Abdomen / Blue Book
28. The abdominal aorta is crossed anteriorly by A. Left renal vein B. Left renal artery C. Inferior mesenteric artery D. Right gonadal artery E. Right renal vein
A. Aorta is crossed anteriorly by the left renal vein. Moore, Dalley. Clinically Oriented Anatomy 5,h éd., p. 309, Fig. 2.60.
51. Typically the most anterior structure of renal hilum is: A. Renal vein B. Renal artery C. Superior suprarenal artery D. Ureter E. Renal pelvis
A. At the renal hilum renal vein is anterior to renal artery which is anerior to renal pelvis. Moore, Dalley. Clinically Oriented Anatomy 5th éd.,p. 311.
37. Common bile duct passes through: A. Head of pancreas B. Body of pancreas C. Tail of pancreas D. Caudate lobe E. Quadrate lobe
A. Common bile duct passes through the head of pancreas. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 301.
96. In patient with portal hypertension, a porto-caval shunt is performed. Which of the following veins may be anastomosed to accomplish this portocaval shunt? A. Splenic vein - Left renal vein B. Right renal vein - Right testicular vein C. Right renal vein - Superior vena cava D. Superior mesenteric vein - Splenic vein E. Right internal thoracic vein - Superior vena cava
A. Common vessels to perform portosystemic shunt are: inferior vena cava and portal vein or splenic vein and left renal vein. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 307.
3. Within which peritoneal structure the cystic artery can be found? A. Hepatoduodenal ligament B. Gastrocolic ligament C. Splenorenal ligament D. Gastrohepatic ligament E. Hepatorenal ligament
A. Cystic artery supplying gallbladder and cystic duct is enclosed within hepatoduodenal ligament as the portal triad is. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 292, Fig. 2.51.
95. Hepatocytes secrete bile directly into: A. Bile canaliculi B. Common bile ducts C. Hepatic ducts D. Common hepatic ducts E. Cystic duct
A. Hepatocytes secrete bile into the bile canaliculi. Moore, Dalley. Clinically Oriented Anatomy 5'h éd., p. 301.
55. Which one presents layers of the anterolateral abdominal wall starting from the most external (superficial) A. Skin - Camper fascia - Scarpa fascia - external oblique muscle - internal oblique muscle - transverse muscle B. Skin - Scarpa fascia - Camper fascia - internal oblique muscle - external oblique muscle - transverse muscle C. Skin - Camper fascia- Scarpa fascia - external oblique muscle - internal oblique muscle - transversalis fascia D. Skin - Scarpa fascia - Camper fascia - external oblique muscle - internal oblique muscle - transverse muscle E. None is correct
A. From superficial to deep layer of the abdominal wall there are: skin, Camper fascia, Scarpa fascia, external oblique muscle, internal oblique muscle, transverse muscle. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 197. Fig. 2.4.B.
42. Pick INCORRECT branch of superior mesenteric artery: A. Left colic B. Middle colic C. Right colic D. Ileocolic E.A+B
A. Left colic artery is a branch of the inferior mesenteric artery. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 274, Table 2.10.
125. Ligamentum teres hepatis is located within: A. Falciform ligament B. Coronary ligament C. Left triangular ligament D. Right triangular ligament E. Right oblique ligament
A. Ligamentum teres hepatis is located within falciform ligament. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 290, Fig. 2.49. C.
112. Pancreas is not supplied by branches from: A. Left gastric artery B. Splenic artery C. Gastroduodenal artery D. Superior mesenteric artery E. A+B
A. Pancreas is not supplied by branches of left gastric artery. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 284, Fig. 2.47. and p. 287.
134. Esophageal varices may result from: A. Portal hypertension B. Gastroesophageal reflux C. Appendectomy D. None of above E. All of above
A. Portal hypertension is very common cause of esophageal varices. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 307.
74. Which artery is NOT a branch of the celiac trunk? A. Right gastric artery B. Common hepatic artery C. Splenic artery D. Left gastric artery E. All arteries are branches of celiac trunk
A. Right gastric artery is a branch of hepatic artery. Moore, Dalley. Clinically Oriented Anatomy 5th ed, p. 253, Table 2.7.
136. Right gastric artery is a branch of: A. Hepatic B. Left gastric C. Celiac trunk D. Gastroduodenal E. Splenic
A. Right gastric is a branch of hepatic artery. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 252, Table 2.7.
142. The IVC begins anterior to: A. L5 B. L4 C. L3 D. L2 E. LI
A. The IVC begins anterior to L5 vertebra by the union of common iliac veins. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 340.
12. The left kidney is related to all of the following except from: A. Liver B. Spleen C. Pancreas D. Stomach E. Descending colon
A. The left kidney is not related to liver, which stays in close relation to the right kidney. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 312, Fig. 2.63.
90. Pick INCORECT arterial segment of kidneys: A. Anterior B. Inferior C. Superior D. Posterior E. A+B
A. There are anterosuperior and anteroinferior segments. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 319, Fig. 2.67A.
5. The right 2/3 part of the transverse colon has its blood supply from: A. Middle colic artery B. Inferior mesenteric artery C. Left colic artery D. Sigmoid colon arteries E. Gastric artery
A. Transverse colon is mainly supplied by the middle colic artery. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 278.
84. Uncinate process is a projection of: A. Inferior part of head of pancreas B. Superior part of head of pancreas C. Inferior part of tail of pancreas D. Superior part of tail of pancreas E. All are incorrect
A. Uncinate process is projection of pancreatic head. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 286.
149. How many vascular segments usually there are in the spleen? A. 2 B.3 C.4 D. 5 E. 6
A. Usually (84% of cases) there are 2 vascular segments in the spleen. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 284.
102. Which describes venous drainage of sigmoid colon: A. Inferior mesenteric vein -> splenic vein -> portal vein B. Superior mesenteric vein -> splenic vein -> portal vein C. Inferior mesenteric vein -> splenic vein -> inferior vena cava D. Superior mesenteric vein -> splenic vein -> inferior vena cava E. Inferior mesenteric vein -> superior mesenteric vein -> portal vein
A. Venous blood from sigmoid colon passes through inferior mesenteric vein, splenic vein and then through portal vein. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 279.
24. Identify the INCORRECT regional location among the following list of organs: A. Vermiform appendix - Umbilical region B. Liver - Right upper quadrant C. Cecum - Right lower quadrant D. Spleen - Left upper quadrant E. Sigmoid colon - Left lower quadrant
A. Vermiform appendix is located in right lower quadrant of the abdomen. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 195.
39. Z-line is located in: A. Esophagogastric junction B. Duodenum C. Rectum D. Neck of gallbladder E. None of above
A. Z-line indicates esophagogastric junction. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 244.
43. Superior recess of omental bursa is located: A. Anterior to stomach B. Posterior to liver C. Anterior to greater sac D. Anterior to falciform ligament E. Anterior to lesser omentum
B. Superior recess of omental bursa lies posterior to the liver under the diaphragm. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 239.
80. Bare area of liver: A. Lies in contact with gallbladder B. Is demarcated by anterior and posterior layer of coronary ligament C. Is covered by visceral peritoneum D. Is located on visceral surface of liver E. All are inconect
B. Bare area of the liver is demarcated by the reflection of peritoneum from the diaphragm to it as the anterior and posterior layers of the coronary ligament. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 291.
83. Pick INCORRECT regarding cystic duct: A. Is approximately 4 cm long B. Connects the neck of gallbladder to the left hepatic duct C. Passes between layers of lesser omentum D. Runs parallel to the common hepatic duct E. Is one of the borders of cystohepatic triangle (of Calot)
B. Cystic duct connects the neck of gallbladder to the common hepatic duct. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 303.
93. Pick INCORRECT information concerning gallbladder: A. Gallbladder consists of fundus, body and neck B. Cystic duct is about 10 cm long C. Gallbladder lies in the gallbladder fossa D. Gallbladder has a capacity of up to 50 mL of bile E. Gallbladder is supplied by cystic artery.
B. Cystic duct is about 3-4 cm long. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 303.
113. Head of pancreas rests posteriorly on: A. Portal vein B. IVC, right renal artery and vein, left renal vein C. Superior mesenteric vein, portal vein and renal arteries D. Peritoneum E. Splenic artery and vein
B. Head of pancreas rests posteriorly on IVC, right renal artery and vein, and left renal vein. Moore, Dalley. Clinically Oriented Anatomy 5th ed., p. 286.
21. Inferior vena cava is located on posterior surface of: A. Abdominal aorta B. Horizontal part of duodenum C. Descending part of duodenum D. Psoas major muscle E.A+B
B. IVC is located posterior to superior and horizontal parts of duodenum. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 262, Table 2.8.
130. Pick CORRECT insertion of internal oblique abdominis muscle: A. Anterior half of iliac crest B. Inferior borders of 10-12th ribs C. Pubic tubercle D. Xiphoid process E. All are conect
B. Inferior borders of 10-12th ribs, linea alba and pectén pubis are the insertion of internal oblique abdominis muscle. Moore, Dalley. Clinically Oriented Anatomy 5'h éd., p. 199, Table 2.2.
17. Pick INCORRECT regarding superior mesenteric artery: A. Supplies jejunum and ileum B. Usually arises at the level of L2 vertebra C. Sends 15-18 branches to small intestine D. Runs between layers of the mesentery E. B+C
B. Superior mesenteric artery usually arises at the level of LI. It supplies jejunum and ileum, sends 15 - 1 8 branches to small intestine and runs between layers of the mesentery. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 265.
26. Pick INCORRECT pair of arteries & their origin: A. Superior epigastric - internal thoracic artery B. Inferior epigastric - external thoracic artery C. Deep circumflex iliac - external iliac artery D. Superficial epigastric - femoral artery E. All are correct
B. Inferior epigastric artery is abranch of external iliac artery. Moore, Dalley. Clinically Oriented Anatomy 5,h éd., p. 211, Table 2.4.
110. Insulin and glucagon are produced by cells of: A. Pancreatic lobules B. Pancreatic islets C. Intralobular ducts D.A+B E. A+B+C
B. Insulin and glucagon are produced by cells of pancreatic islets. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 286.
123. Lateral umbilical folds are formed by: A. Rectus abdominis muscles B. Inferior epigastric arteries C. Inferior mesenteric arteries D. Hepatic veins E. Superficial epigastric arteries
B. Lateral umbilical folds are formed by the inferior epigastric vessels. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 213.
61. Posterior relations of horizontal part of duodenum do NOT include: A. Right psoas major B. Left psoas major C. rvc D. Aorta E. Right ureter
B. Left psoas major muscle is not located posterior to horizontal part of duodenum. Moore, Dalley. Clinically OrientedAnatomy 5* ed, p. 262, Table 2.8.
148. Pick CORREC insertion of transverse abdominal muscle. A. Xiphoid process, 5tñ-7th costal cartilages B. Linea alba, aponeurosis of internal oblique, pubic crest, pectén pubis C. Inferior borders of 10th- 12th ribs, linea alba, pectén pubis D. Linea alba, pubic tubercle, iliac crest E. None is correct
B. Linea alba, aponeurosis of internal oblique, pubic crest, and pecen pubis are the insertion of transverse abdominal muscle. Moore, Dalley. Clinically Oriented Anatomy 5'h éd., p. 199, Table 2.2.
50. Lymph from mesenteric lymph nodes drains to: A. Ileocolic nodes B. Superior mesenteric nodes C. Right colic nodes D. Sigmoidal nodes E. Rectal nodes
B. Lymph from mesenteric lymph nodes drains to superior mesenteric lymph nodes. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 268, Fig. 2.39.
13. The middle suprarenal arteries originates from: A. Renal artery B. Abdominal aorta C. Inferior phrenic artery D. Superior phrenic artery E. Celiac trunk
B. Middle suprarenal artery originates from abdominal aorta. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 316, Fig. 2.66.
131. Pain related to renal calculi may NOT be referred to: A. Lumbar region B. Left shoulder C. Hypogastric region D. External genitalia E. Testis
B. Pain related to renal calculi may NOT be referred to the left shoulder. It is referred to the cutaneous regions innervated by spinal cord segments T11-L2. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 320.
41. Pick INCORRECT part of peritoneal cavity: A. Greater sac B. Lesser omentum C. Omental bursa D. Lesser sac E.A+B
B. Peritoneal cavity can be divided into lesser and greater sac and omental bursa. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 238.
135. Pick correct level of origin of renal arteries: A. T12/L1 B. L1/L2 C. L2/L3 D. L3/L4 E. L4/L5
B. Renal arteries arise at the level of IV disc between LI and L2 vertebrae. Moore, Dalley. Clinically Oriented Anatomy 5ih éd., p. 318.
49. The root of mesentery of small intestine DOES NOT cross: A. Ascending and horizontal duodenum B. Thoracic aorta C. IVC D. Right ureter E. Right psoas major muscle
B. Root of mesentery of small intestine crosses abdominal aorta, not thoracic. Moore, Dalley. Clinically OrientedAnatomy 5,h éd., p. 267, Fig. 2.38A.
103. The sigmoid colon has its blood supply from: A. Middle colic artery B. Inferior mesenteric artery C. Left colic artery D. Right gastroomental arteries E. None of above
B. Sigmoid colon is supplied by branches of inferior mesenteric artery. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 278.
1. Within which of the followmg peritoneal structures the splenic artery and vein can be found? A. Lesser omentum B. Splenorenal ligament C. Gastrosplenic ligament D. Gastrocolic ligament E. Greater omentum
B. Splenic artery and vein can be found within splenorenal ligament. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 284.
129. Supracolic and infracolic compartmens are parts of: A. Lesser sac B. Greater sac C. Lesser omentum D. Greater omentum E. Omental bursa
B. Supracolic and infracolic compartments are parts of the main compartment of abdominal cavity - greater sac. Moore, Dalley. Clinically OrientedAnatomy5'h éd.,p.238.
58. The esophagogastric junction lies: A. To the left of T9 vertebra B.TotheleftofTil vertebra C.To the right of Til vertebra D. To the left of LI vertebra E. To the right of LI vertebra
B. The esophagogastric junction lies to the left of T i l vertebra. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 244.
117. The middle suprarenal arteries originate from: A. Renal artery B. Abdominal aorta C. Inferior phrenic artery D. Superior phrenic artery E. Left: from renal artery, right: from abdominal aorta
B. The middle suprarenal arteries originate from abdominal aorta. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 318.
118. Pick INCORRECT pair of suprarenal arteries and their origin: A. Superior suprarenal - inferior phrenic B. Middle suprarenal - superior mesenteric C. Inferior suprarenal - renal D. A+B E. A+B+C
B. The middle suprarenal arteries originate from abdominal aorta. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 318.
11. The round ligament and ligamentum venosum of the liver are the fibrous remnant of the: A. Umbilical artery and ductus arteriosus B. Umbilical vein and ductus venosus C. Umbilical artery and ductus venosus D. Umbilical vein and ductus arteriosus E. None from above
B. The round ligament and ligamentum venosum of the liver are the fibrous remnant of the umbilical vein and ductus venosus. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 291.
44. Approximate size of spleen is: A. 10x5 cm B. 12x7 cm C. 14x7 cm D. 16x8 cm E . 11x6 cm
B. The spleen is usually 12 cm long and 7 cm wide. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 281.
38. Pick incorrect area on visceral surface of liver: A. Gastric area B. Sigmoid area C. Colic area D. Renal area E. Suprarenal area
B. There is no sigmoid area on the visceral area of the liver. Sigmoid colon is located on the left side of abdomen. Moore, Dalley. Clinically Orien- ted Anatomy 5th éd., p. 290, Fig 2.49.D.
47. Which is typical feature of ileum: A. Greater diameter than jejunum B. Paler pink colour than jejunum C. Thicker wall than jejunum D. Greater vascularity than jejunum E. All are correct
B. Typical feature of ileum is paler pink colour than jejunum. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 266. Table 2.9.
77. Visceral surface of liver is NOT related to: A. Anterior aspect of stomach B. Third part of duodenum C. Lesser omentum D. Gallbladder E. Right colic flexure
B. Visceral surface of the liver is related to superior part of duodenum. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 292.
67. Which is NOT feature of jejunum for distinguishing it from ileum: A. Thicker walls B. Greater vascularity C. Low, sparse circular folds D. Less lymphoid nodules E. Less fat in mesentery
C. All mentioned features of jejunum (without low and sparse circular folds which is a feature of ileum) can be used to differentiate it from ileum. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 266, Table. 2.9.
30. Which of the following is NOT a tributary (direct or indirect) of portal vein: A. Left gastric vein B. Right gastric vein C. Right renal vein D. Inferior mesenteric vein E. Short gastric veins
C. All mentioned veins but right renal vein are tributaries of portal vein. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 306, Fig. 2.59.
87. Ascending colon: A. Is wider than cecum B. Lies intraperitoneally C. Lies along right side of posterior abdominal wall D. Receives blood supply from branches of IMA E. All are correct
C. Ascending colon is narrower than the cecum and is retroperitoneal. It lies on the right side of the abdomen and is supplied by SMA. Moore,Dalley. Clinically Oriented Anatomy 5th éd., p. 277.
106. Pick INCORRECT border of Hesselbach triangle: A. Inguinal ligament B. Rectus abdominis C. Superficial epigastric artery D. None of above E. All are correct
C. Boundaries of Hasselbach triangle are: rectus abdominis muscle, inguinal ligament and inferior epigastric vein and artery. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 213, Fig. 2.10.
36. Pick INCORRECT regarding boundary of omental foramen: A. Anteriorly: free edge of lesser omentum B. Superiorly: caudate lobe of the liver C. Posteriorly: abdominal aorta D. Inferiorly: first part of duodenum E.A+B
C. Boundaries of omental foramen are: anterior - hepatoduodenal ligament (edge of lesser omentum); posterior - IVC, right crus of diaphragm; superior - liver; inferior - duodenum. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 239.
94. Pick INCORRECT about contents of left lower abdominal quadrant: A. Sigmoid colon B. Left ovary C. Cecum D. Left ureter (abdominal part) E. All are correct
C. Cecum is located in right lower quadrant. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 195, Table 2.1.
137. Congenital diaphragmatic hernia (CDH) is accompanied often by: A. Persistent oval foramen B. CNS defects C. Pulmonary hypoplasia D. Double arch of aorta E. Diabetes mellitus
C. Congenital diaphragmatic hernia (CDH) is accompanied often by pulmonary hypoplasia. Moore, Dalley. Clinically Oriented Anatomy 5th ed., p. 252.
20. Which artery is NOT direct or indirect branch of proper hepatic artery A. Right hepatic artery B. Left hepatic artery C. Gastroduodenal artery D. Cystic artery E. All are branches of proper hepatic artery
C. Gastroduodenal artery is a branch of the common hepatic artery. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 253, Table 2.7.
4. The inferior mesenteric artery arises from the abdominal aorta immediately posterior to which of the following organs? A. Fisrt part of the duodenum B. Head of the pancreas C. Third part of the duodenum D. Second part of the duodenum E. Body of pancreas
C. Inferior mesenteric artery originates at the level of L3 posteriorly to the 3rd part of duodenum. Netter, Atlas of Human Anatomy 4th ed., plate 348.
144. Which of the following is not an anterior relation of the abdominal aorta? A. Celiac plexus B. Body of pancreas C. Right renal vein D. Horizontal part of pancreas E. Coils of small intestine
C. Left renal vein is the anterior relation of abdominal aorta. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 337.
52. Hepatic segments located most to the left are: A. 1+2 B. 4+5 C. 2+3 D. 5+6 E. 7+8
C. Left segments of the liver are 2nd and 3rd. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 294. Fig. 2.52.
2. The left adrenal vein drains directly into which of the following veins? A. Hemiazygos vein B. Inferior vena cava C. Left renal vein D. Splenic vein E. Left gastric vein
C. Left suprarenal vein drains directly to left renal vein. Right suprarenal vein drains directly to IVC. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 318.
9. Where the bile and main pancreatic ducts enter? A. Major duodenal papilla-Superior part of duodenum B. Minor duodenal papilla-Descending part of the duodenum C. Major duodenal papilla- Descending part of the duodenum D. Minor duodenal papilla- Inferior part of duodenum E. All are incorrect
C. Main pancreatic duct opens into descending part of duodenum at the summit of major duodenal papilla. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 287.
86. McBurney's point indicates position of: A. Base of ileocecal valve B. Right colic flexure C. Base of vermiform appendix D. Ileocolic lymph nodes E. Tenia coli
C. McBurney point indicates position of the base of vermiform appendix. Moore, Dalley. Clinically Oriented Anatomy 5'h éd., p. 275.
48. Pick INCORRECT relation of abdominal organs to peritoneum: A. Jejunum - intraperitoneal B. Ileum - intrateritoneal C. Pancreas - intraperitoneal D. Kidneys - retroperitoneal E. Transverse colon - intraperitoneal
C. Pancreas is located retroperitoneally. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 231, 286.
108. Pancreaticoduodenal lymph nodes are located in direct proximity of: A. Tail of pancreas B. Body of pancreas C. Head of pancreas D. None of above E. All of above
C. Pancreaticoduodenal lymph nodes are located in direct proximity of head of pancreas. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 263, Fig. 2.36.
31. The largest structure of porta hepatis is: A. Hepatic vein B. Common hepatic artery C. Portal vein D. Common bile duct E. Inferior vena cava
C. Portal vein is the largest structure of porta hepatis. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 290, Fig. 2.49.D.
45. Pick CORRECT information concerning pancreas: A. Tail of pancreas lies posterior to left kidney B. Accessory pancreatic duct drains tail of pancreas C. Main pancreatic duct opens at major duodenal papilla D. Pancreas recives no blood supply from splenic artery E. All are correct
C. The tail of pancreas lies anterior to left kidney. The main pancreatic duct drains tail of pancreas. Main source of blood for pancreas is splenic artery. Main pancreatic duct opens at major duodenal papilla. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 287.
119. Suprarenal veins drain to: A. Portal vein B. IVC C. Right - IVC, left - left renal vein D. Right - IVC, left - inferior mesenteric vein E. Inferior mesenteric vein
C. Right suprarenal vein empties into IVC, left suprarenal vein into left renal vein. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 318.
105. Pick INCORRECT about inguinal canal: A. Anterior wall: aponeurosis of external oblique B. Posterior wall: transversalis fascia C. Roof: external oblique muscle and transverse abdominal ligament D. Deep inguinal ring is located superior to the middle of inguinal ligament E. A+D
C. Roof of the inguinal canal is formed by transversalis fascia. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 217, Table 2.5.
78. Round ligament of liver is a remnant of: A. Hepatic artery B. Umbilical artery C. Umbilical vein D. Ductus venosus E. Ductus arteriosus
C. Round ligament of the liver is a remnant of umbilical vein. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 291.
34. Pick INCORRECT information about spleen: A. Contacts the posterior wall of stomach B. Is connected to the left kidney by splenorenal ligament C. Splenic artery is the largest branch of superior meseteric artery D. Nerves of spleen derive from the celiac plexus E. Splenic vein unites with superior mesenteric vein to form portal vein
C. Splenic artery is the largest branch of the celiac trunk not the SMA.
98. Pick INCORRECT location of portal-systemic anastomoses: A. Esophageal veins B. Rectal veins C. Superficial veins of thigh D. Paraumbilical veins E. All are correct
C. Superficial veins of thigh are not the example of portal-systemic anastomosis. Moore, Dalley. Clinically Oriented Anatomy 5,h éd., p. 306, Fig. 2.59.
71. Pick correct pair of artery and its origin: A. Superior suprarenal arteries - superior phrenic artery B. Middle suprarenal artery - superior mesenteric artery C. Inferior suprarenal arteries - renal artery D. All are correct E. All are incorrect
C. Superior suprarenal arteries are branches of the inferior phrenic arteries. Middle suprarenal arteries are branches of abdominal aorta. Inferior suprarenal arteries originate from the renal arteries. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 318.
8. The stomach bed is formed by structures forming the posterior wall of the omental bursa except from: A. Spleen B. Spenic artery C. Left lobe of the liver D. Left dome of the diaphragm E. Left kidney
C. The bed of the stomach is formed by: the left dome of diaphragm, spleen, left kidney, left suprarenal gland, splenic artery, pancreas, transverse colon and mesocolon. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 250.
100. Which part of large intestine is its the most mobile part: A. Cecum B. Ascending colon C. Transverse colon D. Descending colon E. Sigmoid colon
C. The most mobile part of large intestine is transverse colon. Moore, Dalley. Clinically Oriented Anatomy 5,h éd., p. 278.
111. The pancreatic accessory duct ends at: A. Major duodenal papilla which is located superiorly to the minor duodenal papilla B. Conductes only horomones C. Minor duodenal papilla which is located superiorly to the major duodenal papilla D. Minor duodenal papilla which is located inferiorly to the major duodenal papilla E. A and B are correct
C. The pancreatic accessory duct ends at minor duodenal papilla which is located superiorly to the major duodenal papilla. Moore, Dalley. Clinically Oriented Anatomy 5th ed., p. 287 and p. 283, Fig. 2.46.C.
101. Which of the following does not allow to distinguish small and large intestine: A. Teniae coli B. Haustra C. Intraperitoneal location D. Omental appendices E. Caliber
C. There are parts of large intestine located intra- and retroperitoneally. Characteristic features of large intestine see the comment to question 99. Moore, Dalley. Clinically Oriented Anatomy 5,h éd., p. 271.
56. Umbilical hernias are more common in: A. Children 3-5 years old B. Girls C. Low-birth-wieght newborn D. Teenagers E. Children 2-4 years old
C. Umbilical hernias are common in low-birth-weight infants because anterior abdominal wall is relatively weak in the umbilical ring. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 205.
33. A surgical incision through anterolateral abdominal wall enters: A. Greater omentum B. Lesser omentum C. Omental bursa D. Greater sac E. Paracolic gutters
D. A surgical incision through anterolateral abdominal wall enters the greater sac. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 238.
128. Which of the following does not contribute to boundaries of omental foramen: A. Hepatoduodenal ligament B. IVC C. Duodenum D. Abdominal aorta E. Duodenum
D. Abdominal aorta doesn't contribute to boundaries of the omental foramen. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 239.
70. Arterial supply of pancreas is NOT related to: A. Splenic artery B. Gastroduodenal arteries C. Superior mesenteric artery D. Inferior mesenteric artery E. All are correct
D. Arterial blood for pancreas is provided by splenic, gastroduodenal and superior mesenteric arteries. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 287.
68. Artery for vermiform appendix - appendicular artery originates from: A. Right colic artery B. Left colic artery C. Inferior mesenteric artery D. Ileocolic artery E. None of above
D. Artery for vermiform appendix is a branch of ileocolic artery. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 274, Table. 2.10.
6. On the posterior surface of the superior (1st part) of the duodenum we can find all the following structures except: A. Inferior Vena Cava B. Portal Vein C. Gastroduodenal artery D. Aorta E. Bile duct
D. Bile duct, gastroduodenal artery, portal vein and IVC are located posterior to the 1st part of duodenum. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 262, Table 2.8.
116. Suprarenal glands: A. Medulla derives from mesoderm and secretes corticosteroids and androgens B. Cortex consists of chromaffin cells that secrete catecholamines C. Right gland is semilunar, left triangular D. Right gland makes contact with IVC anteromedially E. Left gland is related to liver anterolaterally
D. Cortex derives from mesoderm and secretes corticosteroids and androgens, medulla consists of chromaffin cells that secrete catecholamines. Left gland is semilunar, right triangular. Right gland is related to liver anterolaterally and with IVC anteromedially. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 318.
140. What would you suspect in patient with varices of the esophagus? A. Gastric ulcer B. Duodenal ulcer C. Inflamation of the gallbladder D. Cirrhosis of the liver E. Gallstones
D. Esophageal varices are common in patients with cirrhosis of the liver. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 247.
15. Pick INCORRECT about inguinal canal: A. Anterior wall: internal oblique and lateral crus of aponeurosis of external oblique B. Posterior wall: transversalis fascia C. Roof: transversalis fascia D. Floor: rectus abdominis E. All are correct
D. Floor of inguinal canal is formed by iliopubic tract. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 217, Table 2.5.
53. Hepatomegaly may result from: A. Heart failure B. Cirrhosis C. Hepatic tumor D. All of above E. None of above
D. Heart failure, cirrhosis, and hepatic tumor may result in liver enlargement (hepatomegaly). Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 298.
69. Which is INCORRECT regarding blood supply of the liver: A. 70% of blood supply of the liver is supplied by portal vein B. 30% of blood supply of the liver is supplied by hepatic artery C. Portal vein is one of structures of portal triad D. Hepatic artery is branch of superior mesenteric artery E. A+B
D. Hepatic artery is a branch of celiac trunk. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 253, Table. 2.7.
79. Hepatic segments located most to the right are: A. I, II B. II, III C. IV, V D. VI, VII E. vin, rx
D. Hepatic segments located most to the right are VI and VII. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 294, Fig. 2.52.
92. AU the following form the greater omentum EXCEPT: A. Splenorenal ligament B. Gastrophrenic ligament C. Gastrocolic ligament D. Hepatogastric ligament E. Gastrosplenic ligament
D. Hepatogastric ligament is a part of the lesser omentum. Moore, Dalley. Clinically Oriented Anatomy 5,h éd., p. 237.
141. Pick correct regarding ureters. A. Ureters are muscular ducts B. 25-30 cm long C. Ureters pass over the pelvic brim at the bifurcation of the commoniliac arteries D.A+B E. A+B+C
E. All sentences are correct. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 313.
145. What structures can be found in esophageal hiatus of the diaphragm? A. Esophagus B. Esophagus, vagal trunks C. Esophagus, vagal trunks, branches of left gastric artery D. Esophagus, vagal trunks, branches of left gastric artery, lymphatic vessels. E. Esophagus, vagal trunks, branches of left gastric artery, lymphatic vessels, thoracic duct
D. In esophageal hiatus there are esophagus, vagal trunks, branches of left gastric artery, and lymphatic vessels. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 328.
19. Pick INCORRECT direct or indirect tributary of portalvein: A. Inferior mesenteric vein B. Right colic vein C. Superior mesenteric vein D. Inferior rectal veins E. Splenic veins
D. Inferior rectal veins are tributaries of cavai venous system. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 431.
10. The porta hepatis gives passage to all of the following structures except: A. Lymphatic vessels B. Hepatic nerve plexus C. Hepatic artery D. Inferior Vena Cava E. Portal vein
D. Inferior vena cava doesn't pass through porta hepatis. It is located in groove for vena cava. Moore, Dalley. Clinically Oriented Anatomy 5th ed., p.290, Fig. 2.49.D.
138. Which part of colon is located at the highest level? A. Right flexure B. Transverse colon C. Sigmoid colon D. Left flexure E. Ascending colon
D. Left (splenic) colic flexure lies at the highest level. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 260, Fig. 2.34.
7. Which artery is a branch of the celiac trunk? A. Right gastric artery B. Right gastro-omental artery C. Left gastro-omental artery D. Left gastric artery E. Superior mesenteric artery
D. Left gastric, common hepatic and splenic arteries are branches of the celiac trunk. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 253, Table 2.7.
124. Which is NOT a tributary of inferior vena cava: A. Inferior phrenic veins B. Renal veins C. Hepatic veins D. Left testicular vein E. Lumbar veins
D. Left testicular vein empties into left renal vein. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 228.
18. Which describes properly lymphatic drainage of descending and sigmoid colon: A. Epicolic nodes -> intermediate (meso-) colic nodes -> paracolic nodes -> superior/inferior mesenteric nodes B. Paracolic nodes -> intermediate (meso-) colic nodes -> epicolic nodes -> superior/inferior mesenteric nodes C. Intermediate (meso-) colic nodes -> epicolic nodes -> paracolic nodes -> superior/inferior mesenteric nodes D. Epicolic nodes -> paracolic nodes -> intermediate (meso-) colic nodes -> superior/inferior mesenteric nodes E. Intermediate (meso-) colic nodes -> epicolic nodes -> superior/ inferior mesenteric nodes -> paracolic nodes
D. Lymph from descending and sigmoid colon is drained into epicolic and paracolic nodes, then passes through the intermediate colic lymph nodes to inferior mesenteric lymph nodes or superior mesenteric lymph nodes. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 279.
23. The medial umbilical folds of the anterior abdominal wall are formed by the: A. Urachus B. Inferior epigastric vessels C. Obliterated umbilical veins D. Obliterated umbilical arteries E. Round ligaments of the uterus
D. Obliterated umbilical arteries form medial umbilical folds. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 213.
88. Parasympathetic nerve supply of stomach is from: A. Anterior vagal trunk B. Posterior vagal trunk C. Greater splanchnic nerve D.A+B E. A+B+C
D. Parasympathetic fibers for stomach derive from anterior and posterior vagal trunks. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 254.
16. Rectus abdominis muscle: A. Is broad and thin superiorly, and narrow and thick inferiorly B. Is principal vertical muscle of anterior abdominal wall C. Most of it is enclosed in the rectus sheath D. Is anchored to anterior wall of rectus sheath by tendinous intersections E. All are correct
E. All sentences regarding rectus abdominis muscle are correct. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 204.
139. Which elements are called portal triad? A. Portal vein, hepatic artery proper, common hepatic duct B. Portal vein, hepatic vein, common hepatic artery C. Portal vein, common hepatic artery common hepatic duct D. Portal vein, hepatic proper artery, common bile duct E. Portal vein, hepatic vein, common bile duct
D. Portal triad consists of portal vein, hepatic proper artery and common bile duct. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 292, Fig. 2.51.
73. Right colic artery is a direct branch of: A. Abdominal aorta B. Ileocolic artery C. Inferior mesenteric artery D. Superior mesenteric artery E. None of above
D. Right colic artery originates from superior mesenteric artery. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 274, Table. 2.10.
65. The root of mesentery of small intestine does NOT cross: A. Abdominal aorta B. IVC C. Right ureter D. Esophagus E. Right psoas major
D. Root of mesentery of small intestine does not cross esophagus.
66. Root of mesentery of small intestine does NOT cross: A. rvc B. Right ureter C. Right psoas major D. Ileum E. Ascending part of duodenum
D. Root of mesentery of small intestine does not cross ileum. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 312, Fig. 2.63.
126. Fracture of which rib may injure spleen: A. 6th right B. 6th left C. 10th right D. 10th left E. None of above
D. Spleen is associated posteriorly with the left ribs 9th - 11th. When fractured they may injure the spleen. Moore, Dalley. Clinically Oriented Anatomy 5,h éd., p. 281.
109. Arterial supply of pancreas does not originate from: A. Greater pancreatic artery B. Splenic artery C. Superior mesenteric artery D. Posterior lateral pancreaticoduodenal artery E. Gastroduodenal artery
D. Splenic, gastroduodenal, superior mesenteric, greater pancreatic artery, superior and inferior pancreaticoduodenal arteries supply pancreas. Moore, Dalley. Clinically Oriented Anatomy 5'h éd., p. 284, Fig. 2.47 and p. 287.
104. Pick INCORRECT regarding deep inguinal ring: A. Forms entrance to inguinal canal B. Is located superior to middle part of inguinal ligament C. Is a site of outpuching of transversalis fascia D. Is located medial to inferior epigastric artery E. A+B
D. The deep inguinal ring is located lateral to inferior epigastric artery. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 217.
107. Which structure is located immediately medial to deep inguinal ring: A. Linea alba B. Inguinal ligament C. Anterior iliac spine D. Inferior epigastric artery E. Ureter
D. The deep inguinal ring is located lateral to inferior epigastric vein and artery. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 217.
150. Cholecystenteric fistula the most commonly indicates connection between: A. Gallbladder and duodenum B. Gallbladder and ileum C. Gallbladder and colon D.A+C E. A+B+C
D. The most commonly cholecystenteric fistula occurs between gallbladder and duodenum or transverse colon. Moore, Dalley. Clinically Oriented Anatomy 5th ed, p. 305.
121. Umbilical veins: A. Carry oxygenated blood from the placenta. B. Left umbilical vein obliterates to form medial umbilical ligament C. Form ligamentum teres hepatis after obliteration D. A and C are correct E. All are correct
D. Umbilical veins carry oxygenated blood from the placenta and form ligamentum teres hepatis after obliteration. Moore, Dalley. Clinically OrientedAnatomy5'h éd.,p.291.
40. Vagotomy may be used in treatment of: A. Cirrhosis of liver B. Splenomegaly C. Gastric tumor D. Gastric ulcer E. Gallstones
D. Vagotomy (surgical section of the vagus nerves) can be performed in gastric ulcers to reduce acid secretion. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 257.
114. Anterior relations of abdominal aorta do NOT include: A. Body of pancreas B. Splenic and left renal veins C. Horizontal part of duodenum D. Vertebral column E. Coils of small intestine
D. Vertebral column is located posterior and right to abdominal aorta. Body of pancreas, splenic and left renal veins, horizontal part of duodenum and coils of small intestine Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 260, Fig. 2.34 and .p. 261, Fig. 2.35.
57. Acquired umbilical hernias occur most commonly: A. Women B. Obese people C. Men D. B and C are correct E. A and B are correct
E. Acquired umbilical hernias are more common in women and obese people. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 205.
25. Pick CORRECT about inguinal canal: A. Anterior wall: aponeurosis of external oblique B. Posterior wall: transversalis fascia C. Roof:fibersof internal oblique and transverse abdominis muscles D. Floor: inguinal ligament E. All are correct
E. All boundaries of the inguinal canal are correct. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 217, Table 2.5.
14. Pick INCORRECT about external oblique abdominis muscle: A. Most its fibers run inferomedially B. Inserts at linea alba, pubic tubercle and iliac crest C. Compresses abdominal viscera, flexes and rotates trunk D. Is innerved by thoracoabdominal and subcostal nerves E. All are correct
E. All descriptions of external oblique muscle are correct. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 198.
97. Pick CORRECT location of portal-systemic anastomoses: A. Esophageal veins B. Rectal veins C. Paraumbilical veins D. Colic veins E. All are correct
E. All locations are correct. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 306, Fig. 2.59.
89. Cancer of head of pancreas may result with: A. Obstructive jaundice B. Enlargement of the gallbladder C. Yellow staining of skin D. Extrahepatic obstruction of the biliary system E. All are correct
E. All mentioned cases can be treated as signs of bile retention, which can be caused by pancreatic head cancer compressing the duct. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 288.
82. Pick INCORRECT part of gallbladder: A. Fundus B. Body C. Neck D. Spiral valve E. All are correct
E. All mentioned parts can be found in gallbladder. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 302.
143. What is located between left and right crus of the diaphragm? A. Psoas major muscle B. Lateral arcuate ligament C. Opening for IVC D. Esophageal hiatus E. Aortic hiatus
E. Aortic hiatus is limited laterally by crura of the diaphragm. Moore, Dalley. Clinically Oriented Anatomy 5'h éd., p. 336, Fig. 2.76.
133. Arteries to abdommal portion of ureters arise from: A. Renal arteries B. Testicular/ovarian arteries C. Abdominal aorta D. None of above E. All of above
E. Arteries to abdominal portion of ureters arise from renal arteries, tsticular/ovarian arteries, abdominal aorta, and common iliac arteries. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 313.
59. Arterial supply of abdommal esophagus is from: A. Left gastroduodenal artery B. Left gastric artery C. Left inferior phrenic artery D. A+B E. B+C
E. Blood supply of the abdominal esophagus is from left gastric and leftinferiorphrenicarteries.Moore,Dalley.ClinicallyOrientedAnatomy 5th éd., p. 244.
27. Direct inguinal hernia: A. Usually is acquired B. Has a hernial sac formed by transversalis fascia C. Leaves abdominal cavity medial to inferior epigastric artery D. Protrudes through inguinal (Hesselbach) triangle E. All are correct
E. Direct hernias are usually acquired. Hernial sac is formed by transversalis. This type of hernia leaves abdominal cavity medial to inferior epigastric artery in inguinal (Hesselbach) triangle. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 223, 224 Table B2.1.
99. Which is NOT typical feature of large intestine: A. Teniae coli B. Haustra C. Omental appendices D. A+B E. All are correct
E. Features of large intestine are: omental appendices, teniae coli, haustra and great internal diameter. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 271.
63. Inferior vena cava is located on posterior surface of: A. Superior part of duodenum B. Horizontal part of duodenum C. Descending part of duodenum D. Ascending part of duodenum E. A+B
E. Inferior vena cava is located on posterior surface of superior and horizontal part of duodenum. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 262, Table 2.8.
54. All of the following can be found in the left lower quadrant of the abdomen EXCEPT: A. Enlarged uterus B. Full urinary bladder C. Descending collón, lower part D. Left ovary E. Jejunum and proximal ileum
E. Jejunum and proximal ileum are located in left upper abdomen.
72. Pick INCORRECT pair of artery and its origin: A. Left gastric artery - hepatic artery B. Right gastric artery - celiac trunk C. Right gastro-omental artery - gastroduodenal artery D. Left gastro-omental artery - splenic artery E. A+B
E. Left gastric artery originates from celiac trunk, right gastric from the hepatic artery. Remaining options are correct. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 253, Table 2.7.
32. Supracolic compartment DOES NOT contain: A. Stomach B. Right lobe of liver C. Spleen D. Left lobe of liver E. Kidneys
E. Supracolic compartment contains liver, spleen and stomach. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 238.
146. Which groups of lymph nodes receive lymph from the diaphragm? A. Diaphragmatic B. Phrenic C. Parasternal D. Posterior mediastinal E. All of above
E. Lymph from diaphragm drains to diaphragmatic, then to phrenic, parasternal and posterior mediastinal. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 328.
60. Lymph from the stomach drains to: A. Gastric nodes B. Pancreaticosplenic nodes C. Pyloric nodes D. Pancreaticoduodenal nodes E. All are correct
E. Lymph from the stomach drains into gastric, pancreaticosplenic, pyloric, pancreaticoduodenal lymph nodes. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 254.
115. Select the incorrect statement about the suprarenal glands: A. Suprarenal glands are formed by medulla and cortex B. Medullar part produces norepinephrine C. Chromaffin cell is the principle cell type in the medulla D. Medulla isrichlyinnervated by preganglionic sympathetic fibers E. Medulla is an extension of parasympathetic system
E. Medulla of suprarenal glands is an extension of sympathetic nervous system. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 318.
75. Venous drainage of rectum includes: A. Superior rectal vein, tributary of inferior mesenteric vein B. Middle rectal vein, tributary of superior mesenteric vein C. Inferior rectal vein, tributary of inferior vena cava D.A+B E. A+C
E. Middle rectal vein is tributary of inferior mesenteric vein. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 276, Fig. 2.43.
62. Most of the duodenal ulcers are in: A. Anterior wall of descending part of duodenum B. Posterior wall of ascending part of duodenum C. Anterior wall of horizontal part of duodenum D. Anterior wall of ascending part of duodenum E. Posterior wall of the superior part of duodenum
E. Most duodenal ulcers occur in the posterior wall of the superior part of duodenum. Moore, Dalley. Clinically OrientedAnatomy 5th éd., p. 264.
22. Identify the INCORRECT statement about the lateral umbilical ligament (fold). A. It is formed by the inferior epigastric artery (and vein) B. The deep inguinal ring is lateral to the inferior epigastric artery C. A direct inguinal hernia passes medial to the lateral umbilical ligament D. An indirect inguinal hernia passes lateral to the lateral umbilical ligament E. It is medial to the obliterated umbilical artery
E. Obliterated umbilical artery forms medial umbilical fold. Lateral umbilical fold lies laterally to it. Moore, Dalley. Clinically Oriented Anatomy 5,h éd., p. 213.
147. Which surgical incisions are high-risk? A. Subcostal B. Pararectus C. Inguinal D.A+C E. B+C
E. Pararectus and inguinal incisions are called 'high risk'. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 209.
35. Parasympathetic part of the autonomic nervous system of the abdomen consists of: A. Vagal trunks B. Pelvic splanchnic nerves C. Abdominal autonomic plexuses and periarterial plexuses D. Intrinsic (enteric) parasympathetic ganglia E. All are correct
E. Parasympathetic part of the autonomic nervous system of the abdomen consists of anterior and posterior vagal trunks, pelvic splanchnic nerves, abdominal autonomic plexuses and their extensions (periarterial plexuses) and intrinsic (enteric) parasympathetic ganglia. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 324.
76. Peritoneum covers: A. Anterior surface of the superior third of rectum B. Lateral surfaces of the superior third of rectum C. Anterior surface of the middle third of rectum D. A+B E. A+B+C
E. Peritoneum covers the anterior and ateral surfaces of the superior third, and anterior surface of the middle third of the rectum. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 430.
122. Pick INCORRECT border of umbilical region: A. Right midclavicular plane B. Left midclavicular plane C. Subcostal plane D. Transtubercular plane E. All are correct
E. Right midclavicular plane, left midclavicular plane, subcostal plane and transtubercular plane are boundaries of the umbilical region. Moore, Dalley. Clinically Oriented Anatomy 5,h éd., p. 195, Table 2.1 A.
91. Choose the correct statement(s) about the blood supply of the kidneys: A. Right renal artery is longer and passes anteriorly to IVC B. Right renal artery is longer and passes posteriorly to IVC C. Each renal artery divides close to the hilum into 5 segmental arteries D. The superior segmental artery has branches which supply the superior and anterior segments of the kidney E. B, C and D are correct
E. Right renal artery is longer and passes posterior to IVC. There is 5 segmental branches of each kidney. Superior segmental artery supplies superior and anterior segments of the kidney. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 318.
127. Spleen is: A. Permanently fixed to posterior abdominal wall B. Surrounded by capsule containing striated muscles C. Approximately 13 cm long D. Surrounded by perioteum exclusively at the hilum E. All are incorrect
E. Spleen is not permanently fixed to posterior abdominal wall - it is intraperitoneal organ, surrounded by fibroelastic capsule, approximately 12cm long, covered by peritoneum on its surface without the hilum. Moore, Dalley. Clinically Oriented Anatomy 5,h éd., p. 281.
64. Superior part of duodenum lies: A. Along right sides of T12-L3 vertebrae B. Anterolateral to L3 vertebra C. Anterior to L3 vertebra D. Anterior to T12 vertebra E. Anterolateral to LI vertebra
E. Superior part of duodenum lies anterolateral to LI vertebra. Moore, Dalley. Clinically Oriented Anatomy 5'h éd., p. 259.
29. Suprarenal glands produce: A. Norepinephrine B. Corticosteroids C. Androgens D. Epinephrine E. All of above
E. Suprarenal glands are responsible for producing corticosteroids and androgens (cortex), epinoephrine and norepinephrine (medulla). Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 318.
120. The suprarenal gland are located: A. Superiorly and anteriorly to the kidneys B. Superiorly and posteriorly to the kidneys C. Retroperitoneally D. Intraperitoneally E. A and C are correct
E. Suprarenal glands are retroperitoneal organs and are located superior and anterior to the kidneys. Moore, Dalley. Clinically Oriented Anatomy 5,h éd., p. 316, Fig. 2.66.
85. Tail of pancreas is related to: A. Right kidney B. Hilum of spleen C. Left colic flexure D. A+B+C E. B+C
E. Tail of pancreas is closely related to left colic flexure and hilum of the spleen. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 287.
46. Which part of duodenum has its mesentery: A. Distal 2 cm of the 1st part B. Proximal 2 cm of the 4th part C. Distal 4 cm of the 1st part D. Proximal 2 cm of the 2nd part E. Proximal 2 cm of the 1st part
E. The first 2 cm of 1st part of duodenum has a mesentery and is mobile. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 259.
132. Ureters are normally constricted in: A. Junction of ureters and renal pelves B. Where they pass cross the brim of the pelvic inlet C. During passage through the wall of the bladder D.A+B E. A+B+C
E. Ureters are normally constricted in their junction with renal pelves; where they cross the brim of the pelvic inlet; during passage through the wall of the bladder. Moore, Dalley. Clinically Oriented Anatomy 5th ed., p. 313.
81. The visceral surface of liver is related to: A. Stomach B. Duodenum C. Right kidney and suprarenal gland D.A+B E. A+B+C
E. Visceral surface of the liver is in contact with all mentioned organs. Moore, Dalley. Clinically Oriented Anatomy 5th éd., p. 292.
