Which carpal bone is most commonly fractured, typically after a fall on an outstretched hand?
- APisiform
- BHamate
- CLunate
- DScaphoid
Formula sheets, the key method steps for every topic and 4 practice problems, with full solutions at the back.
Which carpal bone is most commonly fractured, typically after a fall on an outstretched hand?
What is the correct order of structures that urine passes through after leaving the collecting ducts?
Which hormone is released by the adrenal cortex in response to ACTH?
Which spirometry finding is typical of chronic obstructive pulmonary disease (COPD)?
Answer: D · Scaphoid
The scaphoid is the most often fractured carpal bone. Tenderness in the anatomical snuffbox is a key clinical sign.
Answer: D · Minor calyx, major calyx, renal pelvis, ureter
Collecting ducts open at the renal papillae into minor calyces, which join to form major calyces, which empty into the renal pelvis and then the ureter.
Answer: D · Cortisol
ACTH from the anterior pituitary stimulates cortisol release from the zona fasciculata. Adrenaline comes from the adrenal medulla.
Answer: A · FEV1/FVC ratio below 0.7
Narrowed airways slow expiration, so FEV1 falls more than FVC and the ratio drops below 0.7. In COPD this is not fully reversed by bronchodilators.
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