Quiz Over Symptoms Of Gallbladder

30 Questions | Total Attempts: 118

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Gallbladder Quizzes & Trivia

Questions and Answers
  • 1. 
    A 41-year-old woman is brought to the ER by her family because of acute onset of right upper quadrant pain, nausea, and vomiting. For this case, it important to remember that the bile duct:
    • A. 

      Drains bile into the second part of the duodenum

    • B. 

      Can be blocked by cancer in the body of the pancreas

    • C. 

      Joins the main pancreatic duct, which carries hormones

    • D. 

      Is formed by union of the right and left hepatic duct

    • E. 

      Lies posterior to the portal vein in the right free edge of the lesser omentum

  • 2. 
    A 43-year-old woman is admitted to a hospital because of deep abdominal pain in her epigastric region. On examination, it is observed 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 gastroepiploic artery

    • C. 

      Splenic artery

    • D. 

      Gastroduodcnal artery

    • E. 

      Dorsal pancreatic artery

  • 3. 
    A 58-y/o man is admitted to a hospital with severe abdominal pain, nausea, and vomiting resulting in dehydration. Emergency computed tomography (CT) scan reveals a tumor located between the celiac trunk and the superior mesenteric artery. Which of the following structures is likely compressed by this tumor?
    • A. 

      Fundus of the stomach

    • B. 

      Neck of the pancreas

    • C. 

      Transverse colon

    • D. 

      Hepatopancreatic ampulla

    • E. 

      Duodenojejunal junction

  • 4. 
    An oncologist is reviewing a computed tomography (CT) scan of a 74-year-old man with newly diagnosed hepatocellular carcinoma. He locates the affected quadrate lobe of the liver that:
    • A. 

      Lies between the inferior vena cava and ligamentum venosum

    • B. 

      Receives blood from the right hepatic artery

    • C. 

      Drains bile into the left hepatic duct

    • D. 

      Is a medial superior segment

    • E. 

      Is functionally a part of the right lobe

  • 5. 
    A 46-year-old bakery worker is admitted to a hospital in acute distress. She has experienced severe abdominal pain, nausea, and vomiting for 2 days. The pain, which is sharp and constant, began in the epigastric region and radiated bilaterally around the chest to just below the scapulas. Subsequently, the pain became localized in the right hypochondrium. The patient, who has a history of similar but milder attacks after hearty meals over the past 5 years, is moderately overweight and the mother of four. Palpation reveals marked tenderness in the right hypochondriac region and some rigidity of the abdominal musculature. An x-ray without contrast medium shows numerous calcified stones in the region of the gallbladder. The patient shows no sign of jaundice (icterus). Diffuse pain referred to the epigastric region and radiating circumferentially around the chest is the result of afferent fibers that travel via which of the following nerves?
    • A. 

      Greater splanchnic

    • B. 

      Intercostal

    • C. 

      Phrenic

    • D. 

      Vagus

    • E. 

      Pelvic splanchnics

  • 6. 
    A woman presents with gallstones and no jaundice. She is prepared for exploratory surgery. The lesser omentum is incised close to its free edge, and the biliary tree is identified and freed by blunt dissection. The liquid contents of the gallbladder are aspirated with a syringe, the fundus incised, and the stones are removed. The entire duct system is carefully probed for stones, one of which is found to be obstructing a duct. In view of her symptoms, where is the most probable location of the obstruction?
    • A. 

      The bile duct

    • B. 

      The common hepatic duct

    • C. 

      The cystic duct

    • D. 

      Within the duodenal papilla proximal to the juncture with the pancreatic duct

    • E. 

      Within the duodenal papilla distal to the juncture with the pancreatic duct

  • 7. 
    The lateral umbilical fold serves as the demarcation for whether an inguinal hernia is direct or indirect. The lateral umbilical fold on each side  of the inner surface of the anterior abdominal wall is created by which of the following underlying structures?
    • A. 

      Falx inguinalis

    • B. 

      Inferior epigastric artery

    • C. 

      Lateral border of the rectus sheath

    • D. 

      Obliterated umbilical artery

    • E. 

      Urachus

  • 8. 
    Mucosal necrosis of the rectum usually will not result from occlusion of the inferior mesenteric artery for which of the following reasons?
    • A. 

      Arterial supply to the rectum is from anastomotic connections from the superior mesenteric artery

    • B. 

      Arterial supply to the rectum is from the left colic artery with anastomoses to branches of the internal iliac artery

    • C. 

      The inferior mesenteric artery does not supply the rectum

    • D. 

      A principal branch of the external iliac artery is a major supplier to the rectum

    • E. 

      The middle rectal artery, a branch of the internal iliac artery, supplies the rectum

  • 9. 
    Volvulus is most likely to occur within segments of the GI tract that are intraperitoneal, not retroperitoneal. Which segments of the GI tract are susceptible to volvulus, and to where does the referred pain of volvulus tend to occur for that segment?
    • A. 

      Duodenum; epigastric region

    • B. 

      Jejunum; epigastric region

    • C. 

      Ascending colon; umbilical region

    • D. 

      Descending colon; umbilical region

    • E. 

      Sigmoid colon; suprapubic region

  • 10. 
    A 60-year-old woman arrived at the emergency room complaining of acute abdominal pain. She was diagnosed with ischemic bowel resulting from an obstruction of one or more branches of the inferior mesenteric artery. Which of the following is most likely NOT to be seriously affected by the ischemia?
    • A. 

      Cecum

    • B. 

      Descending colon

    • C. 

      Rectum

    • D. 

      Sigmoid colon

    • E. 

      Splenic flexure

  • 11. 
    The presence of which feature (also obvious on a radiograph with barium contrast) distinguishes small from large bowel?
    • A. 

      Circular folds of the mucosa

    • B. 

      Circular smooth muscle layer in the wall

    • C. 

      Mucosal glands

    • D. 

      Longitudinal smooth muscle layer in the wall

    • E. 

      Serosa

  • 12. 
    Which is not a boundary of the epiploic (omental) foramen?
    • A. 

      Aorta

    • B. 

      Caudate lobe of the liver

    • C. 

      First part of the duodenum

    • D. 

      Hepatoduodenal ligament

  • 13. 
    In order to approach the area posterior to the stomach, a surgeon decided to go through the lesser omentum. Before incising the mesentery she was careful to find and preserve a nerve lying in the upper portion of the hepatogastric ligament, i.e., the
    • A. 

      Celiac branch of the anterior vagal trunk

    • B. 

      Celiac branch of the posterior vagal trunk

    • C. 

      Greater splanchnic branch to the right suprarenal gland

    • D. 

      Hepatic branch of the anterior vagal trunk

    • E. 

      Hepatic branch of the posterior vagal trunk

  • 14. 
    During a cholecystectomy (removal of the gall bladder), the surgical resident accidentally jabbed a sharp instrument into the area immediately posterior to the epiploic foramen (its posterior boundary). He was horrified to see the surgical field immediately fill with blood, the source which he knew was the:
    • A. 

      Aorta

    • B. 

      Inferior vena cava

    • C. 

      Portal vein

    • D. 

      Right renal artery

    • E. 

      Superior mesenteric vein

  • 15. 
    You are observing a laparoscopic cholecystectomy. The surgeon states that he is next going to expose the cystic artery in order to staple across it. He asks you where he should look for it. You reply, "In the triangle of Calot." What stuctures form this triangle and are the keys to finding the artery?
    • A. 

      Common hepatic duct, liver and cystic duct

    • B. 

      Cystic duct, right hepatic artery and right hepatic duct

    • C. 

      Gall bladder, liver and common bile duct

    • D. 

      Left hepatic duct, liver and cystic duct

    • E. 

      Right branch of portal vein, liver and common bile duct

  • 16. 
    Regarding the diaphragm, which, is paired INCORRECTLY?
    • A. 

      Vertebrocostal trigone - lateral arcuate ligament

    • B. 

      Esophageal hiatus - right crus

    • C. 

      Medial arcuate ligament - psoas muscle

    • D. 

      Central tendon - aortic hiatus

    • E. 

      Vena caval foramen - right phrenic nerve

  • 17. 
    A 19-year-old male suffers a tear to the psoas major muscle during the course of a football game. A scar, which formed on the medial part of the belly of the muscle, involved an adjacent nerve, immediately medial to the muscle. The nerve is called the:
    • A. 

      Femoral

    • B. 

      Genitofemoral

    • C. 

      Iliohypogastric

    • D. 

      Ilioguinal

    • E. 

      Obturator

  • 18. 
    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

  • 19. 
    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

  • 20. 
    If one were to make an incision parallel to and 2 inches above the inguinal ligament, one would find the inferior epigastric vessels between which layers of the abdominal wall?
    • A. 

      Camper's and Scarpa's fascias

    • B. 

      External abdominal oblique and internal abdominal oblique muscles

    • C. 

      Internal abdominal oblique and transversus abdominis muscles

    • D. 

      Skin and deep fascia of the abdominal wall

    • E. 

      Tranversus abdominis muscle and peritoneum

  • 21. 
    A loop of bowel protrudes through the abdominal wall to form a direct inguinal hernia; viewed from the abdominal side, the hernial sac would be found in which region?
    • A. 

      Deep inguinal ring

    • B. 

      Lateral inguinal fossa

    • C. 

      Medial inguinal fossa

    • D. 

      Superficial inguinal ring

    • E. 

      Supravesical fossa

  • 22. 
    The boundaries of the inguinal triangle include all except:
    • A. 

      Arcuate line

    • B. 

      Inferior epigastric vessels

    • C. 

      Inguinal ligament

    • D. 

      Lateral border of rectus abdominus muscle

  • 23. 
    The part of the male reproductive tract which carries only semen within the prostate gland is the:
    • A. 

      Prostatic urethra

    • B. 

      Membranous urethra

    • C. 

      Seminal vesicle

    • D. 

      Ductus deferens

    • E. 

      Ejaculatory duct

  • 24. 
    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

  • 25. 
    The nerve supply to the muscles of the anterior abdominal wall:
    • A. 

      Pierces the peritoneum immediately prior to entering the deep surface of the muscle.

    • B. 

      Is derived from the sympathetic trunk

    • C. 

      Travels between the internal oblique and transverses abdominis muscles.

    • D. 

      Also innervates the diaphragm

    • E. 

      Is derived from sacral ventral rami

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