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Anatomy Abdomen Brs - Part 2

30 Questions
Anatomy Abdomen Brs - Part 2
Questions and Answers
  • 1. 
    A 19-year-old man with ruptured appendix is sent to the emergency department for surgery. To cut off the blood supply to the appendix (if collateral circulation is discounted), a surgeon should ligate which of the following arteries?
    • A. 

      Middle colic artery

    • B. 

      Right colic artery

    • C. 

      Ileocolic colic artery

    • D. 

      Inferior mesenteric artery

    • E. 

      Common iliac artery

  • 2. 
    Because of an inflammatory bowel disease (Crohn's disease) and a small bowel obstruction leading to bowel ischemia, an elderly woman requires bypass of her ileum and jejunum and is scheduled for a gastrocolostomy. The surgeon will ligate all arteries that send branches to the stomach. Which of the following arteries may be spared?
    • A. 

      Splenic artery

    • B. 

      Gastroduodenal artery

    • C. 

      Inferior pancreaticoduodenal artery

    • D. 

      Left gastroepiploic artery

    • E. 

      Proper hepatic artery

  • 3. 
    A 38-year-old woman with peptic ulcer disease of the stomach experiences severe abdominal pain. Which of the following nervous structures would most likely be involved?
    • A. 

      Greater splanchnic nerve

    • B. 

      Ventral roots of the spinal nerve

    • C. 

      Lower intercostal nerve

    • D. 

      Vagus nerve

    • E. 

      Gray ramus communicans

  • 4. 
    • A. 

      Anterior layer of the rectus sheath below the arcuate line

    • B. 

      Anterior layer of the rectus sheath above the umbilicus

    • C. 

      Posterior layer of the rectus sheath below the arcuate line

    • D. 

      Deep inguinal ring

    • E. 

      Lacunar ligament

  • 5. 
    Examination of a 54-year-old man reveals an isolated tumor located at the porta hepatis. This tumor most likely compresses which of the following structures?
    • A. 

      Cystic duct

    • B. 

      Hepatic veins

    • C. 

      Common hepatic artery

    • D. 

      Left gastric artery

    • E. 

      Branches of the portal vein

  • 6. 
    A patient is rushed to the operating room for an emergent cholecystectomy (resection of a gallbladder) because of cholecystitis. While locating landmarks before surgical resection of an infected gallbladder, the surgeon recalls that one pair of veins forms a portal-caval anastomosis. Which of the following pairs of veins form a portal-caval anastomosis?
    • A. 

      Hepatic veins and inferior vena cava

    • B. 

      Superior and middle rectal vein

    • C. 

      Left and right gastric veins

    • D. 

      Inferior and superficial epigastric veins

    • E. 

      Suprarenal and renal veins

  • 7. 
    Mrs. Jones is undergoing a routine colonoscopy for colon cancer prevention. The gastroenterologist finds a Meckel's diverticulum. Which of the following statements is true about the diverticulum?
    • A. 

      It is found 2 feet distal to the ileocecal junction

    • B. 

      It is located on the mesenteric side of the ileum

    • C. 

      It occurs in about 20% of the population

    • D. 

      It is a persistent remnant of the embryonic yolk sac

    • E. 

      It may contain renal and suprarenal Tissues

  • 8. 
    A 54-y/o man comes to an ER  with abdominal pain, jaundice, loss of appetite, and weight loss. On examination of his radiograms and computed tomography (CT) scans, a physician finds a slowly growing tumor in the uncinate process of the pancreas. Which of the following structures is most likely compressed by this tumor?
    • A. 

      Main pancreatic duct

    • B. 

      Splenic artery

    • C. 

      Portal vein

    • D. 

      Superior mesenteric artery

    • E. 

      Superior pancreaticoduodenal artery

  • 9. 
    A 6-year-old boy comes to his pediatrician with a lump in the groin near the thigh and pain in the groin. On examination, the physician makes a diagnosis of a direct inguinal hernia because the herniated tissue:
    • A. 

      Enters the deep inguinal ring

    • B. 

      Lies lateral to the inferior epigastric artery

    • C. 

      Is covered by spermatic fasciae

    • D. 

      Descends into the scrotum

    • E. 

      Develops after birth

  • 10. 
    A 21-year-old young man was lifting heavy boxes while moving into his new house. During the repair of his resulting hernia, the urologist recalls that the genitofemoral nerve:
    • A. 

      Runs in front of the quadratus lumborum

    • B. 

      Is a branch of the femoral nerve

    • C. 

      Supplies the testis

    • D. 

      Passes through the deep inguinal ring

    • E. 

      Gives rise to an anterior scrotal branch

  • 11. 
    An oncologist is reviewing a computed tomography (CT) scan of a 74-year-old man with newly diagnosed hepatocellular carcinoma. He locates the affected quadrate lobe of the liver that:
    • A. 

      Lies between the inferior vena cava and ligamentum venosum

    • B. 

      Receives blood from the right hepatic artery

    • C. 

      Drains bile into the left hepatic duct

    • D. 

      Is a medial superior segment

    • E. 

      Is functionally a part of the right lobe

  • 12. 
    A 58-year-old man is presented with edema of the lower limb and enlarged superficial veins of the abdominal wall. Examination of radiographs and angiograms reveals obstruction of the inferior vena cava just proximal to the origin of the renal vein. This venous blockage may result in dilation of which of the following veins?
    • A. 

      Left suprarenal vein

    • B. 

      Right inferior phrenic vein

    • C. 

      Right hepatic vein

    • D. 

      Left gastric vein

    • E. 

      Portal vein

  • 13. 
    A physical fitness trainer for a young Hollywood movie star explains the reasons for 100 stomach crunches a day. The young star, a medical student before "hitting it big" reaffirms to his trainer that the lateral margin of the rectus abdominis, the muscle responsible for a washboard stomach, defines which one of the following structures?
    • A. 

      Linea alba

    • B. 

      Linea semilunaris

    • C. 

      Linea semicircularis

    • D. 

      Transversalis fascia

    • E. 

      Falx inguinalis

  • 14. 
    During surgical treatment of portal hypertension of a 59-year-old man with liver cirrhosis, a surgeon inadvertently lacerates the dilated paraumbilical veins. The veins must be repaired to allow collateral flow. Which of the following ligaments is most likely severed?
    • A. 

      Lienorenal ligament

    • B. 

      Lienogastric ligament

    • C. 

      Gastrophrenic ligament

    • D. 

      Ligamentum teres hepatis

    • E. 

      Ligamentum venosum

  • 15. 
    A 43-year-old woman is admitted to a hospital because of deep abdominal pain in her epigastric region. On examination, it is observed that a retroperitoneal infection erodes an artery that runs along the superior border of the pancreas. Which of the following arteries is likely injured?
    • A. 

      Right gastric artery

    • B. 

      Left gastroepiploic artery

    • C. 

      Splenic artery

    • D. 

      Gastroduodcnal artery

    • E. 

      Dorsal pancreatic artery

  • 16. 
    A 19-year-old young woman with a long history of irritable bowel syndrome presents for the possibility of surgical resection of the gastrointestinal (GI) tract where the vagal parasympathetic innervation terminates. Which of the following sites is most appropriate for surgical resection?
    • A. 

      Duodenojejunal junction

    • B. 

      Ileocecal junction

    • C. 

      Right colic flexure

    • D. 

      Left colic flexure

    • E. 

      Anorectal junction

  • 17. 
    • A. 

      Fundus of the stomach

    • B. 

      Neck of the pancreas

    • C. 

      Transverse colon

    • D. 

      Hepatopancreatic ampulla

    • E. 

      Duodenojejunal junction

  • 18. 
    • A. 

      Inguinal ligament

    • B. 

      Deep inguinal ring

    • C. 

      Falx inguinalis

    • D. 

      Internal spermatic fascia

    • E. 

      Reflected inguinal ligament

  • 19. 
    • A. 

      Descending colon

    • B. 

      Duodenum

    • C. 

      Pancreas

    • D. 

      Ascending colon

    • E. 

      Transverse colon

  • 20. 
    A 53-year-old woman with known kidney disease presents to a hospital because her pain has become increasingly more severe. A physician performing kidney surgery must remember that:
    • A. 

      The left kidney lies a bit lower than the right one

    • B. 

      The peri-renal fat lies external to the renal fascia

    • C. 

      The renal fascia does not surround the suprarenal gland

    • D. 

      The left renal vein runs anterior to both the aorta and the left renal artery

    • E. 

      The right renal artery is shorter than the left one

  • 21. 
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 22. 
    Which structure runs along the superior border of the pancreas and enters the lienorenal ligament?
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 23. 
    . Which structure is divided into the proper hepatic and gastroduodenal arteries?
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 24. 
    Which structure provides an attachment of the suspensory muscle of the duodenum (ligament of Treitz)?
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 25. 
    Which structure is retroperitoneal in position and receives blood from the splenic artery?
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 26. 
    Which structure is a direct branch of the aorta and supplies blood to the ascending and transverse colons?
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 27. 
    Which structure receives blood from the liver and kidney and enters the thorax by piercing the central tendon of the diaphragm?
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 28. 
    Which structure receives bile, concentrates it by absorbing water and salt, and stores it?
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 29. 
    Which structure receives blood from the left gonad and suprarenal gland?
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 30. 
    Which structure runs behind the inferior vena cava?
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E