GI: Liver and Posterior Anatomy

1.

1 point

Which of the following pass through the esophageal hiatus at vertebral level T10?

Thoracic duct

Branches of left gastric artery

Vagus nerve

Esophagus

Branches of phrenic nerve

2.

1 point

True or False: The left urethra is typically longer than the right.

True

False

3.

1 point

Which of the following branches off the aorta has a paired artery?

Common iliac artery

Median sacral artery

Superior mesenteric artery

Inferior mesenteric artery

Celiac artery

4.

1 point

What is the most effective way to distinguish the spleen from the ascending colon on CT scan?

axis of body

size of structure

density of structure

dark spot of air

5.

1 point

Which of the following blood vessels supply extrahepatic blood to the liver?
I: Hepatic vein
II: Hepatic artery
III: Hepatic sinuses
IV: Portal vein
V: Splenic vein

II, IV, V

II only

II, III, IV

IV only

I, II, III

All of these

6.

1 point

With severe cirrhosis of the liver, you expect blood glucose to be...

normal

high

low

impossible to tell

7.

1 point

The "nutcracker angle" involves all of the following vessels EXCEPT...

superior mesenteric artery

left renal vein

celiac trunk

aorta

8.

1 point

Which of the following do NOT typically drain into the left renal vein?

Left inferior phrenic vein

Left 2nd lumbar vein

All of these drain into the left renal vein

Left testicular vein

Left suprarenal vein

9.

1 point

An anxious mother brings her three year old into your office 1 week after repair of a diaphragmatic hernia. She says he's in a lot of pain and when you ask him where it hurts he points to his...

Shoulder

Xyphoid process

Umbilicus

Groin

10.

1 point

Statin drugs, aimed at lowering cholesterol, target what enzyme?

Acetyl-CoA hydrogenase

HMG-CoA reductase

enterokinase

phospholipase

11.

1 point

How would you differentiate kidney stones from appendicitis?

Murphy's sign

Shifting dullness test

Rebound sign

McMurray's test

12.

1 point

In order perform a kidney biopsy, a surgeon would have to penetrate which of the following layers?

Camper's fascia

Scarpa's fascia

Gerota's fascia

Perinephric space

Peritoneum

13.

1 point

Jaundice is caused by a deficiency in...

None of these

Vitamin C

Bilirubin

RBC degradation

Vitamin B12

14.

1 point

Which of the following would NOT cause abdominal ascites?

Cirrhosis

Congestive heart failure

Systemic hypertension

Appendicitis

Pulmonary embolism

IVC thrombosis

15.

1 point

What land mark could you use to find a ureter?

Anterior superior ileac spine

Transverse process of L3

Superficial inguinal ring

Pubic symphasis

16.

1 point

Which of the following cell types are responsible for detoxification in the liver?

Littoral cells

Hepatocytes

Kupffer cells

Epithelial cells

Disse cells

17.

1 point

True or false: Kidney stones are more likely to appear on plain film x-rays than gall stones.

True

False

18.

1 point

A torn psoas major could also damage which nerve?

Ilioinguinal nerve

Genitofemoral nerve

Femoral nerve

Obturator nerve

19.

1 point

Which of the following is NOT a common site for the lodging of kidney stones?

ureterovesico junction

ureteropelvic junction

crossing of ureter and ilial vessels

ureterorenal junction

20.

1 point

When performing a kidney transplant, a surgeon cuts through the three main vessels leaving the kidney. As he cuts from ventrally through the vessels, in what order would he cut?
I: renal artery
II: renal vein
III: ureter

II, I, III

I, II, III

III, I, II

II, III, I

21.

1 point

Which organ is unique in having more arteries that supply it than veins that drain it?

Colon

Liver

Spleen

Adrenal glands

Kidneys

22.

1 point

Inflammation of the psoas major muscle could also affect what part of the diaphram?

Median arcuate ligament

Psoalphrenic ligament

Lateral arcuate ligament

Central tendon

Medial arcuate ligament

23.

1 point

Insulin-independent GLUT-2 transporters are found in all of the organs listed EXCEPT...

Pancreas

Jejunum

Brain

Liver

Spleen

24.

1 point

Which of the following is not a function of the adult liver?

Production of glucose

Production of bile

Production of red blood cells

Break down of fat

Storage of vitamins

Excretion of toxins

25.

1 point

A positive shifting dullness finding upon percussion of the abdomen is indicative of...

Splenomegaly

Caput medusa

Ascites

Pneumoperitoneum

Appendicitis

26.

1 point

True or False: Steroid production in the adrenal glands is controlled by post-synaptic nerve fibers.

True

False

27.

1 point

Which of the following might be observed with an enlarged superior mesenteric artery?

Portal hypertension

Ovarian arterial distension

Splenic vein constriction

Left testicular pain

28.

1 point

Which of the following is NOT a symptom of liver failure?

Hematoma

Jaundice

Cholestasis

Alkalosis

Ascites

29.

1 point

The hepatic artery drains into which hepatic space?

Sinusoids

Canaliculi

Space of Disse

Central vein