Surgery MCQ File 8 – Medscholar Academy

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Question 1 of 26

1. Question
Parasympathetic supply to the stomach affects
- Motility
- Pain
- All of the above
- None of the above
- Regurgitation
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Question 2 of 26

2. Question
Volvulus occurs commonly in
- Cecum
- Ascending colon
- Sigmoid colon
- Transverse colon
- Small intestine
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Question 3 of 26

3. Question
The following arteries supply the stomach except
- Right gastric artery
- Left gastroepiploic artery
- Posterior gastric artery
- Left gastric artery
- Left renal artery
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Question 4 of 26

4. Question
Concerning the ureters, the following statements are true except:
- Testicular or ovarian arteries contribute to their supply
- Both show 3 anatomical sites of constriction
- The psoas muscle separate them from the transverse process of the vertebrae
- Both pass anterior to the testicular ovarian vessels
- In the pelvis, both run anterior to the sacral plexus
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Question 5 of 26

5. Question
Columnar epithelium is found in the following except
- Lower esophagus
- Lower 1/3 of the anal canal
- Duodenum
- Jejunum
- All of the above
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Question 6 of 26

6. Question
Which of the following structures is not contained in the lesser omentum
- Lymph nodes
- Hepatic artery
- Portal vein
- IVC
- Bile duct
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Question 7 of 26

7. Question
The following are intraperitoneal structures except:
- Cecum
- Appendix
- Transverse colon
- Pancreas
- All of the above
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Question 8 of 26

8. Question
Regarding the inferior mesenteric artery, all the following statements are correct except:
- It arises from the aorta behind the uncinated process of the pancreas
- It supplies the descending colon
- The marginal artery receives contribution from its branches
- It contributes to blood supply of the rectum
- It is the artery of the hindgut
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Question 9 of 26

9. Question
Concerning the ischiorectal fossa, the following statements are true except
- Its floor is formed by superficial fascia and skin
- The obturator internus muscle and fascia form its lateral wall
- The pudendal nerve lies in the lateral wall
- Part of the wall is formed by the levator ani muscle
- The urogenital diaphragm forms its roof
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Question 10 of 26

10. Question
Regarding the left suprarenal gland, the following statements are true except:
- It forms part of the stomach bed
- The body of the pancreas crosses in front of it
- It is triangular in shape
- It extends down to the hilum of the left kidney
- It lies in front of the left crus of the diaphragm
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Question 11 of 26

11. Question
The following statements are true regarding the seminal vesicles except:
- Their upper part is covered by peritoneum
- Their secretion add to the seminal fluid
- These lobulated organs store spermatozoa
- They can be palpated by digital rectal examination
- Connective tissues bind them to the base of the urinary bladder
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Question 12 of 26

12. Question
Regarding the abdominal part of the sympathetic trunk, the following are not correct except:
- It has 6 segmental ganglia
- It enters the abdomen through the aortic opening of the diaphragm
- All ganglia receive white rami communicantes
- The lumbar spinal nerves receive grey rami communicantes from it
- The splenic nerve from the thorax join the trunks below the diaphragm
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Question 13 of 26

13. Question
Lymphatic drainage to the stomach include the following except:
- Aortic nodes
- Gastric nodes
- Subpyloric nodes
- Supra pancreatic nodes
- All of the above
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Question 14 of 26

14. Question
The following statements regarding the pelvic structure is/are true except:
- The pelvic lymph nodes are concentrated around the medial sacral artery
- The empty urinary bladder in young children, extends into the abdomen
- The pelvic viscera are chiefly supplied by the internal iliac arteries
- The pubic arch in male is narrow and less rounded than in female
- The fascia on the pelvic floor shows local condensations called ligaments
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Question 15 of 26

15. Question
The following vessels supply the colon
- The ileocecal artery
- Right colic artery
- Middle colic artery
- All of the above
- None of the above
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Question 16 of 26

16. Question
Regarding the nerves of the pelvic cavity, which of the following statements are correct:
- The pelvic part of the sympathetic trunks both have white and grey rami communicantes
- The inferior hypogastric plexus contains both sympathetic and parasympathetic fibers
- The sacral plexuses are posterior to the rectum
- The anterior or sacral foramina transmit the anterior (ventral) rami of the upper four sacral nerves
- The superior hypogastric plexus is formed from the aortic sympathetic plexus and branches from the sympathetic ganglia
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Question 17 of 26

17. Question
The following structures can be palpated per rectum except:
- Anorectal ring
- Ischiorectal fossa
- Prostate
- Sigmoid colon
- All of the above
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Question 18 of 26

18. Question
Regarding the structures leaving the pelvis, the following statements are true except:
- The obturator nerve leaves through the obturator foramen
- The sciatic nerve leaves through the greater sciatic foramen
- The external iliac artery passes deep into the inguinal ligament to continue as the femoral artery
- The piriformis muscle leaves the pelvis through the lesser sciatic foramen
- The superior gluteal artery leaves through the greater sciatic foramen
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Question 19 of 26

19. Question
Hemorrhoids are dilated varicosities of
- Inferior rectal veins
- Superior rectal veins
- Anterior rectal veins
- Posterior rectal vein
- All of the above
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Question 20 of 26

20. Question
Regarding the pelvic muscles and fascia, the following statements are true except:
- The pelvic diaphragm is strong and shows no openings
- The ligaments supporting the uterus are the condensation of the visceral layer of pelvic fascia
- The iliococcygeus part of levator ani arises from the thickening of the fascia of obturator internus
- The pelvic fascia consists of the parietal and the visceral layers
- The femoral branches of the 4th sacral and pudendal nerves supply the levator ani muscle
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Question 21 of 26

21. Question
About portal hepatis, it consists of the following except:
- Hepatic artery
- Hepatic ducts
- Bile ducts
- Portal vein
- None of the above
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Question 22 of 26

22. Question
Regarding the bony pelvis, the following statements are true except:
- The gynecoid type of pelvis is characteristic of the female
- In determining cephalo-pelvic disproportion, during advanced pregnancy, external pelvic measurements are of very little practical value
- The ilium, ischium and pubis; the 3 morphological parts of the hip bone fuse together at about 25 yr of age
- The sacrum is shorter, wider and more flat in the female than in male
- The symphysis pubis anteriorly, the coccyx posteriorly and the ischial tuberosities with the sacrotuberous ligament laterally from the pelvic outlet
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Question 23 of 26

23. Question
Concerning blood supply to the cerebrum
- Anterior cerebral supplies to the anterolateral region
- Middle cerebral supplies to the central region
- Medial cerebral supplies to the medial region
- Posterior cerebral supplies to the posterior region
- All of the above
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Question 24 of 26

24. Question
Regarding the vas deferens, the following statements are true except:
- It crosses the ureter in the region of the ischial spine
- It enters the pelvis by emerging from the deep inguinal ring and passing lateral to the inferior epigastric artery
- It forms the ejaculatory duct by joining the duct of the seminal vesicles
- Its terminal part is dilated to form the ampulla
- On the posterior surface of the prostate , the vas deferens is separated from it by the peritoneum
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Question 25 of 26

25. Question
Regarding the pelvic part of the ureter, the following statements are true except:
- The ureter has no valvular mechanism at its entrance into the bladder due to its direct entry
- The ischial spine is closely related to its medial passage to the bladder
- The superior vesical artery supplies the terminal part of the ureter
- It enters the pelvis anterior to the division of the common iliac artery
- It enters the bladder at the upper lateral angle of the base of the bladder
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Question 26 of 26

26. Question
The taenia coli is widest at:
- Cecum
- Ascending colon
- Sigmoid colon
- Transverse colon
- Small intestine
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