UMKC Exam 3 Questions Flashcards
Which of the following bodily activities will not be affected by the loss of somatic innervation of the anterior abdominal wall muscles?
inhalation
Where would the anastomoses of the celiac artery and the superior mesenteric artery occur in the duodenum?
between the 2nd and 3rd segments
Behind the pancreas the splenic vein runs ___.
inferior to splenic artery
All of the following are due to sympathetic innervation, EXCEPT?
a. decreased urine production
b. relaxation of the detrusor muscle
c. increased peristalsis in ureters
d. constriction of internal sphincter
increased peristalsis in ureters
The superior mesenteric vein drains blood from all of the following, EXCEPT?
a. cecum
b. small intestine
c. transverse colon
d. spleen
spleen
In late pregnancy which nerve is compressed between the anterior superior iliac and the inguinal ligament?
lateral femoral cutaneous
If a male urethra is injured and ruptures, between what anterior abdominal body wall layers does blood and urine accumulate?
between Scarpa’s fascia and the external abdominal wall
The gallbladder lies where in relation to the sagittal fissures of the liver?
anterior part of right sagittal fissure
What kind of innervation and neuron is provided to the hindgut by the pelvic splanchnic nerves?
preganglionic parasympathetic
What nerves/axons would you cut through if you sliced the mesentery of small intestine several inches before the body wall?
preganglionic parasympathetic and postganglionic sympathetic
Which of the following veins does NOT usually branch off of the inferior vena cava?
a. right suprarenal vein
b. right gonadal vein
c. left gonadal vein
d. left suprarenal vein
e. c and d
left gonadal vein and left suprarenal vein
Consider the lesser sac as if it was a 4-sided room with ceiling being the liver, which side is the omental foramen located?
right side
Which of the following will maintain the normal direction of blood flow in a severe case of portal hypertension?
inferior vena cava
Which segment of the duodenum retains its mesenteries?
1st
When going through the path of lesser splanchnic you will NOT encounter which of the
following?
gray rami communicans
Which of the following structures is suspended by the mesentery proper?
ileum
Where is the anastomoses between Inferior Mesenteric Artery and Superior Mesenteric Artery?
2/3 down transverse colon
Which muscle is pierced by the genitofemoral nerve?
psoas major
What gives cremaster motor innervation?
genitofemoral nerve
In the great splanchnic nerve you find?
sympathetic and visceral pain
Which of these is primarily retroperitoneal?
a. Uterus
b. Suprarenal gland
c. Urinary bladder
suprarenal gland
All of the following would cause visceral pain, EXCEPT?
a. ischemia
b. cramping
c. stretching (distention)
d. heat
heat
Indirect hernias pass through:
3 rings
Along which pathway would visceral pain from the rectum travel?
pelvic splanchnic nerves
Which of the following structures is primarily retroperitoneal?
a. Ureters
b. Bare area of the liver
c. Pancreas
d. Spleen
ureters
What is the only part of the pancreas that is NOT retroperitoneal?
tail
Which of the following does NOT contain any vessels?
a. gastrosplenic ligament
b. leinorenal ligament
c. gastrophrenic ligament
d. gastrocolic ligament
e. hepatoduodenal ligament
gastrophrenic ligament
Which of the following is not transmitted by the genitofemoral nerve?
parasympathetics
What ligament is around the uterine tube?
mesosalpinx
All of the following are within the spermatic cord EXCEPT:
a. internal spermatic fascia
b. ductus deferens
c. external spermatic fascia
d. parietal peritoneum
parietal peritoneum
All of the following result from sympathetic innervation, EXCEPT?
a. decrease in blood flow to digestive organs
b. decrease in secretion by digestive glands
c. retention of urine and feces
d. increase in blood flow to digestive organs
increase in blood flow to digestive organs
All of the following nerves emerge lateral to the psoas major, EXCEPT?
a. Iliohypogastric
b. obturator
c. femoral
d. ilio-inguinal
obturator
Which is not drained by the portal vein or its branches?
a. spleen
b. kidneys
c. sigmoid colon
d. small intestine
kidneys
Trace the path of urine from the renal pyramids to the outside world:
renal pyramids – papillae – minor calyces – major calyces – renal pelvis – ureter – bladder – urethra
The major duodenal papilla are located in:
the 2nd segment of the duodenum
The superior rectal artery is a branch of:
inferior mesenteric artery
All of the following have an insertion formed by the ending of their respective aponeurosis on the linea alba, EXCEPT?
a. internal oblique
b. rectus abdominis
c. external oblique
d. transversus abdominis
rectus abdominis
Which artery lies within the transverse mesocolon?
middle colic
Where is the Ductus Deferens located?
within the internal spermatic fascia and posterior to processes vaginalis
What best describes what kinds of nerve fibers surround the Superior Mesenteric Artery?
postganglionic sympathetics and preganglionic parasympathetics
The inferior mesenteric artery supplies all of the following with blood, EXCEPT?
a. ascending colon
b. descending colon
c. sigmoid colon
d. rectum
ascending colon (midgut)
The appendicular artery branches off of what?
ileocolic artery
Which of the following structures remains in the inguinal canal of women?
a. ovarian artery
b. genitor branch of genitofemoral nerve
c. ovarian vein
d. remnant of the gubernaculum
e. b and d
f. all of the above
genitor branch of genitofemoral nerve and remnant of gubernaculum
At what point do visceral pain axons split from sympathetic motor nerves?
junction of ventral and dorsal root
From which of the following spinal nerve segments does the genitofemoral nerve arise?
L1 and L2
Which is the orientation of the vessels in the hepatoduodenal ligament?
Common Bile duct is anterior and right, the hepatic artery is anterior and left and the portal vein is posterior
The Inferior Mesenteric vein drains into what?
splenic vein
Which organ receives its preganglionic sympathetic innervation primarily via the lesser splanchnic nerve?
ascending colon (midgut)
Which of the following correctly describes the relative position of the left renal vein?
a. anterior to the aorta and inferior to the superior mesenteric artery
b. superior to the aorta and inferior to the superior mesenteric artery
c. anterior to the aorta and superior to the superior mesenteric artery
d. superior to the aorta and superior to the superior mesenteric artery
anterior to the aorta and inferior to the superior mesenteric artery
All of the following are due to parasympathetic innervation, EXCEPT?
a. increased peristalsis of rectum
b. relaxation of internal anal sphincters
c. relaxation of external anal sphincters
d. decreased peristalsis of rectum
e. c and d
relaxation of internal anal sphincters and decreased peristalsis of rectum
Where do the hepatopancreatic secretions mix before entering the duodenum?
Ampulla of Vater
Transversalis fascia lies between the:
peritoneum and transversus abdominus
Which of the following is not developmentally part of the GI system?
a. gall bladder
b. pancreas
c. spleen
d. liver
spleen
The superior mesenteric vein and which of the following usually join to form the portal vein?
splenic vein
Which of these aortic branches passes by the c-shape lesser curvature of the duodenum?
superior mesenteric artery
Which of the following in NOT true with regards to parasympathetic innervation of the midgut?
a. preganglionic cell bodies in brainstem
b. innervation by the vagus nerve
c. ganglia located in organ walls
d. ganglia located along abdominal aorta
ganglia located along abdominal aorta
The internal iliac artery supplies all the following except?
ovary
What is the round ligament in females a remnant of?
gubernaculum
All of the following relationships are correct, EXCEPT?
a. transverse mesocolon and transverse colon
b. sigmoid mesocolon and sigmoid colon
c. mesentery and stomach
d. mesoappendix and appendix
mesentery and stomach
In the esophageal varices, the azygous has anastomoses with which branch of the portal vein?
left gastric vein
The cremaster muscle is an extension of:
internal abdominal obliques
Which of the following does NOT have somatic motor innervation?
a. genitofemoral nerve
b. lateral femoral cutaneous nerve
c. femoral nerve
d. obturator nerve
lateral femoral cutaneous nerve
The splenic artery is a direct branch of:
the celiac artery
What is the most common position for the appendix?
retrocecal
Which of the following nerves can cause contraction of the cremaster muscle when sensory signals are received by the ilioinguinal nerve (from the inner thigh)?
genitofemoral
Preganglionic sympathetics reach the celiac ganglion primarily via the:
greater splanchnic nerve
In adults which of these contains function vessels?
a. Lig. Teres
b. Median umbilical vein
c. Medical umbilical vein
d. Lateral umbilical vein
lateral umbilical vein
Which organs parietal peritoneum is sensitive to temperature and cutting?
pancreas
Pain during parturition (birth) coming from the upper 1/3 of the vagina travels along which of the following routes?
a. lumbosacral plexus
b. least splanchnic nerve
c. vagus nerve
d. parasympathetic pelvic splanchnic nerves
parasympathetic pelvic splanchnic nerves
Which is not an autonomic ganglion?
dorsal root
The attachment of the gubernaculum in the scrotum is homologous with what in females?
labia majora
In terms of bile drainage and arterial blood supply, the caudate lobe is part of which functional side?
left side
Which of the following provides sympathetic innervation to the hindgut?
a. greater splanchnic nerve
b. lesser splanchnic nerve
c. least splanchnic nerve
d. pelvic splanchnic nerves
least splanchnic nerve
Which is not transmitted by the hepatoduodenal ligament?
a. main pancreatic duct
b. portal vein
c. hepatic artery
d. propercommon bile duct
main pancreatic duct
The lower border of the aponeurosis of which of the following forms the inguinal ligament?
external oblique
Which organ has a rich dual blood supply?
pancreas
All of the following are a result of parasympathetic innervation, EXCEPT?
a. increase in blood flow to digestive organs
b. retention of urine and feces
c. increase in secretion by digestive glands
d. elimination of urine and feces
retention of urine and feces
List the renal structures anterior to posterior.
renal vein
renal artery
renal plexus/ureter
The pelvic splanchnic nerves provide what kind of innervation to the hindgut?
parasympathetic
Which of the following vessels passes anterior to the fourth segment of the duodenum?
superior mesenteric artery
The deep inguinal ring is located?
Lateral to inferior epigastric vessels
From which spinal cord level does the femoral nerve arise?
L2-L4
Portal hypertension can lead to the engorgement of the anastomoses between which two veins to create caput medusae?
paraumbilical veins and inferior and superficial epigastric veins
At what vertebral level does the esophagus pierce the diaphragm?
T10
Which of the following gets its parasympathetic innervation from the pelvic splanchnic nerves?
descending colon
When the common hepatic artery branches off celiac artery and goes what direction?
right
In the portal-caval system, blood flow reverses in which portal-caval end?
portal vein
Which ligament do the short gastric arteries run through?
gastrosplenic
Which layer does not contribute to the spermatic cord?
transversus abdominis
What is the ligamentum teres a remnant of?
umbilical vein
Which of the following is not a site of anastomosis in the case of severe portal hypertension?
splenic flexure of the colon
Pelvic splanchnic nerves may contain all of the following except:
sympathetics
All are part of the greater omentum except?
a. gastrophrenic
b. hepatodunodenal
c. leinorenal
d. gastrosplenic
hepatoduodenal
The obturator nerve does what action?
adduct
All of the following relationships are correct, EXCEPT?
a. falciform ligament : obliterated umbilical vein
b. median umbilical ligament : urachus
c. medial umbilical ligament : obliterated umbilical artery
d. lateral umbilical ligament : inferior epigastric artery
falciform ligament : obliterated umbilical vein
Which of these organs is attached to the anterior body wall through the mesenteric ligament?
liver
All of the following lie within the spermatic cord, EXCEPT?
a. internal spermatic fascia (from transversalis fascia)
b. transversus abdominis fascia (from transversus abdominis)
c. cremasteric fascia (from internal abdominal oblique)
d. external spermatic fascia (from external abdominal oblique)
e. sleeve of parietal peritoneum
transversus abdominis fascia (from transversus abdominis)
Which of the following structures receives parasympathetic innervation from pelvic splanchnic nerves?
sigmoid colon
Inferior to the arcuate line, all of the following lie anterior to the rectus abdominis, EXCEPT?
a. aponeurosis of external oblique
b. aponeurosis of internal oblique
c. aponeurosis of transversus abdominis
d. transversalis fascia
transversalis fascia
In who is indirect inguinal hernia most commonly found?
infant male
Which of the following lists the correct sequence of visceral pain from the jejunum to the CNS?
superior mesenteric plexus, lesser splanchnic nerve, white ramus, spinal nerve, dorsal root
Which of these do not drain into the internal inguinal lymph nodes?
a. Seminal vesicle
b. Testes
c. Bladder
d. Prostate
testes
What will receive primary blood supply from the inferior mesenteric artery?
descending colon
Which part of the duodenum has the major and minor duodenal papilla?
2nd
The celiac trunk supplies all of the following with blood, EXCEPT?
a. liver
b. pancreas
c. appendix
d. gallbladder
appendix (midgut)
The coronary ligament separates:
the bare area of the liver and peritoneal cavity
The superior mesenteric artery supplies all of the following with blood, EXCEPT?
a. spleen
b. jejunum
c. ileum
d. cecum
spleen (foregut)
Iliohypogastric is the ventral rami of what segment?
L1
All of the following are retroperitoneal, EXCEPT?
a. spleen
b. body of pancreas
c. descending colon
d. stomach
stomach
An increase in parasympathetic stimulation of the bladder causes?
detrusor muscle to contract and internal urinary sphincter to relax to eliminate urine
Which of the following types of innervation causes the muscles of the anterior abdominal wall to contract?
somatic motor
