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Abdomen MCQ’s Block 1 1. The abdominal organs protected by the thoracic cage are: A. Liver B. Spleen C. Part of the kidneys D. Stomach E. Part of the pancreas 2. The greater pelvis supports and partly protects the following abdominal viscera: A. Part of the kidneys B. Cecum C. Part of the ileum D. Appendix E. Sigmoid colon 3. When the patient is recumbent (supine or prone), the transpyloric plane commonly transects: A. The pylorus B. Hilum of the spleen C. Duodenojejunal junction D. Neck of pancreas E. Fundus of gallbladder 4. When the patient is recumbent (supine or prone), the transpyloric plane commonly transects: A. The cardial orifice B. The hila of the kidneys C. The root of the transverse mesocolon D. Origin of the portal vein E. Origin of the superior mesenteric artery 5. The transumbilical plane is passing through the following structures: A. Intervertebral disc between the L3 and L4 vertebrae B. Umbilicus C. Inferior border of the 10th costal cartilage on each side D. The L1 vertebra E. Iliac tubercles 6. The parietal peritoneum is sensitive to the following: A. Laceration B. Chemical irritation C. Cold D. Heat E. Pressure

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Page 1: Block 1 - WordPress.com · C. Omental bursa D. Right border of abdominal esophagus E. Left border of abdominal esophagus 20. The esophagogastric junction lies: A. At the level of

Abdomen MCQ’s

Block 1

1. The abdominal organs protected by the

thoracic cage are:

A. Liver

B. Spleen

C. Part of the kidneys

D. Stomach

E. Part of the pancreas

2. The greater pelvis supports and partly

protects the following abdominal viscera:

A. Part of the kidneys

B. Cecum

C. Part of the ileum

D. Appendix

E. Sigmoid colon

3. When the patient is recumbent (supine or prone), the transpyloric plane

commonly transects:

A. The pylorus

B. Hilum of the spleen

C. Duodenojejunal junction

D. Neck of pancreas

E. Fundus of gallbladder

4. When the patient is recumbent (supine or prone), the transpyloric plane

commonly transects:

A. The cardial orifice

B. The hila of the kidneys

C. The root of the transverse mesocolon

D. Origin of the portal vein

E. Origin of the superior mesenteric artery

5. The transumbilical plane is passing

through the following structures:

A. Intervertebral disc between the L3 and L4

vertebrae

B. Umbilicus

C. Inferior border of the 10th costal cartilage

on each side

D. The L1 vertebra

E. Iliac tubercles

6. The parietal peritoneum is sensitive to

the following:

A. Laceration

B. Chemical irritation

C. Cold

D. Heat

E. Pressure

Page 2: Block 1 - WordPress.com · C. Omental bursa D. Right border of abdominal esophagus E. Left border of abdominal esophagus 20. The esophagogastric junction lies: A. At the level of

7. The visceral peritoneum is sensitive to

the following:

A. Touch

B. Cold

C. Stretching

D. Chemical irritation

E. Heat

8. The lesser omentum connects the

following structures:

A. The lesser curvature of the stomach

B. The proximal part of the duodenum

C. The spleen

D. The liver

E. The pancreas

9. The liver is connected to the:

A. Inferior surface of the diaphragm by the hepatophrenic ligament

B. Duodenum by the hepatoduodenal ligament

C. Spleen by the hepatosplenic ligament

D. Stomach by the hepatogastric ligament

E. Anterior abdominal wall by the

falciform ligament

10. The stomach is connected to the:

A. Duodenum by the gastroduodenal ligament

B. Spleen by the gastrosplenic ligament

C. Inferior surface of the diaphragm by the gastrophrenic ligament

D. Transverse colon by the gastrocolic ligament

E. Anterior abdominal wall by the falciform ligament

11. The transverse mesocolon divides the abdominal cavity into:

A. Supracolic compartment

B. Left infracolic space

C. Infracolic compartment

D. Right infracolic space

E. Paracolic gutters

12. The right paracolic gutter is a groove

between the following structures:

A. Lateral aspect of the descending colon

B. The posterolateral abdominal wall

C. The inferior aspect of the transverse

colon

D. Lateral aspect of the ascending colon

E. The anterior abdominal wall

Page 3: Block 1 - WordPress.com · C. Omental bursa D. Right border of abdominal esophagus E. Left border of abdominal esophagus 20. The esophagogastric junction lies: A. At the level of

13. The supracolic compartment contains

the following organs:

A. Jejunum

B. Liver

C. Spleen

D. Stomach

E. Kidneys

14. The infracolic compartment contains

the following organs:

A. Liver

B. Descending colon

C. Kidneys

D. Small intestine

E. Ascending colon

15. The boundaries of the omental foramen

are:

A. Anteriorly: the hepatoduodenal ligament

B. Anteriorly: the free edge of the lesser

omentum

C. Inferiorly: the ascending part of

duodenum

D. Superiorly: the liver

E. Posteriorly: the inferior vena cava and the

right crus of diaphragm

16. The esophagus is a muscular tube that

conveys food from ________ to the

________.

A. Larynx

B. Duodenum

C. Pharynx

D. Diaphragm

E. Stomach

17. The constrictions of the esophagus

include:

A. Cervical constriction

B. Diaphragmatic constriction

C. Cardial constriction

D. Thoracic constriction

E. Pyloric constriction

18. The independent movement of the

diaphragm and esophagus during respiration

and swallowing is permitted by the

following structure:

A. The broad ligament of the uterus

B. The phrenico-esophageal ligament

C. The round ligament of the liver

D. The lesser omentum

E. The greater omentum

Page 4: Block 1 - WordPress.com · C. Omental bursa D. Right border of abdominal esophagus E. Left border of abdominal esophagus 20. The esophagogastric junction lies: A. At the level of

19. The cardial notch is situated between

the following structures:

A. Fundus of stomach

B. Lesser curvature of stomach

C. Omental bursa

D. Right border of abdominal esophagus

E. Left border of abdominal esophagus

20. The esophagogastric junction lies:

A. At the level of the Z-line

B. To the right of the T10 vertebra

C. To the left of the T11 vertebra

D. On the horizontal plane that passes

through the tip of the xyphoid process

E. Approximately 15 cm from the incisor

teeth

21. The submucosal veins of the abdominal

part of the esophagus drain into:

A. Superior mesenteric vein

B. Esophageal veins

C. Inferior phrenic veins

D. Left gastric vein

E. Inferior vena cava

22. The stomach has the following parts:

A. Pyloric part

B. Fundus

C. Body

D. Cardia

E. Ascending part

23. The pyloric part of the stomach

includes:

A. Pyloric canal

B. Angular incisure

C. Cardial notch

D. Pylorus

E. Pyloric antrum

24. The bed of the stomach is formed by:

A. Spleen

B. Diaphragm

C. Left suprarenal gland

D. Left kidney

E. Transverse colon

Page 5: Block 1 - WordPress.com · C. Omental bursa D. Right border of abdominal esophagus E. Left border of abdominal esophagus 20. The esophagogastric junction lies: A. At the level of

25. Most blood is supplied to the stomach

along the greater curvature by the following

arteries:

A. Right and left gastro-epiploic arteries

B. Right and left gastric arteries

C. Right and left gastro-omental arteries

D. Short gastric arteries

E. Superior and inferor mesenteric arteries

26. The lymph from the stomach drains

into the following lymph node groups:

A. Posterior mediastinal

B. Gastric

C. Pyloric

D. Lumbar

E. Pancreaticoduodenal

27. The distribution of the celiac trunk

includes:

A. Stomach

B. Liver/biliary apparatus

C. Proximal duodenum

D. Esophagus

E. Jejunum

28. The distribution of the splenic artery

includes:

A. Body of pancreas

B. Greater curvature of stomach

C. Spleen

D. Esophagus

E. Posterior stomach

29. The distribution of the left gastric

artery includes:

A. Greater curvature of stomach

B. Gall bladder

C. Spleen

D. Distal esophagus

E. Lesser curvature of stomach

30. The distribution of the hepatic artery

includes:

A. Gallbladder

B. Liver

C. Pancreas

D. Stomach

E. Spleen

Page 6: Block 1 - WordPress.com · C. Omental bursa D. Right border of abdominal esophagus E. Left border of abdominal esophagus 20. The esophagogastric junction lies: A. At the level of

31. The duodenojejunal flexure (junction)

occurs at the level of:

A. L2 vertebra

B. S2 vertebra

C. Xiphoid process

D. Transtubercular plane

E. T11 vertebra

32. The duodenal ampulla can be

described:

A. Has a mesentery

B. The first 2 cm of the superior part of

duodenum

C. Is mobile

D. Is bare of peritoneum posteriorly

E. Curves around the head of pancreas

33. The proximal segment of the superior

part of the duodenum has attached the

following peritoneal formations:

A. Transverse mesocolon

B. Greater omentum

C. Hepatoduodenal ligament

D. Duodenosplenic ligament

E. Mesogastrium

34. The descending part of duodenum has

the following features:

A. Is entirely retroperitoneal

B. Initially, it lies to the right and parallel to

the inferior vena cava

C. Curves around the head of pancreas

D. The bile and main pancreatic ducts enter

its postero-medial wall

E. Passes over the inferior vena cava, aorta,

and L3 vetebra

35. The inferior part of duodenum has the

following features:

A. Posteriorly it is separated from the

vertebral column by the left psoas major

muscle

B. It is crossed by the superior mesenteric

artery and vein

C. It is crossed by the root of mesentery of

the jejunum and ileum

D. Passes over the inferior vena cava, aorta

and L3 vertebra

E. Posteriorly it is separated from the

vertebral column by the right testicular or

ovarian vessels

Page 7: Block 1 - WordPress.com · C. Omental bursa D. Right border of abdominal esophagus E. Left border of abdominal esophagus 20. The esophagogastric junction lies: A. At the level of

36. The ascending part of duodenum has

the following features:

A. It is crossed by the superior mesenteric

vessels

B. It curves anteriorly at the inferior border

of the body of pancreas

C. The bile and main pancreatic ducts enter

its postero-medial wall

D. Posteriorly it is separated from the

vertebral column by the inferior vena cava

E. Runs superiorly and along the left side of

the aorta

37. The gastroduodenal artery has the

following branches:

A. Splenic

B. Inferior pancreaticoduodenal

C. Superior pancreaticoduodenal

D. Right gastro-omental

E. Right gastroepiploic

38. The veins of the duodenum drain into

the following veins:

A. Hepatic veins

B. Hepatic portal vein

C. Splenic vein

D. Inferior mesenteric vein

E. Superior mesenteric vein

39. The lymphatic vessels of the duodenum

drain into the following lymph node groups:

A. Ileocolic

B. Pancreaticoduodenal

C. Pyloric

D. Inferior mesenteric

E. Superior mesenteric

40. The posterior relationships of the

superior part of duodenum include:

A. Hepatic portal vein

B. Bile duct

C. Gastroduodenal artery

D. Inferior vena cava

E. Hepatic veins

41. The anterior relationships of the

superior part of duodenum include:

A. Peritoneum

B. Quadrate lobe of liver

C. Bile duct

D. Gall bladder

E. Transverse colon

Page 8: Block 1 - WordPress.com · C. Omental bursa D. Right border of abdominal esophagus E. Left border of abdominal esophagus 20. The esophagogastric junction lies: A. At the level of

42. The posterior relationships of the

descending part of duodenum include:

A. Bile duct

B. Renal vessels

C. Right ureter

D. Left psoas major muscle

E. Hilum of right kidney

43. The anterior relationships of the

descending part of duodenum include:

A. Transverse mesocolon

B. Bile duct

C. Small intestine coils

D. Right ureter

E. Transverse colon

44. The anterior relationships of the

inferior part of duodenum include:

A. Coils of small intestine

B. Head of pancreas

C. Superior mesenteric vein

D. Gallbladder

E. Superior mesenteric artery

45. The posterior relationships of the

inferior part of duodenum include:

A. Renal vessels

B. Inferiorvena cava

C. Aorta

D. Right ureter

E. Right psoas major muscle

46. The anterior relationships of the

ascending part of duodenum include:

A. Bile duct

B. Body of pancreas

C. Coils of jejunum

D. Beginning of root of mesentery

E. Head of pancreas

47. The posterior relationships of the

ascending part of duodenum include:

A. Head of pancreas

B. Left psoas major muscle

C. Left margin of aorta

D. Right ureter

E. Right margin of inferior vena cava

Page 9: Block 1 - WordPress.com · C. Omental bursa D. Right border of abdominal esophagus E. Left border of abdominal esophagus 20. The esophagogastric junction lies: A. At the level of

48. The root of mesentery crosses the

following structures:

A. Ascending part of duodenum

B. Left ureter

C. Abdominal aorta

D. Inferior part of duodenum

E. Inferior vena cava

49. The root of mesentery extends between

the following structures:

A. Ileocolic junction

B. Pylorus

C. Right sacro-iliac joint

D. Duodenojejunal junction

E. Left side of L2 vertebra

50. Lacteals are:

A. Located in the intestinal villi

B. Tiny projections of the mucous

membrane of the colon

C. Specialized lymphatic vessels

D. Absorbing fat

E. Draining into lymphatic vessels between

the layers of the mesocolon

51. Within the mesentery, the lymph passes

sequentially through the following groups of

lymph nodes:

A. Juxta-intestinal

B. Mesenteric

C. Superior central

D. Celiac

E. Gastric

52. The distinguishing characteristics of

jejunum and ileum in living body include:

A. Wall thickness

B. Lymphoid nodules (Peyer patches)

C. Embryological origin

D. Vascularity

E. Color

53. The large intestine includes:

A. Appendix

B. Rectum

C. Anal canal

D. Transverse colon

E. Ileum

Page 10: Block 1 - WordPress.com · C. Omental bursa D. Right border of abdominal esophagus E. Left border of abdominal esophagus 20. The esophagogastric junction lies: A. At the level of

54. The large intestine can be distinguished

from the small intestine by:

A. Lymphoid nodules (Peyer patches)

B. Teniae coli

C. Haustra

D. Color

E. Omental apendices

55. The marginal artery (juxtacolic artery)

is the result of the anastomoses between the

following arteries:

A. Right colic

B. Celiac trunk

C. Left colic

D. Sigmoid

E. Ileocolic

56. The following arteries are direct

branches of the superior mesenteric artery:

A. Ileocolic

B. Middle colic

C. Left colic

D. Right colic

E. Jejunal

57. The following arteries are direct

branches of the inferior mesenteric artery:

A. Appendicular

B. Superir rectal

C. Sigmoid

D. Right gastric

E. Left colic

58. The following segments of the large

intestine occupy a secondarily

retroperitoneal position:

A. Appendix

B. Sigmoid colon

C. Descending colon

D. Cecum

E. Ascending colon

59. The sigmoid colon extends from

_________ to ________, where it joins the

rectum.

A. Iliac fossa

B. Subcostal plane

C. Transpyloric plane

D. T11 vertebra

E. S3 vertebra

Page 11: Block 1 - WordPress.com · C. Omental bursa D. Right border of abdominal esophagus E. Left border of abdominal esophagus 20. The esophagogastric junction lies: A. At the level of

60. The root of the sigmoid mesocolon

comes in relation with the following

structures:

A. Anterior aspect of sacrum

B. Abdominal aorta

C. Bifurcation of the left common iliac

vessels

D. Left ureter

E. Left external iliac vessels

61. The rectum is continuous with the

sigmoid colon at the level of:

A. S3 vertebra

B. T12 vertebra

C. L3 vertebra

D. T11 vertebra

E. L1 vertebra

62. The relations of the spleen include:

A. Inferiorly, the left colic flexure

B. Anteriorly, the stomach

C. Posteriorly, the diaphragm

D. Medially, the left kidney

E. Superiorly, the stomach

63. The peritoneal formations attached to

the splenic hilum are:

A. Lesser omentum

B. Mesentery

C. Splenorenal ligament

D. Gastrosplenic ligament

E. Greater omentum

64. The course of the splenic artery

includes:

A. Posterior to the bare area of the liver

B. Posterior to the omental bursa

C. Along the lesser curvature of the stomach

D. Anterior to the left kidney

E. Along the superior border of pancreas

65. The pancreatic head rests posteriorly on

the following structures:

A. Right renal artery

B. Left renal vein

C. Right renal vein

D. Abdominal aorta

E. Inferior vena cava

Page 12: Block 1 - WordPress.com · C. Omental bursa D. Right border of abdominal esophagus E. Left border of abdominal esophagus 20. The esophagogastric junction lies: A. At the level of

66. The posterior surface of the neck of

pancreas comes in relation with:

A. Superior mesenteric vein

B. Peritoneum

C. Pylorus

D. Junction of the inferior mesenteric vein

and splenic vein

E. Superior mesenteric artery

67. The body of the pancreas lies anterior

to the following structures:

A. Inferior vena cava

B. Left kidney

C. Superior mesenteric artery

D. Left renal vessels

E. Aorta

68. The following structures are located

between the layers of the splenorenal

ligament:

A. Splenic artery

B. Splenic vein

C. Lesser curvature of stomach

D. Tail of pancreas

E. Caudate lobe of liver

69. The smooth muscle sphincters that

control the flow of bile and pancreatic juice

into the hepatopancreatic ampulla and

prevent reflux of duodenal content into the

ampulla are:

A. Hepatopancreatic sphincter

B. Pyloric sphincter

C. Sphincter of the pancreatic duct

D. Oddi sphincter

E. Sphincter of the bile duct

70. The hepatorenal recess lies between the

following structures:

A. Right kidney

B. Right suprarenal gland

C. Left kidney

D. Visceral surface of the liver

E. Left suprarenal gland

71. The anterior (upper) layer of the

coronary ligament is continuous with the

following peritoneal formations:

A. Ligamentum venosum

B. Triangular ligaments

C. Round ligament

D. Falciform ligament

E. Lesser omentum

Page 13: Block 1 - WordPress.com · C. Omental bursa D. Right border of abdominal esophagus E. Left border of abdominal esophagus 20. The esophagogastric junction lies: A. At the level of

72. The posterior layer of the coronary

ligament is continuous with the following

peritoneal formations:

A. Round ligament

B. Triangular ligaments

C. Lesser omentum

D. Falciform ligament

E. Greater omentum

73. The areas of the visceral surface of the

liver not covered by peritoneum include:

A. Renal impression

B. Fossa for gallbladder

C. Gastric impression

D. Porta hepatis

E. Caudate lobe

74. The right sagittal fissure on the visceral

surface of the liver is formed by:

A. Fissure for the round ligament

B. Fissure for the ligamentum venosum

C. Fossa for the gallbladder

D. Groove for the inferior vena cava

E. Porta hepatis

75. The left sagittal fissure on the visceral

surface of the liver is formed by:

A. Fissure for the ligamentum venosum

B. Porta hepatis

C. Groove for the inferior vena cava

D. Fissure for the round ligament

E. Fossa for the gallbladder