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ANATOMY > ABDOMEN SLIDE SHARE > Flashcards

ABDOMEN SLIDE SHARE Flashcards

1
Q

Rectus Abdominus Muscle is divided in bellies by tendinous intersections. What is by far the most common configuration of the muscle bellies of the rectus Abdominus.

(D) 6 Bellies and symmetric

A

(D) 6 Bellies and symmetric

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2
Q

A person was stung by a bee in the left lumbar region. The nerves supplying the region accompany the branches of

(C) Posterior Intercostal Arteries

A

(C) Posterior Intercostal Arteries

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3
Q

A patient comes to your clinic whom you operated for obstructed irreducible indirect Left Inguinal hernia one month ago. He says “It has been over four weeks from the surgery and I still have much discomfort. Inside of my thigh is numb, burns or simply hurts when touched. When I move in certain ways I get a stabbing pain in that area accompanied with a sensation of being bit by a bunch of wasps (Bees).”

Which nerve is most likely damaged?

(B) Illioinguinal Nerve

A

(B) Illioinguinal Nerve

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4
Q

This patient has more chances of developing which type of hernia in future

(B) Left Direct Inguinal Hernia

A

(B) Left Direct Inguinal Hernia

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5
Q

During Laproscopic repair of Direct inguinal Hernia, the site of hernia will be located in

(C) Medial Inguinal Fossa

A

(C) Medial Inguinal Fossa

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6
Q

Median Umbilical Fold

(A) Is a remnant of Urachus

A

(A) Is a remnant of Urachus

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7
Q

While operating for Indirect Inguinal Hernia there started an unusual rapid oozing of blood, which filled the site with blood. The Surgeon had to stop to control the bleed. Which artery is most likely injured?

(A) Inferior Epigastric

A

(A) Inferior Epigastric

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8
Q

You are examining a patient for Hernia during exam. The examiner asks you to differentiate between inguinal and Femoral Hernia. Your best response will be

(D) Femoral Hernia is below and Lateral to Pubic tubercle

A

(D) Femoral Hernia is below and Lateral to Pubic tubercle

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9
Q

A patient was diagnosed with Testicular Carcinoma (Seminoma). He comes to you and asks what stage is his cancer is. You advise him a test. What will you advise

(A) CT Abdomen

A

(A) CT Abdomen

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10
Q

A 45 year old man comes to your clinic and says that he has a Dragging-like or aching pain within scrotum and feeling a bag of worms. You do a Physical exam and make a diagnosis of Varicocele. Considering his age what test will u order?

(A) CT Abdomen

A

(A) CT Abdomen

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11
Q

Processus vaginalis in males form the Tunica Vaginalis of testis. In females it forms

(B) Canal Of Nuck

A

(B) Canal Of Nuck

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12
Q

A 10 year old boy comes to your clinic at 8 PM for sudden Pain in his inguinal region. He is otherwise healthy. On further questioning you came to know that his Right testis never descended properly. You notice a swelling just medial to deep inguinal ring. You don’t have any facility of surgery in your office at night but you can operate in the morning. What will you do next

(E) Refer to Emergency Surgical Department

A

(E) Refer to Emergency Surgical Department

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13
Q

Subcoastal nerve is in relation to which structure

(C) Lateral Arcuate Ligament

A

(C) Lateral Arcuate Ligament

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14
Q

There is a phenomenon in which some people are almost immune to anesthesia, or they metabolize anesthetic rapidly and start feeling pain. But the muscle relaxants don’t let them move. Thinking this has happened to your patient in Inguinal Hernia repair, which dermatome is responsible for this pain.

(E) None Of Above

A

(E) None Of Above

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15
Q

Inferior epigastric vessels perforate Rectus abdominis Muscle at the level of

(E) Arcuate Line of Anterior Abdominal Wall

A

(E) Arcuate Line of Anterior Abdominal Wall

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16
Q

After Inguinal Hernia Repair in a 10 year old boy medial side of thigh is stimulated to check the cremasteric reflex, but it was found to be absent. Which nerve is responsible for contraction of cremaster muscle.

(C) Genital Branch of Genitofemoral Nerve

A

(C) Genital Branch of Genitofemoral Nerve

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17
Q

Cremasteric Artery is a branch of

(B) Inferior epigastric artery

A

(B) Inferior epigastric artery

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18
Q

External Spermatic Fascia arise from External oblique aponerosis, So Internal Spermatic Fascia arise from

(B) Transversalis fascia

A

(B) Transversalis fascia

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19
Q

Transpyloric plane is

(B) Half way between jugular notch and pubic symphasis

A

(B) Half way between jugular notch and pubic symphasis

20
Q

Ligamentum teres Hepatis is a remanent of

(D) Umbilical Vein

A

(D) Umbilical Vein

21
Q

Just Below the arcuate line of anterior abdominal wall, what is in direct contact with rectus abdominus muscle

(C) Fascia Transversalis

A

(C) Fascia Transversalis

22
Q

Lateral Umbilical Fold Extends from

(C) Medial side of the deep inguinal ring to the arcuate line

A

(C) Medial side of the deep inguinal ring to the arcuate line

23
Q

Median Umbilical Fold lies between

(C) Fascia Transversalis and Parital Peritoneum

A

C) Fascia Transversalis and Parital Peritoneum

24
Q

Supravesical Fossa is a depression

(A) Between Median and Medial Umbilical Fold

A

(A) Between Median and Medial Umbilical Fold

25
Q

Navicular fossa is

(D) The terminal dilated part of urethra in the glans penis

A

(D) The terminal dilated part of urethra in the glans penis

26
Q

Smegma is

(D) The secretion of Preputial glands

A

(D) The secretion of Preputial glands

27
Q

External Oblique arises from the outer surfaces Lower 8 ribs just adjacent to the origin of

(A) Serrtus Anterior

A

(A) Serrtus Anterior

28
Q

A 32-year-old man undergoes vasectomy as a means of permanent birth control. A physician performing the vasectomy by making an incision on each side of the scrotum should remember which of the following statements most applicable to the scrotum?

(A) It is innervated by the ilioinguinal and genitofemoral nerves.

A

(A) It is innervated by the ilioinguinal and genitofemoral nerves.

29
Q

A radiologist interprets a lymphangiogram for a 29-year-old patient with metastatic carcinoma. Upper lumbar nodes most likely receive lymph from which of the following structures?

(D) Testis

A

(D) Testis

30
Q

A 26-year-old man comes to a hospital with fever, nausea, pain, and itching in the perineal region. On examination by a urologist, he is diagnosed as having infected bulbourethral (Cowper’s) glands. Which of the following structures is/are affected by this infection?

(B) Sphincter urethrae

A

B) Sphincter urethrae

31
Q

A 16-year-old boy presents to the emergency department with rupture of the penile urethra. Extravasated urine from this injury can spread into which of the following structures?
(A) Scrotum

A

(A) Scrotum

32
Q

After his bath but before getting dressed, a 4-year-old boy was playing with his puppy. The boy’s penis was bitten by the puppy, and the deep dorsal vein was injured. The damaged vein:

(B) Drains into the prostatic venous plexus

A

(B) Drains into the prostatic venous plexus

33
Q

A 39-year-old man is unable to expel the last drops of urine from the urethra at the end of micturition because of paralysis of the external urethral sphincter and bulbospongiosus muscles. This condition may occur as a result of injury to which of the following nervous structures?

(C) Pudendal nerve
(

A

(C) Pudendal nerve

34
Q

A 37-year-old man is suffering from carcinoma of the skin of the penis. Cancer cells are likely to metastasize directly to which of the following lymph nodes?

(C) Superficial inguinal nodes

A

(C) Superficial inguinal nodes

35
Q

A 17-year-old boy suffers a traumatic groin injury during a soccer match. The urologist notices tenderness and swelling of the boy’s left testicle that may be produced by thrombosis in which of the following veins?

(B) Left renal vein

A

(B) Left renal vein

36
Q

A 22-year-old woman receives a deep cut in the inguinal canal 1 inch lateral to the pubic tubercle. Which of the following ligaments is lacerated within the inguinal canal?

(D) Round ligament of the uterus

A

(D) Round ligament of the uterus

37
Q

A 2-year-old boy presents with pain in his groin that has been increasing in nature over the past few weeks. He is found to have a degenerative malformation of the transversalis fascia during development. Which of the following structures on the anterior abdominal wall is likely defective?

(B) Deep inguinal ring

A

(B) Deep inguinal ring

38
Q

A young boy is brought to the hospital after a bicycle accident and possible pelvic fracture. While awaiting a computed tomography (CT) scan of his pelvis, a physician proceeds with a focal neurologic examination. In testing the child’s reflexes, which of the following nerves would carry afferent impulses the cremasteric reflex?

(C) Genitofemoral nerve

A

(C) Genitofemoral nerve

39
Q

A 9-year-old boy was admitted to the emergency department complaining of nausea, vomiting, fever, loss of appetite. On examination, he was found to have tenderness and pain on the right lower quadrant. Based on signs and symptoms, the diagnosis of acute appendicitis was made. During an appendectomy performed at McBurney’s point, which of the following structures is most likely to be injured?

(C) Illiohypogastric nerve

A

(C) Illiohypogastric nerve

40
Q

A pediatric surgeon has resected a structure that is a fibrous remnant of an embryonic or fetal artery 5-year-old child. Which of the following structures is most likely to be divided?

(B) Medial umbilical fold

A

(B) Medial umbilical fold

41
Q

A 21-year-old man developed a hernia after lifting heavy boxes while moving into his new house. During the repair of his resulting hernia, the urologist recalls that the genitofemoral nerve:

(D) Passes through the deep inguinal ring

A

(D) Passes through the deep inguinal ring

42
Q

An emergent hernia repair is scheduled. As the attending physician is driving to the hospital, the medical student assisting on the case quickly reviews his anatomy atlas and is trying to commit to memory that the internal oblique abdominis muscle contributes to the formation of which of the following structures?

(C) Falx inguinalis (conjoint tendon)

A

(C) Falx inguinalis (conjoint tendon)

43
Q

A patient was operated for Direct Inguinal Hernia and Mesh was placed. Now the Abdminal layers from Anterior to posterior are composed of in this patient AFTER Mesh Placement.

  1. Fascia Tranversalis
  2. Campers Fascia
  3. Parietal Peitoneum
  4. Mesh
  5. External Oblique Aponerosis
  6. Conjoint tendon
  7. Spermatic Cord
  8. Skin
  9. Scarpa Fascia
(A) 	8, 2, 9, 5, 7, 6, 1, 4, 3			
(B) 	8, 9, 2, 5, 7, 4, 6, 1, 3
(C)	 8, 2, 9, 5, 4, 7, 6, 1, 3			
(D) 	8, 2, 9, 5, 7, 6, 4, 1, 3
(E) 	8, 2, 9, 5, 7, 4, 6, 1, 3
A

(E) 8, 2, 9, 5, 7, 4, 6, 1, 3

44
Q

Anastomosis over Lacunar ligament is from the branches of

(D) Obturtor Artery and Inferior Epigasric Artery

A

(D) Obturtor Artery and Inferior Epigasric Artery

45
Q

Which of the following is not a content of spermatic cord?

(B) Illioinguinal Nerve

A

(B) Illioinguinal Nerve

ANATOMY (6 decks)

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