nonaxial
Answer: C
9
66) Which of the following movements does not increase or decrease the angle between bones?
A) extension
B) abduction
C) rotation
D) circumduction
Answer: C
67) Compared to the shoulder, displacements of the hip joints are ________.
A) common in all people who are overweight
B) common due to the weight bearing the hip endures
C) rare because of the ligament reinforcement
D) rare because the rotator cuff stabilizes the hip joint
Answer: C
68) Which ligament of the knee initiates the knee-jerk reflex when tapped?
A) the lateral patellar retinacula
B) the patellar ligament
C) the extracapsular ligament
D) the medial patellar retinacula
Answer: B
69) Football players often sustain lateral blows to the extended knee. Which of the following is (are) damaged as a
result?
A) tibial collateral ligament, medial meniscus, and anterior cruciate ligament
B) oblique popliteal and extracapsular ligaments
C) suprapatellar ligament
D) arcuate popliteal and the posterior cruciate ligaments
Answer: A
72) Presence of a synovial cavity, articular cartilage, synovial membrane, and ligaments are characteristics of what
type of joint?
A) symphysis
B) suture
C) synchondrosis
D) hinge joint
Answer: D
10
73) Extracapsular ligaments stabilizing the knee include ________.
A) the oblique popliteal crossing the knee anteriorly
B) the patellar ligament extending from femur to patella
C) cruciate ligaments, which help secure the articulating bones together
D) fibular and tibial collateral ligaments, which prevent lateral or medial rotation
Answer: D
77) Saddle joints have concave and convex surfaces. Identify a saddle joint of the skeleton.
A) carpometacarpal joint of the thumb
B) carpometacarpal joint of the phalanges
C) interphalangeal joint of the finger
D) metacarpophalangeal joint of the finger
Answer: A
11
80) All of the following are factors that influence synovial joint stability except?
A) arrangement and tension of the muscles
B) structure and shape of the articulating bone
C) number of bones in the joint
D) strength and tension of joint ligaments
Answer: C
84) Lifting up a glass to take a drink involves the elbow joint. Which of the following correctly characterizes that
joint?
A) biaxial
B) cartilaginous
C) pivot
D) diarthrotic
Answer: D
85) An individual with a "double-jointed" thumb can pull it back towards the wrist much farther than normal.
What does it mean to be "double-jointed?"
A) the additional joint present doubles the range of motion
B) articular cartilage at bone ends is replaced with hyaline cartilage
C) greater than normal production of serous fluid lubricates the joint and extends it
D) the joint capsules and ligaments are more stretchy and loose than normal
Answer: D
86) The type of joint between the carpal (trapezium) and the first metacarpal is a ________ joint.
A) hinge
B) plane
C) condylar
D) saddle
Answer: D
12
87) Which joint does not belong with the others?
A) elbow
B) wrist
C) interphalangeal (toes)
D) ankle
Answer: B
ESSAY. Write your answer in the space provided or on a separate sheet of paper.
90) A friend finally completes a basement floor tiling project that required extensive time on his knees. Afterwards,
knee pain took him to a doctor who diagnosed bursitis. Help explain to your friend what bursitis is and what
can be done to relieve it.
Answer: Bursitis is inflammation of the bursa. Repeated pressure and friction on the knee while completing the
project caused damage to the prepatellar bursa. This can be treated by avoiding pressure to the area and
injection of anti-inflammatory drugs into the bursa. If significant fluid accumulates, aspiration may be
required to relieve pressure.
91) After months of very little exercise, you decide to go for a long run. After a mile, you start to feel pain in your
kneecap area. What could explain this?
Answer: Muscle tone is very important for stabilizing the knee joint. The long time off allowed the muscles whose
tendons span the knee joint to weaken and lose that stabilizing force. Running should stop until the
muscles can be reconditioned. Then the distance should be short at first and increased incrementally.
92) Synovial joints have six distinguishing features. What are they?
Answer: articular cartilage, a joint (articular) cavity, an articular (joint) capsule, synovial fluid, reinforcing
ligaments, and nerves and blood vessels.
13
94) For each of the following movements, indicate the specific kind of joint involved (e.g., hinge, etc.) and the
movement performed (e.g., extension, etc.).
a. Bending the elbow: ________, ________.
b. Turning head side to side: ________, ________.
c. Lowering your arm to your side in the frontal plane: ________, ________.
d. Turning the sole of foot medially: ________, ________.
Answer: a. hinge; flexion
b. pivot; rotation
c. ball and socket; adduction
d. plane; inversion
95) While the fingers can exhibit flexion and extension and other angular motions, the thumb has much greater
freedom. Why?
Answer: The thumb's carpometacarpal joint is a biaxial saddle joint whereas the other carpometacarpal joints are
plane joints with no angular freedom.
97) Although uric acid is a normal waste product of nucleic acid metabolism, excessive levels lead to gouty
arthritis. How does this waste product build up and cause so much pain when things go wrong and why is it
more common in men?
Answer: Blood levels of uric acid increase due to excessive production or slow excretion. Males have higher blood
levels of uric acid than females because estrogens are thought to increase the rate of uric acid excretion.
When blood levels of uric acid rise excessively, it is deposited as needle-shaped urate crystals in the soft
tissues of joints. This causes an inflammatory response and pain, typically at one joint at the base of the
great big toe.
98) After reading a medical report, you learn that a 45-year-old female has the following symptoms: inflammation
of synovial membranes, accumulation of synovial fluid, pain and tenderness about the joints, pannus formation,
and some immobility at certain joints. On the basis of these symptoms, what would the patient probably have?
Answer: Rheumatoid arthritis
99) Greg is somewhat of a "weekend athlete" who has overextended himself by pitching multiple baseball games
for a local team during the week and by playing golf on the weekends for several hours. He presented himself
to the emergency room last week with severe shoulder pain (at the glenohumeral joint). The physician told him
that the X-ray was not conclusive, but he may have damage to his rotator cuff. What is the rotator cuff, and how
might he have caused this damage? What remedies will the physician recommend?
Answer: Greg has either stretched or torn his rotator cuff. He will be told to rest for a few months, and if the pain
does not subside, surgery will be necessary. The rotator cuff is made up of four tendons that belong to the
subscapularis, supraspinatus, infraspinatus, and teres minor muscles and encircle the shoulder joint.
They are vulnerable to damage when the arm is circumducted vigorously. Greg is obviously overdoing
his activities by pitching multiple baseball games per week and playing golf on weekends.
14
100) Many inflammations of joint areas can be treated by injections of cortisone into the area. Why don't we
continually get injections rather than operations?
Answer: A joint inflammation is always a symptom of an underlying problem such as cartilage or ligament
damage, arthritis, etc. Continued injection might cause the patient to reinjure the area, or it might mask a
more severe injury that may appear later.
101) Why is muscle tone the most important stabilizing factor for most joints?
Answer: The shapes of the articular surfaces may hinder rather than help joint stability. Ligaments can stretch and
reduce stability. Muscle tendons are kept taut at all times by the tone of their muscle.
102) Steven, a football player, complained of severe pain and the inability to use his right arm and shoulder after
having been tackled during a game. What would you guess might be his problem?
Answer: He might have suffered a shoulder dislocation since the shoulder joint has sacrificed
stability for flexibility.
103) Mary has been suffering from a "bad knee" for several months. She is a tennis player who often slides in to
attack a ball; she is an aerobic devotee and a jogger. She visited an orthopedic surgeon last week who told her
that he would "like to have a look at her knee joint." He also told her that her symptoms indicated damage to the
meniscus, and it might have to be removed. What will the doctor do to see the joint, and if the meniscus is
removed will Mary be able to play tennis again?
Answer: The doctor will perform arthroscopic surgery on Mary in order to view the interior of the joint. If she has
severely damaged the meniscus, it can be removed with little impairment to the knee except some loss in
stability. However, over the long term, the lack of weight distribution by the missing meniscus increases
the likelihood of osteoarthritis in her knee. Mary might consider taking up swimming instead.
104) Farhad begins typing his term paper on his new computer early one morning. After 8 hours of typing, he
notices that his wrists are stiff and very sore. The next morning, Farhad begins to finish his paper, but soon finds
his wrists hurt worse than last night. What is wrong?
Answer: Farhad is suffering from tendonitis. If he continues to use the keyboard incorrectly, the tendonitis could
develop into the more serious condition called carpal tunnel syndrome.
105) Probenecid inhibits the active resorption of uric acid in the kidney, which leads to increased urinary excretion of
uric acid. Explain why this drug would be useful in treating gout.
Answer: Uric acid, a normal waste product of nucleic acid metabolism, is ordinarily excreted in urine without any
problem. However, when blood levels of uric acid rise excessively, it may be deposited as needle-shaped
urate crystals in the soft tissue of joints. An inflammatory response follows, which leads to gout. By
lowering the uric acid level, no crystals form, and inflammation subsides.
106) A nurse is instructing the patient care assistants (PCAs) on transfer techniques. For patients needing to be slid
toward the head of the bed, the nurse tells the PCAs to use a draw sheet under the patient's torso. She tells them
to avoid pulling on their hands or arms. Based on your knowledge of the shoulder joint, explain why pulling on
the extremities should be avoided.
Answer: In the shoulder joint, stability has been sacrificed to provide the most freely moving joint of the body. The
shoulder joint is a ball-and-socket joint. Shoulder dislocations are fairly common, therefore forces that
are not under the patient's control should be avoided.
15
107) Maggie is a 28-year-old Caucasian woman who has newly diagnosed rheumatoid arthritis. She complains of
painful, stiff hands and feet, feeling tired all the time, and reports an intermittent low-grade fever. She asks the
nurse if she is going to be "crippled." How might the nurse explain the pathophysiology of rheumatoid arthritis?
Answer: Rheumatoid arthritis (RA) is a chronic, systemic, and inflammatory disorder. RA is an autoimmune
disease in which the body's immune system attacks its own tissue. RA begins with inflammation of the
synovial membrane of the affected joints. Fluid accumulates, causing joint swelling. The nurse should
explain that RA is a chronic crippling disease with joint stiffening (ankylosis) resulting in restriction of
joint movement and extreme pain.
108) Susan was bitten by a deer tick and now complains of joint pain, flu-like symptoms, and difficulty thinking.
What might be her diagnosis and the treatment required to alleviate her symptoms?
Answer: She probably has contracted Lyme disease, which is treated with antibiotics.
16
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The priests persist in disregarding its lessons from sheer self-
interest. It is not the light of religion which they spread abroad. It is
the fire of fanaticism which they fan—a fire which, by throwing out
abundant heat but no light whatever, burns while diffusing darkness.
“God does not change the condition of a people,” said Muhammad,
“until they change it for themselves.” If these retrograde priests had
kept themselves abreast of the times, as they were in duty bound to
do as followers of a man of progressive genius, the crescent of Islám
had been a well-nigh perfect round long ago. Enlightenment was not
wanting on the part of a great number of laymen, as I shall show
later on; but as to the greater number of the priests I met at Mecca,
well, let us hope that, on ascending the platform of Marveh, they
were conscious of falling short of the responsibilities of their office,
and that they made amends by throwing into the prayer of
repentance the burden of a contrite spirit: “O Lord, Thou that hast
commanded to pardon; O Thou that lovest pardon; O Thou that
grantest pardon; O Thou that forgivest with pardon; O Lord, pardon!
pardon! pardon! pardon!” And if they could then weep out of the
fulness of a heart ill at ease in its breast, and not perfunctorily as by
law ordained, there might be some hope of their redemption. All
joined in the concluding prayer, which runs: “O Lord, verily, I beseech
Thee, in all circumstances, to endow me plentifully with tacit faith in
Thee, and also to grant that I may be pure of intention in my
resignation to Thy divine will.”