7 Which one of the following is not one of the 9 regions of the abdomen? Right hypochondriacLeft inguinal or iliacEpigastricRight upperLeft lumbar
8 Which of the following is NOT true concerning the peritoneal cavity? The peritoneal cavity is a potential space.The peritoneal cavity contains organs inside of it.The peritoneal cavity is filled with fluid that lubricates its contents.The parietal and visceral peritoneum are linings of the peritoneal cavity.
9 The usual location for an appendectomy incision is the: left lower quadrantleft upper quadrantright lower quadrantright upper quadrant
10 You were asked to assist in a surgical operation on a young patient to treat an ulcer in the first part of the duodenum. You would expect that the surgeon will approach the ulcer by doing an anterior abdominal wall incision in the following region:
43 The inferior border of the rectus sheath posteriorly is called the: Falx inguinalisInguinal ligamentInternal inguinal ringArcuate lineLinea alba
44 Following an emergency appendectomy your patient complained of having paresthesia (numbness) of the skin at the pubic region. The most likely nerve that has been injured during the operation is:GenitofemoralIliohypogastricSubcostalSpinal nerve T10Spinal nerve T9
45 An obstetrician decides to do a Caesarean section on a 25-year-old pregnant woman. A transverse suprapubic incision is chosen for that purpose. All of the following abdominal wall layers will be encountered during the incision EXCEPT the:
46 Anterior rectus sheath Posterior rectus sheathRectus abdominis muscleSkin and subcutaneous tissueTransversalis fascia, extraperitoneal fat, and peritoneum
47 Surgical approaches to the abdomen sometimes necessitate a midline incision between the two rectus sheaths, i.e., through the:Linea asperaArcuate lineSemilunar lineIliopectineal lineLinea alba
48 The internal thoracic artery is sometimes surgically cut near the caudal end of the sternum and used to supply blood to a region of the heart. In these cases, maintenance of adequate blood flow to the rectus abdominis may be dependent on increased flow through which artery?
71 Inguinal Triangle (Hesselbach's triangle ) Direct Hernia
72 A medical student was asked by her preceptor to palpate the margin of the superficial inguinal ring of a healthy male patient. After passing her finger down the edge of the medial crus of the superficial inguinal ring, she felt a bony protuberance deep to the lateral edge of the spermatic cord, which she correctly identified as the :
73 pecten pubispubic symphysispubic tubercleiliopubic eminenceiliopectineal line
74 In order to reduce a hernia (return it to the abdominal cavity), a surgeon finds it necessary to ligate an artery in the extraperitoneal connective tissue (preperitoneal fat) running vertically just medial to the bowel as the bowel passes through the abdominal wall. This artery is the:
75 Deep circumflex iliacInferior epigastricSuperficial circumflex iliacSuperficial epigastricSuperficial external pudendal
76 During a laparoscopic examination of the deep surface of the lower anterior abdominal wall (using a lighted scope on a thin tube inserted through the wall), the attending physician noted something of interest and asked the young resident to look at the medial inguinal fossa. To do so, the young doctor would have to look at the area between the:
77 inferior epigastric artery and urachus medial umbilical ligament and urachusinferior epigastric artery and lateral umbilical foldmedial umbilical ligament and inferior epigastric arterymedian umbilical ligament and medial umbilical ligament
78 If one were to make an incision parallel to and 2 inches above the inguinal ligament, one would find the inferior epigastric vessels between which layers of the abdominal wall?
79 Camper's and Scarpa's fascias External abdominal oblique and internal abdominal oblique musclesInternal abdominal oblique and transversus abdominis musclesSkin and deep fascia of the abdominal wallTranversus abdominis muscle and peritoneum
80 Which structure passes through the deep inguinal ring? Iliohypogastric nerveIlioinguinal nerveInferior epigastric arteryMedial umbilical ligamentRound ligament of the uterus
81 A loop of bowel protrudes through the abdominal wall to form a direct inguinal hernia; viewed from the abdominal side, the hernial sac would be found in which region?
83 In a female with an indirect inguinal hernia, the herniated mass lies along side of which structure as it traverses the inguinal canal?Iliohypogastric nerveInferior epigastric arteryOvarian artery and veinPectineal ligamentRound ligament of the uterus
84 The skin of the mons pubis is supplied by which nerve? Anterior scrotalAnterior labialFemoral branch of the genitofemoralIliohypogastric nerveSubcostal nerve
85 During your peer presentation of the inguinal region dissection, you would indicate the position of the deep inguinal ring to be:Above the anterior superior iliac spineAbove the midpoint of the inguinal ligamentAbove the pubic tubercleIn the supravesical fossaMedial to the inferior epigastric artery
86 A 45-year-old porter develops a direct inguinal hernia A 45-year-old porter develops a direct inguinal hernia. If the hernia extended through the superficial inguinal ring, it would be surrounded by all of the abdominal wall layers EXCEPT the:
87 External spermatic fascia Internal spermatic fasciaPeritoneum and extraperitoneal connective tissueWeak fascia of the transversus abdominis muscle lateral to the falx
88 The boundaries of the inguinal triangle include all except: Arcuate lineInferior epigastric vesselsInguinal ligamentLateral border of rectus abdominus muscle
89 The superficial inguinal ring is an opening in which structure? External abdominal oblique aponeurosisFalx inguinalisInternal abdominal oblique muscleScarpa's fasciaTransversalis fascia
90 Which nerve passes through the superficial inguinal ring and may therefore be endangered during inguinal hernia repair?Femoral branch of the genitofemoralIlioinguinalIliohypogastricObturatorSubcostal
91 During exploratory surgery of the abdomen, an incidental finding was a herniation of bowel between the lateral edge of the rectus abdominis muscle, the inguinal ligament and the inferior epigastric vessels. These boundaries defined the hernia as a(n):