Abdomen

30 Questions

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Abdomen

Questions and Answers
  • 1. 
    A patient was diagnosed with bleeding ulcer of the lesser curvature of the stomach. Which artery is most likely involved? a)     Gastroduodenal b)     Left gastric c)     Left gastro-omental (epiploic) d)     Right gastro-omental (epiploic) e)     Short gastrics
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 2. 
    Following structures form stomach bed EXCEPT; a)     splenic vein    b)     splenic artery c)     left kidney      d)     left suprarenal 
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

  • 3. 
    The fundus of the stomach receives its arterial supply from the: a)     Common hepatic b)     Inferior phrenic c)     Left gastroepiploic d)     Right gastric e)     Splenic
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 4. 
    The artery of the midgut is the: a)     Celiac trunk b)     Inferior mesenteric c)     Proper hepatic d)     Splenic e)     Superior mesenteric
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 5. 
    Regarding  the stomach all are true Except:   a)     fundus lies above the level of the oesophageal opening. b)     body extends inferiorly to the angular notch.  c)     right border is known as its greater curvature.  d)     is supplied in part by arteries arising from the splenic artery 
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

  • 6. 
    For the oesophagus, all are correct Except:: a)     It is 25 cm long. b)     enters the abdomen between the right and left crura of the diaphragm. c)     is closely related to both the anterior and posterior gastric nerves. d)     It terminates at level of T11 vertebra.
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

  • 7. 
    For the stomach, all are correct Except:: a)     is supplied in part by arteries arising from the splenic arteries b)     is supplied by arteries which each arise from branches of the coeliac trunk c)     has a venous drainage passing to the portal and systemic venous systems. d)     has the vein of Mayo crosses its body
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

  • 8. 
    In order to approach the area posterior to the stomach, a surgeon decided to go through the lesser omentum. Before incising the mesentery she was careful to find and preserve a nerve lying in the upper portion of the hepatogastric ligament, i.e., the: a) Celiac branch of the anterior vagal trunk b) Celiac branch of the posterior vagal trunk c) Greater splanchnic branch to the right suprarenal gland d) Hepatic branch of the anterior vagal trunk e) Hepatic branch of the posterior vagal trunk  
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 9. 
    During a full workup on a 2-month-old infant with a history of intermittent gastrointestinal pain and vomiting, physicians discovered that the cause was lack of emptying of the stomach. They immediately suspected that the cause was a spasmodic contraction of which of the following parts of the stomach? a)   cardiac notch b)   fundus c)   lesser curvature d)   pylorus  e)  rugae
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 10. 
    In order to do a vagotomy (section of vagal nerve trunks) to reduce the secretion of acid by cells of the stomach mucosa in patients with peptic ulcers, one needs to cut the gastric branches and retain vagal innervation to other abdominal organs. Where would a surgeon look for these branches in relation to the stomach? a)   along the gastroepiploic vessels b)   along the greater curvature c)   along the lesser curvature d)   in the base of the omental apron e)   in the gastrocolic ligament 
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 11. 
    During an emergency splenectomy, the surgeon accidentally tore the gastrosplenic ligament and its contents. The artery (ies) likely to be damaged in this event is (are) the: a) Left gastric b) Splenic c) Short gastric d) Middle colic e) Caudal pancreatic 
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 12. 
    During exploratory abdominal surgery on a 55-year-old male complaining of right lower quadrant pain, the surgeon initially sees no appendix but knows that he can quickly locate it by:   a)     looking at the confluence of the teniae coli b)     palpating the ileocecal valve and looking just above it c)     following the course of the right colic artery d)     removing the right layer of the mesentery of the jejunoileum e)     palpating and inspecting the pelvic brim
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 13. 
    Which of the following veins does not run a course parallel to the artery of the same name? a)     superior epigastric b)     superficial circumflex iliac c)     inferior mesenteric d)     superior rectal e)     ileocolic 
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 14. 
    The presence of which feature (also obvious on a radiograph with barium contrast) distinguishes small from large bowel? a)     Circular folds of the mucosa b)     Circular smooth muscle layer in the wall c)     Mucosal glands d)     Longitudinal smooth muscle layer in the wall e)     Serosa
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 15. 
    Occlusion of the inferior mesenteric artery is seldom symptomatic because its territory may be supplied by branches of the: a)     Gastroduodenal b)     Ileocolic c)     Middle colic d)     Right colic e)     Splenic
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 16. 
    Visceral pain is often referred to a site on the body wall (where the patient "feels" it) that is innervated by the same spinal cord segment that innervates the visceral organ involved. Pain of appendicitis is often first felt around the umbilicus, indicating that the appendix receives its sympathetic (and thus visceral afferents) from which spinal cord segment? a)     T 9 b)     T 10 c)     T 11 d)     T 12 e)     L 1
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 17. 
    The spleen normally does not descend below the costal margin. However, it pushes downward and medially when pathologically enlarged. What structure limits the straight vertical downward movement? a)     Left colic flexure b)     Left suprarenal gland c)     Ligament of Treitz d)     Pancreas e)     Stomach
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 18. 
    A 60-year-old woman arrived at the emergency room complaining of acute abdominal pain. She was diagnosed with ischemic bowel resulting from an obstruction of one or more branches of the inferior mesenteric artery. Which of the following is most likely NOT to be seriously affected by the ischemia? a)     Cecum b)     Descending colon c)     Rectum d)     Sigmoid colon e)     Splenic flexure
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 19. 
    As the bowel is exposed, the surgeon says in amazement, "This is a loop of large bowel!" Which characteristic(s) would identify it specifically as large bowel?  A) serosa  b) Circular folds c)  Epiploic appendages d) Tenia e) C and D
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 20. 
    The artery of the midgut is the: a)     Celiac trunk b)     Inferior mesenteric c)     Proper hepatic d)     Splenic e)     Superior mesenteric
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 21. 
    Anastomosis of the left gastroepiploic artery with the right gastroepiploic artery occurs here:
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 22. 
    This part of the diagram is supplied by short gastric branches of the splenic artery:
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 23. 
    Regarding the duodenum all are true Except;   a)     The first inch is mobile b)     The second part extends from the level of L1 to L3 c)     The third part is crossed anteriorly by the superior mesenteric artery d)     The forth part is supplied by the inferior mesenteric artery 
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

  • 24. 
    Regarding  the duodenum  all are true Except:   a)     It is 10 inches long. b)     lies behind the portal vein.  c)     lies anterior to the hilum of the right kidney.  d)     is crossed anteriorly by the superior mesenteric vessels. 
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

  • 25. 
    Regarding  the small intestine all are true Except:   a)     duodenojejunal flexure lies on the left of the first lumbar vertebra.  b)     jejunum has a thicker wall than the ileum.  c)     arterial arcades are less numerous in the jejenum than in the ileum.  d)     It is supplied by branches of superior mesenteric artery.
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

  • 26. 
    Jejunum differs from ileum in that jejunum: a) Has wider lumen. b) Thin wail. c) More lymphoid tissue. d) Less vascular. e) Develops from foregut. 
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 27. 
    Which statement is false regarding the Inferior mesenteric artery? a)  Is related to the duodenum. b)  Supplies the cecum. c) Has a left colic artery as one of its branches. d) Supplies the sigmoid colon. e) Continues into pelvis as the superior rectal artery.
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 28. 
    Which one do you like?
    • A. 

      Option 1

    • B. 

      Option 2

    • C. 

      Option 3

    • D. 

      Option 4

  • 29. 
    As the bowel is exposed, the surgeon says in amazement, "This is a loop of large bowel!" Which characteristic(s) would identify it specifically as large bowel?   a) A serosa b) Circular folds c) Epiploic appendages d) Tenia e) C and D
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 30. 
    During the surgical repair of a hiatal hernia, the celiac branch of the posterior vagal trunk was severed accidentally. The damage to this nerve would affect the muscular movements, as well as some secretory activities, of the gastrointestinal tract (GI). Which segment is least likely to be affected by the nerve damage?   a)     Ascending colon b)     Cecum c)     Jejunum d)     Ileum e)     Sigmoid colon
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E