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Anatomy Abdomen Brs - Part 2

30 Questions  I  By BLACKMD

  
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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.
B.
C.
D.
E.
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.
B.
C.
D.
E.
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.
B.
C.
D.
E.
4.  . Before beginning a cesarean section (Csection) in a pregnant woman with a genital herpes infection, the obstetrician noted that she had an aponeurosis of the transverse abdominal muscle. This aponeurosis most likely contributes to the formation of which of the following?
A.
B.
C.
D.
E.
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.
B.
C.
D.
E.
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.
B.
C.
D.
E.
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.
B.
C.
D.
E.
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.
B.
C.
D.
E.
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.
B.
C.
D.
E.
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.
B.
C.
D.
E.
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.
B.
C.
D.
E.
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.
B.
C.
D.
E.
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.
B.
C.
D.
E.
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.
B.
C.
D.
E.
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.
B.
C.
D.
E.
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.
B.
C.
D.
E.
17.  A 58-year-old man is admitted to a hospital with severe abdominal pain, nausea, and vomiting resulting in dehydration. Emergency computed tomography (CT) scan reveals a tumor located between the celiac trunk and the superior mesenteric artery. Which of the following structures is likely compressed by this tumor?
A.
B.
C.
D.
E.
18.  An emergent hernia repair is scheduled. As the attending physician is driving to the hospital, the medical student assisting on the case quickly reviews his anatomy atlas and is trying to commit to memory that the internal oblique abdominis muscle contributes to the formation of which of the following structures?
A.
B.
C.
D.
E.
19.  A 9-year-old girl has crashed into her neighbor's brick fence while riding her bike and is brought to the emergency department with a great deal of abdominal pain. Her radiogram and angiogram show laceration of the superior mesenteric artery immediately distal to the origin of the middle colic artery. If collateral circulation is discounted, which of the following organs may become ischemic?
A.
B.
C.
D.
E.
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.
B.
C.
D.
E.
21.  Which structure is hematopoietic in early life and later destroys worn out red blood cells?
A.
B.
C.
D.
E.
22.  Which structure runs along the superior border of the pancreas and enters the lienorenal ligament?
A.
B.
C.
D.
E.
23.  . Which structure is divided into the proper hepatic and gastroduodenal arteries?
A.
B.
C.
D.
E.
24.  Which structure provides an attachment of the suspensory muscle of the duodenum (ligament of Treitz)?
A.
B.
C.
D.
E.
25.  Which structure is retroperitoneal in position and receives blood from the splenic artery?
A.
B.
C.
D.
E.
26.  Which structure is a direct branch of the aorta and supplies blood to the ascending and transverse colons?
A.
B.
C.
D.
E.
27.  Which structure receives blood from the liver and kidney and enters the thorax by piercing the central tendon of the diaphragm?
A.
B.
C.
D.
E.
28.  Which structure receives bile, concentrates it by absorbing water and salt, and stores it?
A.
B.
C.
D.
E.
29.  Which structure receives blood from the left gonad and suprarenal gland?
A.
B.
C.
D.
E.
30.  Which structure runs behind the inferior vena cava?
A.
B.
C.
D.
E.
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