Top 150+ Solved Abdomen - Pelvis MCQ Questions Answer
Q. Regarding the ureters, which is INCORRECT?
a. the line of projection of the ureter on a radiograph is medial to the tips of the transverse processes of the lumbar vertebrae and crosses the pelvic brim at the sacroiliac joint
b. they exhibit peristaltic activity when stimulated
c. they are lined by transitional epithelium with a thick muscularis mucosae
d. they are supplied with sympathetic fibres from T11-L2
e. they are crossed superficially by the gonadal vessels
Q. Regarding the inguinal canal:
a. the deep inguinal ring lies 1cm above and at the junction of the lateral third and medial two thirds of the inguinal ligament
b. the deep inguinal ring is formed by an opening in the transversalis fascia
c. an indirect inguinal hernia bulges into the inguinal triangle, posterior to the canal and medial to the inferior epigastric artery
d. contains the spermatic cord that has two fascial layers/coverings and eight contents
e. none
Q. Which structure does not enter the inguinal canal through the deep inguinal ring?
a. testicular artery
b. vas deferens
c. ilioinguinal nerve
d. genital branch of genitofemoral nerve
e. artery to the vas deferens
Q. The testis:
a. the epididymis arises from the lower pole of the testis
b. the tunica vaginalis surrounds the testis but doe not encase the epididymis
c. vas deferens ascends on the anterior surface of the testis
d. the testicular appendix lies on the testis upper pole near the origin of the epididymis
e. none
Q. The testicular blood supply:
a. is mainly from the ductal artery
b. the right drains directly into the inferior vena cava
c. venous drainage does not have valves
d. a varicocoele is more common on the right than the left
e. none
Q. The transpyloric plane:
a. lies on a line connecting left and right 10th costal cartilages
b. lies at the level of T12
c. lies at the origin of the superior mesenteric artery off the aorta
d. is 2cm below the xiphisternum
e. none
Q. Regarding potential spaces in the abdomen:
a. the entrance to the lesser sac is inferiorly via the transverse mesocolon foramen
b. the right hepatorenal pouch is the lowest lying region of the peritoneal cavity in the supine position (excluding pelvis)
c. the peritoneal cavity is divided into supracolic and infracolic by the epiploic foramen
d. the root of the mesentry of the small intestine is a small 2cm area at the duodenojejunal junction
e. none
Q. The forgut:
a. includes from the abdominal aorta to the end of the duodenum
b. is supplied by branches of the superior mesenteric artery
c. venous drainage includes the blood from the lower third of the oesophagus
d. drains entirely into the splenic vein
e. none
Q. The midgut:
a. is from the opening of the bile duct into the duodenum to the ileocaecal junction
b. all venous drainage is to the superior mesenteric vein
c. superior mesenteric artery lies on the right side of the superior mesenteric vein
d. superior mesenteric artery originates off the aorta at L3
e. none
Q. The inferior mesenteric artery arises:
a. at L3
b. behind the inferior border of the third part of the duodenum
c. at the level of the umbilicus
d. 3-4cm above the aortic bifurcation
e. all of the above
Q. The nerve supply to the stomach:
a. the anterior vagal trunk alone controls the pyloric sphincter
b. the posterior vagal trunk alone controls the pyloric sphincter
c. secretion is controlled by sympathetic supply
d. the posterior vagal trunk is in contact with the left side of the oesophagus
e. none
Q. The liver:
a. lies from the 7th to the 11th left ribs along the midaxillary line
b. is normally completely under the costal margin
c. the upper margin is the 4th costal cartilage
d. blood supply divides into left and right supplying the lobes as divided by the falciform ligament
e. none
Q. The spleen:
a. is a retroperitoneal organ
b. lies along the axis of the left 10th rib
c. lymphatics drain to the superior mesenteric paraaortic nodes
d. pain fibres accompany sympathetic fibres and pain may radiate in the distribution of thoracic dermatomes 6-10
e. none
Q. Which nerve passes through psoas muscle and emerges anteriorly to run down the front of the muscle?
a. ilioinguinal
b. iliohypogastric
c. genitofemoral
d. lateral cutaneous nerve of the thigh
e. none
Q. Regarding the anterior abdominal wall:
a. the arcuate lines lie midway between the symphysis pubis and umbilicus
b. between the umbilicus and the lateral margin transversus aponeurosis lies posterior the rectus
c. the inferior epigastric artery originates from the internal iliac
d. it gives support to the liver and spleen
e. the ilioinguinal nerve passes through the deep inguinal ring