Block 6 Anatomy Abdomen Prt 2

22 Questions

Settings
Please wait...
Block 6 Anatomy Abdomen Prt 2

Questions and Answers
  • 1. 
    Which of the following is not true of a hydrocele?
    • A. 

      It can be distinguished from a hematocele by transillumination.

    • B. 

      It is typically associated with a direct inguinal hernia

    • C. 

      It refers to excess fluid in a persistent processus vaginalis.

    • D. 

      It may be confined to the spermatic cord.

    • E. 

      It may be associated with inflammation of the epididymis

  • 2. 
    Which of the following associations is incorrect?
    • A. 

      Rete testis—opening of the ductus deferens

    • B. 

      Testicular arteries—arise from abdominal aorta

    • C. 

      Varicocele—dilation of the pampiniform plexus

    • D. 

      Epididymis—sperm maturation

    • E. 

      Anterior scrotum—innervated by branches from the ilioinguinal and genitofemoral nerves

  • 3. 
    • A. 

      Not be concerned about this accident

    • B. 

      Be concerned about a potential spread of the cancer to the superficial inguinal lymph nodes

    • C. 

      Be concerned about the potential spread of the cancer to lumbar lymph nodes.

    • D. 

      Be concerned about the potential spread of the cancer to perineal lymph nodes.

    • E. 

      Be concerned about the potential spread of the cancer to penile lymph nodes.

  • 4. 
    Technically, the peritoneal cavity:
    • A. 

      Contains all the intraperitoneal organs.

    • B. 

      Is a closed cavity in both sexes.

    • C. 

      Is the potential space between the parietal and visceral peritoneum.

    • D. 

      Is typically open to the testis in the male.

    • E. 

      Contains lymph nodes.

  • 5. 
    Which of the following associations is incorrect?
    • A. 

      Ruptured appendix—peritonitis

    • B. 

      Peritoneal adhesions—volvulus

    • C. 

      Withdrawal of urine from bladder—paracentesis

    • D. 

      Intraperitoneal injection—rapid rate of absorption

    • E. 

      Peritoneal dialysis—removal of wastes from abdominal cavity

  • 6. 
    • A. 

      It is sensitive to laceration near its attachment to organs.

    • B. 

      It is a double-layer of peritoneum

    • C. 

      It transmits nerves and blood vessels to organs from the body wall

    • D. 

      It constitutes a region of continuity between visceral and parietal peritoneum

    • E. 

      It contains lymph nodes and vessels

  • 7. 
    To minimize the spread of peritoneal fluid via the paracolic gutters from a lower abdominal infection, the patient is placed:
    • A. 

      On his right side

    • B. 

      On his left side

    • C. 

      Supine

    • D. 

      Prone

    • E. 

      In an inclined position (head and trunk elevated at least 45 degrees).

  • 8. 
    The omental bursa:
    • A. 

      Is a completely sealed-off recess of the peritoneal cavity.

    • B. 

      Is located anterior to the stomach.

    • C. 

      Can contain pancreatic fluid following rupture of the pancreas.

    • D. 

      Has medial and lateral recesses

    • E. 

      Contains the portal vein

  • 9. 
    Which of the following is incorrect pertaining to the esophagus?
    • A. 

      Typically it joins with the stomach at the T11 level.

    • B. 

      GERD (gastroesophageal reflex disorder) is associated with pyrosis (heartburn).

    • C. 

      Esophageal varices are associated with blockage of the inferior vena cava.

    • D. 

      The esophagus is innervated by the vagal trunks and thoracic sympathetic splanchnic nerves.

    • E. 

      Its abdominal part is typically supplied by the left gastric artery.

  • 10. 
    The superior mesenteric artery:
    • A. 

      Arises from the aorta at the T10 level.

    • B. 

      Is accompanied by the superior mesenteric vein on its right.

    • C. 

      Gives rise to a series of arterial arcades called vasa recta.

    • D. 

      Passes posterior to the horizontal part of the duodenum.

    • E. 

      Is accompanied by sympathetic fibers derived from lumbar splanchnic nerves.

  • 11. 
    • A. 

      Her small bowel has been torn.

    • B. 

      The accident freed a small clot from her aorta that subsequently entered and occluded the vasa recta supplying her ileum.

    • C. 

      The sympathetic nerve supply to her small bowel has been injured.

    • D. 

      Her parietal peritoneum has been lacerated

    • E. 

      The accident triggered appendicitis.

  • 12. 
    Which of the following is least likely pertaining to an ileal diverticulum (of Merkel)?
    • A. 

      It occurs near the junction between the jejunum and the ileum.

    • B. 

      It occurs on the antimesenteric border of the ileum.

    • C. 

      It may have a cordlike attachment to the umbilicus.

    • D. 

      If inflamed, it may produce symptoms that mimic those of appendicitis.

    • E. 

      It may be present in both infants and adults.

  • 13. 
    • A. 

      Because the appendix swells with appendicitis so that it contacts both the anterior and posterior abdominal walls.

    • B. 

      Because the pain is first conveyed via vagal parasympathetic fibers and then by somatic fibers in the parietal peritoneum of the abdominal wall.

    • C. 

      Because the pain is first conveyed via sympathetic fibers that enter the spinal cord at the T10 level and then by somatic fibers in the parietal peritoneum of the abdominal wall.

    • D. 

      Because the appendix first irritates the subcostal nerve and then the ilioinguinal nerve.

    • E. 

      Because the most sensitive afferents of the appendix are those that are associated with the sympathetic fibers that enter the T10 level of the spinal cord, but later less sensitive afferents associated with the lower quadrant become activated.

  • 14. 
    The teniae coli:
    • A. 

      Are located along the jejunum

    • B. 

      Compose the muscular wall of the appendix.

    • C. 

      Are found along the walls of the rectum.

    • D. 

      Are the most superficial part of the sphincter ani.

    • E. 

      May be used during an appendectomy to locate the appendix.

  • 15. 
    The following image is an arteriogram of the superior mesenteric artery and its branches. The artery indicated by the arrow is the:
    • A. 

      Superior mesenteric.

    • B. 

      Middle colic.

    • C. 

      Inferior pancreaticoduodenal.

    • D. 

      First jejunal branch.

    • E. 

      Ileocolic.

  • 16. 
    Which of the following is not correct for the sigmoid arteries?
    • A. 

      They traverse the sigmoid mesocolon

    • B. 

      They help to form the marginal artery.

    • C. 

      They arise from the inferior mesenteric artery.

    • D. 

      They typically divide into ascending and descending branches.

    • E. 

      They are the main source of blood to the left ureter.

  • 17. 
    In the following barium-enhanced radiograph, the arrow points to the:
    • A. 

      Sigmoid colon.

    • B. 

      Ascending colon.

    • C. 

      Descending colon.

    • D. 

      Duodenum.

    • E. 

      Cecum.

  • 18. 
    Which of the following associations is incorrect?
    • A. 

      Crohn disease—chronic inflammation of the colon and rectum

    • B. 

      Colonoscopy—visualization of the interior of the colon

    • C. 

      Diverticulosis—primarily affects infants

    • D. 

      Diverticulitis—hemorrhage

    • E. 

      Tumors of the colon—mainly occur in the rectum

  • 19. 
    Your friend was in an automobile accident in which his spleen was ruptured. Which of the following is least likely based on this knowledge?
    • A. 

      The accident caused trauma to the left upper abdominal quadrant.

    • B. 

      The spleen must be repaired or your friend will die.

    • C. 

      The rupture resulted in the escape of red blood cells into the peritoneal cavity.

    • D. 

      The inferior lobe of the left lung may also have been injured.

    • E. 

      Ribs 9—11 on the left side were fractured.

  • 20. 
    Which of the following is incorrect pertaining to the pancreas?
    • A. 

      The superior mesenteric artery lies anterior to its neck.

    • B. 

      Its head is embraced mainly by the descending part of the duodenum.

    • C. 

      It is retroperitoneal

    • D. 

      Its main duct joins with the common bile duct before entering the duodenum

    • E. 

      It is partially supplied by branches from the splenic artery.

  • 21. 
    Which of the following associations is incorrect?Which of the following associations is incorrect?
    • A. 

      Gallstone in hepatopancreatic ampulla—pancreatitis

    • B. 

      Sudden, severe, forceful compression of the abdomen—rupture of the pancreas

    • C. 

      Pancreatectomy—removal of most of the pancreas

    • D. 

      Cancer of the head of the pancreas—jaundice

    • E. 

      Pancreatic cancer—rarely metastasizes

  • 22. 
    In the following enhanced radiograph of the biliary system, the arrow points to the:
    • A. 

      Cystic duct.

    • B. 

      Left hepatic duct.

    • C. 

      Common hepatic duct.

    • D. 

      (common) bile duct.

    • E. 

      Pancreatic duct.