[Review Test] Abdomen Flashcards

(32 cards)

1
Q
A
  • 1 C
    • Aortic hiatus: Azygos vein and thoracic duct
    • Esophageal hiatus: Vegus nerve
    • Vena caval hiatus: Right phrenic nerve
  • 2 D
  • 3 B
    • Deep inguinal ring: Transversalis fascia
    • Superfician inguinal ring: Apo. of Ext. Oblique
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2
Q

A 29 year old man comes to a local hospital with duodenal peptic ulcer and cmplains with duodenal peptic ulcer and complains of cramping epigastric pain. Which of the ff. structures harbors the cell bodies of abdominal pain fibers?

  • A. Lateral horn of the SC
  • B. Anterior horn of the spinal cord
  • C. Dorsal root ganglion
  • D. Sympathetic chain ganglion
  • E. Celiac Ganglion
A

C

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3
Q
A
  • 5 C
  • 6 D
  • 7 A
    • The suprarenal medulla is the only organ that reeives preganglionic sympathetic fibers
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4
Q
A
  • 8 D
  • 9 C
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5
Q
A
  • 10 E
    • The right and left heaptic veins drain into the IVC
  • 11 C
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6
Q
A
  • 12 C
  • 13 C
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7
Q
A
  • 14 D
  • 15 D
    • Splenic vein to the left renal vein
    • portal vein to IVC
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8
Q
A
  • 16 C
  • 17 E
    • Left gastroepiploic ligament: lienogastric
    • Splenic arttery: lieorenal
    • Right and left gastric arteries : lesser omentum
    • Gastroduodenal: between duodenum abd the head of the pancreas
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9
Q
A
  • 18 C
  • 19 C
    • Branches of the splenic artery
      • Short gastric
      • Dorsal pancreatic
      • Left gastoepiploic artery
      • Artery in the lienorenal ligament
    • Inferior pancreaticduodenal artery : branch of the SMA
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10
Q
A
  • 20 C
  • 21 D
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11
Q
A
  • 22 B
  • 23 A
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12
Q
A
  • 24 E
  • 25 B
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13
Q
A
  • 26 E
    • The left colic vein is tributary of the inferior mesenteric vein
    • The middle colic, inferior pancreaticoduodenal, and ileocolic veins drains into the SMA
    • The left gastroepiploic empties into the plenic vein
  • 27 D
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14
Q

A patient with cirrhosis is scheded for liver transplant surgery. During the operation rounds, the transplant physician explains to his residents that one of the reasons a surgen must pay close attention to the anatomic location of the liver is that this organ

  • A. Receives blood only from te hepatic arteries
  • B. Manufacture red blood cells in an adult
  • C. Drains bile from the quadrate lobe into the right hepatic duct
  • D. Drains venous blood into the hepatic veins
  • E. Functions to concentrate and store bile
A

D

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15
Q
A
  • 29 A
  • 30 E
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17
Q

Because of an Inflammatory Bowel disease (Crohn’s disease) and a small bowel obstruction leading to bowel ischemia, an elderly woman requires bypass of her ileum and jejunum and is scheduled for a grastrocolostomy. the surgeon will ligate all arteries thats end branches to the stomach. Which artery may be spared?

  • A. Splenic artery
  • B. Gastroduodenal artery
  • C. Inferior pancreaticoduodenal artery
  • D. Left gastoepiploic artery
  • E. Porper hepatic artery
18
Q
A
  • 33 A
    • the greater splanchinc nerve carries pain fibers from the upper GI tract
  • 34 D
19
Q
A
  • 35 E
  • 36 B
    • left gastric vein and esophageal vein of the azygos
    • superior rectal and middle or inferior rectal veins
    • paraumbilical and superficial epigastric veins
    • retrocolic veins and twigs of the renal vein
20
Q
21
Q
22
Q

An oncologist is reviewing a 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 IVC and ligamentum venousm
  • B. receives blood from the right hepatic artery
  • C. Drains bile into the left heaptic duct
  • D. Medial Superior segment
  • E. Functionally a part of the right lobe
A

C

  • Drains bile into the left hepatic duct
  • receives blood from the Left hepatic
  • lies between the gallbladder fossa and the ligamentum teres hepatis
  • medial inferior segment
  • part of the left lobe
23
Q
25
a 43 year old woman is admitted to a hospital because of deep abdominal pan n 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 ff arteries is likely injured? * A. Right gastric artery * B. Left gastroepiploic artery * C. splenic artery * D. Gastroduodenal artery * E. Dorsal Pancreatic artery
C
26
* 46 D * 47 B * 48 C
27
A 9 year old girl has crashed into her neighbor's brick fence while riding her bike and is brought to the emergency department with a great deal of abdominal pain. her radiogram and angiogram show laceration of the superior mesenteric artery immediately distal to the origin of the middle colic artery. If collateral circulation is discounted, which of the following organs may become ischemic? * A. Descending colon * B. Duodenum * C. Pancreas * D. Ascending colon * E. Transverse colon
D
28
50. D
29
A neonatal baby was born with diabetes mellitus due to an inadequate production of insuin, Cells in the endocrine porton of the pancreas that secrete insulin, glucagon and somatostatin are derived from which of the following? * A. Ectoderm * B. Mesoderm * C. Endoderm * D. Proctoderm * E. Neural Crest cells
C
30
* 52 D * 53 C
31
* 54. Hematopoetic early in life * 55. Runs along the superior border of the pancreas and enters the lienorenal ligament * 56. Which structure is divided into the proper heaptic and gastroduodenal arteries * 57. Provides attachment of the suspensory muscle of the duodenum (ligament of treitz) * 58. Which structure is retroperitoneal in position and receives blood from the splenic artery
* 54 E * spleen * 55 D * splenic artery * 56 A * common hepatic artery * 57 B * Duodejejunal flexure * 58. C * pancreas
32
* 59. Direct branch of the aorta and supplies blood to the ascending and tranverse colon * 60. Which structure receives blood from the liver and kidney and enters the thorax by piecing the central tendon of the diaphragm * 61. Receives bile, concentrates it by absorbing water and salt, and stores it? * 62. Which structure receives blood from the left gonad and suprarenal gland * 63. Structure runs behind the IVC
* 59 D * Superior mesenteric artery * 60 B * IVC * 61 A * Gallblader * 62 E * Left renal vein * 63 C * rightrenal vein