Peritoneum and Retroperitoneum

Question 1

Where does the greater omentum extend from?

A) Extends from lesser curvature of stomach to proximal colon

B) Extends from greater curvature of stomach to transverse colon

C)Extends from lesser curvature of stomach to transverse colon

D) Extends from greater curvature of stomach to sigmoid colon

Answer 1

B

Question 2

What structure prevents the parietal peritoneum of the anterior abdominal wall from adhering to the visceral peritoneum?

A) Lesser omentum
B) Greater omentum
C) Peritoneum
D) Retroperitoneum

Answer 2

B

Question 3

What is the lesser sac also known as?

Answer 3

Omental bursae

Question 4

What is the only method of communication between the lesser and greater sac?

A) Foramen of munroe
B) Foramen of bochdalek
C) Foramen of winslow
D) Foramen of morrison

Answer 4

C

Question 5

What ligament encloses the portal triad?

A) Gastrosplenic
B) Hepatoduodenal duodenal
C) Heptorenal
D) Hepatogastric

Answer 5

B

Question 6

The lesser sac/omental bursae covers what organ anteriorly?

A) Stomach
B) Spleen
C) Pancreas
D) Liver

Answer 6

C

Question 7

Transudative vs exudative ascites?

Answer 7

Transudative = anechoic and no debris or proteins

Exudative = Debris and cellular materials. Can occur in ischemic bowel disease or malignancy

Question 8

What abnormality is known as a “borderline malignant process that results when a benign appendiceal or ovarian adenoma ruptures, spilling epithelial cells into the peritoneum”?

Answer 8

Pseudomyxoma peritonei

Question 9

What pathology is caused by asbestos exposure?

A) Omental caking
B) Pseudomyxoma peritonei
C) Peritoneal mesothelioma
D) Mesenteric adenopathy

Answer 9

C

Question 10

Peritoneal implants are m/c associated with?

Answer 10

Peritoneal mets

Question 11

What is the posterior renal fascia also known as?

Answer 11

Zuckerkland fascia

Question 12

Which of the following statements is TRUE?

A) Fascial planes in the retroperitoneum are fused superiorly but unfused inferiorly

B)Fascial planes in the retroperitoneum are fused posteriorly but unfused anteriorly

C) The posterior renal fascia is also known as Gerota’s fascia

D) The anterior renal fascia fuses with the posterior renal fascia medially

Answer 12

A

Question 13

What organ is NOT within the peri-renal space?

A) Kidneys
B) Pancreas
C) Gerotas Fascia
D) Adrenal glands

Answer 13

B

Question 14

The posterior renal fascia lies between what?

A) Anterior renal fascia and posterior renal fascia
B) Anterior renal fascia and transversalis fascia
C) Posterior renal fascia and transversalis fascia
D) Posterior renal fascia and sigmoid fascia

Answer 14

C - this space contains ONLY fat and no organs

Question 15

The perirenal space is open inferiorly at what structure?

Answer 15

Pelvic brim

Question 16

When there is concern about retroperitoneal fibrosis. What structure should we pay most attention to?

A) Pancreas
B) Kidneys
C) Adrenal glands
D) Aorta
E) IVC

Answer 16

D

Question 17

What describes the anatomic location of the Rt diaphragmatic crus?

A) Anterior to IVC and superior to RRA
B) Posterior to IVC and RRA
C) Medial to RK and posterior to Ao
D) Anterior to Ao and inferior to pancreas

Answer 17

B

Question 18

Which retroperitoneal compartment contains the psoas and quadratus lumborum muscles?

A) Anterior pararenal
B) Perirenal
C) Posterior pararenal
D) Retrofascial

Answer 18

D

Question 19

What other names are used for retroperitoneal fibrosis?

Answer 19

Ormond disease and chronic periaortitis - can turn into an inflammatory aneurysm