B10 Anatomy MCQs PDF

Summary

This document contains multiple-choice questions (MCQs) on systemic anatomy, suitable for 2nd-year medical students. The questions cover various aspects of the human anatomy and physiology.

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# Synopsis in Systemic Anatomy ## A Textbook for 2<sup>nd</sup> Year Medical Students ### 1. A patient has a malignant mass in the posterior wall of the beginning transverse colon. Which one of the following lies posterior to the transverse colon and is most likely to be infiltrated by the mass...

# Synopsis in Systemic Anatomy ## A Textbook for 2<sup>nd</sup> Year Medical Students ### 1. A patient has a malignant mass in the posterior wall of the beginning transverse colon. Which one of the following lies posterior to the transverse colon and is most likely to be infiltrated by the mass? - A. Body of the gall bladder - B. Right lobe of the liver - C. Head of the pancreas - D. Greater omentum - E. 3<sup>rd</sup> part of the duodenum ### 2. Metastases around hepatic artery due to cancer pancreas spread to porta hepatis and then to umbilicus to form malignant nodules around it. Through which of the following structures the metastases spread from pancrease to umbilicus - A. Lesser omentum - B. Ligament of Treitz - C. Ligamentun venosum - D. Falciform ligament - E. Ligamentum teres ### 3. Which of the following is one of the contents of sigmoid mesocolon? - A. Superior rectal vessels - B. Appendicular vessels - C. Right colic vessels - D. Superior mesenteric artery - E. Median sacral artery ### 4. Name of the ligament attached to the lesser curvature of the stomach is which one of the following? - A. Falciform ligament - B. Greater omentum - C. Lesser omentum - D. Gastrosplenic ligament - E. Lienorenal ligament ### 5. The four parts of the duodenum surrounds which of the following structures? - A. Lower pole of kidney - B. Head of pancreas - C. Body of gall bladder - D. Spleen - E. Pylorus of the stomach ### 6. During dealing surgically close to the apex of the sigmoid mesocolon, the surgeon must be very caution to avoid injury of which of the following structures that lies behind the apex - A. Superior mesenteric artery - B. Superior rectal artery - C. Left ureter - D. External iliac vein - E. Obturator nerve ### 7. What is the name of the part of the stomach attached to the oesophagus? - A. Fundus - B. Pylorus - C. Body - D. Cardia - E. Pyloric sphincter ### 8. Where does the body of the stomach lie between? - A. Pyloric antrum and cardia - B. Fundus and pyloric antrum - C. Cardia and fundus - D. Cardia and antrum ### 9. The Incisura angularis represents which anatomical location? - A. The junction between cardia and fundus - B. The junction between the cardia and body - C. The junction between the body and pyloric part of stomach - D. The junction between the cardia and pyloric part of stomach - E. The junction between the fundus and pyloric part of stomach ### 10. Which of the following is the source of blood supply to the whole stomach? - A. Superior mesenteric artery - B. Inferior mesenteric artery - C. Coeliac trunk - D. Gastropancreatic artery - E. Gastroduodenal ### 11. Regarding lymphatic drainage: The left gastric node drains drain which of the following parts of the stomach? - A. Body - B. Antrum - C. Fundus - D. Pylorus - E. Posterior surface of body ### 12. Regarding lymphatic drainage: The right gastric node drains drain which of the following parts of the stomach? - A. Body - B. Antrum - C. Fundus - D. Pylorus - E. Posterior surface of body ### 13. The lesser omentum connects stomach to which of the following structures? - A. Oesophagus - B. Diaphragm - C. Spleen - D. Transverse colon - E. Liver ### 14. The greater omentum connects the stomach to which of the following structures? - A. Spleen, transverse colon - B. Spleen, ascending colon - C. Spleen, descending colon - D. Spleen, small bowel ### 15. A patient was diagnosed with bleeding ulcer of the lesser curvature of the stomach. Which artery is most likely to be involved? - A. Gastroduodenal - B. Left gastric - C. Left gastro-omental (epiploic) - D. Right gastro-omental (epiploic) - E. Short gastrics ### 16. In order to do a vagotomy (section of vagal nerve trunks) to reduce the secretion of acid by cells of the stomach mucosa in patients with peptic ulcers, one needs to cut the gastric branches and retain vagal innervation to other abdominal organs. Where would a surgeon look for these branches in relation to the stomach? - A. Along the gastroepiploic vessels - B. Along the greater curvature - C. Along the lesser curvature - D. In the base of the omental apron - E. In the gastrocolic ligament ### 17. While performing a splenectomy (removal of the spleen) following an automobile accident, the surgeons were especially attentive to locate and preserve the tail of the pancreas which is closely associated with the spleen. This they found in the: - A. Gastrocolic ligament - B. Gastrosplenicligament - C. Phrenicocolic ligament - D. Lienorenal ligament - E. Transverse mesocolon ### 18. A 60 -year-old male executive who had a history of a chronic duodenal ulcer was admitted to the ER exhibiting signs of a severe internal hemorrhage. He was quickly diagnosed with perforation of the posterior wall of the first part of the duodenum and erosion of an artery behind it. The artery is most likely to be the: - A. Hepatic - B. Superior mesenteric - C. Gastroduodenal - D. Inferior mesenteric - E. Left gastric ### 19. Regarding the duodenum, all of the following are true except: - 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 hilum - E. The head of pancreas is wholly contained within its c-shaped loop ### 20. The transpyloric plane of the abdomen (passing through the lower border of L1 vertebra) passes through: - A. The spleen - B. The third part of the duodenum - C. The tail of the pancreas - D. The origin of the superior mesenteric artery - E. The fundus of the gallbladder ### 21. Twenty five-year-old woman was taken to the hospital emergency room after car accident. Examination showed low blood pressure and tenderness on the left mid-axillary line. Also, a large swelling was felt protruding downward and medially below the left costal margin. X-rays revealed that her 9<sup>th</sup> and 10<sup>th</sup> ribs were fractured near their angles on the left side. The abdominal organ most likely to be injured by the fracture is which of the following? - A. Descending colon - B. Pancreas - C. Spleen - D. Stomach - E. Left kidney ### 22. You are observing an operation to remove the left suprarenal gland. To expose the gland the surgeon mobilizes the descending colon by cutting along its lateral attachment to the body wall and dissecting medial ward in the fusion fascia behind it. Suddenly the operative field is filled with blood. The surgeon realizes he has failed to cut a mesenteric attachment between the left colic flexure and another organ. As a result of the traction, the surface of the organ tore. Which organ which was injured? - A. Duodenum - B. Kidney - C. Liver - D. Suprarenal gland - E. Spleen ### 23. A patient presented with a swollen spleen, which protruded medially toward the umbilicus in the abdomen. A vertical and downward expansion of the spleen was resisted by the which of the following? - A. Tail of the pancreas - B. Phrenicocolic ligament - C. Left kidney - D. Left renal artery - E. Stomach ### 24. During emergency surgery, it was found that a chronic gastric ulcer had perforated the posterior wall of the stomach and eroded a large artery running immediately posterior to the stomach. The artery is which of the following? - A. Common hepatic - B. Gastroduodenal - C. Left gastric - D. Splenic - E. Superior mesenteric ### 25. The spleen contacts all of the following organs EXCEPT: - A. Jejunum - B. Left colic flexure - C. Kidney - D. Tail of pancreas - E. Stomach ### 26. In order to approach the area posterior to the stomach, a surgeon decided to go through the lesser omentum. Before incising the mesentery he was careful to find and preserve a nerve lying in the upper portion of the hepatogastric ligament. Which one of the following is that nerve? - A. Celiac branch of the anterior vagal nerve - B. Celiac branch of the posterior vagal nerve - C. Greater splanchnic branch to the right suprarenal gland - D. Hepatic branch of the anterior vagal nerve - E. Hepatic branch of the anterior vagal nerve ### 27. Which of the following is NOT in contact with the spleen? - A. Colon - B. Diaphragm - C. Pancreas - D. Stomach - E. Duodenum ### 28. The fundus of the stomach receives its arterial supply from which of the following? - A. Common hepatic - B. Inferior phrenic - C. Right gastric - D. Left gastric - E. Splenic ### 29. During an emergency splenectomy, the surgeon accidentally injured the gastro-splenic ligament and its contents. The artery (ies) likely to be damaged in this event is (are) the: - A. Left gastric - B. Splenic - C. Short gastric - D. Inferior phrenic - E. Left gastroepiploic ### 30. During a cholecystectomy (removal of the gall bladder), the surgical resident accidentally jabbed a sharp instrument into the area immediately posterior to the epiploic foramen (its posterior boundary). He was horrified to see the surgical field immediately fill with blood, the source which he knew was the: - A. Aorta - B. Inferior vena cava - C. Coeliac trunk - D. Portal vein - E. Superior mesenteric vein ### 31. The division between the true right and left lobes (internal lobes) of the liver may be visualized on the outside of the liver as a plane passing through which of the following? - A. Gallbladder - B. Falciform ligament - C. Ligamentum venosum - D. Right triangular ligament - E. Coronary ligament ### 32. To stop hemorrhaging from a ruptured spleen, it was necessary to temporarily ligate the splenic artery near the celiac trunk. The blood supply to which structure is least likely to be affected by the ligation? - A. Duodenum - B. Greater omentum - C. Body of pancreas - D. Tail of pancreas - E. Stomach ### 33. You are observing a laparoscopic cholecystectomy. The surgeon states that he is next going to expose the cystic artery in order to staple across it. He asks you where he should look for it. You reply, "In the triangle of Calot." What stuctures form this triangle and are the keys to finding the artery? - A. Gall bladder, liver and common bile duct - B. Common hepatic duct, liver and cystic duct - C. Cystic duct, right hepatic artery and right hepatic duct - D. Cystic duct, right hepatic artery and pancreas - E. Right branch of portal vein, liver and common bile duct ### 34. A radiological examination of a patient revealed a large tumor in the quadrate lobe of the liver. During the surgical removal of the tumor, one of the following vessels that needs to be clamped to effectively control bleeding is the which of the following? - A. Left hepatic artery - B. Right hepatic artery - C. Cystic - D. Inferior vena cava - E. Coeliac trunk ### 35. Regarding the liver all of the following are true except: - A. Lies from the 7<sup>th</sup> to the 11<sup>th</sup> left ribs along the midaxillary line - B. Is lies completely below the costal margin - C. The upper margin is the 4<sup>th</sup> costal cartilage - D. Its quadrate lobe lies anterior to its hilum - E. Portal vein lies most posterior at its hilum ### 36. Direct tributaries of the portal vein include all of the following except which of the following? - A. Right gastric vein - B. Short gastric vein - C. Splenic vein - D. Superior mesentericl vein - E. Left gastric vein ### 37. An ulcer near the pyloro-duodenal junction perforated and eroded a large artery immediately posterior to the duodenum. The ligation of the eroded vessel at its origin would LEAST affect the arterial supply to the: - A. Greater curvature of the stomach - B. First part of the duodenum - C. Second part of the duodenum - D. Head of pancreas - E. Tail of pancreas ### 38. A patient was diagnosed with pancreatitis due to a reflux of bile into the pancreatic duct caused by a gallstone. The stone is likely to be lodged at which of the following? - A. Cystic duct - B. Common hepatic duct - C. Common bile duct - D. Hepatopancreatic ampulla - E. Pancreatic duct ### 39. The blockage of a main bile duct in the quadrate lobe most likely causes reduce flow of bile secretion in which of the following? - A. Left hepatic duct - B. Right hepatic duct - C. Common hepatic duct - D. Common bile duct - E. Hepatopancreatic ampulla ### 40. Regarding the 2<sup>nd</sup> portion of the duodenum, all are correct EXCEPT: - A. It is crossed by the transverse colon - B. It is retroperitoneal - C. Related posteriorly to liver - D. It has the opening for the hepato-pancreatic duct on its posteromedial wall. - E. It is supplied by both the gastroduodenal and superior mesenteric arteries. ### 41. The inferior mesenteric vein joins which of the following vein to form portal vein? - A. Inferior vana cava - B. Left renal vein - C. Splenic vein - D. Superior mesenteric vein - E. Hepatic veins ### 42. A patient with jaundice was diagnosed with cancer of the head of the pancreas. Which of the following ducts was likely to be compressed by the tumor? - A. Common bile duct - B. Common hepatic duct - C. Cystic duct - D. Right hepatic - E. Left hepatic ### 43. A 60-year-old patient who has had a chronic ulcer of the duodenum for many years was admitted to the hospital with signs of a severe internal hemorrhage. The ulcer perforated the posterior wall of the first portion of the duodenum and eroded an artery in that position. The damaged artery was which of the following? - A. Cystic - B. Left gastric - C. Superior mesenteric - D. Hepatic - E. Gastroduodenal ### 44. Which of the following areas supplied by celiac trunk? - A. The gut from the entrance of the bile duct to the splenic flexure of the colon - B. Fundus of stomach - C. Left lobe liver - D. All duodenum - E. Supplies foregut ### 45. Which of the following areas supplied by the superior mesenteric artery? - A. Hind gut - B. Body of the pancreas - C. All duodenum - D. Pancreas - E. Mid-gut ### 46. Which of the following areas supplied by the inferior mesenteric artery? - A. Supplies the hindgut as far as the dentate line - B. Midgut - C. 3<sup>rd</sup> and 4<sup>th</sup> parts of the duodenum - D. Lower half of anal canal - E. Small intestine ### 47. The highest single branch of the abdominal aorta is which of the following? - A. Right suprarenal artery - B. Cellac trunk - C. Left renal artery - D. Left gonadal artery - E. Superior mesenteric artery ### 48. The main vessel supplying the body of the pancreas is which of the following? - A. Superior pancreaticoduodenal artery - B. Splenic artery - C. Left gastric artery - D. Left gastroepiploic artery - E. Inferior pancreaticoduodenal artery ### 49. A medical student is assisting during an intra-abdominal operation. The surgeon asks a medical student to pass his hand upward, along the inner aspect of the anterior abdominal wall, slightly to the right of the midline. The reflection of which of the following will eventually stop the movement of the student's hand? - A. Anterior layer of the coronary ligament - B. Fissure for the ligamentum venosum - C. Left triangular ligament - D. Posterior layer of the coronary ligament - E. Right triangular ligament ### 50. The superior and inferior epigastric arteries lie directly beneath which structure? - A. External oblique - B. Transversus Abdominis - C. Rectus Abdominis - D. Internal oblique ### 51. Which of the following is a true statement about the Scarpa's fascia? - A. It is discontinuous with the Dartos fascia - B. It is continuous with the Colles fascia - C. It is continuous with a deep penile fascia - D. It is the most superficial layer of the abdominal wall. - E. It is the thickest layer of the abdominal wall ### 52. A patient arrives at your clinical with a protruding mass from his superficial inguinal ring. He is diagnosed with an indirect inguinal hernia. What is the posterior border of the canal that this hernia passes through? - A. Fascia transversalis - B. Inguinal ligament - C. Aponeurosis of the transversus abdominis muscle - D. Fibers of the internal oblique muscle - E. External oblique aponeurosis ### 53. Which of the following structures make up the conjoint tendon? - A. Rectus abdominis and transversus abdominis - B. External oblique and internal oblique - C. Internal oblique and transversus abdominis - D. Rectus abdominis and internal oblique - E. External oblique only ### 54. Which of the following forms the posterior wall of the inguinal canal? - A. Conjoint tendon - B. Internal oblique muscle - C. Transversus abdominus muscle - D. Lacunar ligament - E. External oblique muscle ### 55. Fibres of the transversus abdominus muscle arise from which part of the inguinal ligament? - A. Medial one third - B. Lateral one third - C. Lateral two thirds - D. Lateral half - E. Middle one third ### 56. During an abdominal surgery, the surgeon describes an area in the transpyloric plane. Which two structures are associated with this anatomical area? - A. Origin of the inferior mesenteric artery and pylorus of the stomach - B. Fundus of the gall bladder and fundus of the stomach - C. Pylorus of the stomach and neck of the pancreas - D. Origin of the superior mesenteric and fundus of the stomach - E. Fundus of gall bladder and inferior mesenteric artery ### 57. A patient with an inguinal hernia is undergoing surgery. The surgeon must cut through the rectus abdominis in the hypogastric region. The fascia that is posteriorly in contact with the abdominis rectus is made up of which aponeurosis? - A. Transversalis fascia - B. Transversalis fascia and external oblique fascia - C. Internal oblique fascia and transversalis fascia - D. Internal oblique fascia - E. External oblique fascia ### 58. A 15-year-old male was taken to the Emergency Department complaining of tenderness and pain in the lower right quadrant of his abdomen. Upon palpation of the patient's abdomen, the patient vocalizes pain and elicits a "guarding reflex." The physician then correctly identifies that the patient is complaining from an inflamed appendix. Which of the following locations did the Physician palpate to elicit the pain in this patient? - A. Approximately 2/3 from the umbilicus to the Anterior Superior Iliac Spine (ASIS) - B. Approximately 2/3 from the umbilicus to the Iliac Spine - C. Approximately 1/3 from the umbilicus to the Anterior Superior Iliac Spine (ASIS) - D. Approximately 1/3 from the umbilicus to the Iliac Spine - E. Approximately 2/3 from the umbilicus to the Iliac Spine ### 59. A man is in a car accident and breaks the tip of his sternum. At presentation to the ER he is found to be markedly hypotensive and his abdomen is distended. What is the most likely source of blood? - A. Gastroduodenal artery - B. Right Gastric artery - C. Common Hepatic artery - D. Splenic artery - E. Superior mesenteric artery ### 60. A midline abdominal incision below the umbilicus passes through all the following EXCEPT: - A. Pyramidalís - B. Linea alba - C. Extra peritoneal fat - D. Transversalis fascia - E. Scarpa's fascia ### 61. Which of the following 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 ### 62. The transpyloric plane: - A. Lies on a line connecting left and right 10<sup>th</sup> 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. Lies on a line with 1<sup>st</sup> part of duedenum ### 63. The anterolateral muscles of the abdominal wall are NOT prime movers during which of the following? - a. Defecation - b. Expiration - c. Inspiration - d. Micturition - e. Parturition ### 64. Which of the following peritoneal ligaments contains a major artery? - a. Phrenicocolic - b. Falciform - c. Lienorenal - d. Coronary - e. Gastrosplenic ### 65. The anterior boundary of the epiploic foramen is related to which of the following? - a. Caudate lobe of the liver - b. Duodenum - c. Quadrate lobe of the liver - d. Portal vein, bile duct, and hepatic artery - e. Inferior vena cava ### 66. Which of the following is (are) contents of the lesser omentum? - a. Branches of vagus nerve for liver - b. Right and left gastric vessels - c. Common bile duct - d. Splenic artery - e. Short gastric arteries ### 67. In the adult, the only part of the pancreas described as being in a mesentery is which of the following? - a. Body - b. Head - c. Neck - d. Tail - e. Uncinate process ### 68. Anastomoses between the portal system and the vena caval system include which of the following ? - A. Left gastric vein and azygos system - B. Inferior mesenteric vein and superior rectal vein - C. Veins of the descending and ascending colon - D. Renal and lumbar veins - E. Colic veins and anal veins ### 69. The attachment border of the mesentry crosses anteriorly over all of the following except? - A. Horizontal part of duodenum - B. Abdominal aorta - C. I.V.C. - D. Superior mesenteric artery - E. Right psoas major muscle ### 70. Which of the following organs is one of the contents of the supracolic compartement of the greater sac of the peritoneum? - A. Spleen - B. Jejunum - C. Transverse colon - D. Ileum - E. Caecum ### 71. The epiploic foramen of the peritoneum is related anteriorly to which of the following ? - a. Superior mesenteric artery - b. Hepatic artery - c. Ureter - d. Cystic duct - e. Inferior vena cava ### 72. The dorsal mesogastrium is peritoneal fold extends between the dorsal border of the gut and the posterior abdominal wall during intrauterine life. Which one of the following peritoneal folds is derived from it after development of the spleen inside it ? - A. Lesser omentum - B. Transverse mesocolon - C. Pelvic mesocolon - D. Lienorenal ligament ### 73. Which of the following organs is one of the contents of the infracolic compartement of the greater sac - A. Liver - B. Gallbladder - C. Spleen - D. Jejunum - E. Transverse colon ### 74. A patient with peri-anal abscess extends deeply into the ischiorectal fossa, he subjected for surgical evacuation of the abscess. The surgeon must be caution to avoid injury of which of the following nerves? - A. Pudendal neve - B. Sciatic - C. Inferior rectal - D. Pelvic splanchnic - E. 4<sup>th</sup> sacral ### 75. The root of the mesentry crosses anteriorly over which of the following structures? - A. Coils of intestine - B. Inferior mesenteric artery - C. Ileal artery - D. Middle colic artery - E. Right ureter ### 76. A patient has a malignant mass in the posterior wall of the beginning transverse colon. Which one of the following lies posterior to the transverse colon and is most likely to be infiltrated by the mass ? - A. Body of the gall bladder - B. Right lobe of the liver - C. Head of the pancreas - D. Greater omentum - E. 3<sup>rd</sup> part of the duodenum ### 77. A patient with cancer head of the pancreas may infiltrate to all of the following except: - A. Mesentry - B. Pylorus - C. Renal veins - D. Inferior vena cava - E. Portal vein ### 78. Metastases around hepatic artery due to cancer pancreas spread to porta hepatis and then to umbilicus to form malignant nodules around it. Through which of the following structures the metastases spread from pancrease to umbilicus - A. Lesser omentum - B. Ligament of Treitz - C. Ligamentun venosum - D. Falciform ligament - E. Ligamentum teres ### 79. A patient has acute abscess in ischiorectal fossa which of the following nerves is most likely to be affected? - A. Inferior rectal - B. Obturator - C. Pelvic splanchnic - D. Sciatic - E. Genitofemoral ### 80. Which of the following is one of the contents of sigmoid mesocolon? - A. Superior rectal vessels - B. Appendicular vessels - C. Right colic vessels - D. Superior mesenteric artery - E. Median sacral artery ### 81. A male patient was carried to emergency room with sever agonizing pain which was started around the umbilicus and the radiated to Mc Burney point. On Examination the patient showed rebound tenderness and had leucocytosis. Which of the following is the commonest position of the inflamed structure? - A. Pelvic - B. Retrocaecal - C. Subhepatic - D. Preileal - E. Subcaecal ### 82. Which one of the following anomalies is related to vitello-intestinal duct? - A. Intestinal duplication - B. Mickel's diverticulum - C. Omphalocele - D. Exomphalos - E. Subhebatic caecum ### 83. Which one of the following parts of gastrointestinal tract is the last part returns to the abdominal cavity after their physiological herniation after the 3<sup>rd</sup> months of pregnanvy? - A. Stomach - B. Sigmoi colon - C. Duodenum - D. Caecum - E. Eosophagus ### 84. The dorsal mesogastrium is peritoneal fold extends between the dorsal border of the gut and the posterior abdominal wall durind intrauterine life. Which one of the following peritoneal folds is derived from it after development of the spleen inside it ? - A. Lienorenal ligament - B. Lesser omentum - C. Transverse mesocolon - D. Pelvic mesocolon - E. Fallciform ligament ### 85. The root of mesentry crosses from left to the right side superficial to all of the following except - A. 4<sup>th</sup> part of duodenum - B. Aorta - C. Inferior vena cavaV - D. Right psoas major muscle - E. Left ureter ### 86. Which of the following organs is one of the contents of the infracolic compartement of the greater sac - A. Liver - B. Gallbladder - C. Spleen - D. Jejunum - E. Transverse colon ### 87. A patient with cancer head of the pancreas may infiltrate to all of the following except - A. Inferior vena cava - B. Pylorus - C. Mesentry - D. Duodenum - E. Portal vein ### 88. Autonomic nerve plexus around which of the following arteries supply the pancreas - A. Hepatic - B. Splenic - C. Celiac - D. Mesenteric - E. Gastro-duodenal ### 89. All of the following can be palpated anteriorly during PR examionation in malr patient Except:? - A. Ampula of vas deferens - B. Terminatiopn of ureters - C. Seminal vesicles - D. Bulp of the penis - E. Bulbo-urethral gland ### 90. Which of the following nerves is affected in a patient with abscess in ischiorectal fossa? - A. Obturator - B. Pelvic splanchnic - C. Inferior rectal - D. Pudendal - E. Genitofemoral ### 91. Which of the following is one of the contents of sigmoid mesocolon? - F. Pelvic eregentis nerve - G. Middle colic vessels - H. Superior rectal vessels - I. Inferior mesenteric artery - J. Median sacral artery ### 92. All of the following are direct posterior relation of the ascending colon except - A. Ilio-inguinal nerve - B. Ilio-hypogastric nerve - C. Quadratus lamborum muscle - D. Subcostal nerve and vessels - E. Transversus abdominis ### 93. All of the following are direct posterior relation of the caecum except - A. Femoral nerve - B. Iliacus muscle - C. Psoas major muscle - D. Gonadal vessels - E. Ilio-hypogastric nerve ### 94. Which one of the following is posterior relation of the transverse colon? - A. Body of the gall bladder - B. Right lobe of the liver - C. Greater omentun - D. Head of the pancreas - E. 3<sup>rd</sup> part of the duodenum ### 95. Which of the following nerves supply the external anal sphincter? - A. Pudendal - B. Pelvic splsnchnic - C. Inferior rectal - D. Vagus - E. Obturator ### 96. The hindgut is the part extending from the posterior portal to cloacal membrane which gives all of the following derivatives except: - A. Left 1/3 of transverse colon - B. Descending colon - C. Part of the urinary badder - D. Caecum and appendix - E. Upper 1/2 of anal canal ### 97. Which of the following is a derivatives of the cloaca? - A. Ceacum - B. Rectum - C. Prostate - D. Lower 1/2 anal canal - E. Sigmoid colon ### 98. The dorsal mesogastrium is peritoneal fold extends between the dorsal border of the gut and the posterior abdominal wall durind intrauterine life. Which one of the following peritoneal folds is derived from it after development of the spleen inside it ? - A. Lesser omentum - B. Transverse mesocolon - C. Pelvic mesocolon - D. Lienorenal ligament ### 99. Name of the ligament attached to the lesser curvature of the stomach is which one of the following? - A. Falciform - B. Geater omentum - C. Lesser omentum - D. Gastrosplenic ligament - E. Lienorenal ligament ### 100. The four parts of the duodenum surrounds which of the following structures? - A. Lower pole of kidney - B. Head of pancreas - C. Body of gall bladder - D. Spleen - E. Pylorus of the stomach

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