Block 6 Anatomy Abdom Wall Umich W Expl

12 Questions | By Chachelly | Last updated: Mar 21, 2022 | Total Attempts: 325

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1.

The terminal ends of the ilioinguinal nerves in the female are referred to as:
- A.
  
  Anterior cutaneous branches
- B.
  
  Anterior labial
- C.
  
  Cremasterics
- D.
  
  Iliohypogastrics
2.

The usual location for an appendectomy incision is the:
- A.
  
  Left lower quadrant
- B.
  
  Left upper quadrant
- C.
  
  Right lower quadrant
- D.
  
  Right upper quadrant
3.

The inferior border of the rectus sheath posteriorly is called the:
- A.
  
  Falx inguinalis
- B.
  
  Inguinal ligament
- C.
  
  Internal inguinal ring
- D.
  
  Arcuate line
- E.
  
  Linea alba
4.

A medical student was asked by her preceptor to palpate the margin of the superficial inguinal ring of a healthy male patient. After passing her finger down the edge of the medial crus of the superficial inguinal ring, she felt a bony protuberance deep to the lateral edge of the spermatic cord, which she correctly identified as the :
- A.
  
  Pecten pubis
- B.
  
  Pubic symphysis
- C.
  
  Pubic tubercle
- D.
  
  Iliopubic eminence
- E.
  
  Iliopectineal line
5.

You were asked to assist in a surgical operation on a young patient to treat an ulcer in the first part of the duodenum. You would expect that the surgeon will approach the ulcer by doing an anterior abdominal wall incision in the following region:
- A.
  
  Epigastric
- B.
  
  Left inguinal
- C.
  
  Left lumbar
- D.
  
  Right hypochondrial
- E.
  
  Hypogastric
6.

Following an emergency appendectomy your patient complained of having paresthesia (numbness) of the skin at the pubic region. The most likely nerve that has been injured during the operation is:
- A.
  
  Genitofemoral
- B.
  
  Iliohypogastric
- C.
  
  Subcostal
- D.
  
  Spinal nerve T10
- E.
  
  Spinal nerve T9
7.

An obstetrician decides to do a Caesarean section on a 25-year-old pregnant woman. A transverse suprapubic incision is chosen for that purpose. All of the following abdominal wall layers will be encountered during the incision EXCEPT the:
- A.
  
  Anterior rectus sheath
- B.
  
  Posterior rectus sheath
- C.
  
  Rectus abdominis muscle
- D.
  
  Skin and subcutaneous tissue
- E.
  
  Transversalis fascia, extraperitoneal fat, and peritoneum
8.

In order to reduce a hernia (return it to the abdominal cavity), a surgeon finds it necessary to ligate an artery in the extraperitoneal connective tissue (preperitoneal fat) running vertically just medial to the bowel as the bowel passes through the abdominal wall. This artery is the:
- A.
  
  Deep circumflex iliac
- B.
  
  Inferior epigastric
- C.
  
  Superficial circumflex iliac
- D.
  
  Superficial epigastric
- E.
  
  Superficial external pudendal
9.

The posterior layer of the rectus sheath ends inferiorly at the
- A.
  
  Arcuate line
- B.
  
  Intercrestal line
- C.
  
  Linea alba
- D.
  
  Pectineal line
- E.
  
  Semilunar line
10.

Surgical approaches to the abdomen sometimes necessitate a midline incision between the two rectus sheaths, i.e., through the:
- A.
  
  Linea aspera
- B.
  
  Arcuate line
- C.
  
  Semilunar line
- D.
  
  Iliopectineal line
- E.
  
  Linea alba
11.

The internal thoracic artery is sometimes surgically cut near the caudal end of the sternum and used to supply blood to a region of the heart. In these cases, maintenance of adequate blood flow to the rectus abdominis may be dependent on increased flow through which artery?
- A.
  
  Superficial epigastric
- B.
  
  Inferior epigastric
- C.
  
  Umbilical
- D.
  
  Superficial circumflex iliac
- E.
  
  Deep circumflex iliac
12.

The normal pattern of venous and lymphatic drainage of the superficial tissues of the anterior abdominal wall is arranged around a horizontal plane. Above that plane, drainage is in a cranial direction; below the plane drainage is in a caudal direction. This reference plane corresponds to:
- A.
  
  Transpyloric plane
- B.
  
  Level of anterior superior iliac spines
- C.
  
  Transtubercular line
- D.
  
  Level of arcuate line
- E.
  
  Level of umbilicus