UMKC Exam 3 Questions Flashcards

1
Q

Which of the following bodily activities will not be affected by the loss of somatic innervation of the anterior abdominal wall muscles?

A

inhalation

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2
Q

Where would the anastomoses of the celiac artery and the superior mesenteric artery occur in the duodenum?

A

between the 2nd and 3rd segments

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3
Q

Behind the pancreas the splenic vein runs ___.

A

inferior to splenic artery

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4
Q

All of the following are due to sympathetic innervation, EXCEPT?

a. decreased urine production
b. relaxation of the detrusor muscle
c. increased peristalsis in ureters
d. constriction of internal sphincter

A

increased peristalsis in ureters

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5
Q

The superior mesenteric vein drains blood from all of the following, EXCEPT?

a. cecum
b. small intestine
c. transverse colon
d. spleen

A

spleen

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6
Q

In late pregnancy which nerve is compressed between the anterior superior iliac and the inguinal ligament?

A

lateral femoral cutaneous

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7
Q

If a male urethra is injured and ruptures, between what anterior abdominal body wall layers does blood and urine accumulate?

A

between Scarpa’s fascia and the external abdominal wall

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8
Q

The gallbladder lies where in relation to the sagittal fissures of the liver?

A

anterior part of right sagittal fissure

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9
Q

What kind of innervation and neuron is provided to the hindgut by the pelvic splanchnic nerves?

A

preganglionic parasympathetic

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10
Q

What nerves/axons would you cut through if you sliced the mesentery of small intestine several inches before the body w​all?

A

preganglionic parasympathetic and postganglionic sympathetic

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11
Q

Which of the following veins does NOT usually branch off of the inferior vena cava?

a. right suprarenal vein
b. right gonadal vein
c. left gonadal vein
d. left suprarenal vein
e. c and d

A

left gonadal vein and left suprarenal vein

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12
Q

Consider the lesser sac as if it was a 4-sided room with ceiling being the liver, which side is the omental foramen located?

A

right side

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13
Q

Which of the following will maintain the normal direction of blood flow in a severe case of portal hypertension?

A

inferior vena cava

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14
Q

Which segment of the duodenum retains its mesenteries?

A

1st

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15
Q

When going through the path of lesser splanchnic you will NOT encounter which of the
following?

A

gray rami communicans

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16
Q

Which of the following structures is suspended by the mesentery proper?

A

ileum

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17
Q

Where is the anastomoses between Inferior Mesenteric Artery and Superior Mesenteric Artery?

A

2/3 down transverse colon

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18
Q

Which muscle is pierced by the genitofemoral nerve?

A

psoas major

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19
Q

What gives cremaster motor innervation?

A

genitofemoral nerve

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20
Q

In the great splanchnic nerve you​ find?

A

sympathetic and visceral pain

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21
Q

Which of these is primarily retroperitoneal?

a. Uterus
b. Suprarenal gland
c. Urinary bladder

A

suprarenal gland

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22
Q

All of the following would cause visceral pain, EXCEPT?

a. ischemia
b. cramping
c. stretching (distention)
d. heat

A

heat

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23
Q

Indirect hernias pass through:

A

3 rings

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24
Q

Along which pathway would visceral pain from the rectum travel?

A

pelvic splanchnic nerves

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25
Q

Which of the following structures is primarily retroperitoneal?

a. Ureters
b. Bare area of the liver
c. Pancreas
d. Spleen

A

ureters

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26
Q

What is the only part of the pancreas that is NOT retroperitoneal?

A

tail

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27
Q

Which of the following does NOT contain any vessels?

a. gastrosplenic ligament
b. leinorenal ligament
c. gastrophrenic ligament
d. gastrocolic ligament
e. hepatoduodenal ligament

A

gastrophrenic ligament

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28
Q

Which of the following is not transmitted by the genitofemoral nerve?

A

parasympathetics

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29
Q

What ligament is around the uterine tube?

A

mesosalpinx

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30
Q

All of the following are within the spermatic cord EXCEPT:

a. internal spermatic fascia
b. ductus deferens
c. external spermatic fascia
d. parietal peritoneum

A

parietal peritoneum

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31
Q

All of the following result from sympathetic innervation, EXCEPT?

a. decrease in blood flow to digestive organs
b. decrease in secretion by digestive glands
c. retention of urine and feces
d. increase in blood flow to digestive organs

A

increase in blood flow to digestive organs

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32
Q

All of the following nerves emerge lateral to the psoas major, EXCEPT?

a. Iliohypogastric
b. obturator
c. femoral
d. ilio-inguinal

A

obturator

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33
Q

Which is not drained by the portal vein or its branches?

a. spleen
b. kidneys
c. sigmoid colon
d. small intestine

A

kidneys

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34
Q

Trace the path of urine from the renal pyramids to the outside world:

A

renal pyramids – papillae – minor calyces – major calyces – renal pelvis – ureter – bladder – urethra

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35
Q

The major duodenal papilla are located in:

A

the 2nd segment of the duodenum

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36
Q

The superior rectal artery is a branch of:

A

inferior mesenteric artery

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37
Q

All of the following have an insertion formed by the ending of their respective aponeurosis on the linea alba, EXCEPT?

a. internal oblique
b. rectus abdominis
c. external oblique
d. transversus abdominis

A

rectus abdominis

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38
Q

Which artery lies within the transverse mesocolon?

A

middle colic

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39
Q

Where is the Ductus Deferens located?

A

within the internal spermatic fascia and posterior to processes vaginalis

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40
Q

What best describes what kinds of nerve fibers surround the Superior Mesenteric Artery?

A

postganglionic sympathetics and preganglionic parasympathetics

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41
Q

The inferior mesenteric artery supplies all of the following with blood, EXCEPT?

a. ascending colon
b. descending colon
c. sigmoid colon
d. rectum

A

ascending colon (midgut)

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42
Q

The appendicular artery branches off of what?

A

ileocolic artery

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43
Q

Which of the following structures remains in the inguinal canal of women?

a. ovarian artery
b. genitor branch of genitofemoral nerve
c. ovarian vein
d. remnant of the gubernaculum
e. b and d
f. all of the above

A

genitor branch of genitofemoral nerve and remnant of gubernaculum

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44
Q

At what point do visceral pain axons split from sympathetic motor nerves?

A

junction of ventral and dorsal root

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45
Q

From which of the following spinal nerve segments does the genitofemoral nerve arise?

A

L1 and L2

46
Q

Which is the orientation of the vessels in the hepatoduodenal ligament?

A

Common Bile duct is anterior and right, the hepatic artery is anterior and left and the portal vein is posterior

47
Q

The Inferior Mesenteric vein drains into what?

A

splenic vein

48
Q

Which organ receives its preganglionic sympathetic innervation primarily via the lesser splanchnic nerve?

A

ascending colon (midgut)

49
Q

Which of the following correctly describes the relative position of the left renal vein?

a. anterior to the aorta and inferior to the superior mesenteric artery
b. superior to the aorta and inferior to the superior mesenteric artery
c. anterior to the aorta and superior to the superior mesenteric artery
d. superior to the aorta and superior to the superior mesenteric artery

A

anterior to the aorta and inferior to the superior mesenteric artery

50
Q

All of the following are due to parasympathetic innervation, EXCEPT?

a. increased peristalsis of rectum
b. relaxation of internal anal sphincters
c. relaxation of external anal sphincters
d. decreased peristalsis of rectum
e. c and d

A

relaxation of internal anal sphincters and decreased peristalsis of rectum

51
Q

Where do the hepatopancreatic secretions mix before entering the duodenum?

A

Ampulla of Vater

52
Q

Transversalis fascia lies between the:

A

peritoneum and transversus abdominus

53
Q

Which of the following is not developmentally part of the GI system?

a. gall bladder
b. pancreas
c. spleen
d. liver

A

spleen

54
Q

The superior mesenteric vein and which of the following usually join to form the portal vein?

A

splenic vein

55
Q

Which of these aortic branches passes by the c-shape lesser curvature of the duodenum?

A

superior mesenteric artery

56
Q

Which of the following in NOT true with regards to parasympathetic innervation of the midgut?

a. preganglionic cell bodies in brainstem
b. innervation by the vagus nerve
c. ganglia located in organ walls
d. ganglia located along abdominal aorta

A

ganglia located along abdominal aorta

57
Q

The internal iliac artery supplies all the following except?

A

ovary

58
Q

What is the round ligament in females a remnant of?

A

gubernaculum

59
Q

All of the following relationships are correct, EXCEPT?

a. transverse mesocolon and transverse colon
b. sigmoid mesocolon and sigmoid colon
c. mesentery and stomach
d. mesoappendix and appendix

A

mesentery and stomach

60
Q

In the esophageal varices, the azygous has anastomoses with which branch of the portal vein?

A

left gastric vein

61
Q

The cremaster muscle is an extension of:

A

internal abdominal obliques

62
Q

Which of the following does NOT have somatic motor innervation?

a. genitofemoral nerve
b. lateral femoral cutaneous nerve
c. femoral nerve
d. obturator nerve

A

lateral femoral cutaneous nerve

63
Q

The splenic artery is a direct branch of:

A

the celiac artery

64
Q

What is the most common position for the appendix?

A

retrocecal

65
Q

Which of the following nerves can cause contraction of the cremaster muscle when sensory signals are received by the ilioinguinal nerve (from the inner thigh)?

A

genitofemoral

66
Q

Preganglionic sympathetics reach the celiac gan​glion primarily via the:

A

greater splanchnic nerve

67
Q

In adults which of these contains function vessels?

a. Lig. Teres
b. Median umbilical vein
c. Medical umbilical vein
d. Lateral umbilical vein

A

lateral umbilical vein

68
Q

Which organs parietal peritoneum is sensitive to temperature and cutting?

A

pancreas

69
Q

Pain during parturition (birth) coming from the upper 1/3 of the vagina travels along which of the following routes?

a. lumbosacral plexus
b. least splanchnic nerve
c. vagus nerve
d. parasympathetic pelvic splanchnic nerves

A

parasympathetic pelvic splanchnic nerves

70
Q

Which is not an autonomic gangli​on?

A

dorsal root

71
Q

The attachment of the gubernaculum in the scrotum is homologous with what in females?

A

labia majora

72
Q

In terms of bile drainage and arterial blood supply, the caudate lobe is part of which functional side?

A

left side

73
Q

Which of the following provides sympathetic innervation to the hindgut?

a. greater splanchnic nerve
b. lesser splanchnic nerve
c. least splanchnic nerve
d. pelvic splanchnic nerves

A

least splanchnic nerve

74
Q

Which is not transmitted by the hepatoduodenal ligament?

a. main pancreatic duct
b. portal vein
c. hepatic artery
d. propercommon bile duct

A

main pancreatic duct

75
Q

The lower border of the aponeurosis of which of the following forms the inguinal ligament?

A

external oblique

76
Q

Which organ has a rich dual blood supply?

A

pancreas

77
Q

All of the following are a result of parasympathetic innervation, EXCEPT?

a. increase in blood flow to digestive organs
b. retention of urine and feces
c. increase in secretion by digestive glands
d. elimination of urine and feces

A

retention of urine and feces

78
Q

List the renal structures anterior to posterior.

A

renal vein
renal artery
renal plexus/ureter

79
Q

The pelvic splanchnic nerves provide what kind of innervation to the hindgut?

A

parasympathetic

80
Q

Which of the following vessels passes anterior to the fourth segment of the duodenum?

A

superior mesenteric artery

81
Q

The deep inguinal ring is located?

A

Lateral to inferior epigastric vessels

82
Q

From which spinal cord level does the femoral nerve arise?

A

L2-L4

83
Q

Portal hypertension can lead to the engorgement of the anastomoses between which two veins to create caput medusae?

A

paraumbilical veins and inferior and superficial epigastric veins

84
Q

At what vertebral level does the esophagus pierce the diaphragm?

A

T10

85
Q

Which of the following gets its parasympathetic innervation from the pelvic splanchnic nerves?

A

descending colon

86
Q

When the common hepatic artery branches off celiac artery and goes what direction?

A

right

87
Q

In the portal-caval system, blood flow reverses in which portal-caval end?

A

portal vein

88
Q

Which ligament do the short gastric arteries run through?

A

gastrosplenic

89
Q

Which layer does not contribute to the spermatic cord?

A

transversus abdominis

90
Q

What is the ligamentum teres a remnant of?

A

umbilical vein

91
Q

Which of the following is not a site of anastomosis in the case of severe portal hypertension?

A

splenic flexure of the colon

92
Q

Pelvic splanchnic nerves may contain all of the following ​exce​pt:

A

sympathetics

93
Q

All are part of the greater omentum except?

a. gastrophrenic
b. hepatodunodenal
c. leinorenal
d. gastrosplenic

A

hepatoduodenal

94
Q

The obturator nerve does what action?

A

adduct

95
Q

All of the following relationships are correct, EXCEPT?

a. falciform ligament : obliterated umbilical vein
b. median umbilical ligament : urachus
c. medial umbilical ligament : obliterated umbilical artery
d. lateral umbilical ligament : inferior epigastric artery

A

falciform ligament : obliterated umbilical vein

96
Q

Which of these organs is attached to the anterior body wall through the mesenteric ligament?

A

liver

97
Q

All of the following lie within the spermatic cord, EXCEPT?

a. internal spermatic fascia (from transversalis fascia)
b. transversus abdominis fascia (from transversus abdominis)
c. cremasteric fascia (from internal abdominal oblique)
d. external spermatic fascia (from external abdominal oblique)
e. sleeve of parietal peritoneum

A

transversus abdominis fascia (from transversus abdominis)

98
Q

Which of the following structures receives parasympathetic innervation from pelvic splanchnic nerve​s?

A

sigmoid colon

99
Q

Inferior to the arcuate line, all of the following lie anterior to the rectus abdominis, EXCEPT?

a. aponeurosis of external oblique
b. aponeurosis of internal oblique
c. aponeurosis of transversus abdominis
d. transversalis fascia

A

transversalis fascia

100
Q

In who is indirect inguinal hernia most commonly found?

A

infant male

101
Q

Which of the following lists the correct sequence of visceral pain from the jejunum to the CN​S?

A

superior mesenteric plexus, lesser splanchnic nerve, white ramus, spinal nerve, dorsal root

102
Q

Which of these do not drain into the internal inguinal lymph nodes?

a. Seminal vesicle
b. Testes
c. Bladder
d. Prostate

A

testes

103
Q

What will receive primary blood supply from the inferior mesenteric artery?

A

descending colon

104
Q

Which part of the duodenum has the major and minor duodenal papilla?

A

2nd

105
Q

The celiac trunk supplies all of the following with blood, EXCEPT?

a. liver
b. pancreas
c. appendix
d. gallbladder

A

appendix (midgut)

106
Q

The coronary ligament separates:

A

the bare area of the liver and peritoneal cavity

107
Q

The superior mesenteric artery supplies all of the following with blood, EXCEPT?

a. spleen
b. jejunum
c. ileum
d. cecum

A

spleen (foregut)

108
Q

Iliohypogastric is the ventral rami of what segment?

A

L1

109
Q

All of the following are retroperitoneal, EXCEPT?

a. spleen
b. body of pancreas
c. descending colon
d. stomach

A

stomach

110
Q

An increase in parasympathetic stimulation​ of the bla​dder causes?

A

detrusor muscle to contract and internal urinary sphincter to relax to eliminate urine

111
Q

Which of the following types of innervation causes the muscles of the anterior abdominal wall to ​contract?

A

somatic motor