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Exam (elaborations)

ABDOMEN EXAM MODEL

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Exam of 21 pages for the course Medicine at No School (ABDOMEN EXAM MODEL)

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:The following statements concerning the liver are true except .1
a) The quadrate lobe drains into the right hepatic duct
b) The lesser omentum suspends the stomach from the visceral
surface of the liver
c) The left triangular ligament of the liver lies anterior to the abdominal part of
the esophagus
d) The attachment of the hepatic veins to the inferior vena cava is one of the
most important supports of the liver
e) The ligamentum venosum is attached to the left branch of the portal vein in
the porta hepatis

:The following statements concerning the pancreas are true except .2
a) The pancreas receives part of its arterial supply from the splenic
artery
b) The main pancreatic duct opens into the third part of the duodenum
c) The uncinate process of the pancreas projects from the head of the pancreas
d) The bile duct (common bile duct) lies posterior to the head of the pancreas
e) The transverse mesocolon is attached to the anterior border of the pancreas

The following statements concerning the ileum are true except: .3
a) The circular smooth muscle of the lower end of the ileum serves as a
sphincter at the junction of the ileum and cecum
b) The branches of the superior mesenteric artery serving the ileum form more
arcades than those serving the jejunum
c) Peyer's patches are present in the mucous membrane of the lower ileum
along the antimesenteric border
d) The plicae circulares are more prominent at the distal end of the ileum than
in the jejunum
e) The parasympathetic innervation of the ileum is from the vagus nerve

The hilum of the right kidney contains the following important structures, .4
:except the
a) Renal Pelvis
b) Tributaries of the renal vein
c) Sympathetic nerve fibres
d) Part of the right suprarenal gland
e) Branches of the renal artery

,The following statements concerning the left suprarenal gland are incorrect .5
:except
a) It extends behind the inferior vena cava
b) It is separated from the left kidney by the pararenal fat
c) Its vein drains into the left renal vein
d) It is usually located on the upper pole and lateral border of the left kidney
e) The medulla is innervated by postganglionic sympathetic nerve fibres




:The following statements concerning the abdominal aorta are true except .6
a) It bifurcates into the two common iliac arteries in front of the fourth lumbar
vertebra
b) It lies on the right side of the inferior vena cava
c) From its anterior surface arise the celiac, superior mesenteric and inferior
mesenteric arteries
d) It enters the abdomen in front of the twelfth thoracic vertebra
e) The thoracic duct leaves the abdomen through the aortic opening of the
diaphragm on the right side of the aorta

The following statements concerning the abdominal part of the sympathetic .7
:trunk are NOT TRUE except
a) It enters the abdomen behind the lateral arcuate ligament
b) The trunk possesses six segmentally arranged ganglia
c) All the ganglia receive white rami communicantes
d) Gray rami communicantes are given off to the lumbar spinal nerves
e) The splanchnic nerves from the thorax join the trunks below the diaphragm

:The following statements concerning the lumbar plexus are true except .8
a) The plexus lies within the psoas muscle
b) The plexus is formed from the posterior rami of the upper four lumbar
nerves
c) The femoral nerve emerges from the lateral border of the psoas muscle
d) The obturator nerve emerges from the medial border of the psoas muscle
e) The iliohypogastric nerve emerges from the lateral border of the psoas
muscle

:The following veins form important portal-systemic anastamoses, except the .9
a) Esophageal branches of the left gastric vein and tributaries of the azygos
vein
b) Superior rectal vein and the inferior vena cava
c) Paraumbilical vein and the superficial veins of the anterior abdominal wall
d) Veins of the ascending and descending parts of the colon with the lumbar
veins
e) Veins from the bare areas of the liver with the phrenic veins

:The following statements concerning the ureters are true except .10
a) Both have three anatomic sites that are constricted
b) Both receive their blood supply from the testicular or ovarian arteries
c) Both are separated from the transverse processes of the lumbar vertebrae by
the psoas muscle

, d) Both pass anterior to the testicular or ovarian vessels
e) Both lie anterior to the sacroiliac joints

Concerning the inferior mesenteric artery, all of the following statements are .11
:true except
a) Its colic branch supplies the descending colon
b) It gives off the inferior pancreaticoduodenal artery
c) It supplies the sigmoid colon
d) Its branches contribute to the marginal artery
e) It arises from the aorta immediately below the third part of the duodenum



?Which of the following structures is NOT present within the lesser omentum .12
a) Portal vein
b) Bile duct
c) Inferior Vena Cava
d) Hepatic artery
e) Lymph Nodes

:The following statements concerning the liver are true except .13
a) Its lymph drainage is to the celiac nodes
b) The quadrate and the caudate lobes are functionally part of
the left lobe
c) Its parasympathetic innervation is from the vagus nerve
d) It receives highly oxygenated blood from the portal vein
e) The triangular ligaments connect the liver to the diaphragm

The following differences exist between the ileum and the ascending colon .14
:except
a) The ascending colon has appendices epiploicae, whereas the ileum
does not
b) The arterial supply to the wall of the ileum is arranged so that it produces
areas of weakness through which mucosal herniations may occur
c) The ascending colon may have a well-developed marginal artery, whereas
the ileum does not
d) The ileum has a longitudinal muscle that forms a continuous layer around
the wall, whereas the ascending colon has tenia coli
e) The ascending colon is retroperitoneal, whereas the ileum is intraperitoneal

Which of the following statements is (are) correct regarding the duodenum? .15
a) The duodenum receives its entire blood supply from the superior mesenteric
artery
b) The first part of the duodenum is completely retroperitoneal
c) The bile duct enters the second (vertical) portion of the duodenum
d) The lymph from the fourth part of the duodenum drains into the celiac
nodes
e) The tip of the appendix cannot reach down into the pelvic cavity

:The following statements concerning the appendix are correct except .16
a) The appendix is situated in the right iliac region
b) At the base of the appendix, the teniae coli of the cecum fuse to form a
complete, longitudinal muscle layer in the wall of the appendix

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