WorksheetsGIT ANATOMY
Total questions: 80
Worksheet time: 3600secs
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?
T8
T10
T12
L1
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?
Right gastric vein
Left gastric vein
Superior mesenteric vein
Splenic vein
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:
Inferior thyroid artery
Bronchial arteries and direct branches of the aorta
Left gastric artery
Left phrenic artery
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?
Liver
Spleen
Pancreas
Transverse colon
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?
Greater curvature
Lesser curvature
Fundus
Antrum
A patient undergoes a gastrectomy. To ligate the Right Gastroepiploic Artery, the surgeon should look in which ligament?
Hepatogastric ligament
Gastrosplenic ligament
Gastrocolic ligament
Phrenicocolic ligament
A radiologist notes a filling defect in the pyloric antrum. The nerve responsible for stimulating gastric acid secretion and opening the pyloric sphincter is:
Sympathetic trunks
Vagus nerve (Parasympathetic)
Greater splanchnic nerve
Phrenic nerve
A 3-week-old infant presents with projectile vomiting. A diagnosis of Congenital Pyloric Stenosis is made. This involves hypertrophy of which muscle layer?
Longitudinal layer
Circular layer
Oblique layer
Mucosal layer
A patient is diagnosed with a sliding hiatal hernia. Which part of the stomach usually slides upward into the thoracic cavity?
Fundus
Pylorus
Cardia
Body
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?
Superior mesenteric artery
Gastroduodenal artery
Splenic artery
Common hepatic artery
The Suspensory Muscle of the Duodenum (Ligament of Treitz) marks the boundary between:
Stomach and duodenum
Duodenum and jejunum
Jejunum and ileum
Ileum and cecum
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?
1st part (Superior)
2nd part (Descending)
3rd part (Horizontal)
4th part (Ascending)
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?
Anterior
Lateral
Posteromedial
Superior
A surgeon examining the small intestine notes that the jejunum feels thicker and more vascular than the ileum. Which other feature distinguishes the jejunum?
Presence of Peyer’s patches
Long vasa recta and few arterial arcades
Short vasa recta and many arterial arcades
More fat in the mesentery
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?
Urachus
Vitelline duct
Umbilical vein
Allantois
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:
Terminal ileum
Ascending colon
Posteromedial wall of the cecum
Sigmoid colon
During an appendectomy, the surgeon uses the Teniae Coli as a landmark. Where do these three longitudinal muscle bands converge?
At the ileocecal valve
At the base of the appendix
At the right colic flexure
At the rectum
A tumor in the Ascending Colon would likely spread its cells via the lymphatic system to which group of nodes first?
Celiac nodes
Superior mesenteric nodes
Inferior mesenteric nodes
Internal iliac nodes
The Splenic Flexure of the colon represents the junction between the territory of which two arteries?
Celiac and Superior Mesenteric
Superior Mesenteric and Inferior Mesenteric
Inferior Mesenteric and Internal Iliac
Left and Right Colic
A 70-year-old man has Diverticulosis, most commonly found in the Sigmoid Colon. The Sigmoid Colon is characterized by:
Being retroperitoneal
Having a V-shaped mesentery (Sigmoid Mesocolon)
Lacking Teniae Coli
Receiving blood from the Superior Mesenteric Artery
During a rectal exam, the physician feels the Transverse Folds of the Rectum (Houston’s Valves). How many are typically present?
One
Two
Three
Five
The Pectinate Line in the anal canal is a critical landmark. Above this line, the epithelium is derived from the:
Ectoderm
Endoderm
Mesoderm
Neural crest
Internal hemorrhoids occur above the pectinate line. They are usually painless because the nerve supply is:
Somatic (Pudendal nerve)
Autonomic (Visceral afferent)
Phrenic nerve
Vagus nerve
A patient has a Liver Abscess in the Bare Area. This area of the liver is in direct contact with the:
Stomach
Diaphragm
Right kidney
Transverse colon
The Porta Hepatis contains all of the following EXCEPT:
Portal vein
Hepatic artery
Hepatic veins
Hepatic ducts
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:
Superior mesenteric vein
Epigastric veins
Renal veins
Splenic vein
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:
7th costal cartilage
9th costal cartilage
Umbilicus
Xiphoid process
Biliary colic pain (from a gallstone) is often referred to the right shoulder. This is due to irritation of the diaphragm and the:
Vagus nerve
Phrenic nerve (C3, 4, 5)
Intercostal nerves
Subcostal nerve
A gallstone lodged in the Ampulla of Vater (Hepatopancreatic Ampulla) would block the flow of:
Bile only
Pancreatic juice only
Both bile and pancreatic juice
Gastric acid
A tumor in the Tail of the Pancreas might damage the spleen or its vessels because the tail lies within the:
Lienorenal (Splenorenal) ligament
Gastrosplenic ligament
Lesser omentum
Falciform ligament
The pancreas is a Retroperitoneal organ, EXCEPT for the:
Head
Neck
Body
Tail
An Annular Pancreas can cause intestinal obstruction by encircling which part of the duodenum?
1st
2nd
3rd
4th
A patient has an obstruction of the Inferior Mesenteric Artery. Which part of the gastrointestinal tract would be most affected?
Duodenum
Ascending colon
Descending colon
Ileum
The Celiac Trunk supplies the Foregut. Which of these is a foregut derivative?
Stomach
Jejunum
Cecum
Descending colon
The Superior Mesenteric Artery (SMA) supplies the Midgut. The midgut ends at the:
Ileocecal valve
Junction of the proximal 2/3 and distal 1/3 of the transverse colon
Splenic flexure
Rectosigmoid junction
The Common Bile Duct is formed by the union of the:
Hepatic duct and pancreatic duct
Cystic duct and common hepatic duct
Right and left hepatic ducts
Cystic duct and portal vein
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:
Liver (inferior surface)
Portal vein
Duodenum
Stomach
The Lesser Sac (Omental Bursa) lies primarily behind the:
Liver
Stomach
Pancreas
Transverse colon
The communication between the Greater Sac and the Lesser Sac is the:
Foramen of Winslow (Epiploic foramen)
Foramen of Morgagni
Pelvic inlet
Esophageal hiatus
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:
Mesentery
Greater omentum
Mesoappendix
Sigmoid mesocolon
The Lienorenal Ligament contains the:
Left gastric artery
Splenic artery and tail of pancreas
Short gastric arteries
Right gastroepiploic artery
The arterial supply to the Appendix comes from the Appendicular Artery, which is a branch of the:
Right Colic Artery
Middle Colic Artery
Ileocolic Artery
Superior Rectal Artery
A patient with Hirschsprung Disease lacks autonomic ganglion cells in the wall of the distal colon. These cells are located in the:
Mucosa
Submucosal and Myenteric plexuses
Serosa
Adventitia
The Rectum begins at the level of which vertebra?
L5
S1
S3
Coccyx 1
Intussusception (telescoping of the bowel) most commonly occurs at the:
Pylorus
Ileocecal junction
Splenic flexure
Anorectal junction
The Unhappy triad of the portal venous system (sites of porto-systemic anastomosis) includes all EXCEPT:
Lower end of esophagus
Umbilicus
Rectum/Anal canal
Spleen
The Left Gastroepiploic Artery is a branch of the:
Celiac trunk
Splenic artery
Gastroduodenal artery
Superior mesenteric artery
Which of the following organs is Secondary Retroperitoneal?
Kidney
Pancreas (Head and Body)
Spleen
Jejunum
Ligamentum Teres (Round ligament) of the liver is the remnant of the:
Umbilical artery
Umbilical vein
Ductus venosus
Ductus arteriosus
The Ductus Venosus in the fetus becomes the _____ in the adult.
Ligamentum venosum
Ligamentum teres
Falciform ligament
Coronary ligament
The liver is divided into right and left lobes by the:
Falciform ligament and ligamentum teres
Gallbladder fossa
Porta hepatis
IVC
A Nutcracker Syndrome involves compression of the Left Renal Vein and the 3rd part of the Duodenum by the:
Celiac Trunk
Superior Mesenteric Artery
Inferior Mesenteric Artery
Aorta
The Rugae of the stomach are:
Permanent folds
Longitudinal folds that disappear when the stomach is distended
Found only in the fundus
Site of nutrient absorption
The Caudate Lobe of the liver is located on the:
Superior surface
Posterior surface
Inferior surface
Anterior surface
The Small Intestine is approximately how long in a living person?
2 meters
6 meters
10 meters
1 meter
HAUSTRA and Appendices Epiploicae are characteristic of the:
Stomach
Small Intestine
Large Intestine
Esophagus
The Internal Anal Sphincter is:
Voluntary skeletal muscle
Involuntary smooth muscle
Supplied by the pudendal nerve
Part of the levator ani
The External Anal Sphincter is supplied by the:
Vagus nerve
Inferior rectal nerve (branch of pudendal)
Pelvic splanchnic nerves
Hypogastric plexus
The Celiac Ganglion receives preganglionic sympathetic fibers from the:
Greater splanchnic nerve
Lesser splanchnic nerve
Vagus nerve
Phrenic nerve
Peyer's Patches (lymphoid nodules) are most numerous in the:
Duodenum
Jejunum
Ileum
Cecum
The Superior Rectal Artery is the direct continuation of the:
Internal Iliac Artery
Inferior Mesenteric Artery
Superior Mesenteric Artery
Common Iliac Artery
The Middle Rectal Artery arises from the:
Aorta
Internal Iliac Artery
Inferior Mesenteric Artery
External Iliac Artery
A Paraduodenal Hernia occurs due to a fold of peritoneum near the:
Pylorus
Duodenojejunal flexure
Ileocecal valve
Hepatic flexure
The Major Duodenal Papilla represents the junction of the:
Foregut and Midgut
Midgut and Hindgut
Esophagus and Stomach
Small and Large Intestine
The Fundus of the stomach is usually filled with:
Food
Acid
Gas (Air)
Mucus
Ligamentum Venosum lies in the fissure between the left lobe and the:
Quadrate lobe
Caudate lobe
Right lobe
Gallbladder
The Hepatopancreatic Sphincter is also known as the:
Sphincter of Oddi
Sphincter of Boyden
Pyloric sphincter
Lower esophageal sphincter
The Superior Mesenteric Vein joins the Splenic Vein behind the neck of the pancreas to form the:
IVC
Portal Vein
Renal Vein
Hepatic Vein
Achalasia is a condition where the ____ fails to relax.
Pyloric sphincter
Lower Esophageal Sphincter
Ileocecal valve
Internal anal sphincter
The Ascending Colon is supplied by which branch of the SMA?
Ileocolic and Right Colic
Middle Colic
Left Colic
Sigmoid arteries
The Transverse Colon receives blood from both the:
Celiac and SMA
SMA and IMA
IMA and Internal Iliac
SMA and Renal arteries
A patient has Pruritus Ani and painful defecation. External hemorrhoids are dilated veins of the:
Superior rectal plexus
Inferior rectal plexus
Portal system
Celiac system
The Uncinate Process of the pancreas lies posterior to the:
Stomach
Superior Mesenteric Vessels
Aorta
Liver
The Lesser Omentum contains which of the following along its right free margin?
Left Gastric Artery
Bile Duct, Portal Vein, Hepatic Artery
Splenic Vein
Pancreatic Duct
Which of the following is an Extraperitoneal organ?
Stomach
Jejunum
Rectum (lower 1/3)
Transverse Colon
The Islets of Langerhans (endocrine part) are most densely packed in the ____ of the pancreas.
Head
Neck
Body
Tail
A patient with Gallstone ileus has a stone that eroded through the gallbladder wall into the:
Stomach
Duodenum
Transverse Colon
Peritoneal cavity
The Inferior Mesenteric Vein usually drains into the:
Portal Vein directly
Splenic Vein
Superior Mesenteric Vein
Renal Vein
McBurney's Point is located:
1/3 of the way from the umbilicus to the ASIS
1/3 of the way from the ASIS to the umbilicus
At the mid-inguinal point
In the left iliac fossa
The Stomach is primarily located in which abdominal quadrants?
Right Upper and Right Lower
Left Upper and Epigastric
Right Upper and Left Upper
Umbilical and Pubic
