Block 6 Anatomy Wk 7 And 8 From Ta's W Expl

18 Questions | By Chachelly | Last updated: Mar 21, 2022 | Total Attempts: 213

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1.

A patient comes in with a history of recent blunt trauma to the abdomen. You diagnose him as having a rectus sheath hematoma. What blood vessel is most likely damaged?
- A.
  
  Superior epigastric artery
- B.
  
  Superficial epigastric artery
- C.
  
  Inferior epigastric vein
- D.
  
  External pudendal vein
2.

While presenting a case to your attending, your colleague says that his patient has a direct inguinal hernia. You know that this hernia must be:
- A.
  
  Lateral to the inferior epigastric v.
- B.
  
  Medial to the inferior epigastric a.
- C.
  
  Protrude through the deep inguinal ring
- D.
  
  Covered by internal spermatic fascia
- E.
  
  Lateral to the pubic tubercle
3.

A patient comes to the emergency department complaining of a sharp pain to his right hypochondriac/epigastric area. The patient states that the sharp pain started earlier that day after he ate lunch at KFC, but that he has been experiencing intermittent pains in the same location for a few weeks. He also states that he is feeling pain over his right shoulder and into his back. The source of the patient's pain is most likely due to:
- A.
  
  An inflamed appendix.
- B.
  
  A ruptured appendix
- C.
  
  An inflamed gallbladder
- D.
  
  Peptic ulcer
4.

A patient's gastric ulcer perforated the posterior wall and eroded an artery. Which artery was most likely damaged?
- A.
  
  Gstroduodenal
- B.
  
  Splenic
- C.
  
  Hepatic
- D.
  
  Left gastric
- E.
  
  Cystic
5.

A patient complaining that swallowing is becoming difficult, would be termed what?
- A.
  
  Esophageal cancer
- B.
  
  Dysphagia
- C.
  
  Aphagia
- D.
  
  Odynophagia
6.

A 45 year-old obese male, with a 30 pack-year history of smoking, is referred to the gastroenterologist complaining of chronic heartburn. The esophageal endoscopy image below is the result of what process?
- A.
  
  Neoplasia
- B.
  
  Hyperplasia
- C.
  
  Hypertrophy
- D.
  
  Metaplasia
7.

Upon abdominal exam you elicit a positive Murphy's Sign for cholecystitis under the right costal margin. Assuming the gallstone is large and full of bile acids that can erode a fistulous tract through the gall bladder wall, which of the following would be the most likely culprit for a gastric outlet obstruction?
- A.
  
  Cholecystocolic fistula
- B.
  
  Cholecystoduodenal fistula
- C.
  
  Cholecystojejunal fistula
- D.
  
  Pyloric stenosis
8.

You were able to use ursodeoxycholic acid in time to dissolve the stone before it formed a fistula. It seemed to be beneficial over the first year after beginning treatment however one day the patient presented with pain in the epigastric area. On ultrasound you noticed an enlarged pancreas with a smaller stone in the Ampulla of Vater - obstructing the lumen of the pancreatic duct. Due to this obstruction the patient was experiencing acute pancreatitis. If the pancreas was to rupture into the abdominal cavity where would the enzymes be released.
- A.
  
  Greater sac
- B.
  
  Pouch of Douglas
- C.
  
  Lesser sac
- D.
  
  Morrison's Pouch
9.

The round ligament of the liver (AKA - Ligamentum Teres Hepatis) was embryologically derived from which of the following
- A.
  
  The Left Umbilical Artery
- B.
  
  The Right Umbilical Artery
- C.
  
  The Urachus
- D.
  
  The Left Umbilical Vein
- E.
  
  The Right Umbilical Vein
10.

While studying in the anatomy lab for an upcoming practical exam, a nosey TA approaches you, points to a structure branching off the abdominal aorta at the level of T12, and asks you to name the 3 arteries that directly originate from it. You correctly respond by saying the following:
- A.
  
  SMA, Splenic Artery, and the Superior Pancreaticoduodenal Artery
- B.
  
  Left Gastric Artery, Splenic Artery, and the Proper Hepatic Artery
- C.
  
  SMA, IMA, and Splenic Artery
- D.
  
  Left Gastric Artery, Splenic Artery, and the Common Hepatic Artery
11.

Your 2-year old patient has had bouts of "tummy pain" and according to the mother, his diapers have had stool that looked like red currant jelly. Upon examination you find the two year old with his legs drawn up to his chest and a palpable sausage-like mass in the lower right abdomen. What is the likely cause of this child's condition?
- A.
  
  Meckel's diverticulitis
- B.
  
  Acute appendicitis
- C.
  
  Ileocecal intususception
- D.
  
  Perianal abscess
- E.
  
  Pyloric stenosis
12.

Your patient suffered a stab wound to his lower hypogastric region just lateral to the midline, what layers of the abdominal wall did the knife likely cross from first to last?
- A.
  
  Skin, camper's fascia, scarpa's fascia, anterior rectal sheath, rectus abdominis, posterior rectal sheath, transversalis fascia, extraperitoneal fat, peritoneum
- B.
  
  Skin, scarpa's fascia, camper's fascia, anterior rectal sheath, rectus abdominis, posterior rectal sheath, transversalis fascia, extraperitoneal fat, peritoneum
- C.
  
  Skin, camper's fascia, scarpa's fascia,transversalis fascia, anterior rectal sheath, rectus abdominis, posterior rectal sheath, extraperitoneal fat, peritoneum
- D.
  
  Skin, camper's fascia, scarpa's fascia, anterior rectal sheath, rectus abdominis, transversalis fascia, extraperitoneal fat, peritoneum
- E.
  
  Skin, camper's fascia, scarpa's fascia, rectus abdominis, posterior rectal sheath, transversalis fascia, extraperitoneal fat, peritoneum
13.

After denying that Justin Beiber is the greatest recording artist of all time, Ned hits me with a baseball bat and ruptures my spleen. Where was I likely hit?
- A.
  
  Right posterior-axillary line, ribs 9-11
- B.
  
  Left posterior-axillary line, ribs 9-11
- C.
  
  Left flank
- D.
  
  Right flank
14.

Mac, the surgeon, and PC, the anatomist, are fighting about which 1/2 of the liver the caudate and quadrate lobes belong to. What would Mac argue?
- A.
  
  Right because they’re right of the falciform ligament
- B.
  
  Right because they’re right of the IVC
- C.
  
  Left because they’re left of the falciform ligament
- D.
  
  Left because they’re left of the IVC
15.

The splenic artery is an end artery. Ligation leads to ischemia of what structures?
- A.
  
  Spleen and pancreatic tail
- B.
  
  Spleen and gastric antrum
- C.
  
  Pancreatic tail and gastric antrum
- D.
  
  Spleen and gastric fundus
- E.
  
  Gastric body and pancreatic tail
16.

Years after Ned and Matt Hasselbeck’s altercation, Matt goes to see Ned about a direct inguinal hernia. What is the lateral border of Hesselbach’s triangle?
- A.
  
  Median umbilical fold
- B.
  
  Medial umbilical fold
- C.
  
  Lateral umbilical fold
- D.
  
  Lateral border of rectus abdominis
17.

Where does the transversus abdominis aponeurosis contribute to the posterior rectus sheath?
- A.
  
  Superior to semilunar line
- B.
  
  Inferior to semilunar line
- C.
  
  Superior to arcuate line
- D.
  
  Inferior to arcuate line
18.

What structure develops within the ventral mesogastrium?
- A.
  
  Spleen
- B.
  
  Liver
- C.
  
  Kidney
- D.
  
  Adrenal
- E.
  
  Stomach
- F.
  
  Pancreas
- G.
  
  Duodenum