Macroanatomy 2 a.

cisterna chili
August 9, 2010 b. celiac nodes *
Dr. Decano c. superior mesenteric nodes
d. inferior mesenteric nodes.
1. Cold & bitter taste of beer on the posterior 1/3 of the tongue will stimulate w/c of the
ff. nerves? 8. Px w/ a stab wound of the LLQ of the abdomen was brought to the ER. On PE, a
a. glossopharyngeal * (a small portion subserved by the internal branch of superior portion of the intestine was coming out of the abdomen. On further inspection, taenia
laryngeal nerve of vagal nerve) coli, was noted. Thus it was ascertained that it was the colon. Which part of the colon
b. hypoglossal was most likely eviscerated?
c. lingual a cecum
d. chorda tympani b. ascending colon
c. descending colon
2. In order to extract a maxillary tooth, one has to locally block the superior alveolar d. sigmoid *
nerve; w/c is a branch of this cranial nerve:
a. V * 9. During surgery you noted a retroperitoneal artery crossing the right side of the post
b. VI abdominal wall and supplying the ascending colon. This vessel is the
c. VII a. Ileocolic artery
d. X b. Right colic artery *
c. Middle colic artery
3. Bleeding from esophageal varices usually come from this vessel: d. left colic artery
a. right gastric art
b. right gastric vein 10. During a surgical procedure, you have elevated the transverse colon. This is
c. left gastric art supplied by:
d. left gastric vein * c. middle colic *

4. If the common hepatic artery is accidentally ligated during a surgical procedure w/c 11. w/c of the ff techniques could you use to precisely locate the appendix?
of the ff arteries to the stomach will lose its blood supply? a. locate the region devoid of haustra
a. left gastric and short gastric b. trace the right colic artery
b. right gastric & right gastroepiploic * c. trace the ileocolic artery
c. left gastroepiploic & short gastric d. trace the taenia coli on the cecum *
d. splenic
12. During proctosigmoidoscopy, you noted transverse fold coming form the mucosa
5. During gastrotomy, a surgeon will incise how many layers of muscles of the of the rectum which hinders the passage of the scope. These are:
stomach? c. Valves of Houston *
a. 1
b. 2 13. You must incise an avascular area of this double fold of peritoneum during
c. 3 * surgery in order for you to expose and examine the lesser sac and the pancreas
d. 4 a. gastrohepatic ligament
b. transverse mesocolon
6. A 44 y/o accountant develops a bleeding ulcer around tax time. The c. gastrocolic omentum *
gastroenterologist visualizes the ulcer in the prox. duodenum. A radiologist has been d. sigmoid mesocolon
called to cannulate and embolize the artery supplying the ulcer. W/c of the ff arteries
does the radiologist need to cannulate? 14. You are examining the liver during a surgical procedure, the GB will be found in its
a. celiac artery * fossa between w/c segments of the liver
b. Superior Mesenteric artery a. segments II & IV
b. Inferior Mesenteric Artery b. segments I & IV
d. superior epigastric artery c. segments I & III
d. segments IV & V *
7. After removal of a large portion of the stomach in a px who has cancer, you are
now examining the LN that receive lymph from the stomach. W/c of the ff structures 15. in order to safely perform lap chole, one should expose the triangle of Calot in
receives lymph directly from the stomach? order to identify:
a. GB
b. cystic artery * 24. A stone in the distal part of the ureter will most likely lodge in the:
c. portal vein a. ureteropelvic jxn
d. hepatic artery b. ureterovesical jxn *
c. above the pelvic brim
16. Contraction of this structure will cause bile to enter the GB: d. urinary bladder
a. GB musculature
b. sphincter of Oddi * 25. Cystostomy in a fully filled urinary bladder can be performed without entering the
peritoneal cavity because
17. Ligation of the splenic vein near the bifurcation of the portal vein will hamper the a. It is covered with peritoneum only on its superior and posterior portions *
flow of blood from this vessel towards the liver: b. It is an intraperitoneal organ
a. SMV c. It is totally covered with peritoneum
b. Inferior mesenteric vein * d. It is not covered with peritoneum
c. portal vein
d. right gastric vein 26. Erythropoietin will initially pass thru this structure before reaching the target organ
a. Renal vein *
18. In right paramedian incision for open chole, you must incise the right anterior b. renal artery
rectus sheath between the right subcostal and umbilicus. In this region, the sheath is c. ureter
derived fromt eh aponeurosis of the: d. renal lymphatics
a. external oblique muscle
b. internal oblique muslce 27. The renal fascia is derived from the fascia of the abdominal wall:
c. external & internal oblique * b. transversalis fascia *
d. internal oblique and transverus abdominis
28. Traumatic rupture of the urethra distal to the urogenital diaphragm, urine will
19. Where is a vertical stab wound located in teh arnterior ab wall if the msucles and extravasate into the
or their aponeuroses are spared: a. Scrotum *
c. in the midline * b. Post abdominal wall
c. Retroperitoneal area
20. During lap procedure, you observe inferior epigastric vessels ascending on the d. Deep perineal pouch
posterior surface of the rectus abdominis muscle. They suddenly disappear from view
by passing superior to 29. Penile erection occurs when blood accumulates between in one of these
a. Falx inguinalis structures related to the penis
b. Linea semilunaris a. Ischiocavernosus
c. Falciform ligament b. Corpora cavernosa *
d. Arcuate line * c. Bulbospongiosa
d. Perineal membrane
21. w/c of the ff structures must be elevated and reflected medially in order for you to
examine the hilum of the right kidney? 30. Because of its relation w the lumbar vertebrae, the muscle MOST likely to be
a. duodenum affected in cases of TB of the spine is:
a. psoas major *
22. During the removal of px's kidney, you must observe w/c of the ff as the most b. quadratus lumborum
anterior within the renal sinus c. iliacus
b. renal vein d. transversus abdominis

23. The CT scan of a patient with hematuria depicts a stone in the abdominal portion 31. During lap exploration of a male px, you noted two glandular structure between
of the ureter which is seen lying anterior to a muscle. This muscle in the posterior the posterior wall of the urinary bladder and rectum. These structures are the
abdominal wall is most likely the a. Prostate gland
a. Psoas major * b. Bulbourethral gland (urogenital diaphragm)
b. Erector spinae c. Seminal vesicles *
c. iliacus d. Bartholin’s glands
d. Rectus abdominis
32. W/c of the ff is the female homologue of the male penis?
b. clitoris 43. The widest part of the fallopian tube and most frequent site of fertilization:
c. ampulla
33. Scrotum have a slightly pigmented and wrinkled appearance. What is the
explanation for this? 44. During D and C procedure, the instrument accidentally punctured the uterus
a. hyperkeratinized squamous epithelium anteriorly. Which organ is affected?
b. presence of dartos muscle * A. urinary bladder *
c. tunica albuginea
d. presence of cremaster muscle 45. The ligamentous support of the uterus that extends from the superolateral angle of
the uterus to the labia majora is the
34. 66 y/o male complains of difficulty voiding and is noted to have probable BPH. a. Transverse cervical ligaments
Which of the ff prostatic lobes is likely to be responsible for these symptoms? b. Broad ligaments
a. anterior lobe c. Round ligament *
b. post. lobe d. Uterosacral ligament
c. lateral lobe
d. middle lobe * 46. After a difficult TAH, a px develops hydronephrosis of the ipsilateral kidney. This is
most likely due to:
35. A 48 y/o male is undergoing cystoscopic exam. As the cystocope. widest area c. accidental ligation of the ureter
c. prostatic urethra
47. Bilateral oophorectomy is performed in a woman who had ovarian CA. to
36. Produces alkaline phosphatase in the semen accomplish this procedure, the ovarian arteries were ligated. w/c of the ff describes
a. prostatic gland the anatomy of the ovarian vessels?
b. right ovarian veins drains into the vena cava
37. During surgery of inguinal hernia, you isolated the spermatic cord in order to avoid
injury to the structures contained in it. w/c of the ff is NOT part of the spermatic cord 48. 3 cm ectopic pregnancy of the isthmus of the left tube is noted to have ruptured
a. vas deferens leading to hemorrhage. Blood noted arises principally from the
b. testicular artery c. uterine and ovarian arteries
c. pampiniform plexus
d. epididymis * 49. The vesicouterine pouch is:
a. anterior to the uterus *
38. in males thet mucus secreting glands found w/in the deep perineal pouch are the: b. posterior to the uterus
c. Cowper's gland c. the same as the Douglas pouch

39. Occurs during ejaculation except 50. The pelvic viscera are supplied mainly by which of the following arteries
d. urine leaves the bladder a. Internal iliac *
b. External iliac
40. Structure that can be palpated on digital rectal exam except c. Superior mesenteric artery
a. Prostate d. Middle sacral
b. Bulb of the penis
c. Seminal vesicles
d. Ureter *

41. A 34 year old woman develops abscess on the right labia majora. Which of the
following lymph node is most likely to enlarge in response to the infection?
c. superficial inguinal nodes *

42. The anal triangle and urogenital triangle is divided by the