CANAAN MAMAIRA

RUSHPLUS
CLINICAL ANATOMY

Abdomen Mcq

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QUESTIONS

1 Concerning the abdomen

a) the 5th lumbar vertebrae form the lambosacral joint.
b) intervertebral discs are thinner than any other region in the vertebral
column.
c) involves the 12th rib that has a unique head with one facet.
d) os coxae has an iliopectineal line for demarcation of the false from the
true pelvis.
e) transversalis fascia is superficial to extraperitoneal fascia which is
superficial to parietal peritoneum.

2. Concerning the peritoneum

a) secretes peritoneal fluid which contains leukocytes.
b) has the lower six intercostal nerve and first lumbar innervation.
c) is not sensitive to temperature.
d) no organ is found in its cavity.
e) folds and serve as avenues conveying blood vessels, lymphatics and
nerves to the viscus.

3. The epiploic foramen

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a) has an anterior boundary of free border of lesser omentum.

b) has hepatic artery posteriorly.
c) has the first part of duodenum inferiorly.
d) is an opening into the lesser sac.
e) has caudate process of the left lobe of the liver.

4. The recesses and spaces of the abdomen

a) four duodenal recesses are located near the duodenojejunal junction.
b) inferior ileocecal and retrocecal recesses both cecal recesses.
c) right extraperitoneal space lies between layers of falciform ligaments
between the liver and the diaphragm.
d) the space between right lobe of the liver, the right kidney and the right
colic flexure is the right posterior subphrenic space.
e) the falciform ligament separates the right and left anterior subphrenic
space.

5. The abdominal aorta

a) begins at the aortic hiatus and terminates at L4 vertebrae.
b) has a branch to the liver called the common hepatic artery.
c) gives a celiac trunk at the lower part of the first lumbar vertebrae to
supply the foregut.

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d) branches to give a pair of gonadal arteries between L2 and L3

vertebrae.
e) gives the middle supra renal artery supplying the suprarenal gland in
association with inferior supra renal artery from renal artery and superior
supra renal artery from inferior phrenic artery.

6. The abdominal wall and muscles

a) the origin of the psoas major is medial to that of quadratus lumborum.
b) the quadratus lumborum is covered anteriorly with a lumbar fascia
folded below to give lateral arcuate ligament.
c) internal oblique gives the cremasteric fascia which separates the
external spermatic fascia and internal spermatic fascia.
d) Scarpa's fascia is the Colle's fascia in the perineal region.
e) the fibers of the internal oblique runs upwards and laterally.

7. The inguinal canal

a) has an anterior wall of an aponeurosis having a triangular shaped
superficial inguinal ring.
b) has the spermatic cord passing through with its internal, cremasteric
and external fascia.
c) has a floor of the lacuna ligament medially.
d) has the spermatic cord entering through deep inguinal ring medially to
the inferior epigastric artery from the iliac artery.

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e) posterior wall is formed by the conjoint tendon medially and

transversalis fascia laterally.

8. The rectus sheath

a) has a posterior wall of the 5th, 6th and 7th costal cartilages above
costal margin.
b) is enclosed by a split of the internal oblique aponeurosis inferior to
the arcuate line.
c) distal to the arcuate line, all the three anterolateral abdominal muscles
form its anterior border.
d) has an inferior epigastric artery entering by piercing the transversus
aponeurosis at arcuate line.
e) has the first lumbar nerve, a branch of the lumbar plexus.

9. The abdomen nerve supply

a) involves a branch of the lumbar plexus that divides into
iliohypogastric and ilioinguinal nerves.
b) iliohypogastric nerve pierce the external aponeurosis above the
superficial inguinal ring.
c) ilioinguinal nerve pierces the external oblique to supply the skin
above inguinal ligament and pubis.
d) lower 6 thoracic nerves piece the posterior wall of the rectus sheath
but pyramidalis is innervated by only subcostalis nerve.

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e) the lower 6 intercostal nerves run forward in the interval between

internal oblique and transversus abdominis.

10. The spermatic cord

a) begins at the deep inguinal ring lateral to the inferior epigastric artery.
b) has a pampiniform plexus of testicular arteries.
c) contains the remains of processus vaginalis.
d) its fasciae enclose the testis, deep to the tunica vaginalis.
e) has the ductus deferens posterior which lies medial to the epididymis
in the testis.

ANSWERS

1. TFTTT 2. TFTTT. 3. TFTTF. 4. TTFTT. 5. TFFTT

6. TFTTF 7. TFTFT. 8. TFTFF. 9. TTFTF. 10. TFTFT

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11. The esophagus

a) enters the abdomen through an opening in the right crus at level T8.
b) is related anteriorly to the posterior surface of left lobe and posteriorly
to the left crus of diaphragm as it enters the right side of the stomach.
c) the left vagus lie anteriorly and right vagus lie posteriorly.
d) has a left gastric artery blood supply as a is part of the midgut.
e) lymph vessels follow arteries into left gastric nodes and is innervated
by vagi and sympathetic branches of thoracic sympathetic trunk.

12. True or false concerning the stomach

a) has 2 surfaces, 4 regions involving the body from cardiac orifice to
incisura angularis a lower part of the lesser curvature.
b) has circular muscles that are much thicker in the antrum.
c) has the pyloric orifice that has the first anatomical sphincter of the GI
tract.
d) the greater curvature upper part has the gastrosplenic omentum, lower
part has greater omentum and the lesser curvature forms the left border
of stomach.
e) has splenic artery, pancreas, transverse mesocolon and transverse
colon posteriorly.

13. The stomach

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a) upper right is supplied by an artery that supplies the lower ⅔ of

esophagus.
b) right gastric artery branches from hepatic artery before
gastroduodenal artery to supply lower right.
c) the gastroduodenal artery gives superior pancreaticoduodenal artery
and a branch that supplies pylorus lower surface.
d) the gastroepiploic vein joins the inferior mesenteric vein.
e) right and left epigastric veins directly drain into portal vein.

14. True or false

a) all lymph from stomach pass to celiac nodes just inferior to the aortic
hiatus.
b) the stomach has a sympathetic innervation of vagus nerves.
c) left vagus nerve gives anterior vagal trunk that give the hepatic and
the pyloric branch.
d) the posterior vagal trunk gives a large branch passing to the celiac and
superior mesenteric plexus and is distributed to the intestines as far as
splenic flexure.
e) the sympathetic innervation of the stomach carries a portion of pain
transmitting fibers.

15. The small intestines

a) involves the duodenum that has both intraperitoneal and
retroperitoneal regions.
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b) the first part of the duodenum has the bile duct and portal vein
anteriorly.
c) epiploic foramen is the superior boundary of first part of duodenum.
d) the second part of the duodenum is on the right of L2 and L3
vertebrae and halfway is pierced by main pancreatic duct and bile duct
medially.
e) the third part of the duodenum has the left psoas muscles posteriorly.

16. Concerning the liver

a) has division into quadrate and caudate lobe by presence of fissure for
ligamentum venosum and that of ligamentum teres.
b) has a hilum on the posteroinferior surface between the left and right
lobes.
c) has portal canals having hepatic artery, portal vein and hepatic vein.
d) the hepatic duct lies in the right free margin of the lesser omentum in
front of the opening of the lesser sac.
e) the fundus of the gull bladder projects to its posterior margin.

17. The pancreas

a) the head of pancreas lies posterior to the concavity of duodenum.
b) the part of the head called the uncinate process extends to the left
behind the superior mesenteric vessels.

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c) anteriorly is bounded by the attachment of transverse mesocolon.

d) the main pancreatic duct begins in the body to the head of the
pancreas.
e) has splenic and pancreacticoduodenal arteries and is part of foregut.

18. The urinary tract

a) the right kidney lies slightly lower than the left kidney.
b) has an anterior boundary of the suprarenal gland.
c) has a blood supply from an artery given by abdominal aorta at level of
L3 vertebrae.
d) has a lymphatic drainage into lateral aortic lymph nodes.
e) the afferent fibers that travel through the renal plexus enter the spinal
cord in the 10th, 11th and 12th thoracic nerves.

19. The suprarenal gland

a) is an intraperitoneal organ.
b) from the right is pyramidal and from the left is crescentic.
c) has a blood supply from the inferior supra renal artery from the
inferior phrenic artery.
d) has lymphatic drainage into the lateral aortic nodes.
e) is innervated by the preganglionic sympathetic fibers from the
splanchnic nerves.

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20. True or false

a) the common iliac artery which terminates where it is crossed by the
ureter.
b) external iliac artery follows the pelvic brim on the lateral margin of
the psoas major.
c) genitofemoral nerve emerges on the anterior surface of the psoas
muscle and gives a femoral branch in the femoral sheath.
d) the obturator nerve (L2 to 4) crosses the pelvic brim in front of
sacroiliac joint and behind the common iliac vessels.
e) white rami communicantes join the first two ganglia to the first two
lumbar spinal nerves and the grey rami communicantes join each
ganglion to a corresponding lumbar spinal nerve.

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ANSWERS

11. FTTFT 12. TFTTT 13. FTTFT 14. TFTTT. 15. TFTTF
16. TFFTF 17. FTFFT 18. TTFTT 19. FTFTT 20. TFFTT

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