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MCQ on Anatomy of the Kidneys and Ureters

Total questions: 76

Worksheet time: 38mins

Name
Class
Date
1.

In renal hilum the ureter is not characterized by which of the following?

a)

Most constricted structure

b)

Most posterior structure

c)

Most superior structure

d)

Most lateral

2.

What is the length of the ureter?

a)

35 cm

b)

15 cm

c)

25 cm

d)

45 cm

3.

Which statement of the following best describes the relations of kidneys?

a)

The pancreas is related to the right kidney

b)

The left kidney is related to the duodenum.

c)

Diaphragm is directly related to the superior part of both kidneys.

d)

The kidneys are related anteriorly to quadrates lumborum.

4.

Which of the following structures is related anteriorly to the right kidney?

a)

Liver

b)

Transversus abdominis muscle

c)

Psoas major muscle

d)

Quadratus lumborum

5.

Which of the following statements best describes the left renal vein?

a)

Left gonadal vein is one of its tributaries

b)

Passes behind the aorta

c)

Receives the right supra-renal vein

d)

Shorter than the right renal vein

6.

Which of the following is a retroperitoneal organ?

a)

Stomach

b)

Spleen

c)

Ureter

d)

Ilium

7.

Which of the following describes the capsules of the kidney?

a)

Pararenal fat covers the fibrous capsule.

b)

Fibrous capsule loosely applied to its outer surface of the kidney.

c)

Perirenal fat encloses the kidney and suprarenal gland.

d)

Pararenal fat, renal fascia and pararenal fat support the kidney.

8.

Which one of the following is not the content of the hilum of the kidney?

a)

Ureter

b)

Renal artery

c)

Lymph drains to celiac lymph nodes

d)

Renal vein

9.

Which of the following best describes the right kidney?

a)

Renal capsule encloses both kidney and suprarenal gland

b)

Posteriorly, related to the right colic flexure.

c)

Renal artery arises of the abdominal aorta

d)

Anteriorly, related to the spleen

10.

Which of the following is important for identification of the ureter?

a)

The ureter is located anterior to the suprarenal artery

b)

The ureter is located anterior to the internal iliac artery

c)

The ureter is located anterior to the gonadal artery

d)

The ureter is located anterior to the renal vein

11.

In renal hilum the ureter is characterized by which of the following?

a)

Most lateral structure

b)

Most dilated structure

c)

Most anterior structure

d)

Most superior structure

12.

What is the length of the ureter?

a)

15 cm

b)

45 cm

c)

35 cm

d)

25 cm

13.

Which statement of the following describes the relations of kidneys?

a)

The left kidney is related to the duodenum.

b)

The spleen is related to the right kidney.

c)

The kidneys are posteriorly related only to quadrates lumborum.

d)

Diaphragm is directly related to the superior part of both kidneys.

14.

Which of the following structures lies posterior to the right kidney?

a)

Small intestine

b)

Liver

c)

Transversus abdominis muscle

d)

Right colic flexure

15.

Which of the following statements describes the right renal vein?

a)

Right gonadal vein is one of its tributaries

b)

Longer than the right renal vein

c)

Receives right supra-renal vein

d)

Ends into the inferior vena cava

16.

Which of the following is a retroperitoneal organ?

a)

Spleen

b)

Ureter

c)

Stomach

d)

Ilium

17.

Which of following statements is unrelated to an interior relation of right kidney?

a)

Spleen

b)

12th rib

c)

2nd part of the duodenum

d)

Tail of the pancreas

18.

Which of the following relates posteriorly to the left kidney?

a)

11th and 12th ribs

b)

Pancreas

c)

Second part of the duodenum

d)

Stomach

19.

Which of the following best describes the coverings of the kidney?

a)

Fibrous capsule loosely applied to its outer surface

b)

Perirenal fat covers the renal fascia

c)

Pararenal covers the renal capsule

d)

Pararenal fat, renal fascia and pararenal fat support the kidney

20.

Hilum of the kidney transmits which one of the following?

a)

Lymph drains to celiac lymph nodes

b)

Suprarenal vein

c)

Renal artery

d)

Parasympathetic nerves

21.

Which of the following describes the right kidney?

a)

Anteriorly, related to the stomach

b)

Renal artery arises of the superior mesenteric artery

c)

Renal fascia encloses both kidney and suprarenal gland

d)

Posteriorly, related to the left colic flexure.

22.

Which of the following is important for identification of the left ureter?

a)

The left ureter is located anterior to the left gonadal artery

b)

The left ureter is located anterior to the left common iliac artery

c)

The left ureter is located anterior to the left renal vein

d)

The left ureter is located anterior to the left internal iliac artery

23.

Which statement of the following concerns the pelvic part of the ureter?

a)

It has a close relationship to the ischial tuberosity

b)

The blood supply of distal part of the ureter is from the superior vesical artery.

c)

The ureter enters the bladder by passing directly through its wall

d)

It enters the pelvis behind of the bifurcation of the common iliac artery.

24.

Which of the following describes the urinary bladder?

a)

Pyramidal shape, when empty

b)

Abdominal organ when empty

c)

Its apex lies in front of the symphysis pubis

d)

The neck lies posteriorly

25.

Which statement of the following describes the male urethra?

a)

4 cm long

b)

Prostatic urethra receives the ejaculatory ducts

c)

Membranous urethra contains the seminal colliculus

d)

The Penile part is in the corpus cavernosum

26.

Which of the following is related to the urinary bladder?

a)

Has maximum capacity of about 50 ml in the adult

b)

Uvula vesicae is an elevation front the urethral orifice

c)

Area of trigone is always smooth, even when it is empty

d)

Connected to the umbilicus by the medial umbilical ligament

27.

What is the related statement regarding the ureter?

a)

Crossed by the uterine artery in the male

b)

Enters the pelvis by descending posterior to sacroiliac joint

c)

Has four constrictions along its course

d)

About 25 Cm long

28.

Which of the following statements best describes the ureter?

a)

Enters the pelvis by crossing the middle of the external iliac artery

b)

About 10 inches long

c)

In male, it is crossed by the vas deferens

d)

Enters the inferior angle of the urinary bladder

29.

Which statement of the following concerns the nerve supply of ureter?

a)

Afferent fibers travel with parasympathetic nerves

b)

Middle part by renal plexus

c)

Enter spinal cord in the 1st and 2nd lumbar segments.

d)

Upper end by the gonadal plexus

30.

Which statement of the following describes the prostatic urethra?

a)

Its anterior wall has the opening of prostatic utricle

b)

Receives the openings of the ejaculatory ducts

c)

20 cm long

d)

The narrowest part of the male urethra

31.

Which of the following arteries supply the upper part of the ureter?

a)

Superior vesical arteries

b)

Common iliac arteries

c)

Renal arteries

d)

Gonadal arteries

32.

Which of the following describes the urinary bladder?

a)

In adult, empty bladder lies within the abdomen.

b)

Has weak muscular wall.

c)

Receptacle for storage of urine.

d)

Its shape and relations do not vary according to amount of urine it contains.

33.

What is the weakest part of the male urethra?

a)

Membranous part

b)

Prostatic part

c)

Penile part

d)

Glandular part

34.

Which one of the following characters best describes the female urethra?

a)

Shorter than the male urethra

b)

Narrower than the male urethra

c)

Less dilatable than the male urethra

d)

Traversing the clitoris

35.

The urinary system develops mainly from which of the followings?

a)

Ectoderm

b)

Paraxial mesoderm

c)

Intermediate mesoderm

d)

Endoderm

36.

The pronephros develops in which region of the following?

a)

Sacral

b)

Lumbar

c)

Thoracic

d)

Cervical

37.

The mesonephros forms in which of the following?

a)

Sacral region

b)

Thoracic and upper lumbar regions

c)

Lower lumbar and sacral regions

d)

Cervical region

38.

The ureteric bud gives rise to which of the following?

a)

Nephrons

b)

Renal pelvis

c)

Loop of Henle

d)

Distal and proximal convoluted tubules

39.

The metanephric mesoderm gives rise to which of the following?

a)

Ureter

b)

Renal pelvis

c)

Bowman’s capsule

d)

Collecting system

40.

The urorectal septum divides into which of the following?

a)

Anorectal canal from urogenital sinus

b)

Urachus from allantois

c)

Urogenital sinus from mesonephric duct

d)

Urinary bladder from allantois

41.

Bifid ureter is due to which of the following?

a)

Premature division of the ureteric bud

b)

Failure of union of collecting and excretory tubules

c)

Second ureteric bud from one mesonephric duct

d)

Formation of two ureteric buds

42.

The urogenital sinus gives rise to which of the following?

a)

Trigone of the urinary bladder

b)

Membranous urethra

c)

Penile urethra

d)

Epithelium of most of the urinary bladder

43.

A newborn presents with fluid draining from the umbilicus onto the skin. Testing identifies the fluid as urine. What is the most likely diagnosis?

a)

Bifid ureter

b)

Urachal cyst

c)

Urachal fistula

d)

Urachal sinus

44.

Which set correctly lists four structures passing through the renal hilum?

a)

Renal vein, renal artery, ureter, lymphatics

b)

Renal cortex, renal pelvis, papilla, glomeruli

c)

Inferior vena cava, aorta, psoas major, urethra

d)

Portal vein, hepatic artery, bile duct, lymph

45.

Which group best represents structures related anteriorly to the right kidney?

a)

Spleen, stomach, pancreas, left colic flexure

b)

Liver, duodenum, colon, adrenal gland

c)

Gallbladder, uterus, prostate, sigmoid colon

d)

Quadratus lumborum, psoas major, diaphragm, ribs

46.

Which group best represents structures related posteriorly to the right kidney?

a)

Pancreas, spleen, stomach, left colic flexure

b)

Aorta, inferior vena cava, portal vein, bile duct

c)

Liver, duodenum, right colic flexure, jejunum

d)

Diaphragm, psoas major, quadratus lumborum, ribs

47.

Which group best represents structures related anteriorly to the left kidney?

a)

Stomach, spleen, pancreas, left colic flexure

b)

Liver, gallbladder, duodenum, right colon

c)

Diaphragm, psoas major, quadratus lumborum, ribs

d)

Uterus, prostate, bladder neck, urethra

48.

Which group best represents structures related posteriorly to the left kidney?

a)

Diaphragm, psoas major, quadratus lumborum, ribs

b)

Stomach, spleen, pancreas, colon segments

c)

Portal triad, celiac trunk, mesenteric vessels, duct

d)

Liver, duodenum, gallbladder, right colon

49.

Which arteries most consistently supply the ureter along its course?

a)

Aorta, pulmonary, coronary, cerebral

b)

Celiac, hepatic, splenic, superior mesenteric

c)

Internal pudendal, obturator, inferior gluteal, profunda

d)

Renal, gonadal, common iliac, superior vesical

50.

Which list correctly names the parts of the male urethra in order with typical lengths?

a)

Membranous 5 cm, spongy 3 cm, prostatic 10 cm, preprostatic 2 cm

b)

Spongy 20 cm, prostatic 2 cm, membranous 3 cm, preprostatic 1 cm

c)

Preprostatic 1 cm, prostatic 3 cm, membranous 2 cm, spongy 15 cm

d)

Prostatic 5 cm, membranous 1 cm, spongy 10 cm, preprostatic 4 cm

51.

How many constrictions does the ureter typically have and where are they located?

a)

Three: UPJ, crossing iliac vessels, vesicoureteric junction

b)

Two: renal pelvis entry, bladder exit

c)

Four: renal hilum, psoas crossing, pelvic brim, bladder

d)

One: only at vesicoureteric junction

52.

Which statement best defines the trigone of the urinary bladder and its origin?

a)

Triangular area from incorporated caudal mesonephric ducts

b)

Triangular area formed by allantoic folds and urachus

c)

Quadrangular area derived from cloacal endoderm

d)

Hexagonal area from endoderm of urogenital sinus

53.

Which is a recognized congenital anomaly of the kidney?

a)

Horseshoe kidney

b)

Median lobe agenesis

c)

Accessory bladder neck

d)

Duplicated prostate lobe

54.

Which is a recognized congenital anomaly of the ureter?

a)

Epididymal fusion failure

b)

Seminal vesicle agenesis

c)

Prostatic utricle hypertrophy

d)

Ureteral duplication

55.

Which is a recognized congenital anomaly of the urinary bladder?

a)

Exstrophy of bladder

b)

Renal papillary hyperplasia

c)

Mesonephric cord persistence

d)

Calyceal inversion

56.

Which set lists structures passing through the renal hilum in correct order of types?

a)

Renal artery branches, ureter, renal vein, lymph vessels

b)

Renal vein, renal artery branches, ureter, lymph vessels

c)

Lymph vessels, ureter, renal vein, renal artery branches

d)

Ureter, renal vein, lymph vessels, renal artery branches

57.

Which structure is NOT typically anterior to the right kidney?

a)

Spleen

b)

Right suprarenal gland

c)

Right colic flexure

d)

Second part of duodenum

58.

Which muscle is a posterior relation of the right kidney?

a)

Internal oblique muscle

b)

Transversus abdominis muscle

c)

Right psoas major muscle

d)

Rectus abdominis muscle

59.

Which organ lies anterior to the left kidney?

a)

Gallbladder

b)

Stomach

c)

Appendix

d)

Cecum

60.

Which rib level relates posteriorly to the left kidney?

a)

Eleventh and twelfth ribs

b)

Ninth and tenth ribs

c)

Seventh and eighth ribs

d)

Thirteenth and fourteenth ribs

61.

Which arteries supply the ureter along its course?

a)

Aorta, gonadal, middle sacral

b)

Common iliac, gonadal, inferior vesical

c)

Renal, inferior mesenteric, internal pudendal

d)

Renal, testicular/ovarian, superior vesical

62.

Which segment of the male urethra is the shortest?

a)

Prostatic urethra about 3 cm

b)

Membranous urethra about 1.25 cm

c)

Penile urethra about 16 cm

d)

Bulbar urethra about 8 cm

63.

Where are the typical ureteric constrictions located?

a)

Iliac fossa, inguinal canal, urethral meatus

b)

Renal hilum, mid-abdomen, bladder neck

c)

Pelvic inlet, obturator canal, prostatic urethra

d)

Pelvi-ureteric junction, crossing pelvic brim, entry into bladder wall

64.

What describes the trigone of the urinary bladder and its embryologic origin?

a)

Serosal triangle at apex from allantois remnant

b)

Mucous membrane area at bladder base from mesonephric ducts

c)

Muscular triangle on bladder dome from ureteric bud

d)

Vascular triangle in bladder neck from vitelline duct

65.

Which congenital kidney anomaly is defined by complete absence of renal tissue on one side?

a)

Renal agenesis

b)

Pelvic kidney

c)

Congenital cystic kidney

d)

Double kidney

66.

An infant presents with continuous dribbling of urine despite normal voiding. Which anomaly best explains an extra ureter opening outside the bladder?

a)

Complete double ureter

b)

Ectopic ureteral opening

c)

Patent urachus tract

d)

Hypospadias variant

67.

A newborn has urine leakage from the umbilicus. Which condition most likely underlies this finding?

a)

Double kidney

b)

Pelvic kidney

c)

Hypospadias

d)

Patent urachus

68.

Which of the following statements best describes the pelvic part of the ureter?

a)

The blood supply of the proximal part of the ureter is from the superior vesical artery

b)

It has a close relationship with ischial tuberosity

c)

The ureter enters the bladder by passing at a right angle through its wall

d)

Enters the pelvis by crossing the bifurcation of the common iliac artery

69.

Which of the following describes the urinary bladder?

a)

Its apex lies behind the symphysis pubis

b)

Pyramidal in shape when full

c)

It is an abdominal organ when empty

d)

The neck lies posteriorly

70.

Which of the following statements describes the male urethra?

a)

Prostatic urethra receives the ejaculatory ducts

b)

Membranous urethra contains the seminal colliculus

c)

About 4 cm long

d)

Penile part lies in the corpus cavernosum

71.

Which of the following statements describes the male urethra?

a)

About 4 cm long

b)

Penile part lies in the corpus cavernosum

c)

Membranous urethra is the least dilatable part

d)

Prostatic urethra is the shortest part

72.

Which of the following statements describes the male urethra?

a)

About 4 cm long

b)

Penile part lies in the corpus spongiosum

c)

Membranous urethra is the least dilatable part

d)

Prostatic urethra is the shortest part

73.

Which of the following statements describes the male urethra?

a)

About 20 cm long

b)

Penile part lies in the corpus spongiosum

c)

Membranous urethra is the most dilatable part

d)

Prostatic urethra is the shortest part

74.

Which of the following describes the urinary bladder?

a)

The trigone area is rough

b)

Connected to the umbilicus by the medial umbilical ligament

c)

Uvula vesicae is an elevation in front of the urethral orifice

d)

Has a capacity of about 500 mL in the adult

75.

Which statement best characterizes the urinary bladder during filling?

a)

Acts as a receptacle for storage of urine

b)

Has a weak and flaccid muscular wall

c)

Superior wall rises into epigastric region early

d)

Maintains a fixed and constant shape

76.

Identify the narrowest point of the male urethra.

a)

Penile part of the urethra

b)

Membranous part of the urethra

c)

External urethral orifice

d)

Prostatic part of the urethra