Large Intestine, Appendix, Superior & Inferior Mesenteric Vessels

Question 1

Storage of undigested materials until expelled as feces and absorption of water and electrolytes

These are the function of?

A. Small intestine
B. Large intestine

Answer 1

B. Large intestine

Question 2

___ junction is at the level where the ascending colon begins.

A. Ileocecal
B. Gastroduodenal

Answer 2

A. Ileocecal

Question 3

Ileocecal ___ two horizontal folds or lips at the iloeocecal opening.

A. Junction
B. Valve
C. Flexure

Answer 3

B. Valve

Question 4

Gallstones can be lodged from the common bile duct, it will go to the medial
border of the second part of the ___ and then will be expelled; but it can be lodged in the ___ if it is too big which will cause
intestinal obstruction.

A. Duodenum, ileocecal junction
B. Jejunum, ileocecal junction
C. Cecum, ileocecal junction

Answer 4

A. Duodenum, ileocecal junction

Question 5

___ is the first part of the large intestine; it is continuous with the ascending colon.

A. Cecum
B. Ileum
C. Duodenum

Answer 5

A. Cecum

Question 6

The cecum ___ mesentery so it has relative ___ and may be displaced from the iliac fossa.

A. Has no, freedom
B. Has, no freedom

Answer 6

A. Has no, freedom

Question 7

Cecum has the __ lumen and ___ muscular wall among the segments.

A. Widest, thickest
B. Widest, thinnest
C. Narrowest, thinnest

Answer 7

B. Widest, thinnest

Question 8

Peritoneal organ = mobile or immobile =almost completely covered by peritoneum

A. Mobile
B. Immobile

Answer 8

A. Mobile

Question 9

Retroperitoneal organs. = rigid and ___ = placed ___

A. Immobile, posteriorly
B. Immobile, anteriorly
C. Mobile, posteriorly

Answer 9

A. Immobile, posteriorly

Question 10

longitudinal muscle that is in the form of 3 flat bands, called ___ coli (anterior, medial, lateral) and these 3 bands converge at the ___ of appendix, serves as a clue of surgeons when they cannot find the appendix.

A. Taenia, apex
B. Taenia, base

Answer 10

B. Taenia, base

Question 11

Taenia libera/free taenia: located ___
Mesocolic taenia: located ___
Omental taenia: located ___

A. Medial, anterior, lateral
B. Anterior, medial, lateral
C. Lateral, medial, anterior

Answer 11

B. Anterior, medial, lateral

Question 12

3 peritoneal folds (peritoneal recesses) close to the cecum are:

First recess - ___ ileocal recess
Below - ___ ileocecal recess
Behind - ___ recess

A. Retrocecal, inferior ileocecal, super ileocecal
B. Superior ileocecal, inferior ileocecal, retrocecal
C. Inferior ileocecal, retrocecal, superior ileocecal

Answer 12

B. Superior ileocecal, inferior ileocecal, retrocecal

Question 13

Appendix is located at the __ side of the cecum, on the __ iliac fossa

A. Anteromedial, left
B. Posteromedial, left
C. Posteromedial, right

Answer 13

C. Posteromedial, right

Question 14

___ of appendix is constant or fixed; ___ of appendix is mobile.

A. Base, tip
B. Tip, base

Answer 14

A. Base, tip

Question 15

Appendicitis can be a ___ pain and the most common cause is hardened ____

A. RLQ, stool
B. LLQ, stool
C. RLQ, lymph node

Answer 15

A. RLQ, stool

Question 16

If the tip of appendix is located at the pelvic, the ___ region will feel pain.

A. epigastric region
B. hypogastric region

Answer 16

B. hypogastric region

Question 17

During appendectomy, the surgeon will cut along the ___ Point. This is the ___ of the appendix in relation to the anterior abdominal wall. 1/3 up the imaginary line from the right ASIS to the ___.

A. McBurney’s, base, umbilicus
B. McBurney’s, apex, umbilicus

Answer 17

A. McBurney’s, base, umbilicus

Question 18

This segment of the colon starts at the ileocecal junction and ends at the right colic flexure.

A. descending colon
B. ascending colon
C. transverse colon

Answer 18

B. ascending colon

Question 19

This segment of the colon is the largest and most mobile and it has its own mesentery that attaches it to the ___ abdominal wall

A. ascending colon, anterior
B. descending colon, anterior
C. transverse, posterior

Answer 19

C. transverse, posterior

Question 20

The left colic flexure (splenic flexure) is __ than the right colic flexure.

A. Lower
B. Higher

Answer 20

B. Higher

Question 21

The transverse mesocolon is attached to the ___ border of the transverse colon.

A. Inferior
B. Superior
C. Lateral

Answer 21

B. Superior

Question 22

Greater omentum is attached to the ____ border of transverse colon and at the ___ curvature of the stomach

A. Inferior, greater
B. Superior, lesser
C. Inferior, lesser

Answer 22

A. Inferior, greater

Question 23

Descending colon is located at the ___ & ___

A. RUQ & RLQ
B. LUQ & LLQ

Answer 23

B. LUQ & LLQ

Question 24

Descending colon starts at the left colic flexure (aka splenic flexure) to the ___

A. Sigmoid colon
B. Pelvic brim
C. Rectum

Answer 24

B. Pelvic brim

Question 25

The sigmoid begins at the pelvic ___ and is continuous with the rectum at the level of ___. A. Outlet, L3 B. Inlet, L4 C. Inlet, L3

Answer 25

C. Inlet, L3

Question 26

Taenia coli ends at the level of ___ (aka rectosigmoid junction) A. S2 B. S3 C. S4

Answer 26

B. S3

Question 27

Ileocolic, medial colic, and right colic arteries come from ___. A. Inferior mesenteric artery B. Superior mesenteric artery C. Celiac trunk

Answer 27

B. Superior mesenteric artery

Question 28

___ displacement of appendix and cecum can happen during pRegnancy. A. Counterclockwise B. Clockwise

Answer 28

A. Counterclockwise

Question 29

The appendicular artery is a branch of ___ artery. A. Medial colic B. Ileocolic C. Right colic

Answer 29

B. Ileocolic

Question 30

What are the branches of inferior mesenteric artery? A. Left colic, sigmoid arteries B. Medial colic, right colic, ileocolic C. Appendicular artery

Answer 30

A. Left colic, sigmoid arteries

Question 31

The ___ artery of Drummond, supplies blood to the segments from the branches of SMA and ___. A. Distal, celiac B. Proximal, IMA C. Marginal, IMA

Answer 31

C. Marginal, IMA

Question 32

All in the right side supplied by ___ mesenteric artery same with vein drainage and lymph nodes: Cecum Ascending colon Appendix Transverse colon (___ 2/3) A. Superior, proximal B. Superior, distal C. Inferior, proximal

Answer 32

A. Superior, proximal

Question 33

__ mesenteric artery same with vein and lymph nodes Transverse colon (___ 1/3) __ colon Descending colon A. Superior, distal, ascending B. Superior, proximal, sigmoid C. Inferior, distal, sigmoid

Answer 33

C. Inferior, distal, sigmoid

Question 34

__ mesenteric artery same with vein and lymph nodes Transverse colon (___ 1/3) __ colon Descending colon A. Superior, distal, ascending B. Superior, proximal, sigmoid C. Inferior, distal, sigmoid

Answer 34

C. Inferior, distal, sigmoid

Question 35

What are the 3 mobile segments of the large intestine? A. Descending colon, cecum B. Transverse colon, cecum, sigmoid colon C. Transverse colon, ascending colon

Answer 35

B. Transverse colon, cecum, sigmoid colon

Question 36

What are 2 immobile segments of large intestine? A. Ascending and descending colon B. Transverse colon, descending colon C. Sigmoid colon, cecum

Answer 36

A. Ascending and descending colon