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WorksheetsANATOMY ABDOMEN QUIZ
Total questions: 40
Worksheet time: 40mins
Which of the following structures are not present in trans pyloric plane ?
Lumbar vertebrae
Fundus of gall bladder
Hilum of right kidney
Inferior mesenteric vein
In rectus sheath , which branch of aorta makes anastomoses with superior epigastric artery ?
Subclavian artery
External illiac artery
Internal illiac artery
External carotid artery
Which of the following is the correct matching, regarding the attachments of external oblique muscle?
I - Linea alba, II - Linea semilunaris, III - Inner lip of iliac crest, IV - Inguinal ligament
I - Linea alba, II - Linea semilunaris, III - Outer lip of iliac crest, IV - Inguinal ligament
I - Linea semilunaris, II - Linea alba, III - Outer lip of iliac crest, IV - Inguinal ligament
I - Linea semilunaris, II - Arcuate line, III - Inner lip of iliac crest, IV - Inguinal ligament
TRUE statement about lower 1/4 anterior abdominal wall:
Linea alba is poorly formed
Rectus abdominis is divided
Two layers of rectus sheath present
External oblique muscle is poorly formed
Lymphatic drainage of umbilicus is towards:
Axillary LN
Inguinal LN
Axillary & Inguinal LNs both
Coeliac LN
Structures passing through the inguinal canal are all EXCEPT:
Genital branch of genitofemoral nerve
ilioinguinal nerve
Inferior epigastric artery
Lymphatics from uterus
Internal spermatic fascia is derived from:
External oblique muscle
Internal oblique muscle
Fascia transversalis
Colle ‘s fascia
A common structure in the Hesselbach’s triangle and femoral triangle is:
Inguinal ligament
Conjoint tendon
Inferior epigastric artery
Recuts femoris
A 30-year-old lady presented with swelling below inguinal ligament lateral to pubic tubercle, which structure is lateral to this swelling:
Femoral artery
Femoral vein
Obturatur artery
Internal iliac artery
A patient presented with pain in right testes. Examination reveals bag of worms suggestive of varicocele. Right testicular vein drains into:
Hemi azygous vein
IVC
Inferior mesenteric vein
Renal vein
Injury to which nerve during a herniorrhaphy may cause paresthesia at the root of scrotum and base of penis
Illioinguinal
Illiohypogastric
Genitofemoral
Pudendal
CORRECT sequence of sperm movements :
Rete testis → straight tubules → efferent ductules
Straight tubules → efferent ductules → epididymis
Efferent ductules → rete testis → straight tubules
Straight tubules → rete testis → efferent ductules
Capacitance of sperm takes place in:
Seminiferous tubules
Vas deferens
Epididymis
Uterine tube
Lymph from glans penis drains into:
Superficial inguinal canal
Deep inguinal lymph node
Obturator nodes
Internal iliac nodes
Which of the following arteries is a direct branch of the gastroduodenal artery:
Right gastric artery
Left gastric artery
Inferior pancreaticoduodenal artery
Right gastroepiploic artery
True about valves in portal venous system:
Present at the junction of superior mesenteric artery with the splenic artery
Within the portal vein only
The whole system is valveless
In the intrahepatic portion of portal vein
The mesentery of small intestine, along its attachment to the posterior abdominal wall, crosses all or the following structures EXCEPT:
Left gonadal vessels
Third part of duodenum
Right Ureter
Aorta
Most important blood supply to stomach is:
Left gastric artery
Short gastric artery
left gastroepiploic artery
Right gastroepiploic artery
On contrast radiography which among the following is false
Ileum is featureless
Colon has haustrations
Jejunum is feathery
Distal part of duodenum has a cap
Watershed area between SMA & IMA which commonly result in ischemia is :
Hepatic flexure
Splenic flexure
Rectosigmoid junction
Ileocolic junction
Which of the following is present in the peritoneal reflection which forms one of the borders of the paraduodenal fossa:
Inferior mesenteric vein
Middle colic vein
Left colic vein
Splenic vein
A surgeon excises a portion of liver to the left of the attachment of the falciform ligament. The segments that have been resected are:
Segment 1a & 4b
Segment 1 & 4b
Segment 2 & 3
Segment 1 & 3
Calot’s triangle is bounded by all EXCEPT:
Inferior surface of the liver
Common hepatic duct
Cystic duct
Cystic artery
All is true about Brunner’s gland EXCEPT:
Submucosal glands
Secrete urogastrone, which inhibit gastric HCl production
Secrete human epidermal growth factor
Present in lower duodenum
Goblet cells are present in all EXCEPT:
Small intestine
Large intestine
Esophagus
Stomach
Which of the following does not form portal triad in liver?
Hepatic artery
Hepatic vein
Bile duct
Portal vein
All of these cells are found in small intestine EXCEPT:
Stem cells
Goblet cells
Neck cells
Panneth cells
False about gastroinstestinal development is:
Lower respiratory system develops from foregut
Stomach rotates 90° clock wise and its posterior wall grows faster
Duodenum rotates to right and is retroperitoneal
Dorsal bud form uncinate process
Pancreas divisum indicates which of the following?
Duplication of the pancreas
Failure of fusion of dorsal and ventral pancreatic buds
Formation of more than 2 pancreatic buds
Formation of one pancreatic bud
Meckel’s diverticulum is a remnant of:
stenson ‘ s duct
Wolffian duct
Mullerian duct
Vitellointestinal duct
You deliver a newborn baby girl that has an umbilical hernia with part of another organ attached to its inner surface. What portion of the gastrointestinal tract is most likely to be attached to the inner surface of the umbilical hernia?
Appendix
Stomach
Ileum
Caecum
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?
The bile duct
The common hepatic duct
Cystic duct
Within the duodenal papilla distal to the juncture with the pancreatic duct
A full-term 8 lb baby boy was delivered vaginally to a 36-year-old mother. At delivery he had a large scrotum. The delivering Obstetrician palpated the enlarged scrotum and determined that both testicles were present. When the Obstetrician pressed gently on the newborn’s abdomen the scrotum swelled even more. What congenital condition did the Obstetrician note in the chart?
Abdominal hernia
Cryptorchid (maldescended ) testes
Varicocele
Hydrocele
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?
Falx inguinalis
Inferior epigastric artery
Obliterated umbilical artery
Urachus
A 55-year-old woman arrives at the emergency room the day after her birthday coughing up bright red blood. She has frequented your emergency room before. History includes excessive alcohol consumption. Using abdominal percussion you determine that her liver extends 5 cm below the right costal margin at the midclavicular line. You call in a gastroenterologist because you suspect that the bright red blood is most likely the result of which of the following?
Hemorrhoids
Duodenal ulcer
Gastric ulcer
Esophageal varices
The lesser sac (omental bursa) is directly continuous with which of the following recesses or spaces?
Left colic gutter
Left subphrenic recess
Right subphrenic recess
Hepatorenal recess
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?
Duodenum; epigastric region
Jejunum; epigastric region
Ascending colon; umbilical region
sigmoid colon; suprapubic region
When examining a 48-year-old woman for the first time at a free clinic you note that she is quite slender and tanned. During the physical exam you note that she has prominent veins both on her anterior abdominal wall and also about her nose. During the physical exam you can palpate a fairly large firm organ that extends well below the right costal margin during both inspiration and expiration. There is no abdominal tenderness. Which of the following is the most likely explanation for your physical findings?
Splenomegaly
Hepatomegaly
Cholecystitis
Abdominal aortic aneurysm
In Hirschsprung’s disease, there is a loss of peristalsis in the lower colon and often fatal obstruction. Preganglionic neurons, which would innervate the aganglionic segment of bowel, originate in which of the following?
The nucleus ambiguus
Cervical intermediolateral cell column
Sacral level two to four of the spinal cord
The ventral horn at spinal levels L1–L2
Gallbladder pain often presents as epigastric pain that then migrates
towards the patient’s right side and can even wrap around to the posterior.
The referred pain is not the site of the problem. Anatomically where is the
gallbladder located?
Between the left and caudate lobes of the liver
Between the right and quadrate lobes of the liver
In the lesser omentum
In the right anterior leaf of the coronary ligament
