Block 6 Anatomy Abdomen Prt 3

25 Questions

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Abdomen Quizzes & Trivia

Questions and Answers
  • 1. 
    In the following enhanced CT scan of the abdomen, the arrow points to the:
    • A. 

      Spleen

    • B. 

      Liver

    • C. 

      Stomach

    • D. 

      Left kidney

    • E. 

      Inferior lobe of the left lung

  • 2. 
    • A. 

      Is part of the omental bursa.

    • B. 

      Is in the subphrenic recess

    • C. 

      Receives infected fluids draining from the omental bursa in the supine position.

    • D. 

      Is a potential space in the hepatorenal ligament.

    • E. 

      Is extraperitoneal

  • 3. 
    The hepatoduodenal ligament:
    • A. 

      Is part of the greater omentum

    • B. 

      Contains the portal vein, common bile duct, and hepatic artery.

    • C. 

      Contains the round ligament of the liver.

    • D. 

      Attaches to the bare area of the liver.

    • E. 

      Attaches to the neck of the gallbladder

  • 4. 
    In the following MRI of the abdomen, the arrow points to the:
    • A. 

      Aorta

    • B. 

      Splenic vein

    • C. 

      Celiac artery

    • D. 

      Right gastric artery.

    • E. 

      Inferior vena cava.

  • 5. 
    Which of the following is incorrect pertaining to the portal vein?
    • A. 

      It is typically formed by the superior mesenteric and splenic veins posterior to the neck of the pancreas

    • B. 

      It carries more of the total blood volume reaching the liver than any other vessel.

    • C. 

      It is typically the most anterior of the structures within the hepatoduodenal ligament

    • D. 

      It divides into right and left branches at the porta hepatis.

    • E. 

      It may spread cancer to the liver.

  • 6. 
    Which of the following is incorrect pertaining to lymph drainage of the liver?
    • A. 

      There are both superficial and deep lymphatic vessels.

    • B. 

      Some drainage is via vessels passing directly to phrenic nodes.

    • C. 

      Some drainage is to vessels within the falciform ligament.

    • D. 

      Hepatic nodes are located in the greater omentum.

    • E. 

      Metastases spread via the lymph system will eventually reach the celiac nodes.

  • 7. 
    What structure traverses the opening indicated by the arrow in the following figure?
    • A. 

      Esophagus

    • B. 

      Inferior vena cava

    • C. 

      Aorta

    • D. 

      Psoas major

    • E. 

      Quadratus lumborum

  • 8. 
    Cirrhosis of the liver is associated with all of the following except:
    • A. 

      Softening of the liver.

    • B. 

      Destruction of hepatocytes

    • C. 

      Portal hypertension

    • D. 

      Alcoholism

    • E. 

      Enlargement of the liver

  • 9. 
    When the sphincter of the bile duct contracts:
    • A. 

      Bile is propelled into the duodenum

    • B. 

      Bile is forced into the gallbladder for concentration and storage.

    • C. 

      Pancreatic juices are prevented from entering the duodenum

    • D. 

      Bile flow in the common hepatic duct is occluded.

    • E. 

      Bile flow in the cystic duct is occluded

  • 10. 
    Which of the following is incorrect pertaining to the gall bladder?
    • A. 

      Some venous drainage is directly into the visceral surface of the liver

    • B. 

      Cholecystitis can result from an impacted gallstone

    • C. 

      A gallstone lodged in the cystic duct causes intense spasmodic pain

    • D. 

      During cholecystectomy surgeons typically ligate the left hepatic artery.

    • E. 

      The infundibulum of the gall bladder is a pouch that appears between the neck and the cystic duct in diseased states.

  • 11. 
    In the following enhanced CT of the abdomen, the arrow points to the:
    • A. 

      Lumbar artery

    • B. 

      Right crus of the diaphragm

    • C. 

      Psoas major

    • D. 

      Quadratus lumborum

    • E. 

      Inferior pole of the right kidney

  • 12. 
    Which of the following is not associated with portal hypertension?
    • A. 

      Esophageal varices

    • B. 

      Caput medusae

    • C. 

      Increased blood flow in the inferior vena cava

    • D. 

      Surgically making a splenorenal anastomosis

    • E. 

      Surgically connecting the portal vein to the inferior vena cava

  • 13. 
    In the following renal arteriogram, the arrow points to:
    • A. 

      The inferior phrenic artery

    • B. 

      Rib 10.

    • C. 

      Rib 11

    • D. 

      Rib 12.

    • E. 

      An abnormal lumbar rib.

  • 14. 
    The renal fascia:
    • A. 

      Separates the kidney from the ureter

    • B. 

      Usually prevents pus from a perinephric abscess from spreading to the contralateral kidney.

    • C. 

      Prevents the kidney from moving during respiration.

    • D. 

      Holds the renal artery and vein together

    • E. 

      Is composed of peritoneum.

  • 15. 
    In renal transplantation the:
    • A. 

      Suprarenal gland is transplanted with the kidney

    • B. 

      Renal artery and vein are sutured to the aorta and inferior vena cava, respectively

    • C. 

      Kidney is sutured to the diaphragm to maintain its position

    • D. 

      Transplanted ureter is sutured to the patient's ureter

    • E. 

      Kidney is placed in the iliac fossa of the greater pelvis

  • 16. 
    Which of the following is incorrect pertaining to the kidneys?
    • A. 

      The right kidney is related anteriorly to the liver, duodenum, and ascending colon

    • B. 

      The left kidney is related anteriorly to stomach, spleen, pancreas, jejunum, and descending colon

    • C. 

      The renal pelvis is the junction between the renal artery and the renal hilum

    • D. 

      Extension of the hip joint may increase pain associated with kidney disease

    • E. 

      Both kidneys are retroperitoneal

  • 17. 
    You see a female patient in the emergency room with severe, intermittent "loin" (lumbar region) pain who is also having great difficulty urinating. Your most likely first diagnosis is:
    • A. 

      Kidney disease

    • B. 

      Ureteric ischemia

    • C. 

      Ruptured renal artery

    • D. 

      Ectopic pregnancy

    • E. 

      Ureteric calculus

  • 18. 
    The suprarenal glands:
    • A. 

      Are typically each drained by one vein

    • B. 

      Are each supplied by one artery that arises from the abdominal aorta.

    • C. 

      Are each supplied by one artery that arises from a renal artery.

    • D. 

      Each receive blood from and drain directly into the kidney.

    • E. 

      Receive sympathetic innervation via the lumbar splanchnic nerves

  • 19. 
    Which of the following is incorrect pertaining to the celiac plexus?
    • A. 

      It surrounds the root of the celiac arterial trunk.

    • B. 

      It contains both sympathetic and parasympathetic fibers

    • C. 

      It supplies the stomach

    • D. 

      It supplies the descending colon

    • E. 

      It supplies the gallbladder

  • 20. 
    In the following MRI of the abdomen, the arrow points to the:
    • A. 

      Spleen

    • B. 

      Right kidney

    • C. 

      Stomach

    • D. 

      Transverse colon

    • E. 

      Duodenum

  • 21. 
    Which of the following is incorrect pertaining to the diaphragm?
    • A. 

      Its central tendon is in contact with the fibrous pericardium

    • B. 

      Its crura attach to the inferior six costal cartilages.

    • C. 

      It is partially supplied with blood via branches of the internal thoracic artery

    • D. 

      It is at its most superior level when a person is supine

    • E. 

      Irritation of the diaphragmatic pleura can result in pain that is referred to the shoulder

  • 22. 
    A positive psoas sign:
    • A. 

      Could indicate liver cancer

    • B. 

      Means that the thigh can be extended more than 30 degrees

    • C. 

      Means that the psoas muscle is normal in strength

    • D. 

      Could indicate pancreatitis

    • E. 

      Indicates a normal psoas reflex

  • 23. 
    The ilioinguinal and iliohypogastric nerves:
    • A. 

      Innervate the psoas muscle.

    • B. 

      Pass posterior to the quadratus lumborum.

    • C. 

      Are both L1 ventral rami.

    • D. 

      Together form the lumbosacral trunk.

    • E. 

      Supply the adductor muscles of the thigh

  • 24. 
    Which of the following is not an anterior relation of the abdominal aorta?
    • A. 

      Pancreas

    • B. 

      Horizontal part of duodenum

    • C. 

      Left kidney

    • D. 

      Coils of jejunum and ileum

    • E. 

      Root of the mesentery

  • 25. 
    The inferior vena cava:
    • A. 

      Begins anterior to the L5 vertebrae

    • B. 

      Receives the right testicular vein.

    • C. 

      Is shorter than the abdominal aorta

    • D. 

      Passes into the thorax at the T10 level

    • E. 

      Is the only route by which blood from the inferior part of the body can return to the heart.