Top 150+ Solved Abdomen - Pelvis MCQ Questions Answer
Q. A midline abdominal incision below the umbilicus passes through all the following EXCEPT:
a. pyradmidalis
b. linea alba
c. extra peritoneal fat
d. transversalis fascia
e. Scarpa’s fascia
Q. The spleen:
a. has a lower pole which normally projects forward to the anterior axillary line
b. lies between the 8th and 10th ribs
c. has a long axis lying in the line of the 9th rib
d. as it enlarges, glides in contact with the anterior abdominal wall in front of the splenic flexure of the colon
e. when palpable on abdominal examination, is identified by being resonant to percussion
Q. Which is the most common site for the appendix found at appendicectomy?
a. retro-ileal
b. reto-caecal
c. pelvic
d. anterior to terminal ileum
e. below terminal ileum overlying psoas
Q. The abdominal aorta:
a. passes into the abdomen behind the diaphragm at the level of the 10th thoracic vertebra
b. bifurcates at the level of the body of the 2nd lumbar vertebra
c. has a surface marking for its bifurcation as 2cm below and to the right of the umbilicus
d. gives rise to the coeliac artery at the level of the body of the 10th thoracic vertebra
e. has the renal arteries arising at the level of the body of the 1st lumbar vertebra
Q. With regard to the spleen, which is NOT true?
a. in splenomegaly, the splenic flexure of the colon lies superficial to its anterior border
b. its anterior border is notched
c. its medial relations include left kidney, lienorenal ligament, pancreas and lesser sac
d. it lies between the 9th and 11th ribs
e. accessory spleens occur in 10% of people
Q. With regard to the duodenum, which is NOT true?
a. the duodenal cap has plicae circulares which are often evident on x-ray
b. the third part may be compressed by the superior mesenteric artery
c. the second part lies at level of 2nd lumbar vertebra in cadavers
d. the duodenal cap lies upon bile duct, hepatic artery and portal vein
e. the accessory pancreatic duct opens into it proximal to the ampulla of Vater
Q. The ejaculatory ducts:
a. are formed by the union of the prostatic ducts and the ducts of the seminal vesicle
b. lie on the superior surface of the bladder
c. open into the membranous urethra
d. contract with parasympathetic stimulation
e. have none of the above properties
Q. The ureter passes deep to the:
a. femoral nerve
b. gonadal artery
c. psoas muscle
d. genitofemoral nerve
e. common iliac artery
Q. With respect to the testicle:
a. the tunica albuginea overlies tunica vaginalis
b. the head of the epididymis is attached to the lower pole of the testis
c. the appendix testis (if present) is attached to the upper pole of the testicle
d. testicular and scrotal lymph drainage is the superficial inguinal nodes
e. parasympathetic supply is via the T10 segment of the cord
Q. With regard to the spleen, which is NOT true?
a. it is in direct contact with the lesser sac
b. it projects into the greater sac
c. its anterior border is notched
d. it receives both sympathetic and parasympathetic supply
e. lymph drainage is via retropancreatic channels to the coeliac nodes
Q. Regarding abdominal vascular anatomy, all of the following are true EXCEPT:
a. the left renal vein lies under the superior mesenteric artery
b. the appendix is supplied by the ileo colic branch of the superior mesenteric artery
c. the left gastro epiploic artery is a branch of the splenic artery
d. the portal vein lies posterior to the pylorus
e. the duodenum receives no supply from the superior mesenteric artery
Q. With regard to the ureter, which is NOT true?
a. it is narrowed at its halfway mark
b. it crosses the genitofemoral nerve under cover of peritoneum
c. the upper part of the right ureter lies behind the duodenum
d. it lies just lateral to the tips of the transverse processes of L3-5
e. it is adherent to the peritoneum of the posterior abdominal wal
Q. With regard to the female pelvis, which is NOT true?
a. the cervix is separated from the rectum by the Pouch of Douglas
b. the cervix is separated from the bladder by the vesicouterine pouch
c. the ureter passes 1-2cm lateral to the cervix
d. the ureter passes under both the broad ligament and the uterine artery
e. lymph drainage from the body of the uterus includes the inguinal nodes
Q. With regard to the duodenum:
a. it is wholly retro-peritoneal
b. it lies wholly inferior to gallbladder
c. the third part overlies the superior mesenteric vessels
d. the second part projects slightly behind the right renal hilus
e. the head of pancreas is wholly contained within its c-shaped loop
Q. The transversalis fascia contributes to which of the following structures on the anterior abdominal wall?
a. superficial inguinal ring
b. deep inguinal ring
c. inguinal ligament
d. sac of an indirect inguinal hernia
e. anterior wall of the inguinal canal