Block 7 Anat Ta's Ingu Rgn Teste Kidny & Pst Wall

29 Questions | By Chachelly | Last updated: Mar 15, 2022 | Total Attempts: 98

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From your friendly anatomy TA's

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1.

A physician is performing a physical on a male patient. He feels for the posterior part of the scrotum and identifies a 'cord-like' structure. What has he palpated?
- A.
  
  A hydrocele
- B.
  
  A normal spermatic cord
- C.
  
  An infected spermatic cord
- D.
  
  The pampiniform plexus
- E.
  
  The vas deferens
2.

A fit 40-year-old man feels a severe pain in his abdominal lower right quadrant after a day of heavy lifting at the gym. He goes to see his doctor who diagnoses him with a hernia and recommends surgery. During surgery, the doctor finds a hernial sac in the inguinal region projecting through the abdominal wall just above the inguinal ligament and lateral to the inferior epigastric vessels. This type of hernia can be specifically diagnosed as a:
- A.
  
  Femoral hernia
- B.
  
  Congenital hernia
- C.
  
  Indirect femoral hernia
- D.
  
  Indirect inguinal hernia
- E.
  
  Direct inguinal hernia
3.

A 17-year-old male gymnast complains of falling on his bar, in a straddle position at practice one afternoon. He no longer has sensation to the anterior part of his scrotum. What nerve was injured which runs through the inguinal canal?
- A.
  
  Ilioingunial
- B.
  
  Iliohypogastric
- C.
  
  Femoral branch of Genitofemoral
- D.
  
  Femoral
4.

A male patient presents with a mass felt on his scrotum. It has been enlarging over the past 3 months. What lymph nodes would most likely be inflamed first?
- A.
  
  Iliac
- B.
  
  Deep inguinal
- C.
  
  Aortic
- D.
  
  Pudendal
- E.
  
  Superficial Inguinal
5.

Match the abdominal layer with it’s corresponding layer in the scrotum:
- A.
  
  Internal Oblique Fascia: Cremasteric Fascia
- B.
  
  Transversalis Fascia: Cremasteric Fascia
- C.
  
  External Oblique muscle: Dartos muscle
- D.
  
  Transversalis Fascia:: Cremasteric muscle
6.

From which vertebral level does the testicular artery arise?
- A.
  
  T12
- B.
  
  L2
- C.
  
  L3
- D.
  
  L4
7.

A 46 year-old-male is admitted to your clinic with generalized abdominal pain. On physical examination, you note a positive psoas sign. A CT scan confirms your diagnosis and the patient is sent for surgery immediately. The surgery was uneventful except for an abnormal cremasteric reflex. The nerve that was MOST likely damaged is:
- A.
  
  Femoral n.
- B.
  
  Illioinguinal n.
- C.
  
  Genital Branch of Genitofemoral n.
- D.
  
  Iliiohypogastric n.
- E.
  
  Femoral Branch of Genitofemoral n.
8.

A young man while doing a monthly testicular self-exam feels an unusual lump. He goes to his doctor since he is concerned. If the lump turns out to be a metastatic cancer, to which lymph nodes will it likely first metastasize?
- A.
  
  Superficial Inguinal nodes
- B.
  
  Deep Inguinal nodes
- C.
  
  Lumbar nodes
- D.
  
  External Iliac nodes
- E.
  
  Sacral nodes
9.

A 42-year-old male presents to his physician with a mass protruding from his low abdominal/groin region. On further examination, when the mass was compressed back into the abdominal cavity, a pulsation was noted on the lateral aspect of the Physicians finger. Which of the following characteristics of the hernia is most consistent with the following description?
- A.
  
  The hernia protruded through the deep and superficial inguinal rings
- B.
  
  The hernia was found next to other structures of the femoral ring
- C.
  
  The hernia protruded from the abdominal cavity in an area bounded by the inferior epigastric artery, the rectus abdominis and the inguinal ligament
- D.
  
  The herniation was caused by wearing excessively tight hip-hugger jeans
10.

A 17-year-old, male presents to your clinic with a disturbing mass in the inguinal region. Past medical history reveals that the patient is following an excessive weight lifting regimen to try out for his varsity football team next fall. Physical examination shows a scrotal mass, 3 cm in width, 2 cm in thickness, and 5 cm in length. In order to diagnose this condition, you insert your index finger into the superficial inguinal ring and ask the patient to cough to the side. Upon coughing, the protruding mass is palpated at the tip of your finger. At this point in time, you highly suspect:
- A.
  
  Femoral Hernia
- B.
  
  Direct Femoral Hernia
- C.
  
  Indirect Inguinal Hernia
- D.
  
  Indirect Femoral Hernia
- E.
  
  Direct Inguinal Hernia
11.

A young man in his 20's presents with a mass on the right superior posterior part of his scrotum. He complains of loss of sensation in the posterior area of his scrotum where the mass is located. The nerve responsible for the sensation of the posterior scrotum is a direct branch from what nerve?
- A.
  
  Femoral n.
- B.
  
  Genitofemoral n.
- C.
  
  Pudendal n.
- D.
  
  Rectal n.
12.

A 52-year-old man presents to your clinic with groin pain. The physical exam reveals a bulge in the groin inferior to the inguinal canal. You suspect a femoral hernia containing a loop of small intestine. Which of the following structures is located immediately medial to the hernia sac?
- A.
  
  Femoral artery
- B.
  
  Femoral nerve
- C.
  
  Femoral vein
- D.
  
  Inferior epigastric artery
- E.
  
  Lacunar ligament
13.

A 26-year-old man presents to your office with an enlarged scrotum. You make the diagnosis of a hematocele and proceed with drainage of the testis to remove the excess fluid. Which of the following layers is the fibrous capsule of the testis that you'll want to avoid piercing while performing the drainage procedure?
- A.
  
  Dartos layer
- B.
  
  Parietal layer of the tunica vaginalis
- C.
  
  Cremasteric fascia
- D.
  
  External spermatic fascia
- E.
  
  Tunica albuginea
14.

A 74-year-old male is found to have enlarged superficial inguinal lymph nodes on general physical. What is one possibility as to the origin of this enlargement?
- A.
  
  Cancer of the testis
- B.
  
  Infection in the abdominal wall above the umbilicus
- C.
  
  Infection of the lateral foot
- D.
  
  Infection in the scrotal skin
15.

Which hernia passes deep to the internal spermatic fascia?
- A.
  
  Indirect inguinal hernia
- B.
  
  Direct inguinal hernia
- C.
  
  Femoral hernia
- D.
  
  Obturator hernia
16.

Your patient comes into the clinic with lost of sensation to the anterior part of his scrotum, what nerve root(s) was injured?
- A.
  
  L1, L2
- B.
  
  L2, L3
- C.
  
  L1
- D.
  
  L2, L3, L4
17.

A 45-year-old male presents to the clinic with a bulging in his right groin. You place your finger on the superficial inguinal ring and when asking the patient to cough, you feel protrusion against your fingertip. Which is true of this hernia?
- A.
  
  It is medial to the rectus abdominus
- B.
  
  It is medial to the epigastric vessels
- C.
  
  It is lateral to the epigastric vessels
- D.
  
  It is "direct"
18.

Which of the following displays correctly the artery from which their respective suprarenal artery arises?
- A.
  
  Renal artery--> superior suprarenal artery, aorta---> middle suprarenal artery, inferior phrenic artery --> inferior suprarenal artery,
- B.
  
  Aorta-->superior suprarenal artery, renal artery--> middle suprarenal artery, inferior phrenic--> inferior suprarenal artery
- C.
  
  Aorta--> superior suprarenal artery, inferior phrenic artery--> middle suprarenal artery, renal artery --> inferior suprarenal artery
- D.
  
  Inferior phrenic artery--> superior suprarenal artery, renal artery--> middle suprarenal artery, aorta--> inferior suprarenal artery
- E.
  
  Inferior phrenic artery--> superior suprarenal artery, aorta--> middle suprarenal artery, renal artery--> inferior suprarenal artery
19.

A stenosis of the left renal artery could potentially cause what?
- A.
  
  Varicocele
- B.
  
  High blood pressure
- C.
  
  Renal calculi
- D.
  
  Abdominal aortic aneurysm
20.

Which is true of a renal lobe?
- A.
  
  It contains only medulla
- B.
  
  It can be located between two interlobular arteries
- C.
  
  It contains both medulla and cortex
- D.
  
  It can be located between two arcuate arteries
21.

A patient complains his physician that he can no longer feel the outer portion of her thigh. He states that he does tend to wear tight pants. What nerve is most likely damaged and what are the nerve roots of this nerve?
- A.
  
  Lateral Cutaneous nerve of thigh; L2-L3
- B.
  
  Genitofemoral nerve; L1-L2
- C.
  
  Lateral Cutaneous nerve of thigh; L1-L2
- D.
  
  Obturator Nerve; L2-L4
- E.
  
  Genitofemoral nerve; L2-3
22.

What is true about the Greater Splanchnic Nerve?
- A.
  
  Provides sympathetic innervation to the adrenal cortex
- B.
  
  Receives contributions from spinal levels T4-T9
- C.
  
  Fibers synapse in the celiac ganglia and contribute to the celiac plexus
- D.
  
  Modulates the enteric nervous system of the midgut
23.

This structure provides an alternate path for blood from the right atrium by allowing flow between the venae cavae when one vena cava is blocked. At what level does it pass through the diaphragm?
- A.
  
  T5
- B.
  
  T8
- C.
  
  T10
- D.
  
  T12
24.

When assessing the renal vasculature in the body which statement is correct?
- A.
  
  Renal artery is anterior to the renal vein
- B.
  
  Renal artery is posterior to the renal vein and anterior to the renal pelvis
- C.
  
  The left renal artery travels further than the right renal artery
- D.
  
  The renal pelvis is anterior to the renal vein
25.

Mr. Charles was having renal surgery. When his surgeon clamped the renal artery, which suprarenal artery was affected?
- A.
  
  Superior Suprarenal Artery
- B.
  
  Middle Suprarenal Artery
- C.
  
  Superior Mesenteric Artery
- D.
  
  Inferior Suprarenal Artery