5.1 Multiple Choice Part I Questions: Chapter 5 The Skeletal System
5.1 Multiple Choice Part I Questions: Chapter 5 The Skeletal System
5.1 Multiple Choice Part I Questions: Chapter 5 The Skeletal System
1
Copyright © 2015 Pearson Education, Inc.
2) The area that causes the lengthwise growth of a long bone is indicated by .
A) Label F
B) Label D
C) Label A
D) Label E
E) Label C
Answer: D
Page Ref: 137, 138
Bloom's: 2) Comprehension
3) The area that serves as a storage area for fat in adults is indicated by .
A) Label H
B) Label F
C) Label A
D) Label G
E) Label B
Answer: A
Page Ref: 137, 138
Bloom's: 2) Comprehension
9) Cube-shaped bones that contain mostly spongy bone are called bones.
A) flat
B) long
C) short
D) irregular
Answer: C
Page Ref: 136
Bloom's: 1) Knowledge
10) Small canals that connect osteocytes in their lacunae to the central canal are known as
.
A) canaliculi
B) perforating (Volkmann's) canals
C) central (Haversian) canals
D) perforating (Sharpey's) fibers
Answer: A
Page Ref: 137
Bloom's: 1) Knowledge
11) The process of bone formation is known as .
A) hematopoiesis
B) hemostasis
C) metabolism
D) ossification
Answer: D
Page Ref: 141
Bloom's: 1) Knowledge
13) The first step in bone healing involves the formation of a blood-filled swelling known as a(n)
.
A) epiphyseal line
B) bony callus
C) hematoma
D) fibrocartilage callus
Answer: C
Page Ref: 145
Bloom's: 1) Knowledge
14) An incomplete bone break, known as a(n) fracture, is commonly seen in children.
A) spiral
B) greenstick
C) impacted
D) comminuted
Answer: B
Page Ref: 144
Bloom's: 2) Comprehension
15) The skull, vertebral column, and thoracic cage form the skeleton.
A) appendicular
B) central
C) axial
D) main
Answer: C
Page Ref: 146
Bloom's: 1) Knowledge
16) The large hole located in the base of the occipital bone that allows the spinal cord and brain
to connect is the .
A) occipital condyle
B) vertebral foramen
C) intervertebral foramen
D) foramen magnum
Answer: D
Page Ref: 148
Bloom's: 1) Knowledge
17) The temporal bones are joined with the parietal bones at the sutures.
A) coronal
B) sagittal
C) squamous
D) lambdoid
Answer: C
Page Ref: 147
Bloom's: 2) Comprehension
19) The head of the humerus fits into the of the scapula.
A) acromion process
B) glenoid cavity
C) suprascapula notch
D) coracoid process
Answer: B
Page Ref: 158
Bloom's: 2) Comprehension
25) The manubrium and xiphoid process are markings on the bone indicated by .
A) Label O
B) Label N
C) Label A
D) Label K
E) Label B
Answer: A
Page Ref: 157
Bloom's: 2) Comprehension
29) The greater tubercle and trochlea are bone markings situated on the bone marked by
.
A) Label O
B) Label I
C) Label E
D) Label Y
E) Label A
Answer: C
Page Ref: 160
Bloom's: 2) Comprehension
30) The ilium, pubis, and ischium fuse to form the bone marked by .
A) Label F
B) Label G
C) Label T
D) Label H
E) Label I
Answer: B
Page Ref: 162
Bloom's: 2) Comprehension
5.2 Multiple Choice Part II Questions
2)
5) What type of tissue covers the epiphysis of bones and reduces friction in the joints?
A) yellow marrow
B) endosteum
C) spongy bone
D) periosteum
E) articular cartilage
Answer: E
Page Ref: 137
Bloom's: 1) Knowledge
9) The bone cells that respond to parathyroid hormone (PTH) to destroy bone matrix and release
calcium into the blood are called .
A) osteocytes
B) chondrocytes
C) erythrocytes
D) osteoclasts
E) osteoblasts
Answer: D
Page Ref: 142
Bloom's: 2) Comprehension
10) Which of the following is ONLY found associated with a child's bone?
A) diaphysis
B) marrow cavity
C) epiphyseal plate
D) periosteum
E) articular cartilage
Answer: C
Page Ref: 137
Bloom's: 3) Application
11) Which of these bone markings is a projection that serves as a site for muscle or ligament
attachment?
A) meatus
B) fossa
C) foramen
D) fissure
E) tubercle
Answer: E
Page Ref: 140
Bloom's: 2) Comprehension
12) Which of the following bones is considered part of the axial skeleton?
A) femur
B) sternum
C) radius
D) metatarsals
E) scapula
Answer: B
Page Ref: 146
Bloom's: 3) Application
13) The canal that runs through the core of each osteon (Haversian system) contains .
A) cartilage and lamellae
B) osteoclasts and osteoblasts
C) yellow marrow and perforating, or Sharpey's, fibers
D) blood vessels and nerve fibers
E) red marrow
Answer: D
Page Ref: 137
Bloom's: 1) Knowledge
14) The small cavities in bone tissue where osteocytes are found are called .
A) lacunae
B) perforating (Volkmann's) canals
C) central (Haversian) canals
D) trabeculae
E) lamellae
Answer: A
Page Ref: 137
Bloom's: 1) Knowledge
15) What kind of tissue is the forerunner of long bones in the embryo?
A) elastic connective tissue
B) dense fibrous connective tissue
C) fibrocartilage
D) hyaline cartilage
E) loose fibrous connective tissue
Answer: D
Page Ref: 141
Bloom's: 1) Knowledge
16) What type of bone cell is primarily active when bone growth occurs?
A) osteocyte
B) erythrocyte
C) chondrocyte
D) osteoblast
E) osteoclast
Answer: D
Page Ref: 141
Bloom's: 2) Comprehension
17) The factor(s) that determine WHERE bone matrix is to be remodeled is (are) .
A) sex hormones
B) growth hormone
C) stress of gravity and pull of muscles on the skeleton
D) parathyroid hormone (PTH)
E) calcium level of the blood
Answer: C
Page Ref: 142
Bloom's: 3) Application
18) There are four stages in the healing of a bone fracture. Which of the following best illustrates
the sequence of these stages?
1. bony callus formation 3. fibrocartilage callus formation
2. bone remodeling 4. hematoma formation
A) 4, 3, 2, 1
B) 4, 3, 1, 2
C) 1, 2, 3, 4
D) 1, 3, 4, 2
E) 1, 3, 2, 4
Answer: B
Page Ref: 145
Bloom's: 4) Analysis
19) Bone growth that occurs due to weight lifting at age 40 is most likely .
A) endochondrial growth
B) none since bones do not grow after adolescence
C) appositional growth
D) occurring at the epiphyseal lines
E) occurring at the epiphyseal plates
Answer: C
Page Ref: 142
Bloom's: 3) Application
20) An open, or compound, fracture can be described as when .
A) the bone is crushed
B) the broken bone ends are forced into each other
C) the broken bone is exposed to the outside
D) the bone is broken into many fragments
E) adjacent bones fracture simultaneously
Answer: C
Page Ref: 145
Bloom's: 2) Comprehension
21) A bone fracture where the bone is broken into many fragments is a .
A) compound fracture
B) simple fracture
C) comminuted fracture
D) compression fracture
E) greenstick fracture
Answer: C
Page Ref: 144
Bloom's: 2) Comprehension
22) The physician knew her patient was most likely a child before she walked into the
examination room because the X-ray revealed a(n) .
A) impacted fracture
B) compression fracture
C) comminuted fracture
D) greenstick fracture
E) open fracture
Answer: D
Page Ref: 144
Bloom's: 3) Application
25) The suture situated anteriorly between the parietal bones and occipital bone is the .
A) squamous suture
B) lambdoid suture
C) sagittal suture
D) coronal suture
E) both the squamous suture and the sagittal suture
Answer: B
Page Ref: 148
Bloom's: 2) Comprehension
27) The fibrous connections between the bones of a fetal skull are .
A) alveolar margins
B) sinuses
C) palates
D) crista galli
E) fontanels
Answer: E
Page Ref: 152
Bloom's: 1) Knowledge
28) Which of these bones is associated with the hand?
A) talus
B) calcaneus
C) metatarsals
D) tarsals
E) metacarpals
Answer: E
Page Ref: 161
Bloom's: 2) Comprehension
35) The sternum is the result of fusion of three bones called the .
A) ischium, ilium, coccyx
B) pubis, ischium, ilium
C) manubrium, body, xiphoid process
D) jugular notch, sternal angle, xiphisternal joint
E) true ribs, manubrium, xiphoid process
Answer: C
Page Ref: 157
Bloom's: 1) Knowledge
36) Which two bones constitute the forearm?
A) radius and humerus
B) humerus and scapula
C) fibula and tibia
D) ulna and radius
E) femur and fibula
Answer: D
Page Ref: 161
Bloom's: 2) Comprehension
38) You examine an articulated skeleton in the laboratory and determine the skeleton to be a
female since .
A) the angle of the female pubic arch is smaller than in a male
B) the distance between the female ischial spines is greater than in a male
C) the distance between the female ischial tuberosities is less than in a male
D) the female iliac bones are less flared than in a male
E) the female pelvis as a whole is deeper, and the bones are heavier and thicker than in a male
Answer: B
Page Ref: 162
Bloom's: 3) Application
39)39)
43) Which of these bones articulates with the acetabulum of the coxal bone?
A) femur
B) patella
C) fibula
D) sacrum
E) tibia
Answer: A
Page Ref: 164
Bloom's: 2) Comprehension
44) Four of the five answers listed below are parts of the same anatomical area. Select the
exception.
A) humerus
B) radius
C) scapula
D) fibula
E) clavicle
Answer: D
Page Ref: 158-160
Bloom's: 3) Application
45) The elbow is classified as a(n) .
A) plane joint
B) hinge joint
C) pivot joint
D) saddle joint
E) condylar joint
Answer: B
Page Ref: 170
Bloom's: 2) Comprehension
1) Hematopoiesis refers to the formation of blood cells within the red marrow cavities of certain
bones.
Answer: TRUE
Page Ref: 135
Bloom's: 2) Comprehension
3) The arrangement of lamellae around central (Haversian) canals forms osteons (Haversian
systems).
Answer: TRUE
Page Ref: 137
Bloom's: 2) Comprehension
5) A closed, or simple, fracture is one that penetrates through the skin's surface.
Answer: FALSE
Page Ref: 145
Bloom's: 1) Knowledge
6) The last two pairs of ribs are called true ribs because they have no anterior attachments.
Answer: FALSE
Page Ref: 158
Bloom's: 2) Comprehension
7) Teeth are anchored in the maxillary bones and the mandible.
Answer: TRUE
Page Ref: 149, 151
Bloom's: 1) Knowledge
9) The intervertebral discs that cushion the spine and absorb shock are composed of
fibrocartilage.
Answer: TRUE
Page Ref: 169
Bloom's: 1) Knowledge
10) In anatomical position, the lateral lower leg bone is the fibula.
Answer: TRUE
Page Ref: 165
Bloom's: 2) Comprehension
11) There are seven cervical, twelve thoracic, and five lumbar vertebrae.
Answer: TRUE
Page Ref: 152-153
Bloom's: 1) Knowledge
12) A newborn baby has an S-shaped spinal curvature known as a primary curvature.
Answer: FALSE
Page Ref: 153
Bloom's: 2) Comprehension
13) Diarthroses have a greater degree of mobility and flexibility than synarthroses.
Answer: TRUE
Page Ref: 166-167
Bloom's: 4) Analysis
A) greenstick fracture
B) depression fracture
C) impacted fracture
D) comminuted fracture
E) spiral fracture
Answers: 1) A 2) B 3) E 4) D 5) C
Match the following:
A) osteoclasts
B) epiphyseal plate
C) lamellae
D) osteoblasts
E) canaliculi
Answers: 6) A 7) C 8) E 9) D 10) B
Match the following:
A) ball-and-socket joint
B) pivot joint
C) plane joint
D) hinge joint
E) condylar joint
A) appendicular skeleton
B) axial skeleton
16) Tarsals
Page Ref: 146
Bloom's: 1) Knowledge
17) Femur
Page Ref: 146
Bloom's: 1) Knowledge
18) Phalanges
Page Ref: 146
Bloom's: 1) Knowledge
19) Ulna
Page Ref: 146
Bloom's: 1) Knowledge
20) Atlas
Page Ref: 146
Bloom's: 1) Knowledge
21) Sternum
Page Ref: 146
Bloom's: 1) Knowledge
22) Fibula
Page Ref: 146
Bloom's: 1) Knowledge
Answers: 16) A 17) A 18) A 19) A 20) B 21) B 22) A 23) A 24) B 25) B
5.5 Essay Questions
3) List and explain the steps in the repair process of a simple fracture.
Answer:
Step 1 is hematoma formation. A hematoma, or blood-filled swelling, forms when bone breaks
and blood vessels rupture. Bone cells are deprived of nutrition and die.
Step 2 is fibrocartilage callus formation. The site of damage experiences growth of new
capillaries into the clotted blood and disposal of dead tissue by phagocytes. Connective tissue
cells of various types form a mass of repair tissue called fibrocartilage callus. This fibrocartilage
callus contains several elements: some cartilage matrix, some bony matrix, and collagen fibers.
This fibrocartilage callus acts to splint the broken bone, closing the gap.
Step 3 is bony callus formation. As more osteoblasts and osteoclasts migrate into the area and
multiply, fibrocartilage is gradually replaced by a callus of spongy bone (the bony callus).
Step 4 is bone remodeling. Over the next few months, bony callus is remodeled in response to
the mechanical stresses placed on it, so that it forms a strong, permanent patch at the fracture
site.
Page Ref: 145
Bloom's: 1) Knowledge
4) Explain how the anatomy of compact bone differs from that of spongy bone.
Answer: Compact bone is composed of osteons (Haversian systems). Concentric rings of matrix,
called lamellae, are situated around a central (Haversian) canal. The rings and central canal
constitute an osteon, or Haversian system. Other canals, called canaliculi, spread outward from
central canals to connect to lacunae which house osteocytes.
Spongy bone is open, airy, spiky and is composed of small, needlelike pieces of bone. Spongy
bone lacks osteons and a network of canals.
Page Ref: 135, 137-138
Bloom's: 4) Analysis
6) List some of the features of a female pelvis that make it different from a male pelvis.
Answer: The female pelvis:
a. has a larger and more circular inlet.
b. is shallower than the male pelvis.
c. has lighter and thinner bones.
d. has a shorter and less curved sacrum.
e. has a more rounded pubic arch.
f. has shorter ischial spines that are also farther apart.
Page Ref: 162
Bloom's: 1) Knowledge
7) If 6-year-old Sarah fell and broke her femur, damaging the proximal epiphyseal plate, what
might she expect as she grows older? What is an epiphyseal plate and why is it significant to this
situation?
Answer: The epiphyseal plate is a flat plate of hyaline cartilage seen in young growing bone.
Epiphyseal plates cause the lengthwise growth of long bone. Since this child is still growing and
has not completed puberty, she may expect impaired growth in that one epiphyseal plate. Lucky
for Sarah, there is an epiphyseal plate located at both the distal and proximal ends of the femur.
The healthy distal plate can continue to grow.
Page Ref: 137, 141-142
Bloom's: 3) Application
8) Maria observes a patient in her clinic with a spinal curvature abnormality. She notices the
patient's spine curves laterally from the midline. Determine the abnormality she observed and
explain how she differentiated it from the other two types of spinal abnormalities.
Answer: Maria observed a patient with scoliosis in which the spinal strays laterally from the
midline. Lordosis, or sway back, results in lumbar curvature exaggerated in the ventral (anterior)
direction. Kyphosis produces a humped back due to a thoracic curvature exaggerated in the
dorsal (posterior) direction.
Page Ref: 153-154
Bloom's: 3) Application
9) Explain how atlas and axis are different from other vertebrae. Discuss the roles they play in
the body.
Answer:
1. Unlike all other vertebra, atlas (C1) has no body. Axis (C2) has a large process called the dens.
2. The structural differences of these two vertebrae allow you to rotate your head from side to
side to indicate "no." The joint between these two vertebrae is a pivot joint.
Page Ref: 154, 156
Bloom's: 4) Analysis
10) Differentiate among the three types of joints based on structural and functional classification.
Provide examples of each type of joint.
Answer:
1. Synarthroses are immovable joints. These joints are structurally classified as fibrous joints
since the bones are united by fibrous tissue. Skull sutures are one example of a fibrous joint.
2. Amphiarthroses are slightly movable joints. These joints are structurally classified as
cartilaginous joints since the bone ends are connected by cartilage. The pubic symphysis and
intervertebral joints are two examples.
3. Diathroses are freely movable joints. These joints are structurally classified as synovial joints
since the articulating bone ends are separated by a joint cavity containing synovial fluid. There
are many examples of synovial joints, including the elbow, knee, and shoulder.
Page Ref: 166-167
Bloom's: 4) Analysis