MCQ

In

Abdomen
Tripoli university

By :

Telegram @Dr_2nd
DR: KHLID MILAD
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Select the most appropriate answer:

Abdomen(II.F/ 2017/2018/2019)

Abdominal wall:

1-Anterior abdominal wall has all of the following except :

a-Muscles contracting during cough

b-Innervated usually by intercostals nerves ,

c-Infection above umbilicus drain to axillary lymph node

d-Umbilicus venous usually drain to portal vein .

1-D

(d) Umbilicus venous usually drain to systemic circulation but can drain to
portal vein by paraumbilical vein ,

2-All of the following structures pass through the deep inguinal ring except :

a-Pampiniform plexus b-Ilioinguinal nerve

c-Genital branch of the genitofemoral nerve d-Processus vaginalis

2-b

b-Ilioinguinal nerve pass through the superficial inguinal ring,

3-The inguinal canal has all of the following except :

a-Contains the Spermatic cord in male .

b-Superficial ring medial to inferior epigastric artery

c-contain fat in female .

d-Deep ring lateral to inferior epigastric artery

3-C

c-inguinal canal in female contain ilioinguinal nerve and round ligament of

uterus.

4-About the inguinal canal all these statement are true .except :

a-posterior wall is formed by fascia transversals

b-conjoined tendon forms part of its posterior wall

c-deep inguinal ring lies in posterior wall 4cm above inguinal ligament .

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d-ilio-inguinal nerve lies anterior to the spermatic cord

4-C

c-deep inguinal ring lies in posterior wall 1/2 inch above inguinal ligament .

5-Regarding lumbar plexus all statements are true ,except :

a-formed of anterior rami of upper four lumbar nerves

b-gives ilioinguinal and iliohypogastric nerves

c- lies anterior to psoas major muscle

d-genitofemoral nerve pierces anterior surface of psoas major muscle .

5-C

c- lumber plexus lies posterior to psoas major muscle .

6-Regarding the Lumbar plexus .All the following true except :

a-Iliohypogastric nerve (L1) b-Ilioinguinal nerve (L2)

c-Lateral cutaneous nerve of thigh (L2,3) d-Femoral nerve (L2,3,4)

6-b

b-Ilioinguinal nerve root (L1)

7-Injury to ilioinguinal nerve in appendectomy can lead to:

a-femoral hernia b-direct inguinal hernia

c-indirect inguinal hernia d-loss of sensation in the posterior 2/3 of secrotum

7-b

8-All these statement are true ,except :

a-cremasteric muscle and fascia is derived from fascia transversals,

b-deep inguinal ring is related to the inferior epigastric artery .

c-direct inguinal hernia is bulging into hasselbach triangle .

d-testis is drained to the para-aortic lymph nodes.

8-a

(A) a-cremasteric muscle and fascia is derived from internal Oblique muscle.

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9-About linea alba ,all are true except :

a-ligament in the anterior abdominal wall

b-fastest way to enter the abdomen at emergency

c-bloodless fibrous tissue in the anterior abdominal wall .

d-formed by the fusion of abdominal muscles aponeurosis .

9-a

a-linea alba is a fusion of abdominal muscle aponeurosis .

10-These structure lie at L1 (transpyloric plane ).except :
a-origin of the superior mesenteric artery
b-formation of the portal vein
c-pylorus of the stomach
d-left suprarenal gland
10-d
(D) hilum of the left kidney lies at L1 level .

11-Regarding the rectus sheath following statement are true except :

a-formed by aponeurosis of the abdominal muscles
b-Superior epigastric vessels are part of the contents .
c-arcuate line lies at the level of the umbilicus .
d-anterior wall is fused firmly with tendinous intersection .
11-C
c-arcuate line lies midway between umbilicus and symphysis pubis .
12-The internal spermatic fascia is derived from the :
a-External oblique abdominals b-internal oblique abdominals
c-transverse abdominals d-Transverse fascia
12-d
d- Transverse fascia gives internal spermatic fascia .
13-All of the following are true for the superficial fascia of abdominal
wall except :
a-External spermatic fascia b-Camper's fascia
c-Colls fascia around scrotum d-Scarpa's fascia
13-a
a-External spermatic fascia derived from external oblique aponeurosis (not
superficial fascia)
14-the following are muscles of abdominal wall except ;
a-Pronator quadratus b-Psoas major c-Psoas minor d-Quadretus lumborum
14-a
a-Pronator quadratus is muscle of upper limb.
15-Rectus abdominals has all of the following except :
a-A flexor of vertebral column

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b-Surrounded by the rectus sheath throughout its length.
c-Attached to the xiphoid process of sternum
d-Marked by tendenous intersection
15-b
b-rectus abdominis has no posterior rectus sheath in the lower part.
16-All of the following are true except :
a-fundus of gall bladder lies at the L1 level.
b-Skin of the umbilicus supplied by T10.
c-Ligamentum venosum is formed from obliterated and fibrosed of ductus venosus .
d-Rectus muscle supply by iliohypogastric nerve
16-d
d-Rectus muscle supply by lower 6 thoracic nerves .
17-All are tributaries of the inferior vena cava except :
a-left fourth lumbar vein b-right gonadal vein
c-right renal vein d-left suprarenal vein
17-d
(D) left suprarenal vein drain in to the left renal vein .

18-Regarding the inferior vena cava ,all true ,except :

a-starts at the L5 level.
b-receives renal veins at the L4 level .
c-Lies on the right side of the abdominal aorta.
d-crossed by the root of small intestine mesentery
18-b
b- IVC receives renal veins at the L2 level .
19-The highest branch of the abdominal aorta is :
a-Right suprarenal artery b-Coeliac trunk
c-Left renal artery d-Left gonadal artery
19-b
b-Coeliac trunk arise at upper border L1 or (T12).

20-Regarding the abdominal aorta all statement are true except ;

a-It is retroperitoneal structure b-crossed by right renal vein
c-gives superior mesenteric artery at L3 d-Crossed by the root of the mesentery
20-b
b-Aorta is crossed by left renal vein

21-About psoas major muscle all statements are true ,except :

a-Origin from transverse process of all lumbar vertebrae .
b-action is flexion and medial rotation of the hip joint .
c-supplied by branches of the lumbar plexus.
d-lies lateral to quadratus lumbrum muscle .
21-d
d- psoas major lies medial to quadratus lumbrum muscle .

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22-All the following are retroperitoneal structure except :
a-Kidney b-Adrenal gland c-Spleen d-Pancreas
22-C
c-spleen is an intraperitoneal structure.

23-these are retroperitoneal structures, except:

a-the sympathetic trunk b-the ascending colon
c-Lumbar plexus d-the jejunum
23-d
(D) the jejunum is completely covered by peritoneum .

24-Regarding peritoneum all statement are true except :

a-it is a thin serous membrane
b-parietal peritoneum is supplied by somatic nerve
c-visceral peritoneum is supplied by autonomic nerves
d-thickened to form ligamentum terus .
24-d
(D) ligamentum teres is an obliterated left umbilical vein.

25-All of the following bound the epiploic foramen ,except :

a-hepatic vein (superiorly)
b-Inferior vena cava (posteriorly)
c-first inch of the first part of duodenum
d-free border of the lesser omentum (anteriorly)
25-a
a-hepatic vein not related to epiploic foramen .
Abdominal cavity :

26-following are structures forming the stomach bed ,except :

a-transverse mesocolon b-pancreas c-splenic vein d-left suprarenal gland
26-C
C-splenic vein lies behind the pancreas .
27-Regarding the stomach all these statements are true .except :
a-is part of forgut b-fundus full of gases
c-supplied by coeliac artery d-it is a retroperitoneal organ
27-d
(D) stomach completely covered by peritoneum .
28-Regarding the blood supply of the stomach ,all false except :
a-it is derived entirely from the superior mesenteric artery
b-The gastroepiploic arteries supply the lesser curvature
c-The left gastric artery is a direct branch of the coeliac axis .
d-Short gastric arteries supply the pylorus,
28-C
C-Coeliac trunk give splenic ,hepatic ,and left gastric artery .

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29-Regarding duodenum all statement are true .except :
a-formed from foregut and midgut
b-prepyloric vein crosses its first part
c-It is completely a retroperitoneal organ
d-Superior mesenteric vessels cross the its third part
29-C
C- the first part of duodenum is completely covered by peritoneum.

30-The superior mesenteric vessels has the following except :

a-cross the third part of duodenum .
b-Artery arise from abdominal aorta artery at lower border of L1 level .
c-Superior mesenteric vein union with splenic vein to form portal vein
d-Superior mesenteric vein left to superior mesenteric artery .
30-d
d-Superior mesenteric vein right to superior mesenteric artery .
31-All of the following arteries are branches of coeliac artery except :
a-Right gastric artery b-left gastric artery
c-Splenic artery d-hepatic artery
31-a

a-right gastric artery is branch of hepatic artery .

32-the following are contents of mesentery of jejunum except :

a-Jejunum which has more circular folds of mucosa

b-few fat .

c-Complicated arch of blood vessels

d-Sympathetic nerve.

32-c

C-complicated arches of blood vessels lies in mesentery of ilium .

33-Site of Meckl's diverticulum is :

a-Retrocaecal b-Terminal ileum c-Jejunm d-Sigmoid

33-b

b-Meckl's diverticulum about 2 feet from iliocecal junction.

34-The ascending colon is lies on the following except :

a-Genitofemoral nerve b-Iliacus muscle

c-Quadratus muscle d-Ilioinguinal nerve

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34-a

a-Genitofemoral nerve is a front of the psoas major .

35-All these features of large intestine except :

a-Tenae coli b-Sacculation c-Peyers'patches d-Appendix epiploicae

35-C

C-Peyer's patches present in the ilium .

36-Regarding the vermiform appendix ,the commonest site is :

a-pelvic b-Preileal c-Retrocecal d-Subcecal

36-C

C-Appendix is retrocecal in 74 % of people.

37-In which one of the following regions lies MCBURNEY'SPOINT:

a-Right iliac fossa b-Hypogastrium

c-Right lumbar region d-Umbilical region

37-a

(A) Mecburney's point is a surface anatomy of the base of appendix .

38-The appendix is :

a-Supply by appendicular artery which is branch of ileocaecal artery .

b-Lies on the posteriolateral aspect of caecum below the ileocaecal valve .

c-Retrocaecal is most common site

d-Complete covering by peritoneum .

38-b

b-Appendix Lies on the posteriomedial aspect of caecum below the ileocaecal

valve by 1 inch .

39-Ligamentum teres of the liver is a remnant of :

a-left umbilical vein b-right umbilical vein

c-umbilical artery d-none of the above

39-a
Telegram @Dr_2nd
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N.B .ligamentum teres also called round ligament of the liver.

40-All of the following are true for liver except :

a-Wedge shape with incomplete covering by peritoneum .

b-has hepatic artery carrying 80% of blood liver .

c-Has hepatic vein drainage into inferior vena cava .

d-Has porta hepatis (hilum of liver )

40-b

b-the hepatic artery carrying 30% of blood liver 50% of oxygen delivered to the
liver .

41-The common bile duct has all of the following except :

a-lies in the free edge of the lesser omentum .

b-Is formed by junction of cystic duct and common hepatic duct.

d-Lies at right side of the hepatic artery in free margin of lesser omentum .

41-c

c- bile duct lies front the portal vein in porta hepatis .

42-All the following statement are true ,except ;

a-Cystic vein drains directly to the portal vein

b-Right gastroepiploic vein mainly drains to portal vein

c-para-umbilical veins drains mainly to the left portal vein

d-gastrodudenal artery lies posterior to first part of duodenum .

42-b

b-Right gastroepiploic vein mainly drains to superior mesenteric vein.

43-All of the following statements are true except :

a-Common bile duct has 6 inches length

b-Cystic artery a branch of right hepatic

c-Fundus of gall bladder lies opposite to the tip of the 9th r ib

d-bile duct opens in posteromedial aspect of 2 nd part of duodenum

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43-a

a-Common bile duct has 3 inches length

44-Regarding spleen all statement are true ,except :

a-has a notched anterior border

b-separated from the stomach by lesser sac

c-related posterior to the left pleura and left lung

d-must be enlarged three times to be palpated

44-b

b-spleen separated from the stomach by greater sac.

45-Spleen has all of the following except :

a-It is attached to lineo-renal ligament

b-Separated from the stomach by the lesser sac

c-Related to the diaphragm

d-Supply by splenic artery

45-b

b-spleen Separated from the stomach by the greater sac

46 -Regarding Lymph drainage of pancrease ,all true except :

a-Celiac b-Superior mesenteric lymph nodes

c-inferior mesenteric lymph nodes d-a and b

46-c

C-pancreas drain in to the celiac and superior mesenteric lymph node

47-Regarding pancreas all these are true ,except :

a-its tail lies in the lienorenal ligament.

b-its neck lies at the transpyloric plane

c-Crossed anterior by the transverse mesocolon .

d-Common hepatic duct passes deep to the head

47-d

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(D) common bile duct passes deep to the head not hepatic duct .

48-Regarding the right kidney ,all statement are true .except ;

a-has a five arterial segaments

b-head of pancreas lies in front of its hilum

c-Second part of duodenum lies anterior to its hilum .

d-Supplied by sympathetic nerves only (no parasympathetic nerve )

48-d

d-Kidney is supplied by renal plexus symp and parasympathetic

49-All the following are covering of the kidney except :

a-Pararenal fat b-renal fascia c-peritoneum d-perirenal fascia

49-c

C-covering of kidney are A.B,C and renal capsule .

50-These are posterior relation of the right kidney except :

a-diaphragm b -10th rib c-psoas muscle d -ilioinguinal nerve

50-b

(B)only rib 12 behind right kidney .

51-Regarding the renal veins all these are false ,except :

a-join the inferior vena cava at the L3 level .

b-right renal vein is longer than the left renal vein .

c-Left renal vein is crossed by superior mesenteric artery .

d-right renal vein receive the gonadal and supra renal vein

51-C

c-Left renal vein is crossed by superior mesenteric artery and join the IVC at L2
after crossing the Aorta.

52-The right renal vein has all of the following true except :

a-is croosed anteriorly by the superior mesenteric artery .

b-Lies in front of the right renal artery .

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c-join the inferior vena cava with acute angle .

d-shorter than left renal vein.

52-a

a-left renal vein (not right)is croosed anteriorly by the superior mesenteric
artery .

53-Which one of the following vessels lies in lienorenal ligament:

a-Splenic artery b-Short gastric artery

c-Left gastroepiploic artery d-gastrodeodenal artery

53-a

a-lienorenal ligament contain splenic vessels and tail of pancreas.

54-Regarding the supra renal gland all the following are true ,except :

a-right gland has a pyramidal shape

b-inferior suprarenal is branch of the renal artery .

c-right supra renal vein opens into the right renal vein

d-middle suprarenal artery arises from abdominal aorta .

54-c

c-right supra renal vein opens into the IVC.

55-Regarding right Suprarenal gland all are true except :

a-related to the bare area of the liver

b-related medially to the celiac ganglion

c-Has a close relationship to the inferior vena cava

d-Superior suprarenal artery is a branch of abdominal aorta .

55-d

d-Superior suprarenal artery is a branch of inferior phrenic artery .

56-Regarding right ureter all these are false ,except :

a-about seven inches long b-crossed by gonadal vessels

c-it is an intraperitoneal structure d-crossed by the root of the mesocolon

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56-b

N.B ureter is 10 inch length ,retroperitoneal and crossed by root of mesentery of

small intestine ,

57-Right ureter has all of the following except :

a-Anterior related to the terminal ileum.

b-posterior related to gonad vessels

c-Opposite the tip of transverse processes of lumbar vertebra.

d-Covered by the third part of duodenum.

57-b

(B)ureter anterior related to gonad vessels

58-About lymphatic drainage all are true ,except :

a-skin above umbilicus drains to pectoral group of axillary nodes .

b-terminal ileum drains to the inferior mesenteric lymph nodes ,

c-left kidney drains to the para-aortic lymph nodes.

d-gall bladder drains to the coeliac lymph nodes .

58-b

b-terminal ileum drains to the superior mesenteric lymph nodes ,

59-Lymph drainage of testes are :

a-deep inguinal nodes b-mediastinal nodes

c-para-aortic nodes d-Pectoral group of axillary nodes

59-C

C-tests drains into para-aortic lymph node.

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