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GIT ANATOMY

Total questions: 80

Worksheet time: 3600secs

Name
Class
Date
1.

A 45-year-old male with chronic GERD is diagnosed with Barrett’s Esophagus. The physician explains that the normal stratified squamous epithelium has been replaced. At what vertebral level does the esophagus normally pass through the diaphragm?

a)

T8

b)

T10

c)

T12

d)

L1

2.

A 60-year-old man with portal hypertension presents with hematemesis. The bleeding is likely from esophageal varices. These occur due to an anastomosis between the azygos vein and which other vein?

a)

Right gastric vein

b)

Left gastric vein

c)

Superior mesenteric vein

d)

Splenic vein

3.

A patient presents with a mid-esophageal tumor. The surgeon should be aware that the arterial supply to the thoracic portion of the esophagus comes primarily from:

a)

Inferior thyroid artery

b)

Bronchial arteries and direct branches of the aorta

c)

Left gastric artery

d)

Left phrenic artery

4.

During a gastroscopy, a physician identifies a peptic ulcer on the posterior wall of the stomach. If this ulcer perforates, which organ is most likely to be affected first by escaping gastric contents?

a)

Liver

b)

Spleen

c)

Pancreas

d)

Transverse colon

5.

A 50-year-old woman is diagnosed with a tumor in the Lesser Omentum. This structure connects the liver to which part of the stomach?

a)

Greater curvature

b)

Lesser curvature

c)

Fundus

d)

Antrum

6.

A patient undergoes a gastrectomy. To ligate the Right Gastroepiploic Artery, the surgeon should look in which ligament?

a)

Hepatogastric ligament

b)

Gastrosplenic ligament

c)

Gastrocolic ligament

d)

Phrenicocolic ligament

7.

A radiologist notes a filling defect in the pyloric antrum. The nerve responsible for stimulating gastric acid secretion and opening the pyloric sphincter is:

a)

Sympathetic trunks

b)

Vagus nerve (Parasympathetic)

c)

Greater splanchnic nerve

d)

Phrenic nerve

8.

A 3-week-old infant presents with projectile vomiting. A diagnosis of Congenital Pyloric Stenosis is made. This involves hypertrophy of which muscle layer?

a)

Longitudinal layer

b)

Circular layer

c)

Oblique layer

d)

Mucosal layer

9.

A patient is diagnosed with a sliding hiatal hernia. Which part of the stomach usually slides upward into the thoracic cavity?

a)

Fundus

b)

Pylorus

c)

Cardia

d)

Body

10.

A 40-year-old male has a chronic duodenal ulcer on the posterior wall of the first part of the duodenum. Perforation could lead to erosion of which major artery?

a)

Superior mesenteric artery

b)

Gastroduodenal artery

c)

Splenic artery

d)

Common hepatic artery

11.

The Suspensory Muscle of the Duodenum (Ligament of Treitz) marks the boundary between:

a)

Stomach and duodenum

b)

Duodenum and jejunum

c)

Jejunum and ileum

d)

Ileum and cecum

12.

In a patient with a tumor in the head of the pancreas, which part of the duodenum is most likely to be compressed or obstructed?

a)

1st part (Superior)

b)

2nd part (Descending)

c)

3rd part (Horizontal)

d)

4th part (Ascending)

13.

Bile and pancreatic juice enter the 2nd part of the duodenum at the Major Duodenal Papilla. This papilla is located on which wall of the duodenum?

a)

Anterior

b)

Lateral

c)

Posteromedial

d)

Superior

14.

A surgeon examining the small intestine notes that the jejunum feels thicker and more vascular than the ileum. Which other feature distinguishes the jejunum?

a)

Presence of Peyer’s patches

b)

Long vasa recta and few arterial arcades

c)

Short vasa recta and many arterial arcades

d)

More fat in the mesentery

15.

A 20-year-old man presents with symptoms of intestinal obstruction. A Meckel’s Diverticulum is found. This is a vestige of which embryonic structure?

a)

Urachus

b)

Vitelline duct

c)

Umbilical vein

d)

Allantois

16.

An 18-year-old female presents with periumbilical pain that moves to the right iliac fossa (McBurney’s point). Inflammation of the appendix is suspected. The appendix is attached to the:

a)

Terminal ileum

b)

Ascending colon

c)

Posteromedial wall of the cecum

d)

Sigmoid colon

17.

During an appendectomy, the surgeon uses the Teniae Coli as a landmark. Where do these three longitudinal muscle bands converge?

a)

At the ileocecal valve

b)

At the base of the appendix

c)

At the right colic flexure

d)

At the rectum

18.

A tumor in the Ascending Colon would likely spread its cells via the lymphatic system to which group of nodes first?

a)

Celiac nodes

b)

Superior mesenteric nodes

c)

Inferior mesenteric nodes

d)

Internal iliac nodes

19.

The Splenic Flexure of the colon represents the junction between the territory of which two arteries?

a)

Celiac and Superior Mesenteric

b)

Superior Mesenteric and Inferior Mesenteric

c)

Inferior Mesenteric and Internal Iliac

d)

Left and Right Colic

20.

A 70-year-old man has Diverticulosis, most commonly found in the Sigmoid Colon. The Sigmoid Colon is characterized by:

a)

Being retroperitoneal

b)

Having a V-shaped mesentery (Sigmoid Mesocolon)

c)

Lacking Teniae Coli

d)

Receiving blood from the Superior Mesenteric Artery

21.

During a rectal exam, the physician feels the Transverse Folds of the Rectum (Houston’s Valves). How many are typically present?

a)

One

b)

Two

c)

Three

d)

Five

22.

The Pectinate Line in the anal canal is a critical landmark. Above this line, the epithelium is derived from the:

a)

Ectoderm

b)

Endoderm

c)

Mesoderm

d)

Neural crest

23.

Internal hemorrhoids occur above the pectinate line. They are usually painless because the nerve supply is:

a)

Somatic (Pudendal nerve)

b)

Autonomic (Visceral afferent)

c)

Phrenic nerve

d)

Vagus nerve

24.

A patient has a Liver Abscess in the Bare Area. This area of the liver is in direct contact with the:

a)

Stomach

b)

Diaphragm

c)

Right kidney

d)

Transverse colon

25.

The Porta Hepatis contains all of the following EXCEPT:

a)

Portal vein

b)

Hepatic artery

c)

Hepatic veins

d)

Hepatic ducts

26.

A patient is diagnosed with Cirrhosis. The fibrous scarring compresses the portal vein, leading to Caput Medusae. This occurs due to an anastomosis between the Paraumbilical veins and the:

a)

Superior mesenteric vein

b)

Epigastric veins

c)

Renal veins

d)

Splenic vein

27.

Murphy’s Sign (pain upon inspiration while palpating the gallbladder) is positive in cholecystitis. The fundus of the gallbladder is in contact with the anterior abdominal wall at the level of the:

a)

7th costal cartilage

b)

9th costal cartilage

c)

Umbilicus

d)

Xiphoid process

28.

Biliary colic pain (from a gallstone) is often referred to the right shoulder. This is due to irritation of the diaphragm and the:

a)

Vagus nerve

b)

Phrenic nerve (C3, 4, 5)

c)

Intercostal nerves

d)

Subcostal nerve

29.

A gallstone lodged in the Ampulla of Vater (Hepatopancreatic Ampulla) would block the flow of:

a)

Bile only

b)

Pancreatic juice only

c)

Both bile and pancreatic juice

d)

Gastric acid

30.

A tumor in the Tail of the Pancreas might damage the spleen or its vessels because the tail lies within the:

a)

Lienorenal (Splenorenal) ligament

b)

Gastrosplenic ligament

c)

Lesser omentum

d)

Falciform ligament

31.

The pancreas is a Retroperitoneal organ, EXCEPT for the:

a)

Head

b)

Neck

c)

Body

d)

Tail

32.

An Annular Pancreas can cause intestinal obstruction by encircling which part of the duodenum?

a)

1st

b)

2nd

c)

3rd

d)

4th

33.

A patient has an obstruction of the Inferior Mesenteric Artery. Which part of the gastrointestinal tract would be most affected?

a)

Duodenum

b)

Ascending colon

c)

Descending colon

d)

Ileum

34.

The Celiac Trunk supplies the Foregut. Which of these is a foregut derivative?

a)

Stomach

b)

Jejunum

c)

Cecum

d)

Descending colon

35.

The Superior Mesenteric Artery (SMA) supplies the Midgut. The midgut ends at the:

a)

Ileocecal valve

b)

Junction of the proximal 2/3 and distal 1/3 of the transverse colon

c)

Splenic flexure

d)

Rectosigmoid junction

36.

The Common Bile Duct is formed by the union of the:

a)

Hepatic duct and pancreatic duct

b)

Cystic duct and common hepatic duct

c)

Right and left hepatic ducts

d)

Cystic duct and portal vein

37.

A surgeon is operating on the gallbladder and needs to identify Calot’s Triangle. The boundaries are the cystic duct, common hepatic duct, and the:

a)

Liver (inferior surface)

b)

Portal vein

c)

Duodenum

d)

Stomach

38.

The Lesser Sac (Omental Bursa) lies primarily behind the:

a)

Liver

b)

Stomach

c)

Pancreas

d)

Transverse colon

39.

The communication between the Greater Sac and the Lesser Sac is the:

a)

Foramen of Winslow (Epiploic foramen)

b)

Foramen of Morgagni

c)

Pelvic inlet

d)

Esophageal hiatus

40.

A patient has a Volvulus (twisting) of the small intestine. The part of the peritoneum that attaches the small intestine to the posterior abdominal wall is the:

a)

Mesentery

b)

Greater omentum

c)

Mesoappendix

d)

Sigmoid mesocolon

41.

The Lienorenal Ligament contains the:

a)

Left gastric artery

b)

Splenic artery and tail of pancreas

c)

Short gastric arteries

d)

Right gastroepiploic artery

42.

The arterial supply to the Appendix comes from the Appendicular Artery, which is a branch of the:

a)

Right Colic Artery

b)

Middle Colic Artery

c)

Ileocolic Artery

d)

Superior Rectal Artery

43.

A patient with Hirschsprung Disease lacks autonomic ganglion cells in the wall of the distal colon. These cells are located in the:

a)

Mucosa

b)

Submucosal and Myenteric plexuses

c)

Serosa

d)

Adventitia

44.

The Rectum begins at the level of which vertebra?

a)

L5

b)

S1

c)

S3

d)

Coccyx 1

45.

Intussusception (telescoping of the bowel) most commonly occurs at the:

a)

Pylorus

b)

Ileocecal junction

c)

Splenic flexure

d)

Anorectal junction

46.

The Unhappy triad of the portal venous system (sites of porto-systemic anastomosis) includes all EXCEPT:

a)

Lower end of esophagus

b)

Umbilicus

c)

Rectum/Anal canal

d)

Spleen

47.

The Left Gastroepiploic Artery is a branch of the:

a)

Celiac trunk

b)

Splenic artery

c)

Gastroduodenal artery

d)

Superior mesenteric artery

48.

Which of the following organs is Secondary Retroperitoneal?

a)

Kidney

b)

Pancreas (Head and Body)

c)

Spleen

d)

Jejunum

49.

Ligamentum Teres (Round ligament) of the liver is the remnant of the:

a)

Umbilical artery

b)

Umbilical vein

c)

Ductus venosus

d)

Ductus arteriosus

50.

The Ductus Venosus in the fetus becomes the _____ in the adult.

a)

Ligamentum venosum

b)

Ligamentum teres

c)

Falciform ligament

d)

Coronary ligament

51.

The liver is divided into right and left lobes by the:

a)

Falciform ligament and ligamentum teres

b)

Gallbladder fossa

c)

Porta hepatis

d)

IVC

52.

A Nutcracker Syndrome involves compression of the Left Renal Vein and the 3rd part of the Duodenum by the:

a)

Celiac Trunk

b)

Superior Mesenteric Artery

c)

Inferior Mesenteric Artery

d)

Aorta

53.

The Rugae of the stomach are:

a)

Permanent folds

b)

Longitudinal folds that disappear when the stomach is distended

c)

Found only in the fundus

d)

Site of nutrient absorption

54.

The Caudate Lobe of the liver is located on the:

a)

Superior surface

b)

Posterior surface

c)

Inferior surface

d)

Anterior surface

55.

The Small Intestine is approximately how long in a living person?

a)

2 meters

b)

6 meters

c)

10 meters

d)

1 meter

56.

HAUSTRA and Appendices Epiploicae are characteristic of the:

a)

Stomach

b)

Small Intestine

c)

Large Intestine

d)

Esophagus

57.

The Internal Anal Sphincter is:

a)

Voluntary skeletal muscle

b)

Involuntary smooth muscle

c)

Supplied by the pudendal nerve

d)

Part of the levator ani

58.

The External Anal Sphincter is supplied by the:

a)

Vagus nerve

b)

Inferior rectal nerve (branch of pudendal)

c)

Pelvic splanchnic nerves

d)

Hypogastric plexus

59.

The Celiac Ganglion receives preganglionic sympathetic fibers from the:

a)

Greater splanchnic nerve

b)

Lesser splanchnic nerve

c)

Vagus nerve

d)

Phrenic nerve

60.

Peyer's Patches (lymphoid nodules) are most numerous in the:

a)

Duodenum

b)

Jejunum

c)

Ileum

d)

Cecum

61.

The Superior Rectal Artery is the direct continuation of the:

a)

Internal Iliac Artery

b)

Inferior Mesenteric Artery

c)

Superior Mesenteric Artery

d)

Common Iliac Artery

62.

The Middle Rectal Artery arises from the:

a)

Aorta

b)

Internal Iliac Artery

c)

Inferior Mesenteric Artery

d)

External Iliac Artery

63.

A Paraduodenal Hernia occurs due to a fold of peritoneum near the:

a)

Pylorus

b)

Duodenojejunal flexure

c)

Ileocecal valve

d)

Hepatic flexure

64.

The Major Duodenal Papilla represents the junction of the:

a)

Foregut and Midgut

b)

Midgut and Hindgut

c)

Esophagus and Stomach

d)

Small and Large Intestine

65.

The Fundus of the stomach is usually filled with:

a)

Food

b)

Acid

c)

Gas (Air)

d)

Mucus

66.

Ligamentum Venosum lies in the fissure between the left lobe and the:

a)

Quadrate lobe

b)

Caudate lobe

c)

Right lobe

d)

Gallbladder

67.

The Hepatopancreatic Sphincter is also known as the:

a)

Sphincter of Oddi

b)

Sphincter of Boyden

c)

Pyloric sphincter

d)

Lower esophageal sphincter

68.

The Superior Mesenteric Vein joins the Splenic Vein behind the neck of the pancreas to form the:

a)

IVC

b)

Portal Vein

c)

Renal Vein

d)

Hepatic Vein

69.

Achalasia is a condition where the ____ fails to relax.

a)

Pyloric sphincter

b)

Lower Esophageal Sphincter

c)

Ileocecal valve

d)

Internal anal sphincter

70.

The Ascending Colon is supplied by which branch of the SMA?

a)

Ileocolic and Right Colic

b)

Middle Colic

c)

Left Colic

d)

Sigmoid arteries

71.

The Transverse Colon receives blood from both the:

a)

Celiac and SMA

b)

SMA and IMA

c)

IMA and Internal Iliac

d)

SMA and Renal arteries

72.

A patient has Pruritus Ani and painful defecation. External hemorrhoids are dilated veins of the:

a)

Superior rectal plexus

b)

Inferior rectal plexus

c)

Portal system

d)

Celiac system

73.

The Uncinate Process of the pancreas lies posterior to the:

a)

Stomach

b)

Superior Mesenteric Vessels

c)

Aorta

d)

Liver

74.

The Lesser Omentum contains which of the following along its right free margin?

a)

Left Gastric Artery

b)

Bile Duct, Portal Vein, Hepatic Artery

c)

Splenic Vein

d)

Pancreatic Duct

75.

Which of the following is an Extraperitoneal organ?

a)

Stomach

b)

Jejunum

c)

Rectum (lower 1/3)

d)

Transverse Colon

76.

The Islets of Langerhans (endocrine part) are most densely packed in the ____ of the pancreas.

a)

Head

b)

Neck

c)

Body

d)

Tail

77.

A patient with Gallstone ileus has a stone that eroded through the gallbladder wall into the:

a)

Stomach

b)

Duodenum

c)

Transverse Colon

d)

Peritoneal cavity

78.

The Inferior Mesenteric Vein usually drains into the:

a)

Portal Vein directly

b)

Splenic Vein

c)

Superior Mesenteric Vein

d)

Renal Vein

79.

McBurney's Point is located:

a)

1/3 of the way from the umbilicus to the ASIS

b)

1/3 of the way from the ASIS to the umbilicus

c)

At the mid-inguinal point

d)

In the left iliac fossa

80.

The Stomach is primarily located in which abdominal quadrants?

a)

Right Upper and Right Lower

b)

Left Upper and Epigastric

c)

Right Upper and Left Upper

d)

Umbilical and Pubic