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Spleen

Total questions: 76

Worksheet time: 1hrs 6mins

Name
Class
Date
1.

  • (a)   covered entirely with peritoneum except for a small area at its hilum, where the vascular structures and lymph nodes are located.

2.

The spleen is considered a (a)   organ

3.

The spleen is part of the (a)   system.

4.

Which system has the responsibility for phagocytosis?

a)

Intraperitoneal

b)

Retorperitoneal

c)

Reticuloendothelial

d)

Digestive

5.

(a)   is engulfing and destroying of damaged or old cells and their debris, foreign materials, and pathogens taking them out of the circulating blood

6.

The spleen is considered the (a)   lymphoid organ

7.

The spleen is primarily composed of which type of tissue?

a)

Epithelial

b)

Connective

c)

Dense

d)

Lymph

8.

Although crucial to the immune system, is it possible to remove the spleen without causing adverse effects or death?

a)

Yes

b)

NO

9.

Which abdominal region does the spleen lie within?

a)

Left hypochondrium

b)

Epigastrium

c)

Right hypochondriac

d)

Hypogastrium

10.

The spleen is (a)   to the body and fundus of the stomach

11.

The spleen is (a)   to the tail of the pancreas

12.

The spleen is (a)   to the left colic flexure

13.

The spleen is (a)   to the diaphragm, the left lung, and the 8th, 9th, 10th, and 11th ribs

14.

The left kidney is located __ and __ to the spleen

(a)  

15.

As part of the (a)   system, the spleen's main function is to help remove old cells, debris, pathogens, and foreign substances from circulation

16.

Which of the following best describes the main function of the spleen?

a)

Help deoxygenate blood to return to the inferior vena cava

b)

Remove old cells, debris, pathogens, and foreign materials from circulation

c)

Creation lymph cells that can be used towards the immune system

17.

The four major functions of the spleen are:

a)

Defense

b)

Hemotpyosis

c)

Hematopoiesis

d)

Red blood cell and platelet destruction

e)

Service as a blood reservoir

18.

The spleen is _ to _ cm thick

a)

8-13cm

b)

7-8cm

c)

3-4cm

d)

1-2cm

19.

The spleen is __ to. __ cm in length

a)

8-13cm

b)

3-4cm

c)

7-8cm

d)

14-19cm

20.

The spleen is __ to __ in AP diameter

a)

3-4cm

b)

7-8cm

c)

8-13cm

d)

9-10cm

21.

The (a)   is a portion of the spleen located medially

22.

The (a)   is where the vasculature enters and exits

23.

The spleen lies on the (a)   end of the pancreas

24.

What is labeled A?

(a)  

25.

What is labeled B?

(a)  

26.

What structures are labeled C?

(a)  

27.

What is labeled D?

(a)  

28.

What is labeled E

(a)  

29.

What is labeled F

(a)  

30.

What is labeled A

(a)  

31.

What is labeled B

(a)  

32.

What is labeled C

(a)  

33.

Spleen is held in place by several (a)   .

34.

The splenic (a)   are folds of peritoneum that connect the spleen to surrounding structures

35.

Which of the following are splenic ligaments?

a)

Ligamentum venosum

b)

Gastrosplenic ligament

c)

Splenorenal ligament

d)

Phrenocolic ligament

e)

Lienorenal ligament

36.

Which of the following is NOT a splenic ligament?

a)

Gastrosplenic

b)

Splenorenal

c)

Splenopancreatic

d)

Lienorenal

37.

  • Splenic artery

  • Splenic vein

  • Tail of pancreas

  • These apply to which ligament?



(a)  

38.

Which ligament is posteromedial to the spleen

(a)  

39.

The splenic flexure is (a)   to the spleen

40.

Left gastro-epiploic

Short gastric arteries

These apply to which ligament?

(a)  

41.

Which ligament is closer to the pancreas tail?

(a)  

42.

Which ligament is closer in relation to the stomach?

(a)  

43.

The outer covering of the spleen is called the (a)  

44.

The (a)   is a relatively thin and delicate structure making the spleen very fragile and susceptible to rupture or injury

45.

How many layers does the splenic capsule have?

a)

1

b)

2

c)

3

d)

4

46.

The (a)   layer of the splenic capsule is in contact with surrounding tissues

47.

The (a)   trabecular sheath supports the splenic tissue

48.

Which of the following are functions of the spleen?

a)

Supports the spleen

b)

Contains internal structures

c)

Contacts outside structures

d)

Allows for its expansion and contraction to discharge blood when needed

49.

The __ __ is one of the terminal branches of the celiac artery/trunk

(a)  

50.

Which direction does the splenic artery pass from the celiac axis?

a)

Right

b)

Left

51.

The splenic artery passes left from the celiac axis across the __ crus of the diaphragm

a)

Left

b)

Right

52.

The splenic artery passes left from the celiac axis across the left crus of the diaphragm and __ psosas muscle

a)

left

b)

Right

53.

(a)   runs superior to the pancreas

54.

On entering the splenic hilum, the splenic artery immediately branches into how many smaller arteries?

a)

1

b)

2

c)

5

d)

6

55.

What is the function of the six smaller arteries within the spleen?

a)

supply the organ without deoxygenated blood to profuse the splenic parenchyma.

b)

supply the organ without oxygenated blood to profuse the splenic parenchyma.

c)

supply the organ with deoxygenated blood to profuse the splenic parenchyma.

d)

supply the organ with oxygenated blood to profuse the splenic parenchyma.

56.

What is the splenic vein formed by?

a)

the union of smaller veins at the hilum of the spleen.

b)

the union of larger veins at the hilum of the spleen.

c)

the union of medium sized veins at the hilum of the spleen.

57.

Splenic vein leaves the hilum in a (a)   direction

58.

(a)   joins the Superior mesenteric vein (SMV) to form the Portal vein (PV

59.

The splenic vein courses __ usually __ to the pancreas

(a)  

60.

What is the purpose of the splenic vein?

a)

Drains blood from spleen, parts of stomach pancreas, and hindgut

b)

Pumps blood into the spleen and parts of the stomach

61.

The splenic blood is delivered to the liver via the __ __ for processing by multiple branches in the spleen

(a)  

62.

The (a)   originate from the splenic hilum

63.

(a)   pass through other lymph nodes along the course of the splenic artery

64.

(a)   drain into the celiac nodes

65.

(a)   transport fluid and cells from the spleen to the celiac lymph nodes for filtration and immune surveillance

66.

(a)   supplying the spleen, accompany the splenic artery o derived from the celiac plexus

67.

The splenic parenchyma should have a fine uniform (a)   mid- to low-level echo pattern, as is seen within the liver parenchyma

68.

The spleen is scanned in a __ scanning plane

a)

Sagittal

b)

Coronal

c)

Transverse

69.

How should the patient be positioned for a splenic ultrasound?

a)

Prone

b)

Supine

c)

Right lateral decubitus

d)

Left lateral decubitus

70.

The transducer should be placed in the superior (a)   intercostal margin

71.

What is labeled 1?

(a)  

72.

What is labeled 2?

(a)  

73.

This image shows the (a)  

74.

What can a spleen x-ray show us?

a)

Size, shape, position

b)

Splenic torsion

c)

Splenic enlargement

d)

Length, width, height

75.

X-ray, ultrasound, nuclear medicine, CT scan, and MRI are all

(a)  

76.

(a)   uses magnetic fields and radio waves to create detailed images of internal organs, soft tissues, and blood vessels