Ibrahim Odeh Mcqs ( Regional Anatomy )

Front 1

All the following structures lie in the transpyloric plane EXCEPT:

Back 1

a) origin of the inferior mesenteric artery
b) fundus of the gall-bladder
c) termination of the spinal cord
d) pancreatic neck
e) duodenojejunal flexure

Hint 1

A

Front 2

Which of the following is true concerning the abdominal planes?

Back 2

a) The transpyloric plane of Addison lies half-way between the xiphoid and the pubis
b) The subcostal plane lies at the level of L1 vertebra
c) The hila of the kidneys lie in the transpyloric plane
d) The intertubercular plane lies at the level of the pubic tubercles
e) The level of the subcostal plane is a little higher than that of the transpyloric plane.

Hint 2

C

Front 3

The superficial perineal fascia (of Colles)

Back 3

a) is a continuation into the perineum of Camper's fascia
b) encloses the superficial perineal space
c) is attached to the anterior margin of the perineal membrane.
d) limits the extravasation of urine to the tissues of scrotum and penis in cases of rupture of the penile urethra
e) allows extravasation of urine into the thigh in cases of rupture of the penile urethra.

Hint 3

B

Front 4

4. Regarding the segmental innervation of the abdominal muscles and the overlying skin, all the following is true EXCEPT

Back 4

a) it is derived from T7 to L1
b) the umbilicus is supplied by T1
c) the groin and scrotum are supplied by L1
d) The abdominal reflexes are absent in lower motor neuron lesions.
e) T7 innervates the skin over the xiphoid process

Hint 4

D

Front 5

Which of the following statements about the oesophagus is true?

Back 5

a) It begins at the level of C6 vertebra
b) It begins at the upper border of the cricoid cartilage
c) It passes through the diaphragm at the level of T10 vertebra
d) It is about 35 cm long
e) The intra-adbominal part averages 3-5 cm

Hint 5

A

Front 6

Vertebral Artery enters the skull through ....?

Back 6

a. Foramen Ovale

b. Carotid Canal

c. Jagular Foramen

d. Internal acoustic meatus

e. Foramen magnum

Hint 6

E

Front 7

In the Cubital Fossa:

Back 7

a. the Ulner nerve is on the medial side

b. Radial nerve is on the lateral side

c. the Medial nerve passes downwards lateral to the brachial artery.

d. all of the superfacial veins are deep to catanious nerves.

e. Brachial arterY is lateral to the tendon of biceps.

Hint 7

B

Front 8

Concerning the anal canal, which of the following statements is INCORRECT?

Back 8

a) upper end of the anal canal is supplied by superior rectal artery
b) The upper canal drains to the superficial inguinal lymph nodes.
c) area below the pectinate line supplied by the inferior rectal branches of the pudendal nerve.
d) upper canal and lower canal differ in their embryological origin.
e) The upper canal is a site of portal-systemic anastomosis.

Hint 8

B

Front 9

The suprarenal glands: one is TRUE

Back 9

a) are symmetrical in shape
b) Each gland receives blood only from its corresponding adrenal artery.
c) Each gland is usually drained by a single vein.
d) inferior vena cava is an anterior relation of left suprarenal gland.
e) Both cortex and medulla are supplied by parasympathetic nerves.

Hint 9

C

Front 10

All the following statements concerning the kidneys are true EXCEPT:

Back 10

a) They are retroperitoneal organs.
b) Their lower poles may be palpated in the normal individual
c) The right kidney lies in a higher position than the left.
d) The kidneys move vertically with respiration.
e) The perinephric fascia (of Gerota) surrounds the perinephric fat.

Hint 10

C

Front 11

Concerning the relations of the kidneys: (TRUE)

Back 11

a) the left, the hilum is related to the second part of the duodenum.
b) the right, the hilum is related to the tail of the pancreas
c) The costodiaphragmatic recess of the pleura is at risk in the lumbar approach to the kidney.
d) The hilum of both kidneys lies at the subcostal plane.
e) kidney and suprarenal gland lie in the same fascial compartment.

Hint 11

C

Front 12

Which of the following statements concerning the three main structures of the hilum of the kidney is INCORRECT?

Back 12

a) The renal pelvis is normally the most posterior of the three
b) The anatomy of the contents of the hilum can be variable.
c) The renal artery divides into 3-5 segmental arteries at the hilum.
d) The right renal vein is longer than the left.
e) The renal veins empty directly into the inferior vena cava.

Hint 12

D

Front 13

Lymph drainage in the pelvis includes the

(MORE)

Back 13

a) Ovaries to the lateral pelvic nodes

b) Scrotum to the superficial inguinal nodes

c) Uterine cervix to the deep inguinal nodes

d) Vagina to the lateral pelvic nodes

e) Fallopian tubes to the para-aortic nodes

Hint 13

B, D, E

Front 14

Skin around the anal canal has a sensory supply from (More)

Back 14

a) Parasympathetic nerves

b) Posterior femoral cutaneous nerve

c) Pudendal nerve

d) Obturator nerve

e) Posterior rami of S4

Hint 14

B, C, E

Front 15

Tributaries of the portal system include (MORE)

Back 15

a) Adrenal

b) Renal

c) Gonadal

d) Pancreatic

e) Splenic

Hint 15

D, E

Front 16

In the abdomen the (MORE)

Back 16

a) Superior rectal artery arises from the inferior mesenteric artery

b) Right gastric artery arises from the hepatic artery

c) Right gastro-epiploic artery arises from the splenic artery

d) Left gastro-epiploic artery arises from the gastroduodenal artery

e) Inferior pancreaticoduodenal artery arises from the superior mesenteric artery

Hint 16

A, B, E

Front 17

Organs on a mesentery include (MORE)

Back 17

a) Appendix

b) Descending colon

c) Jejunum

d) Sigmoid colon

e) 3rd part of duodenum

Hint 17

A, C, D

Front 18

Considering the abdomen it could be said that the (MORE)

Back 18

a) Neck of the pancreas lies on the transpyloric plane

b) Right adrenal gland is posterior to the inferior vena cava

c) Neck of the pancreas is posterior to the portal vein

d) Transverse mesocolon attaches to anterior surface of the pancreas
e) Anterior vagal trunk carries sympathetic as well as parasympathetic fibres

Hint 18

A, B, D

Front 19

Veins draining directly into the portal system include: (MORE)

Back 19

a) Renal

b) Adrenal

c) Splenic

d) Pancreatic

e) Middle rectal

Hint 19

C, D

Front 20

The greater omentum is attached to the (MORE)

Back 20

a) Porta hepatis of the liver

b) Lesser curvature of the stomach

c) Transverse colon

d) Greater curvature of stomach

e) Spleen

Hint 20

C, D

Front 21

At the level of the T4/5 vertebral interspace, a CT scan shows the: (MORE)

Back 21

a. Upper aspect of the arch of aorta
b. Bifurcation of trachea
c. Left brachiocephalic vein
d. Azygos arch
e. Commencement of the pulmonary artery

Hint 21

B, D

Front 22

The azygos vein: (except)

Back 22

a. Has the right superior intercostal vein draining into it
b. Is systemic part of the lower oesophageal portosystemic anastomosis
c. Drains into the superior vena cava
d. Arches over the root of the left lung

Hint 22

D

Front 23

The vagus nerve supplies the (MORE)

Back 23

a) Upper rectum

b) Gall bladder

c) Descending colon

d) Lower oesophagus

e) Mediastinal pleura

Hint 23

B, D

Front 24

The prostate (MORE)

Back 24

A. contains glands embedded within skeletal muscle and connective tissue
B. provides about 30% of the volume of seminal fluid
C. receives a blood supply from the gonadal artery
D. has an embryonic origin from both endoderm and mesoderm

Hint 24

B, D

Front 25

Postoperatively, a patient complains of numbness of the anterior and medial thigh after extensive groin surgery. The cutaneous nerve least likely to have been affected is the:

Back 25

A. Femoral branch of genitofemoral nerve
B. Obturator nerve
C. Saphenous nerve
D. Medial cutaneous nerve of thigh
E. Intermediate cutaneous nerve of thigh

Hint 25

C

Front 26

The cystic artery (TRUE)

Back 26

A. typically arises from the hepatic artery proper
B. usually passes behind the cystic duct to reach the neck of the gallbladdr
C. if thrombosed, frequently causes gallbladder necrosis
D. runs with the cystic vein

Hint 26

B

Front 27

Posterior wall of the axilla is NOT composed of:

Back 27

A. Clavipectoral fascia
B. Tendon of the latissimus dorsi
C. Teres Major
D. Subscapularis

Hint 27

A

Front 28

Chief arterial supply of the female breast is from:

Back 28

A. Lateral thoracic artery
B. Internal thoracic (mammary) artery
C. 2nd & 3rd intercostal arteries
D. Thoracoacromial arteries
E. Lateral pectoral artery

Hint 28

A

Front 29

Which of the following is NOT a rotator cuff muscle?

Back 29

A. Supraspinatus
B. Infraspinatus
C. Teres minor
D. Teres major
E. Subscapularis

Hint 29

D

Front 30

Medial intermuscular septum is pierced by:

Back 30

A. Ulnar nerve
B. Radial nerve
C. Median nerve
D. Profunda brachii artery
E. All of the above

Hint 30

A

Front 31

Which of the following regarding cubital fossa is INCORRET?

Back 31

A. Median nerve lies medial to the bicpital tendon
B. Lateral cutaneous nerve of forearm lies on the tendon of biceps
C. Radial nerve gives rise to posterior interosseous branch
D. Pronator teres & brachioradialis form the medial & lateral borders
E. Brachialis & supinator form the floor

Hint 31

B

Front 32

Fractured shaft of humerus with radial nerve damage usually do NOT have the
following feature:

Back 32

A. Wrist drop
B. Inability to extend elbow
C. Sensory loss over posterior aspect of forearm
D. Sensory loss over lateral aspect of forearm

Hint 32

B

Front 33

Axillary vein:

Back 33

A. is formed from the confluence of basilic, brachial & cephalic veins
B. lies medial to axillary artery in its course in the axilla
C. is enclosed in the axillary sheath
D. has the same tributaries as the axillary arteries
E. All of the above

Hint 33

E

Front 34

Which statement correctly describes the abdominal wall? (only one)

Back 34

a. superficial fascia of the abdominal wall contains Camper’s fascia.

b. The deep fascia of the abdominal wall is known as Scarpa’s fascia.

c. Scarpa’s fascia adheres to the superficial fascia of the thigh.

d. The umbilicus receives sensory fibres from T8.

e. The groin is innervated by T12.

Hint 34

A

Front 35

Which statement about the rectus abdominis is correct?

Back 35

a. It has the transversalis fascia posteriorly throughout its length.

b. It has three tendinous intersections which are visible posteriorly.

c. It has the aponeuroses of the three oblique abdominal muscles anterior to it below the arcuate line.

d. The lower free border of the anterior rectus sheath is called the arcuate line.

e. The linea alba is a highly vascular structure.

Hint 35

C

Front 36

Which statement about the borders of the epiploic foramen is correct?

Back 36

a. The second part of the duodenum forms the inferior border.
b. The quadrate process of the liver forms the superior border.
c. The hepatic vein forms the posterior border.
d. The free edge of the greater omentum forms the anterior border.
e. The common bile duct is contained within the anterior border.

Hint 36

E

Front 37

Which of the following statements regarding peritoneal compartments is correct?

Back 37

a. The infracolic compartment lies below the lesser omentum.
b. The right and left subphrenic spaces are separated by the coronary ligament.
c. The right subhepatic space lies between the right lobe of the liver and the right kidney.
d. The left subhepatic space is also known as the hepatorenal pouch.
e. The right paracolic gutter lies medial to the colon.

Hint 37

C

Front 38

Which of these statements about the coeliac trunk is not correct?

Back 38

a. It supplies the foregut and its derivatives.
b. It leaves the aorta at the level of L1.
c. It gives a left gastric branch that supplies the oesophagus.
d. It gives a splenic branch.
e. It gives rise to the gastroduodenal artery via its hepatic branch.

Hint 38

B

Front 39

Which statement best describes the blood supply of the stomach?

Back 39

a. It is derived entirely from the superior mesenteric artery.
b. The gastroepiploic arteries supply the lesser curvature.
c. The right gastric artery is a direct branch of the coeliac axis.
d. The left gastroepiploic artery arises directly from the coeliac trunk.
e. The short gastric arteries arise from the splenic artery.

Hint 39

E

Front 40

Which statement best describes the venous drainage of the alimentary tract?

Back 40

a. All blood drains into the portal system.
b. The portal vein is formed from the union of the inferior mesenteric and splenic veins.
c. The superior mesenteric vein crosses the uncinate process of the pancreas.
d. The inferior mesenteric vein passes behind the left renal vein.
e. The prepyloric vein is variable in position.

Hint 40

C

Front 41

Which statement best completes this sentence? The superior mesenteric artery:

Back 41

a. Supplies the gut from the pylorus to the terminal ileum.
b. Arises from the aorta at the level of L1.
c. Runs in front of the body of the pancreas.
d. Crosses the second part of the duodenum.
e. Supplies the appendix via its right colic branch.

Hint 41

B

Front 42

The layer that surrounds the testis and is derived from the peritoneum is the:

Back 42

A. tunica albuginea

B. germinal epithelium

C. tunical virginalis
D. tunica germinativa

E. tunica vaginalis

Hint 42

A

Front 43

Which statement best describes the inferior mesenteric artery?

Back 43

a. It arises from the aorta at the level of the transpyloric plane.
b. It supplies the mucus membrane of the gut as far as the mid-rectum.
c. It gives off a left colic branch.
d. It crosses the pelvic brim at the point of bifurcation of the right common iliac vessels.
e. It anastomoses with the superior mesenteric artery via its sigmoid branch.

Hint 43

C

Front 44

Which statement best describes the lymphatics of the gastrointestinal tract?

Back 44

a. They generally follow routes which are distinct from those taken by the venous drainage of the bowel.
b. Peyer’s patches are found on the mesenteric surface of the large bowel.
c. Lymphoid follicles become less numerous in the distal part of the gut.
d. Preaortic nodes lie at the origins of major blood vessels.
e. Lymph from the alimentary tract eventually passes into the portal system of veins.

Hint 44

D

Front 45

Which of the following statements about the duodenum is incorrect?

Back 45

a. The second part overlies the right kidney.
b. The transverse mesocolon attaches over the second part.
c. The ampulla of Vater lies in the third part.
d. The inferior vena cava and aorta lie directly behind the third part.
e. The gall bladder overlies the first part.

Hint 45

C

Front 46

Which statement regarding the jejunum and ileum is incorrect?

Back 46

a. The ileum has thicker walls than the jejunum.
b. The proximal small intestine is of greater diameter than the distal.
c. The mesentery of the small intestine is thicker distally.
d. The jejunum lies mainly in the umbilical region.
e. The mesenteric vessels form more numerous arcades in the ileum.

Hint 46

A

Front 47

Which of these statements regarding Meckel’s diverticulum is correct?

Back 47

a. It is found in about 4% of the population.
b. Is always found on the antimesenteric border of the ileum.
c. Is usually about 2 cm in length.
d. Is usually located about 20 cm from the ileocaecal junction.
e. Is usually attached to the umbilicus.

Hint 47

B

Front 48

Appendicular artery is a branch of:

Back 48

a. right colic artery

b. iliocolic artery

c. middle colic artery

d.posterior cecal artery

Hint 48

B

Front 49

Caudate lobe of liver is situated between:

Back 49

a. Gall bladder & groove for ligamentum teres

b. IVC and ligamentum venosum

c. Posterior part of left lobe

d. Anterior superior surface of liver

Hint 49

B

Front 50

Transpyloric plane passes through

Back 50

a. T2- L1

b. LS- 81

c. T10

d. L1-L2

Hint 50

D

Front 51

Pancreatico-splenic lymph nodes receive lymphatics from the part of the stomach which is supplied by?

Back 51

a. Left gastric artery

b. Short gastric arteries and left gastro epiploic artery

c. Right gastro epiploic artery

d. Right gastric artery

Hint 51

B

Front 52

Most common type of diaphragmatic hernia

Back 52

a. Bochdalek's hernia

b. Morgagni's hernia

c. Hernia through dome

d. Hiatus hernia

Hint 52

D

Front 53

Normal portal venous pressure is·

Back 53

a. 5- 8 mm Hg

b. 6-12mm Hg

c. 12-15mm Hg

d. 45mm Hg

Hint 53

B

Front 54

The least dilatable part of the urethra is

Back 54

a. Prostatic

b. Membranous

c. Spongy

d. All are equally dilatable

Hint 54

B

Front 55

The lesser peritoneal sac (omental bursa) is bounded by : (more than one)

Back 55

a. Anteriorly by the stomach

b. Posteriorly by the ileum

c. Posteriorly by the pancreas

d. Posteriorly by the lesser omentum

Hint 55

A, C

Front 56

Buck's fascia is related to :

Back 56

a. lschiorectal fascia

b. Thigh

c. Neck

d. Penis

Hint 56

D

Front 57

The posterior wall of inguinal canal are formed by many structures that include: more than one is true

Back 57

a. Conjoint tendon

b. Transversus abdominis

c. Fascia transversalis

d. Lacunar ligament

Hint 57

A, C

Front 58

The right suprarenal gland is related to the

(more than one is true)

Back 58

a. Third part of the duodenum

b. Inferior vena cava

c. Transverse colon

d. Right lobe of the liver

Hint 58

B, D

Front 59

The rectus sheath contains all of the following except :

Back 59

a. Pyramidalis muscle

b. Genitofemoral nerve

c. Inferior epigastric

d. Superior epigastric vessels

Hint 59

B

Front 60

The chief blood supply of the greater omentum is _artery : (more than one)

Back 60

a. Gastroduodenal

b. Right gastroepiploic

c. Left gastroepiploic

d. Superior pancreaticoduodenal

Hint 60

B, C

Front 61

The boundaries of morison's pouch are

(more than one)

Back 61

a. Inferior surface of liver

b. Anterior abdominal wall

c. Falciform ligament

d. Peritoneum over right kidney

e. Coronary ligament

Hint 61

A, B, E

Front 62

It is true that the gall bladder: (more than one)

Back 62

a. Is supplied by cystic artery which has an accompanying vein on its

left side

b. Is drained by veins into the liver

c. Has a fundus which projects beyond the liver

d. Has an infundibulum which projects downwards joining a pouch

Hint 62

A, C

Front 63

The superior mesenteric artery arises opposite the vertebra - ?

Back 63

a. T12

b. L 1

c. L2

d. L3

Hint 63

B

Front 64

Deep inguinal ring is a defect in the:

Back 64

a. External oblique

b. Internal oblique

c. Transversus abdominis

d. Transversus fascia

e. Peritoneum

Hint 64

D

Front 65

Carcinoma prostate commonly occurs in the:

Back 65

a. Anterior

b. Posterior

c. Lateral

d. Middle

Hint 65

B

Front 66

The shortest part of colon is

Back 66

a. Ascending colon

b. Transverse colon

c. Descending colon

d. Sigmoid colon

Hint 66

A

Front 67

Lymphatic drainage of the anal canal is to

Back 67

a. Inguinal

b. Lymph nodes

c. External iliac nodes

d. Para - aortic

e. None of the above

Hint 67

A

Front 68

Which of the following about meckel's diverticulum is false :

Back 68

a. Present in 2% of population

b. Occurs at 2 feet form the ileocaecal junction

c. Posses all 3 coats of intestinal wall

d. Arises from the mesenteric border of ileum

Hint 68

D

Front 69

The structures in the free border of the lesser omentum anterior to posterior are:

Back 69

a. CBD, Hepatic artery, Portal vein

b. Portal vein, hepatic artery, CBD

c. (a) and (b)

d. Portal vein, CBD, hepatic artery

Hint 69

A

Front 70

Lymphatic drainage of the umbilicus is to :

Back 70

a. Axillary nodes

b. Inguinal nodes

c. (a) and (b)

d. Porta hepatis

e. Coeliac axis nodes

Hint 70

C

Front 71

The kidney has segments:

Back 71

a. 11

b. 9

c. 7

d. 5

Hint 71

D

Front 72

The neurovascular bundle in the anterior abdominal wall is situated between:

Back 72

a. The subcutaneous tissue and ext. oblique muscle

b. External oblique and internal oblique

c. Internal oblique and transversus abdominis

d. Transversus abdominis & peritoneum

Hint 72

C

Front 73

Fascia extension of lacunar ligament along iliopectineal line is :

Back 73

a. Poupart ligament

b. Thomson's ligament

c. Cooper's ligament

d. Lacunar ligament

Hint 73

C

Front 74

All of the following muscles are posterior to the right & left kidneys except:

Back 74

a. Psoas major

b. Latissimus dorsi

c. Quadratus lumborum

d. Transversus abdominis

Hint 74

B

Front 75

The pancreatic bed does not include:

Back 75

a. Left kidney

b. Splenic artery

c. Left renal vein

d. Left crus of diaphragm

Hint 75

B

Front 76

Fascia of Gerota is :

Back 76

a. True capsule

b. Renal fascia

c. Fatty capsule

d. Thoracolumbar fascia

Hint 76

B

Front 77

Internal pudenda! artery is a branch of :

Back 77

a. Anterior division of Internal iliac

b. Posterior division of Internal iliac

c. Obturator artery

d. Hypogastric

Hint 77

a

Front 78

Xiphisternal junction is usually at the level of disc between the following thoracic vertebra:

Back 78

a. 9 and 10

b. 8 and 7

c. 1 and 12

d. None

Hint 78

D

Front 79

Embryonic ventral mesogastrium gives rise to :

Back 79

a. Greater omentum

b. Lesser omentum

c. Pelvic mesocolon

d. Gastro splenic ligament

Hint 79

B

Front 80

The following is true regarding spleen :

Back 80

a. Notch is on inferior border

b. Long axis parallel to 12th Rib

c. Developed form ventral mesogastrium

d. Nerve supply from coeliac plexus

Hint 80

D

Front 81

The efferent Ii mb of the cremaster reflex is provided by the:

Back 81

a. Femoral branch of genitofemoral nerve

b. Genital branch of the genitofemoral nerve

c. llioinguinal nerve

d. Pudenda! nerve

Hint 81

B

Front 82

168. Blood supply of sigmoid colon is by (more than one) :

Back 82

a. Middle colic A

b. Marginal artery

c. Left colic artery

d. Sigmoid artery

Hint 82

B, D

Front 83

Not true about the anal canal is:

Back 83

a. Completely lined by stratified squamous epithelium

b. Supplied by pudenda! nerve

c. Drained by veins forming portosystemic anastomosis

d. Part below pectinate line is supplied by inferior rectal artery

Hint 83

A

Front 84

All the statements are true about ileum except :

Back 84

a. LN in mesentery

b. 3-6 arcades in continuation

c. Smaller diameter than jejunum

d. Large circular mucosal folds

Hint 84

D

Front 85

A patient of external piles has pain, which of the following nerves carry this pain sensation:

Back 85

a. Hypogastric nerves

b. Parasympathetic plexus

c. Sympathetic nerve

d. Pudendal nerve

Hint 85

D

Front 86

173. The architecture of liver is divided into lobes by : (more than one)

Back 86

a. Bile duct

b. Hepatic artery

c. Hepatic vein

d. Portal vein

e. Lymphatics

Hint 86

A, B, D