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MCQS FOR THE ABDOMEN AND POSTERIOR

AND SUPERIOR MEDIASTINUM
‫المفضل مراجعة المحاضرات مع السئلة عند قراءة كل سؤال‬
PREPAIRED BY DR ZAID UBAIDY

1-The following statements concerning the liver are correct except

which?

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 vein 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

2. The following statements concerning the liver are correct except

which?
A) its lymph drainage is to the celiac nodes
B) the quadrate and caudate lobes are functionally part of the left lobe
C) its parasympathetic innervations 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

3. The following statements concerning the gallbladder are

correct except which?
A) the arterial supply is from the cystic artery which is a branch of the
right hepatic artery
B) the fundus of the gallbladder is located just beneath the tip of the
right ninth costal cartilage
C) the peritoneum completely surrounds the fundus the body and the
neck
D) the nerves of the gallbladder are derived from the celiac plexus
E) pain sensation from gallbladder disease my be referred along the
phrenic & the supraclavicular nerves to the skin over the shoulder

4. The following structures are connected to the liver except which?

A) the falciform ligament
B) the coronary ligament
C) the greater omentum
D) the ligamentum teres
E) the ligamentum venosum

5. The bile & pancreatic ducts enter which of the following structures?
A) stomach
B) cecum
C) 2nd portion of the duodenum
D) Liver
E) Ileum

6.the anatomical left & right lobes of the liver are separated on the
diaphragmatic surface of the liver by which of the following structures?
A) fissure for the round ligament of the liver
B) fissure for the ligamentum venosum
C) falciform ligament
D) porta hepatic
E) lesser omentum

7- IN THE ABDOMINAL WALL(WHICH IS TRUE)

a-the rectus abdominis muscle is attached to the crest of the pubis -

b-the posterior border of the external oblique muscle ends in the liena
semilunaris
c-the aponeurosis of the external oblique muscle takes part in the
formation of conjoint tendon
d-the inferior epigastric a is a branch of internal illiac artery
e-the conjoint tendon blends medially with the anterior layer of the
rectus sheath-
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8-regarding the peritoneal spaces of the abdomen(which is false)

a) the epipolic foramen of Winslow is bordered superiorly by the

quadrate lobe
b) the superior and inferior coronary ligaments on the right meet at the
right triangular ligament

c) the falciform ligament connect the liver with the anterior abdominal
wall and the diaphragm
d) the lesser sac can be seen on a transverse cross section behind the
stomach
e) the posterior boundery of the epiploic foramen is formed by inferior
vena cava

9- Internal spermatic fascia is derived from

a. a-Transversalis facia

b. b-Internal abdominis muscle

c. c-External Oblique Abdominis Muscle

d. d-Internal Oblique Abdominis Muscle

10 : Regarding the spleen(correct)

A.its long axis lies in the line of the 8th rib

B.anteriorly reaches as far as the mid-axillary line
C.its hilum is related to the tail of the pancreas
D.one or two notches are present in the posterior border
E.splenic artery is branch of superior mesenteric artery.

11 Regarding the kidney(false)

A. hilum of the right kidney lies just above the transpyloric plane.-
FALSE
B. right kidney rests on the twelfth rib-TRUE
C. related posteriorly to subcostal vessels and the last thoracic,
iliohypogastric and ilioinguinal nerves-TRUE
D. left colic vessels are related the left kidney-TRUE
E. at the hilum renal vein is anterior to the renal artery-TRUE

12 : Regarding the inguinal canal all are tue except

A. Anteriorily over its lateral one third is related to the internal oblique
muscle-
B. Floor is formed by the inguinal ligament-
C. The conjoint tendon forms the posterior wall of the canal medially
D. An indirect inguinal hernia passes through the internal ring-lateral to
inferior epigastric artery.
E. A direct inguinal hernia lies lateral to the inferior epigastric artery-

13. The right and left testicular veins are tributaries to the:

a-Inferior vena cava bilaterally

b-Inferior vena cava and left ascending lumbar vein respectively
c-Inferior vena cava and left renal vein respectively
d-Right and left renal veins respectively
e-Azygos and hemiazygos veins respectively

14. The inferior vena cava penetrates the respiratory diaphragm at the:

a-Median arcuate ligament

b-Central tendon t8
c-Sternocostal hiatus
d-Vertebrocostal trigone
e-Right crus

15. What is the sole motor innervation to the diaphragm?

a-Greater splanchnic nerves

b-Branches from the celiac plexus
c-Branches from the pulmonary plexus
d-Intercostal nerves T9-T12
e-Phrenic nerves

16. The lumbar nerve plexus is located within the:

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a-Quadratus lumborum muscle
b-Psoas major muscle
c-Iliacus muscle
d-Posterior mediastinum
e-Pararenal fat

17. A bony attachment of the quadratus lumborum muscle is the:

a-Iliac crest
b-Iliac fossa
c-Lesser trochanter
d-Iliopubic eminence
e-Eleventh rib

18. The abdominal aorta:

a-Is longer than the inferior vena cava

b-Divides into the common iliac arteries in front of the L4 vertebral
body
c-Throughout its course, is adjacent to the posterior longitudinal
ligament
d-Is crossed anteriorly by the left lumbar veins
e-Passes through the diaphragm at the T-10 vertebral level

19. The inferior vena cava:

a-Pierces the central tendon of the respiratory diaphragm at T8

b-Collects blood only from the digestive tract
c-Lies to the left of the abdominal aorta
d-Enters the liver at the porta hepatis
e-Is formed in front of the sacral promontory by the union of the
femoral veins

20. The psoas major muscle:

a-Takes origin from the 12th rib

b-Is pierced by the genitofemoral nerve
c-Is crossed by the lateral lumbocostal arch (lateral arcuate ligament)
d-Is a powerful extensor of the thigh
e-Receives its arterial blood supply from branches of the superior and
inferior mesenteric arteries

21. The esophageal hiatus of the diaphragm is surrounded by the:

a-Median arcuate ligament

b-Right crus of the diaphragm
c-Lumbocostal trigone
d-Central tendon
e-None of the above is correct

22. The esophageal hiatus of the diaphragm contains the esophagus

and the:

a-Phrenic nerves
b-Greater splanchnic nerves
c-Musculophrenic artery
d-Anterior and posterior vagal trunks
e-Azygos vein
23- In the right atrium features visible on the interatrial septum include:

a-the orifice of the coronary sinus.

b-the valve of the inferior vena cava.

c-the fossa ovalis.

d-the crista terminalis.

e-musculi pectinati.
24- All the following are in the Rt atrium, EXCEPT:
a- azygos vein
b- anterior cardiac vein
c- coronary sinus
d- SVC
e- IVC

25-superior mediastinum shows all the following, EXCEPT:

a- trachea
b- ascending aorta
c- arch of aorta
d- left brachiocaphalic vein
e- vagus nerve

26-Regarding the Arch of the aorta, the incorrect statements is:

a- Located in superior mediastinum
b- Located below the brachiocaphalic vein
c- Connected to the pulmonary trunk by ligamentum arteriosum
d- It is arches over the Lt main bronchus
e- The Rt recurrent laryngeal nerves hocks around it

27-the correct statement about Thoracic duct is:

a- it is enter to the thorax through caval opening.F (aortic)
b- it lies posterior to the esophagus in the superior mediastinum.
F(POSTERIOR MEDIASTINUM)
c- it lies in the superior & posterior mediastinum
d- drain into Rt subclavian vein F(LEFT INTERNAL JUGULAR
OR LEFT LEFT BRACHEOCEPHALIC VIEN)
e- it receives the lymph from both lungs F
28 All the following structures lie in the transpyloric plane EXCEPT:

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

29. Which of the following is true concerning the abdominal planes?

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.

30. Regarding the segmental innervation of the abdominal muscles

and the overlying skin, all the following is true EXCEPT
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a) it is derived from T7 to L1
b) the umbilicus is supplied by T10
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

31. All the following statements concerning the kidneys are true
EXCEPT:

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.

32. Concerning the relations of the kidneys:

a) On the left, the hilum is related to the second part of the duodenum.
b) On 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) The kidney and suprarenal gland lie in the same fascial
compartment.

33. Which of the following statements concerning the three main

structures of the hilum of the kidney is INCORRECT?

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.

34- right gastroepiploic a. is a branch of...?

a. celiac a.
b. rt. gastric a.
c. gastroduodenal a.
d. sup mesenteric a

35-blood supply of sigmoid colon is from...?

a. right colic a.
b. middle colic a.
c. sup mesenteric a.
d. marginal a

36- branches of inf mesentric a. are ALL TRUE EXCEPT

a. sup rectal a.
b. sigmoid a.
c. right colic a.
d. left colic a.

37-Which of these statements about the pancreas gland is false?

a. Lies anterior to the left kidney

b. Derives part of its blood supply from the splenic artery only

c. Has parts in both the supracolic and infracolic compartments

d. Is pierced by the middle colic artery

38. Which of the following is not true regarding blood supply of

pancreas?

a) It receives blood supply from coeliac trunk and superior mesenteric

artery.
b) Body and tail of pancreas is supplied by Splenic artery
c) Postero superior pancreaticoduodenal artery is a branch of Superior
mesenteric artery.
d) All major pancreatic arteries lie posterior to pancreatic ducts.

39) The fundus of gall-bladder is in the angle between lateral border of

right recius abdominis and which costal cartilage?
One answer only.
6th
7th
8th
9th

40-All of following are branches of descending thoracic aorta except :

One answer only.

Posterior intercostal artery
Subcostal artery
Left subclavian artery
Left bronchial artery

41) Which of the following statements about portal vein is false ?

One answer only.

The hepatic artery and bile dent lie anterior to its upper part
It is formed by union of superior mensenteric and splenic veins
It ascends posterior to the neck of pancreas and the superior part
of duodenum
It ends by dividing into hepatic veins

42-1) Regarding coeliac trunk(FALSE)

Choose 4 TRUE of the following options.

A. arises at the level of 12th thoracic vertebra
B. gives off superior mesenteric artery
C. lies behind the omental bursa
D. below it is related to the pancreas and splenic vein
E. surrounded by coeliac plexus of nerves

43) Regarding inferior vena cava(FALSE)

Choose 4 TRUE of the following options.

 A.is formed at the 4th lumber vertebral level
B.passes through the tendinous part of the diaphragm
C.passes behind the horizontal part of the duodenum
D.right testicular vein opens into it
E.has a valve at its opening in the right atrium
44) THE DARTUS MUSCLE IN THE SCROTUM ARISE FROM
A- SCARPA“S FASCIA
B- CAMPER”S FASCIA
C- INTERNAL OBLIQUE MUSCLE
D-EXTERNAL OBLIQUE MUSCLE.

45) THE CREAMASTERIC FASCIA ARISE FROM

A- EXTERNAL OBLIQUE MUSCLE
B- THE INTERNAL OBLIQUE MUSCLE
C- THE TRANSVERSUS ABDOMINIS
D- RECTUS ABDOMINIS

46)DEEP INGUINAL RING FORMED BY OPENING IN

A-EXTERNAL OBLIQUE APPONUROSIS
B-INTERNAL OBLIQUE APPONUROSIS
C-TRANSVERSALIS FASCIA
D- PERITONIUM

47- EXTERNAL INGUINAL RING FORMED BY OPENING IN

A- EXTERNAL OBLIQUE APPONUROSIS
B-INTERNAL OBLIQUE APPONUROSIS
C-TRANSVERSALIS FASCIA
D- PERITONIUM

48- THE LESSER SAC

A- ANTERIOR TO THE STOMACH.
B- BELOW REACHING THE LEVEL OF THE STOMACH
C-UPPER EXTREMETY REACHING THE DIAPHRAGM AND LOWER
EXTREMETIES BETWEEN THE 2 LAYERS OF GREATER OMENTUM
D-TO THE RIGHTIS THE SPLEEN AND THE GASTRO SPLENIC AND THE
SPLENICORENAL LIGAMENT

49-OPENING OF THE LESSER SAC

A- PORTAL VIEN LIE POSTERIORLY
B- INFERIOR VENA CAVA LIE ANTERIORLY
C-THE HEPATIC ARTERY LIE TO THE LEFT OF THE ANTERIOR BOUNDARY
D-THE BILE DUCT LIE TO THE LEFT OF THE ANTERIOR BOUNDARY
50- SUPERIOR VENA CAVA FORMED BY UNION OF
A- RT SUBCLAVIAN AND LEFT BRACHEOCEPHALIC VIENS
B- LEFT AND RIGHT BRACHEOCEPHALIC VIENS
C- END IN LEFT ATRIUM
D-HEMIAZYGUS VIEN END IN SUPERIOR VENA CAVA

ANSWER

1- A the quadrate lobe drains into the left hepatic duct

2- D it receives highly deoxygenated blood and full of nutriant from the
portal vein
3- C (peritoneum cover the fundus completely but the body is not covered
Completely with peritoneum)
4- C greater omentum connect the transverse colon to the stomach

5- C main pancreatic duct with the bile duct open in the 2nd part of the
Duodenum on the medial border of the D2.
6- c falciform ligament divide the liver in to anatomical Rt and Lt lobes
The imaginary line between the gallbladder and the IVC divide the liver
in to right and left functional liver lobes.
7- A
the LATERAL border of the external oblique muscle ends in the liena
semilunaris
as it is fromed by transverse abdominis and the internal obliques
insertion on to pubic crest and pecteneal line.
the inferior epigastric a is a branch of EXTERNAL illiac artery .

8- a) the epipolic foramen of Winslow is bordered superiorly by the

caudate lobe

9- a. Transversalis Fascia

10- b
11- a

12- E direct inguinal hernia lies MEDIAL to the inferior epigastric

artery-
13- c
14- b
15- e
16- b
17- a
18- b
19- a
20- a
21- b
22- a
23- d
24- a azygus end in superior vena cava
25- b
26- e the left recurrent laryngeal nerve
27- C
28- a. The origin of the inferior mesenteric artery lies in the
subcostal plane.
29- c.
The transpyloric plane lies half-way between the suprasternal notch
and the pubis, or approximately a hand’s breadth below the xiphoid.
The subcostal plane lies at the level of L3 (a little lower than the
transpyloric plane which passes at the lower border of L1). The
intertubercular plane lies at the level of the tubercles of the iliac crest.
30- d.

31. c.
.

32. c.

33. d.
34 -C
35 -D
36 -C
37 -D The tail of the pancreas crosses the left kidney as it passes to
the hilum of the spleen. The blood supply is from the splenic, superior
and inferior pancreaticoduodenal arteries. The gland is pierced by the
superior mesenteric artery. The middle colic arises from the lower
border.
38 - c Anterior and Posterior superior Pancreatic vessels are
derived from coeliac artery.
Anteior and posterior Inferior pancreatic vessels are derived from
Superior Mesenteric artery.
39- 9TH COSTAL CARTILAGE.
40
41 DIVIDE INTO HEPATIC VIENS IS FALSE
42 -B
43 -A
44 -B
45 - B
46 -C
47- A
48- C
49- C
50- B

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