GI Perit Cav Suprcolic Infrcol MCQ's
- 1.A 6-year-old boy who has complained of a "stomach ache" for two days is brought into the Emergency Dept. by his father. At first the pain was dull and located generally around the umbilicus, but this morning it was sharp and sited in the right lower quadrant of the abdomen. The physician diagnoses appendicitis. What explains the change in location and quality of the patient's pain symptoms?
- A.
Referred pain
- B.
Reflex abdominal rigidity
- C.
Involvement of somatic afferents from the parietal peritoneum
- D.
Involvement of pelvic splanchnic nerves as the infection spreads
- E.
Involvement of lumbar splanchnic nerves as the infection spreads
- 2.An impacted gallstone at the hepatopancreatic ampulla can block the pancreatic duct and Can lead to pancreatitis. This condition can cause a rupture of the pancreas through its anterior wall and result in a release of pancreatic contents into the peritoneal cavity, in turn causing peritonitis. What anatomical space does the extruded pancreatic fluid first enter?
- A.
Greater sac
- B.
Left subphrenic recess
- C.
Omental bursa (lesser sac)
- D.
Rectouterine pouch (Douglas's pouch)
- E.
Hepatorenal recess (Morrison's pouch)
- 3.Lymph node enlargement is noted in a patient at the venous angle near the entrance of the thoracic duct. Which anatomical area is supplied by lymphatics that drain to these nodes?
- A.
Fundus of the stomach
- B.
Right superficial cervical region
- C.
Right deep cervical region
- D.
Right axilla
- E.
Right digastric triangle
- 4.A 54-year-old alcoholic man is brought to the emergency department because of altered mental status. On examination he is jaundiced with distended veins radiating from his umbilicus. While in the hospital he begins to vomit massive amounts of blood and goes into hemorrhagic shock. Which vessels is the most likely source of bleeding?
- A.
Left gastro-omental vein
- B.
Left gastric vein
- C.
Portal vein
- D.
Superior rectal vein
- E.
Inferior mesenteric vein
- 5.Which one of these fibers can be found in the Lesser Spanchnic Nerve?
- A.
Pre-ganglionic sympathetic
- B.
Pre-ganglionic parasympathetic
- C.
Post-ganglionic sympathetic
- D.
Post-ganglionic parasympathetic
- E.
Branches of the vagus nerve
- 6.A 34-year-old man is brought to the hospital with abdominal pain in the epigastric region. Investigations reveal that a retroperitoneal infection erodes an artery that runs along the superior border of the pancreas. Which of the following arteries is likely injured?
- A.
Right gastric artery
- B.
Left gastro-epiploic artery
- C.
Gastroduodenal artery
- D.
Dorsal pancreatic artery
- E.
Splenic artery
- 7.When performing a splenectomy, it is important to remember that the lienorenal ligament contains which of the following structures?
- A.
Left gastro-omental artery
- B.
Left renal artery
- C.
Left ureter
- D.
Tail of the pancreas
- E.
Short gastric arteries
- 8.A 42-year-old man, chronic alcoholic, diagnosed with portal hypertension secondary to cirrhosis of liver. He underwent surgery. Which of the following surgical connections is involved in shunting portal blood around the liver?
- A.
Splenic vein to the left renal vein
- B.
Superior mesenteric vein to the inferior mesenteric vein
- C.
Portal vein to the superior vena cava
- D.
Portal vein to the left renal vein
- E.
Superior rectal vein to the left colic vein
- 9.53-year-old man presents to the emergency room with sudden onset of massive accumulation of fluid in the abdomen. He is diagnosed with portal hypertension secondary to cirrhosis of liver. He underwent surgery. Which of the following surgical connections is involved in shunting portal blood around the liver?
- A.
Superior mesenteric vein to the inferior mesenteric vein
- B.
Portal vein to the superior vena cava
- C.
Portal vein to the left renal vein
- D.
Splenic vein to the left renal vein
- E.
Superior rectal vein to the left colic vein
- 10.Patient diagnosed with a ruptured appendix and peritonitis is rushed into surgery. Upon incision at McBurney's point, the surgeon needs to lavage and evacuate the abscess. In a supine position, where would the surgeon most likely find the abscess?
- A.
Pelvic recess
- B.
Right paracolic gutter
- C.
Omental bursa
- D.
Left subphrenic recess
- E.
Right costodiaphragmatic recess
- 11.The gastroenterologist diagnosed your patient with decreased peristalsis of the descending colon of a neurogenic nature. Which one of the following nerves is responsible for peristalsis of the descending colon?
- A.
Lesser Splanchnic Nerve
- B.
Vagus Nerve
- C.
Greater Splanchnic Nerve
- D.
Pelvic Splanchnic Nerve
- E.
Inferior Mesenteric Nerve
- 12.Neoplastic tumors sometimes metastasize via the blood stream and spread throughout the body. These cells usually get caught in the first capillary bed downstream, which works like a filter. Assuming this happened in the inferior mesenteric vein. Where would you expect to find metastases first?
- A.
Pancreas
- B.
Lungs
- C.
Liver
- D.
Brain
- E.
Gallbladder
- 13.53-year-old man presents to the emergency room with sudden onset of massive accumulation of fluid in the abdomen. He is diagnosed with portal hypertension secondary to cirrhosis of liver. He underwent surgery. Which of the following surgical connections is involved in shunting portal blood around the liver?
- A.
Superior mesenteric vein to the inferior mesenteric vein
- B.
Portal vein to the superior vena cava
- C.
Portal vein to the left renal vein
- D.
Splenic vein to the left renal vein
- E.
Superior rectal vein to the left colic vein
- 14.A 50-year-old man was admitted to the hospital following perforation of a gastric ulcer. He complained of severe pain, but also stated that he had discomfort over his right shoulder. Where is the lesion?
- A.
Right subhepatic space
- B.
Right subphrenic space
- C.
Right para-colic gutter
- D.
Morrison's pouch
- E.
Lesser sac
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