Anatomy Quiz on Digestive System and Glands
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Questions and Answers

The root of the mesentery is approximately 15cm long. It passes inferiorly and to the right, from the duodenojejunal junction to the ileocecal junction, crossing the all following which one is the exception?

  • right ureter
  • inferior vena cava
  • left testicular or ovarian vessels (correct)
  • ascending and horizontal parts of the duodenum
  • abdominal aorta
  • Which of the following is/are correct?

  • I, II, and III
  • only II and III (correct)
  • II, III and IV
  • Only I and II
  • only I
  • Which of the following structures prevents the anterior dislocation of the temporomandibular joint?

  • articular disc (correct)
  • pterygoid fossa
  • lateral ligament
  • articular tubercle
  • mandibular fossa
  • Mucus glands are located in which part of anal canal?

    <p>anal sinuses</p> Signup and view all the answers

    Two days after an appendectomy in a 45-year-old male patient, the patient has developed an elevated temperature. Is hydrosive? and complains of abdominal pain. An explanatory laptoratmy reveals a large amount of blood in the peritoneal cavity due to an injury to a vessel that occurred during the appendectomy. Which of the following vessels must be ligated to stop bleeding?

    <p>ileocolic artery</p> Signup and view all the answers

    Which structure passes through the deep inguinal ring?

    <p>round ligament</p> Signup and view all the answers

    The fundus of the stomach receives its blood supply from which artery?

    <p>left gastric</p> Signup and view all the answers

    Through which vessels is the blood from hepatic sinusoidal cells delivered into the inferior vena cava?

    <p>Hepatic vv</p> Signup and view all the answers

    Which part of the esophagus is composed of voluntary striated muscle type?

    <p>Superior third</p> Signup and view all the answers

    Which of the following pair of veins of this patient may also enlarge due to portal hypertension?

    <p>Superior rectal and inferior rectal vein</p> Signup and view all the answers

    Which of the following structure is not innervated by the pelvic splanchnic (erigendues nerves)

    <p>Duodenum</p> Signup and view all the answers

    Which is not a boundary of the epiploic omental foramen?

    <p>Splenorenal ligament</p> Signup and view all the answers

    A patient was diagnosed with bleeding ulcer of the lesser curvature of the stomach. Which artery is most likely involved?

    <p>Left gastric</p> Signup and view all the answers

    Which nerve marked posterior surface of the esophagus

    <p>Right vagus</p> Signup and view all the answers

    Which of the following below is correct the oral cavity?

    <p>anterior 2/3 of the tongue general sensation is provided by the chorda tympani</p> Signup and view all the answers

    Which of the following muscles of mastication is chiefly? Responsible for the protraction and depression movement of the mandible?

    <p>Lateral pterygoid</p> Signup and view all the answers

    Which of the following muscles of the tongue is innervated by the pharyngeal plexus

    <p>palatoglossus</p> Signup and view all the answers

    The superficial inguinal ring is an opening in which of the structures?

    <p>External abdominal oblique aponeurom?</p> Signup and view all the answers

    Which of the following is not a physical method of producing heat in the body?

    <p>Microwave diathermy</p> Signup and view all the answers

    Choose correct statement

    <p>Only I</p> Signup and view all the answers

    Which of the following is false?

    <p>Evaporation cooling is not controllable</p> Signup and view all the answers

    Which of the following statement are correct regarding malabsorptive syndromes?

    <p>I-III-IV</p> Signup and view all the answers

    Which of the following is not a complication of acute severe gastroenteritis?

    <p>hypernatremia</p> Signup and view all the answers

    Which of the following is not true regarding malnutrition?

    <p>Marasmus( wasting( is the result of and is a malabsorption response to</p> Signup and view all the answers

    A 56-year-old female patient comes to the family physicians office with the complaint of epigastric discomfort and sometimes pain in the epigastric area since a year and she feels deeply tired. She describes dark defecation in the last week. Which of the following diagnostic method is the first choice for this patient?

    <p>Upper gastrointestinal endoscopy</p> Signup and view all the answers

    A 35-year-old female patient complains of postprandial fullness, early satiety and epigastric pain. Her complaints have begun last year but frequent for the last 3 months. There is no evidence of structural disease and alarming symptoms that is likely to explain the symptoms. Which of following is the most probable diagnosis?

    <p>Functional dyspepsia</p> Signup and view all the answers

    A 55-year-old male admitted to gastroenterology outpatient classic with a complaint of progressive dysphagia since 2 month. What should be initial diagnostic treat?

    <p>Upper Gl endoscopy</p> Signup and view all the answers

    A 43-year-old female present to the office with swelling of lower legs and feet for the last two month. Her blood work shows low serum total protein and low albumin. Urinalysis shows no pro There are no signs and symptoms of chronic liver disease. She is normal appetite and there is no recent weight loss. BMI is normal at 24. Examination she appears self nourished. Pitting edema is present in lower extremities. She is referred to a clinical workup of protein losing enteropathy. Which of the following is the next best step in the management of this patient?

    <p>fecal alpha-1 antitrypsin A1AT clearance test</p> Signup and view all the answers

    A 65-year-old man presented with dysphagia which describes hard swallowing and progressed to liquids what is your probable diagnosis in first order for this patient?

    <p>Achalasia</p> Signup and view all the answers

    Which of the following is not a factor accused in the pathogenesis of inflammatory bowel disease?

    <p>psychological factors</p> Signup and view all the answers

    Which of the following cells are primarily responsible for the formation of fibrosis in the course of chronic liver inflammation?

    <p>Hepatic stellate cells</p> Signup and view all the answers

    Which one of the following is not alarm symptoms for a patient with dyspepsia?

    <p>Post prandial fullness</p> Signup and view all the answers

    Which of the following is not a diagnose for chronic abdominal pain of inflammatory bowel origin?

    <p>Pelvic inflammatory disease</p> Signup and view all the answers

    A 36-year-old male complains of intense mid abdominal pain that radiates to his back. The pain started 5 hours ago after he came home from work. His friend states that he found him groaning of pain on his bed in the fetal position. He says that curling himself in the fetal position slightly relieves the pain. He also reports nausea, and he committed 2 times since the pain started. He denies alcohol use. He has no significant past medical history. Vital signs etc

    <p>Ultrasound</p> Signup and view all the answers

    Which one of the following causes isolated GGT elevation?

    <p>All of above</p> Signup and view all the answers

    Which of the following is not cause upper gastrointestinal tract bleeding?

    <p>Adenocarcinoma of jejunum</p> Signup and view all the answers

    Which one of the following is wrong about Crohn's disease?

    <p>Crohn's disease may affect only gastrointestinal system</p> Signup and view all the answers

    Which of the following is/are true for chronic viral hepatitis B, C or D?

    <p>Only III</p> Signup and view all the answers

    Which one of the following disease may mimic esophageal adenocarcinoma clinically?

    <p>Achalasia</p> Signup and view all the answers

    Which of the following wrong regarding autoimmune hepatitis?

    <p>Predominately cholestatic enzyme_ is detected</p> Signup and view all the answers

    Which of the following is not a diagnose for chronic abdominal pain of inflammatory origin?

    <p>Pelvic inflammatory bowel disease</p> Signup and view all the answers

    A 30-year-old woman has no prior liver disease presented with jaundice and confusion which started 4 days ago. Her liver enzyme ALT, AST are between 4000-5000_. Prothrombin time, Your physical examination showed tender hepatomegaly, discoloration and flapping tremor. She has no alchol and no drug history. Hbs Ag, anti-Hbc Jg M are positive, anti HCV is negative what is your diagnosis?

    <p>Acute fulminant hepatitis B</p> Signup and view all the answers

    Which of the following symptoms is suggestive of esophageal carcinoma?

    <p>Progressive dysphagia</p> Signup and view all the answers

    What is the utility of noninavasive laboratory aids FIB-4 (fibrosis-4) and NAFLD fibrosis score (NF5) in the management of patients with liver disease?

    <p>To grade the degree of fibrosis in patient with NAFLD</p> Signup and view all the answers

    Which one of the followings are true for acute biliary colic?

    <p>Only I and III</p> Signup and view all the answers

    Which of the following statement is true regarding upper GI bleeding?

    <p>Patients with active upper GI bleeding are candidate for early discharge and outpatient follow up</p> Signup and view all the answers

    Jaundice is caused due to

    <p>Viral hepatitis</p> Signup and view all the answers

    Which one of the following is not characteristic of acute abdominal pain?

    <p>Accompanied with mental?</p> Signup and view all the answers

    Find false item concerning pancreas

    <p>Pancreas develops as an outgrowth of esophagus</p> Signup and view all the answers

    Which of the following is not characteristic of the parietal cells?

    <p>Microvilli cancaculus</p> Signup and view all the answers

    Which glands are found in the papilla vallata of the tongue?

    <p>von elners gland</p> Signup and view all the answers

    Which item is incorrect considering esophagus?

    <p>esophageal epithelium is trans epithelium</p> Signup and view all the answers

    Which structure develops from both foregut and midgut

    <p>Duodenum</p> Signup and view all the answers

    In liver, both endocrine and exocrine function are carried out by which of the following cells?

    <p>Hepatocyte</p> Signup and view all the answers

    Which of the following cells constitute 20% of the islet of Langerhans located at the periphery of the islet and secrete glucagon?

    <p>alpha cell</p> Signup and view all the answers

    Which of the structure written below are found in duodenum?

    <p>Micro villi microvilli, Lieberkühn's cript, Brunner glands</p> Signup and view all the answers

    Select the incorrect items about the regulation of carbohydrate metabolism in liver tissue

    <p>Ca2+ activates glycogen synthase enzyme by promoting phosphorylation while ATP inactive it</p> Signup and view all the answers

    Study Notes

    Anatomy

    • The root of the mesentery is approximately 15cm long. It runs from the duodenojejunal junction to the ileocecal junction, crossing all structures except the ascending and horizontal parts of the duodenum.

    • The parotid duct opens to the sublingual caruncle.

    • The facial nerve and external carotid artery are present in the parotid gland.

    • Parasympathetic innervation to the sublingual gland is via the chorda tympani.

    • The superficial part of the submandibular gland is inside the oral cavity.

    • The lateral ligament prevents anterior dislocation of the temporomandibular joint.

    • The articular disc is part of the temporomandibular joint.

    • The articular tubercle is part of the temporomandibular joint.

    • The mandibular fossa is part of the temporomandibular joint.

    • Mucus glands are located in the anal columns.

    • Elevated temperature, abdominal pain, and large blood clots after appendectomy could indicate vessel injury.

    Additional Topics

    • Question 6: The structures passing through the deep inguinal ring include the iliohypogastric nerve, but not the inferior epigastric artery, medial inguinal ligament, round ligament or epididymis.
    • Question 7: The fundus of the stomach receives blood supply from the left gastric artery.
    • Question 8: Blood from hepatic sinusoidal cells flows into the inferior vena cava through hepatic veins.
    • Question 9: The superior third of the esophagus is composed of voluntary striated muscle.
    • Question 10: The superior and inferior rectal veins may enlarge due to portal hypertension.
    • Question 11: The descending colon, sigmoid colon, and rectum are innervated by the pelvic splanchnic nerves; the duodenum is not.
    • Question 12: The epiploic omental foramen is bordered by the hepatoduodenal ligament, inferior vena cava, and the first part of the duodenum (also the caudate process of the liver).
    • Question 13: Bleeding ulcers of the lesser curvature are most commonly associated with the left gastric artery.
    • Question 14: The right vagus nerve is the one that marks the posterior surface of the esophagus.
    • Question 15: The anterior two-thirds of the tongue receives general sensation from the chorda tympani branch of the facial nerve .
    • Question 16: The superficial part of the masseter muscle is chiefly responsible for mandibular protraction and depression.
    • Question 19: The physical methods that produce heat in the body do not include microwave diathermy.
    • Question 20: Thermal conductivity of air is quite small; heat transfer through radiation does not require a material medium. Conduction depends on the number of collisions of molecules, and all heat transfer types require a material medium.

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    Description

    Test your knowledge on the anatomy of the digestive system and glands with this quiz. Explore your understanding of key structures such as the mesentery, parotid gland, and temporomandibular joint. This quiz also covers relevant clinical implications to deepen your learning.

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