Block 7 Anatomy Wk 10 11 From Ta's W Xpl

17 Questions | By Chachelly | Last updated: Mar 21, 2022 | Total Attempts: 236

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1.

A 60 year old man has his hernia repaired. The operation was uneventful. A couple of weeks later he complained of loss of sensation over the anterior part of his scrotum. Which nerve was most likely cut during the operation?
- A.
  
  Illiohypogastric nerve
- B.
  
  Perineal nerve
- C.
  
  Ilioinguinal nerve
- D.
  
  Pudendal nerve
- E.
  
  Genitofemoral nerve
2.

You are doing rounds in the ER and a patient presents with priapism (painful erection lasting longer than 4 hours). He mentions it has been like this for the last 2 days so the urologist on call determines it is too late to give the standard injection of epinephrine. The blood must be removed as it has likely already clotted. Where would you want to insert the needle to aspirate the blood?
- A.
  
  Corpus Spongiosum
- B.
  
  Between Buck's fascia and Tunica Albuginea
- C.
  
  Superficial Dorsal Vein of Penis
- D.
  
  Corpus Cavernosum
- E.
  
  Deep Dorsal Vein of Penis
3.

A female patient comes in with her second pregnancy and you diagnose uterine prolapse. The patient must have not been doing her kegels. By not doing this recommended exercise which structure was not strong enough that might have prevented the prolapse?
- A.
  
  Cardinal Ligament
- B.
  
  Bulbospongiosus
- C.
  
  Pubococcygeus
- D.
  
  Ischiocavernosus
- E.
  
  Superficial Transverse Perineal Muscle
4.

Mr. Santiago is a 70 y/o man who presents to your office with complaints of dysuria and nocturia. You perform a digital rectal exam and palpate a rubbery, diffusely enlarged prostate with obliteration of the median sulcus. What is the most likely prostatic lobe involved in this case?
- A.
  
  Posterior lobe
- B.
  
  Median lobe
- C.
  
  Anterior lobe
- D.
  
  Lateral lobe
5.

Mrs. Chandler is 25 year old female considering becoming pregnant. She comes to your office for a consultation to check her conjugate and to determine the narrowest part of her pelvis. Which conjugate is the shortest of the three?
- A.
  
  Obstetric
- B.
  
  Diagonal
- C.
  
  True
- D.
  
  A and B
- E.
  
  A and C
- F.
  
  B and C
6.

During a hysterectomy, the surgeon accidentally severed a vessel that crossed superior the ureter superiorly and caused massive blood loss. Which vessel did the surgeon cut?
- A.
  
  Internal Pudendal artery
- B.
  
  Uterine artery
- C.
  
  Common iliac artery
- D.
  
  External iliac artery
7.

During a removal of an infected kidney, you ligated the left renal vein just proximal to its entry into the kidney hilum. Which structure(s) venous drainage were you attempting to preserve?
- A.
  
  Kidney
- B.
  
  Pancreas
- C.
  
  Adrenal gland
- D.
  
  Gonadal
- E.
  
  A & B
- F.
  
  A, B, & C
- G.
  
  C & D
8.

In a posterior surgical approach, what layers would you have to go through to access the kidney?
- A.
  
  Skin, Pararenal fat, Renal Fascia, Perirenal fat, Kidney Capsule
- B.
  
  Skin, Perirenal fat, Kidney Capsule, Pararenal fat, Renal Fasica
- C.
  
  Skin, Pararenal fat, Perirenal fat, Renal Fascia, Kidney Capsule
- D.
  
  Skin, Perirenal fat, Renal Fascia, Pararenal fat, Kidney Capsule
9.

A patient comes to the clinic with an infection of his anal canal below the pectinate line. Lymph drainage of the this area goes directly to:
- A.
  
  Para-aortic nodes
- B.
  
  Deep inguinal nodes
- C.
  
  Rectal nodes
- D.
  
  Superficial inguinal nodes
- E.
  
  Internal iliac nodes
10.

The patient above returns one week later with increased tenderness and discomfort and admits that he did not take his prescribed medications. The infection has now spread above the pectinate line. Blood supply of this area comes from:
- A.
  
  Pudendal artery
- B.
  
  Superior rectal artery
- C.
  
  Inferior rectal artery
- D.
  
  Vesicular artery
11.

This artery is often used for grafting purposes, if a patient's LAD artery in the heart is dysfunctional after an MI. The artery used has two terminal branches; the medial one anastomoses with another artery in the abdomen that comes from the femoral artery.
- A.
  
  What is Internal Mammary
- B.
  
  What is Musculophrenic
- C.
  
  What is Superior epigastric
- D.
  
  What is Inferior epigastric
- E.
  
  What is Superficial femoral
- F.
  
  What is Subcostal
12.

This is the male equivalent of the uterine artery in the (under, under, over, under) mnemonic that denotes the path of travel of the ureter as it goes into the bladder?
- A.
  
  Vas deferens
- B.
  
  Testicular artery
- C.
  
  Superior vesicle artery
- D.
  
  Inferior vesicle artery
- E.
  
  Middle rectal artery
- F.
  
  Pampiniform plexus
13.

David, a 25 year old healthy Caucasian male comes to your office because he has noticed that his right testicle appears to hang lower than his left testicle, particularly when it is cooler than usual in his apartment. He is worried that he might have testicular cancer and stated that the internet said that testicular cancer may make one testicle hang lower than the other testicle. After finding David's testicular examination to be unremarkable, you decide to test David's cremasteric reflex. You find that David's right testicle does not ascend after stroking the superior medial aspect of his right thigh; however, sensation over the right medial thigh was present. Which of the following is the most likely location of the nerve that is no longer able to provide efferent innervation to David's cremasteric muscle?
- A.
  
  Lateral to the Psoas major muscle.
- B.
  
  Deep to the Psoas major muscle (towards the posterior abdomen).
- C.
  
  Medial to the Psoas major muscle.
- D.
  
  Superficial and lying directly on top of the Psoas major muscle.
- E.
  
  Medial to the Fibularis Longus muscle
14.

Mrs. Amazing is delivering a post-term baby. Your team decides that the babe is too large to be passed through the vaginal canal without medical intervention. Mrs. Amazing agrees to having a median episiotomy procedure. The vaginal delivery was carried out, but a complication did occur. As you predicted, a year later Mrs. Amazing comes to your office complaining that ever since you performed the median episiotomy, she has not been able to "hold it in". Which of the following was torn during birth following the median episiotomy?
- A.
  
  Ischiocavernosus muscle.
- B.
  
  Tensor Tympani muscle.
- C.
  
  External Anal Sphincter muscle
- D.
  
  Internal Anal Sphincter muscle
15.

A 35 year-old female presents for follow-up of high blood pressure. On exam, her blood pressure is 170/106 and there is an epigastric bruit. Ultrasound shows asymmetrically sized kidneys. Her renal arteriorgram is below. What is the likely diagnosis?
- A.
  
  Malignant hypertension
- B.
  
  Primary hypertension
- C.
  
  Hypertension secondary to renal artery stenosis
- D.
  
  Hypertension secondary to pheochromocytoma
16.

A 60 year-old man is in chronic renal failure and in need of a renal transplant. His nephew’s HLA-DR allele matches his. Which kidney will likely be harvested from the nephew and why?
- A.
  
  Left because of a longer renal artery
- B.
  
  Left because of a longer renal vein
- C.
  
  Right because of a longer renal artery
- D.
  
  Right because of a longer renal vein
17.

Paula gets a cyst in her greater vestibular gland. It becomes inflamed and forms an abscess. What are the likely findings on pelvic exam?
- A.
  
  Swollen, red, and hot superomedial to the vaginal orifice
- B.
  
  Swollen, red and tender beneath the vaginal wall posterolaterally
- C.
  
  No vaginal changes seen
- D.
  
  Red, hot, and tender around the cervix
- E.
  
  Uterine prolapse