Renal Supraren Anat Abdom Art MCQ's
- 1.A patient with renal colic is in extreme pain until, due to the action of peristaltic contractions in the upper ureter, the renal stone passes. Parasympathetic (vagal) fibers that innervate the upper ureter pass through the
- A.
Renal plexus
- B.
Superior mesenteric plexus
- C.
Inferior mesenteric plexus
- D.
Superior hypogastric plexus
- E.
Inferior hypog-astric plexus
- 2.Afferent arterioles branch off directly from which of the following vessels in the kidney?
- A.
Renal artery
- B.
Stellate vein
- C.
Interlobular artery
- D.
Arcuate artery
- E.
Interlobar artery
- 3.The left kidney
- A.
Medial side is related to the duodenum.
- B.
Is an intraperitoneal organ
- C.
Is found normally at level of L3-L5.
- D.
Lies posterior to the tail of the pancreas
- E.
Lies antero-medial to the psoas major muscle.
- 4.Which of the following statements is INCORRECT? The renal arteries:
- A.
Originate directly from the abdominal aorta
- B.
Provide blood to the adrenal glands
- C.
Are main blood supply to kidneys
- D.
Usually form four to five segmental end arteries
- E.
Freely anastomose with one another
- 5.Which of the following DOES NOT ACCURATELY describe the renal veins?
- A.
The left renal vein passes anterior to the abdominal aorta
- B.
The right renal vein is longest
- C.
Each vein drains into the IVC
- D.
The renal veins lie anterior to the renal arteries
- E.
Left renal vein receives left supra-renal vein
- 6.Which of the following structures is located at the corticomedullary junction of the kidney?
- A.
Renal artery
- B.
Afferent arteriole
- C.
Interlobular artery
- D.
Arcuate artery
- E.
Interlobar artery
- 7.During resection of the right suprarenal gland, the surgeon accidentally lacerated a vessel after he thought he had ligated all the vessels to the gland. The bleeding is profuse and pulsatile. His resident checked the anatomy of the ligated vessels and found the middle suprarenal artery and the inferior renal artery neatly tied off. The renal artery is intact. Which vessel needs to be clamped to stop the bleeding without causing too much collateral ischemia?
- A.
Right renal vein
- B.
Aorta
- C.
Right renal artery
- D.
Right inferior phrenic artery
- E.
Superior mesenteric artery
- 8.All of the following statements about the right renal artery are correct EXCEPT it
- A.
Passes posterior to the inferior vena cava
- B.
Provides branches to the right adrenal gland
- C.
Provides branches to the right ureter
- D.
Arises from the aorta at vertebral level L2
- E.
Gives rise to the right gonadal artery
- 9.In order to avoid ischemia induced necrosis of the sigmoid colon in a colonectomy procedure, the surgeon had to understand the circulation around the critical point of Sudek. Which two arteries provide the weak anastomosis around this area?
- A.
Left Colic and Marginal artery (of Drummond)
- B.
Marginal artery of Drummond and Inferior mesenteric
- C.
Sigmoid and superior rectal arteries
- D.
Inferior rectal and internal pudendal
- E.
Internal pudendal and Superior mesenteric
- 10.A 27-year-old man is brought to the emergency department after a car accident. He is unresponsive because he has lost a large amount of blood. The source of the blood loss is soon determined to be the patient's damaged celiac artery. In addition to foregut structures, which of the following patient's organs may not be receiving adequate amounts of blood supply due to this injury?
- A.
Kidneys
- B.
Midgut
- C.
Spleen
- D.
Hindgut
- E.
Testicles
- 11.A large tumor mass impinges on the splenic artery and its branches. Branches of which of the following arteries would most likely be affected by the pressure on the splenic artery?
- A.
Left gastric
- B.
Short gastric
- C.
Left gastroepiploic
- D.
Right gastric
- E.
Right gastroepiploic
- 12.Portal hypertension is defined by a hepatic venous pressure gradient (HVPG) greater than 5 mmHg. It is usually caused by an increase in resistance in the portal-hepatic vascular bed due to obstruction to flow, which is related to cirrhosis in the vast majority of patients. Which of the following veins would contribute for by passing this obstruction?
- A.
Right gastric and esophageal veins
- B.
Left gastric and esophageal veins
- C.
Middle rectal and inferior rectal veins
- D.
Superior rectal and sigmoidal veins
- E.
Left gastromental and Splenic vein
- 13.A 53-year-old woman was admitted to the hospital because of shortness of breath. On the second hospital day, the patient had sudden onset of steady low-back pain without radiation accompanied by nausea and vomiting. Physical examination revealed mild tenderness in the left flank. You noticed blood in the urine drainage bags. A Contrast- enhanced CT scan was done and you observe a renal infract on the posterior aspect of the right kidney. A blockage of which of the following artery can cause the above findings?
- A.
Superior segmental, anterosuperior segmental, inferior segmental
- B.
Superior segmental, posterior segmental, inferior segmental
- C.
Superior segmental, anteroinferior segmental, inferior segmental
- D.
Anterosuperior segmental, posterior segmental, anteroinferior segmental
- E.
Anterosuperior segmental, anterior segmental, anteroinferior segmental
- 14.A 71-year-old male presented to a chiropractic clinic with subacute low back pain. While the pain appeared to be mechanical in nature, radiographic evaluation revealed an abdominal aortic aneurysm, which required the patient to have vascular surgery. Which of the following statements concerning the abdominal aorta is correct?
- A.
The aorta enters the abdomen in front of the T12 vertebra
- B.
The aorta lies on the right side of the inferior vena cava.
- C.
The superior suprarenal arteries are direct braches from the aorta.
- D.
From the aorta's posterior surface arise the inferior mesenteric arteries
- E.
The aorta bifurcates into the two common iliac arteries in front of L3 vertebra
- 15.
A plasticized kidney was stolen from the Seattle exhibit "Bodies...The Exhibition", only to be recovered recently. Police interviewed the 26-year-old suspect from Tacoma. The police were not able to confirm if it was the same kidney. They ask you to identify the kidney. You say that it is a…- A.
Right kidney lying on the posterior surface
- B.
Left kidney lying on the posterior surface
- C.
Right kidney lying on the anterior surface
- D.
Left kidney lying on the anterior surface
- E.
Right kidney lying on the medial surface
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