Abdomen
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Review quiz based on Abdomen lectures 1, 2 & 3
- 1.Which of the following is not true about the abdominal cavity
- A.
Continuous inferiorly with the pelvic cavity
- B.
Lined with peritoneum
- C.
Enclosed by diaphragm at 4th intercostal space
- D.
None of the above
- 2.Which of the following regions would be located inferior to the Right lumbar region
- A.
Right hypochondriac
- B.
Left iliac
- C.
Hypogastric
- D.
Right iliac
- 3.Which is true about the external oblique
- A.
Intermediate muscle
- B.
Fibers run inferolaterally
- C.
Inferior margin forms inguinal ligament
- D.
None of the above
- 4.The innermost muscle of the abdominal wall is the
- A.
Internal oblique
- B.
External oblique
- C.
Rectus abdominus
- D.
Transverse abdominal
- 5.Which muscle is not involved in the formation of the linea alba
- A.
Pyramidalis
- B.
Internal oblique
- C.
External obligue
- D.
Transverse abdominal
- 6.Which of the following would be expected after injury to the abdominal wall
- A.
Increased protection of abdominal viscera
- B.
Increased difficulty during defecation and micturition
- C.
Increased flexion of the trunk
- D.
Increased control of abdominal pressure
- E.
None of the above
- 7.Which of the following are found on the internal surface of the abdominal wall
- A.
Extraperitoneal fat
- B.
Transversalis fascia
- C.
Parietal peritoneum
- D.
All of the above
- 8.Which of the following should not be cut because they cover the inferior epigastric vessels
- A.
Median umbilical folds
- B.
Lateral umbilical folds
- C.
Median umbilical fold
- D.
Inguinal ligament
- 9.Remnants of vessels supplying the fetus may be found in the
- A.
Inguinal canal
- B.
Scrotom
- C.
Pelvic cavity
- D.
Peritoneal folds
- 10.The inguinal area is important because it
- A.
Is injured mostly in females (86 %)
- B.
Is clinically important because it is a site of herniation
- C.
Prevents structures from entering/exiting the abdominal cavity
- D.
All of the above
- 11.Which of the following branches of the inguinal ligament attach to the pubic tubercle
- A.
Lacunar ligament
- B.
Pectineal ligament of cooper
- C.
Reflected inguinal ligament
- D.
All of the above
- E.
None of the above
- 12.
- A.
Occupied by the testies and ovaries
- B.
Superior to inguinal ligament
- C.
Superficial ring is lateral to inferior epigastric vessels
- D.
All of the above
- 13.Patient presents with rupture of the conjoint tendon, which of the following is likely
- A.
Damage to tunica albuginea
- B.
Damage in connection of viscera to abdominal wall
- C.
Damage to posterior wall of inguinal canal
- D.
None of the above
- 14.The spermatic cord
- A.
Begins at superficial ring and ends at deep inguinal ring
- B.
Covered by dartos fascia
- C.
Contains ductus deferens, testicular artery, and pampiniform venous plexus
- D.
Attaches to anterior testes
- 15.The dartos fascia
- A.
Covers the spermatic cord
- B.
Prevents heat loss from scrotum
- C.
Connects abdominal wall muscles
- D.
None of the abvoe
- 16.Sperm forms in the
- A.
Tunica albuginea
- B.
Linea alba
- C.
Tunica vaginalis
- D.
Seminiferous tubules
- 17.The closed peritoneal sac surrounding the testes is
- A.
Tunica albuginea
- B.
Tunica vaginalis
- C.
Seminiferous tubules
- 18.The testicular artery runs retroperitoneally and enters the spermatic cord
- A.
True
- B.
False
- 19.Which of the following is extraperitoneal
- A.
Spleen
- B.
Stomach
- C.
Kidneys
- D.
None of the above
- 20.The intraperitoneal organs are found within the peritoneal cavity
- A.
True
- B.
False
- 21.The peritoneal cavity
- A.
Contains intraperitoneal organs
- B.
Open to erterior of body through fallopian tubes, uterine cavity and vagina in females
- C.
Open to exterior by urethra in males
- D.
All of the above
- 22.The parietal peritoneum
- A.
Has the same vasculature and innervation as the region of abdominopelvic wall above it
- B.
Has sensitivity to stretch and chemical irritation
- C.
Insensitive to touch heat and cold
- D.
Pain is referred to dermatomes supplying organ
- 23.Neurovascular communication between the body wall and the organ is a feature of
- A.
Omentum
- B.
Peritoneal ligament
- C.
Mesentery
- D.
All of the above
- 24.The falciform ligament
- A.
Occupies inguinal canal
- B.
Connects liver to abdominal wall
- C.
Holds breast to skin
- D.
Holds uterus in place
- 25.The greater omentum has which of the following ligaments
- A.
Hepatoduodenal
- B.
Falciform
- C.
Hepatogastric
- D.
Gastrosplenic
- 26.During your first rotation for surgery you get the opportunity to make a surgical incision through the anterolateral abdominal wall which of the following will you see
- A.
The omental bursa
- B.
The greater sac
- C.
Kidneys
- D.
None of the above
- 27.Choose the best answer. the stomach is allowed free movement on adjacent structures due to
- A.
Messentery
- B.
Omentum
- C.
Peritoneal ligament
- D.
Omaental bursa
- 28.Which of the following is in the infracolic compartment of the abdomen
- A.
Stomach and liver
- B.
Ascending and descending colon
- C.
Spleen and small intestines
- D.
All of the above
- 29.The paracolic gutters allow communication between compartments of the abdomen
- A.
True
- B.
False
- 30.The esophagus is
- A.
Entirely smooth muscle
- B.
Retroperitoneal
- C.
Ends at esophageal hiatus
- D.
All of the above
- 31.*The stomach starts enzymatic digestion by using chyme to break down food
- A.
True
- B.
False
- 32.A thickened area of circular smooth muscle can be found in the ______ of the stomach
- A.
Cardia
- B.
Pylorus
- C.
Fundus
- D.
Body
- 33.Gastric rugae, the folds of stomach mucosa are most defined
- A.
Pyloric stomach
- B.
Cardia
- C.
Lesser curvature
- D.
A & C
- 34.The widest and most fixed portion of the small intestine is
- A.
Jejunum
- B.
Duodenum
- C.
Illeum
- 35.The jejunum and illeum
- A.
Jejunum lies in pelvis then ascends to end in medial cecum
- B.
Receive arterial supply from SMA in arterial arcades
- C.
Venous drainage from splenic veins that lead to SMV then portal vein
- D.
All of the above
- 36.Which of the following differentiates the large and small intestines
- A.
Teniae coli
- B.
Haustra
- C.
Omental appendices
- D.
Caliber
- E.
All of the above
- 37.This part of the large intestine has no mesentery but has a diverticula attached with a mesentery of its own
- A.
Illeum
- B.
Cecum
- C.
Jejunum
- D.
Ascending colon
- 38.McBurney's point is significant because it
- A.
Frequent point of herniation
- B.
Is the base of the appendix
- C.
Dermatome of referred pain
- D.
None of the above
- 39.The ______ colon is the most flexible and the ___________colon is retroperitoneal
- A.
Descending, transverse
- B.
Transverse, sigmoid
- C.
Sigmoid, descending
- D.
Transverse, descending
- 40.Pt presents with damage to left 9-11th ribs which of the following should you suspect
- A.
Damage to liver
- B.
Damage to spleen
- C.
All of the above
- 41.The largest branch of the celiac trunk is the
- A.
SMA
- B.
Splenic artery
- C.
IMA
- D.
None of the above
- 42.The pancreas is
- A.
Intraperitoneal
- B.
An accessory digestive gland
- C.
Produces exocrine secretions from islets of langerhans
- D.
All of the above
- 43.The tail of the spleen embraces the C shaped curve of the duodenum
- A.
True
- B.
False
- 44.The sphincter of oddi
- A.
Controls the movement of chyme into small intestines
- B.
Controls the release of the bowels
- C.
Controls the flow of bile and pancreatic juice
- D.
Is involved in heart burn
- 45.Damage to L1 -L2 vertebrae may affect
- A.
Spleen
- B.
Pancreas
- C.
Liver
- 46.The liver stores glycogen, secretes bile and receives every substance absorbed from the alimentary canal
- A.
True
- B.
False
- 47.Morrison's pouch a radiologist and surgeion landmark is found
- A.
On pancreas
- B.
At the hepatorenal recess on the right side of the liver
- C.
Posterior to the kidney
- D.
At the subphrenic recess
- 48.Which of the following would be noted on physical exam
- A.
The patients liver is behind the left 7-11 ribs
- B.
The liver moves inferiorly during deep breathing
- C.
All of the above
- D.
None of the above
- 49.The sagital fissures and porta hepatis
- A.
Are remnants of the obliterated umbilical veins
- B.
Demarcate the caudate and quadrate lobes of liver
- C.
Deperate the right and left liver lobes
- 50.The cystic duct and common hepatic duct form the common bile duct
- A.
True
- B.
False
- 51.BIle is
- A.
Produced in gall bladder
- B.
Concentrated in the liver
- C.
Stored in bile canaliculi
- D.
None of the above
- 52.The gall bladder
- A.
Is found on the parietal surface of the liver
- B.
Stores and concentrates bile
- C.
The neck is at the 9th costal cartilage and tapers to porta hepatis
- D.
All of the above
- 53.Portal vein collects blood that is oxygen rich and nutrient poor
- A.
True
- B.
False
- 54.A patient presents vomiting blood this is a dangerous situation that can be caused by rupture of
- A.
Portal system anastamoses
- B.
Esophageal varices (azygous vein)
- C.
All of the above
- 55.The kidneys are
- A.
Retroperitoneal
- B.
Intraperitoneal
- C.
Surrounded by perinephric fat
- D.
A & C
- 56.The ureter is
- A.
Retroperitoneal
- B.
A muscular duct
- C.
Constricted at pelvic brim, at entrance to bladder and junction with renal pelvis
- D.
A & C
- E.
All of the above
- 57.The adrenal gland s has a cortex and medulla however the right is pyramidal and the left is crescent shaped
- A.
True
- B.
False
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