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Questions Answered: 186

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  • Parts of the Common Bile Duct

    The infraduodenal region of the common bile duct:

    >
  • x

    Nerves of the Lumbar Plexus

    The ilioinguinal nerve innervates which of the following muscles:

    >
  • Parts of the Male Urethra

    In men, the external urethral sphincter surrounds which of the following structures:

    >
  • Intraperitoneal vs Retroperitoneal Organs

    A 36 year old male is brought into ED complaining of fever, abdominal pain and tenderness. Imaging shows that an abdominal infection has spr

    >
  • Anatomical Relations of the Spleen

    A 19 year old male is brought to ED having sustained a handlebar injury with blunt trauma to his upper abdomen whilst riding his scooter. Wh

    >
  • Positions of the Appendix

    Which of the following is the most common position of the vermiform appendix:

    >
  • x

    Boundaries of the Inguinal Canal

    The floor of the inguinal canal is formed primarily by which of the following structures:

    >
  • x

    Innervation of the Rectum

    Sympathetic supply to the rectum is from which of the following:

    >
  • x

    Surface Anatomy of the Kidney

    A 29 year old rugby player presents to ED complaining of left flank pain. Imaging shows a fracture of the angle of the twelfth rib on the le

    >
  • x

    Anatomy of the External Oblique Muscle

    Regarding the external oblique muscle, which of the following statements is INCORRECT:

    >
  • x

    Lymphatic Drainage of the Testis

    A 29 year patient presents to ED complaining of a painless lump in his scrotum. Imaging shows a tumour affecting the scrotum but sparing the

    >
  • Lymphatic Drainage of the Ovary

    A 39 year old patient complains of abdominal pain. Imaging shows tumours in both ovaries. Which of the following lymph nodes are the first

    >
  • Anatomical Relations of the Common Bile Duct

    The common bile duct drains into the duodenum in which of the following regions:

    >
  • Anatomical Relations of the Ureter

    Regarding the ureters, which of the following statements is CORRECT:

    >
  • x

    Surface Anatomy of the Pancreas

    The body of the pancreas lies at which of the following vertebral levels:

    >
  • Lymphatic Drainage of the Testis

    A 21 year old man presents to ED complaining of a scrotal lump. Imaging demonstrates a testicular tumour. The lymphatic drainage of the test

    >
  • Muscles of the Anterior Abdominal Wall

    The anterior abdominal wall muscles are innervated by:

    >
  • Innervation of the Gallbladder

    A 45 year old overweight patient presents to ED complaining of fever and severe right upper quadrant pain. The pain radiates to her right sh

    >
  • Anatomical Relations of the Urinary Bladder

    The male bladder lies immediately anterior to which of the following structures:

    >
  • Fascia of the Spermatic Cord

    A 40 year old man is undergoing a vasectomy. During the procedure the various layers of the spermatic cord are separated to expose the ductu

    >
  • x

    Anatomical Relations of the Stomach

    The stomach lies anterior to all of the following structures EXCEPT for the:

    >
  • Function of the Quadratus Lumborum Muscle

    The quadratus lumborum muscle contributes to which of the following movements:

    >
  • x

    Surface Anatomy of the Kidney

    The kidneys extend between which of the following vertebral levels:

    >
  • x

    Structure of the Lumbar Plexus

    The lumbar plexus is formed predominantly from the anterior rami of:

    >
  • Nerves of the Lumbar Plexus

    The genitofemoral nerve innervates which of the following muscles:

    >
  • Portosystemic Anastomosis

    A 64 year old man is brought to ED with profuse haematemesis. Endoscopy shows oesophageal varices which are most likely the result of anasto

    >
  • x

    Lobes of the Liver

    The quadrate lobe of the liver lies between which of the following structures:

    >
  • x

    Innervation of the Urinary Bladder

    A 65 year old man with known BPH, presents to ED in severe pain due to urinary retention. What is the location of the neural cell bodies res

    >
  • Nerves of the Lumbar Plexus

    The obturator nerve is formed from the anterior rami of:

    >
  • x

    Intraperitoneal vs Retroperitoneal Organs

    A 23 year old patient is brought to ED following a road traffic accident. CT imaging demonstrates retroperitoneal injury. Which of the follo

    >
  • x

    Anatomical Relations of the Stomach

    Which of the following structures does not make up part of the stomach bed:

    >
  • Parts of the Pancreas

    Which of the following parts of the pancreas is intraperitoneal:

    >
  • Anatomical Relations of the Duodenum

    Which of the following lies immediately medial to the second part of the duodenum:

    >
  • Nerves of the Lumbar Plexus

    The ilioinguinal nerve supplies skin over which of the following regions:

    >
  • Lymphatic Drainage of the Penis

    A 21 year old man presents to ED with an infection following a recent circumcision. The lymphatics from the penile skin and prepuce drain to

    >
  • x

    Zones of the Prostate

    Which of the following areas of the prostate gland is the most commonly involved in prostatic hyperplasia:

    >
  • x

    Structure of the Biliary Tree

    Control of bile and pancreatic fluid entering the duodenum is regulated by the:

    >
  • Surface Anatomy of the Spleen

    Posteriorly the spleen lies in the region of which of the following:

    >
  • Regions of the Abdomen

    The abdominal wall is divided into a simple four quadrant pattern by the vertical median plane intersecting with which of the following tran

    >
  • x

    Functional Anatomy of the Kidney

    The renal pelvis is continuous distally with which of the following structures:

    >
  • x

    Attachments of the Psoas Major Muscle

    The psoas major muscle originates from which of the following:

    >
  • Intraperitoneal vs Retroperitoneal Organs

    Which of the following structures is NOT retroperitoneal:

    >
  • Surface Anatomy of the Abdominal Aorta

    The termination of the abdominal aorta can be visualised on the anterior abdominal wall by a point:

    >
  • Muscles of the Anterior Abdominal Wall

    The flat anterior abdominal wall muscles are comprised of which of the following muscles:

    >
  • x

    Parts of the Male Urethra

    Regarding the male urethra, which of the following statements is CORRECT:

    >
  • x

    Surface Anatomy of the Duodenum

    The fourth part of the duodenum terminates at which of the following vertebral levels:

    >
  • x

    Innervation of the Rectum

    A patient with known inflammatory bowel disease presents to ED complaining of severe abdominal pain and diarrhoea. Imaging shows a flare up

    >
  • x

    Intraperitoneal vs Retroperitoneal Organs

    A 35 year old female is brought into hospital following a road traffic accident. Imaging shows retroperitoneal trauma. Which of the followin

    >
  • x

    Blood Supply of the Jejunum and Ileum

    A 79 year old patient, with a history of AF, presents to ED complaining of sudden onset severe abdominal pain. Imaging shows occlusion of th

    >
  • Blood Supply of the Stomach

    The stomach receives its blood supply primarily from which of the following arteries:

    >
  • x

    Lobes of the Prostate

    A 75 year old man presents to ED in acute urinary retention. On examination you note the prostate feels hard and craggy. You suspect prostat

    >
  • Surface Anatomy of the Inferior Vena Cava

    You are reviewing an abdominal x-ray of a patient with an inferior vena cava filter. The inferior vena cava leaves the abdomen passing throu

    >
  • x

    Greater vs Lesser Omentum

    The lesser omentum extends between which of the following structures:

    >
  • x

    Deep vs Superficial Inguinal Ring

    The deep inguinal ring is located at which of the following sites:

    >
  • x

    Parts of the Duodenum

    The inferior vena cava lies posterior to which of the following parts of the duodenum:

    >
  • Nerves of the Lumbar Plexus

    The lateral femoral cutaneous nerve innervates which of the following:

    >
  • x

    Structure of the Inguinal Ligament

    The inguinal ligament is formed from which of the following:

    >
  • Implantation Sites of Ectopic Pregnancy

    A 21 year old female presents to ED complaining of acute severe pelvic pain. She reports she has not had a period for 6 weeks which is not n

    >
  • x

    Surface Anatomy of the Oesophagus

    The abdominal oesophagus ends at the cardiac orifice of the stomach at which of the following vertebral levels:

    >
  • x

    Anatomical Relations of the Urinary Bladder

    The female bladder lies immediately anterior to which of the following structures:

    >
  • x

    Surface Anatomy of the Colon

    The sigmoid colon extends as low as which of the following vertebral levels:

    >
  • x

    Anatomical Relations of the Prostate

    Which of the following best describes the relationship of the bladder and prostate gland:

    >
  • x

    Functional Anatomy of the Liver

    The portal triad comprises all of the following structures EXCEPT for:

    >
  • Surface Anatomy of the Duodenum

    The second part of the duodenum extends between which of the following vertebral levels:

    >
  • x

    Anatomical Relations of the Liver

    Which of the following structures is not related to the visceral surface of the liver:

    >
  • x

    Anatomical Relations of the Colon

    Which of the following structures is NOT a posterior relation of the transverse colon:

    >
  • Zones of the Prostate

    Which of the following areas of the prostate gland is most commonly involved in carcinomatous transformation:

    >
  • Constrictions of the Ureter

    Which of the following best describes the main sites of constriction of the ureters:

    >
  • Surface Anatomy of the Jejunum and Ileum

    The ileum predominantly occupies which region of the abdomen:

    >
  • x

    Parts of the Duodenum

    The abdominal aorta lies posterior to which of the following parts of the duodenum:

    >
  • x

    Parts of the Common Bile Duct

    The supraduodenal region of the common bile duct:

    >
  • Mesenteries of the Peritoneal Cavity

    The mesentery connects which of the following structures to the posterior abdominal wall:

    >
  • Anatomical Relations of the Uterus

    Regarding the relations of the uterus, which of the following statements is INCORRECT:

    >
  • x

    Deep vs Superficial Inguinal Ring

    The superficial inguinal ring is located at which of the following sites:

    >
  • Blood Supply of the Kidney

    The renal arteries arise from the abdominal aorta just posterior to which of the following structures:

    >
  • x

    Innervation of the Iliacus Muscle

    The iliacus muscle is innervated by which of the following:

    >
  • Dermatomal Supply of the Abdominal Wall

    A 29 year old man with HIV presents to ED with a painful blistering rash that has erupted on the skin around the umbilicus. You diagnose shi

    >
  • x

    Structure of the Uterine Tube

    Regarding the uterine tubes, which of the following statements is CORRECT:

    >
  • Surface Anatomy of the Caecum

    Which of the following abdominal regions does the caecum occupy:

    >
  • Constrictions of the Ureter

    A 55 year old woman presents to ED complaining of severe colicky loin to groin pain. Imaging shows renal calculi. At which of the following

    >
  • x

    Blood Supply of the Kidney

    The renal artery is derived from which of the following blood vessels:

    >
  • Innervation of the Urinary Bladder

    The bladder receives its efferent parasympathetic fibres derived from spinal cord segments:

    >
  • x

    Contents of the Spermatic Cord

    The following structures are all found in the spermatic cord EXCEPT for the:

    >
  • Innervation of the Peritoneum

    Irritation of the central part of the diaphragmatic peritoneum is typically referred to:

    >
  • x

    Anatomical Relations of the Kidney

    The right kidney is related anteriorly to all of the following structures EXCEPT for the:

    >
  • x

    Direct vs Indirect Inguinal Hernia

    A 59 year old male weightlifter presents to ED with a painful lump in his groin. Your consultant determines that he most likely has a direct

    >
  • x

    Anatomical Relations of the Pancreas

    A 49 year old man presents to ED with a few months history of abdominal pain and weight loss. Imaging shows a tumour in the uncinate process

    >
  • x

    Muscles of the Anterior Abdominal Wall

    The linea alba is formed from which of the following:

    >
  • x

    Parts of the Male Urethra

    Which of the following parts of the male urethra passes through the urogenital diaphragm:

    >
  • Surface Anatomy of the Abdominal Aorta

    The aorta enters the abdomen at which of the following vertebral levels:

    >
  • x

    Branches of the Abdominal Aorta

    The abdominal aorta terminates as which of the following:

    >
  • x

    Nerves of the Lumbar Plexus

    The genitofemoral nerve supplies skin over which of the following regions:

    >
  • Ligaments of the Pelvis

    The sacrospinous ligament spans between which of the following structures:

    >
  • Structure of the Ejaculatory Duct

    The ejaculatory duct is formed by the union of which of the following structures:

    >
  • Surface Anatomy of the Gallbladder

    The gallbladder occupies which of the following regions of the abdomen:

    >
  • Anatomical Relations of the Colon

    Which of the following is NOT an anterior relation of the transverse colon:

    >
  • Nerves of the Lumbar Plexus

    The ilioinguinal nerve is formed from the anterior rami of:

    >
  • Nerves of the Lumbar Plexus

    The iliohypogastric nerve is formed from the anterior rami of:

    >
  • x

    Surface Anatomy of the Kidney

    The highest point of the hila of the kidneys lies at which of the following vertebral levels:

    >
  • Parts of the Duodenum

    A 55 year old woman presents to ED complaining of abdominal pain and profuse vomiting. Imaging shows part of the bowel is being compressed b

    >
  • x

    Attachments of the Psoas Major Muscle

    The psoas major muscle attaches distally to which of the following:

    >
  • x

    Lobes of the Liver

    The quadrate and caudate lobes of the liver are separated by which of the following structures:

    >
  • Innervation of the Colon

    Visceral afferent fibres from the descending and sigmoid colon travel to which of the following spinal cord segments:

    >
  • x

    Parts of the Male Urethra

    In men, the internal urethral sphincter surrounds which of the following structures:

    >
  • x

    Surface Anatomy of the Kidney

    The lowest portion of the inferior pole of the kidneys occurs around the level of:

    >
  • x

    Anatomy of the Internal Oblique Muscle

    Regarding the internal oblique muscle, which of the following statements is CORRECT:

    >
  • x

    Anatomical Relations of the Ovary

    A 29 year old patient, with a known ovarian cyst presents to ED complaining of worsening pelvic pain and pain in the medial thigh region. Ir

    >
  • x

    Nerves of the Lumbar Plexus

    The genitofemoral nerve is formed from the anterior rami of:

    >
  • Implantation Sites of Ectopic Pregnancy

    A patient is sent in by her GP with suspected ectopic pregnancy. Tubal ectopic pregnancies occur most commonly in which part of the uterine

    >
  • x

    Surface Anatomy of the Spleen

    The spleen occupies which of the following abdominal regions:

    >
  • Surface Anatomy of the Kidney

    The superior pole of the left kidney reaches as high as which of the following posteriorly:

    >
  • Anatomical Relations of the Kidney

    The left kidney is related anteriorly to all of the following structures EXCEPT for the:

    >
  • x

    Surface Anatomy of the Jejunum and Ileum

    The jejunum predominantly occupies which region of the abdomen:

    >
  • Surface Anatomy of the Stomach

    Which of the following best describes the regions of the abdomen that the stomach occupies:

    >
  • Lobes of the Liver

    The caudate lobe of the liver lies between which of the following structures:

    >
  • x

    Blood Supply of the Testis

    The testicular artery is a branch from which of the following blood vessels:

    >
  • Anatomical Relations of the Ureter

    On their descent the ureters cross anteriorly to which of the following important structures:

    >
  • x

    Innervation of the Scrotum

    The cutaneous supply of the scrotum is derived primarily from which of the following spinal nerve roots.

    >
  • Structure of the Pelvis

    The pelvic bone is formed by which of the following:

    >
  • Innervation of the Colon

    Visceral afferent fibres from the ascending colon and proximal transverse colon travel to which of the following spinal cord segments:

    >
  • x

    Compartments of the Peritoneal Cavity

    The infracolic compartment is divided into right and left spaces by which of the following structures:

    >
  • Intraperitoneal vs Retroperitoneal Organs

    Which of the following structures is NOT retroperitoneal:

    >
  • Structure of the Biliary Tree

    The union of the common bile duct and the pancreatic duct forms which of the following:

    >
  • Control of Defaecation

    Which of the following actions does NOT facilitate defaecation:

    >
  • Parts of the Colon

    Regarding the large intestine, which of the following parts is not described correctly:

    >
  • x

    Anatomical Relations of the Ureter

    Within the pelvic cavity in men, the ureter is crossed by which of the following structures:

    >
  • Boundaries of the Rectus Sheath

    The rectus sheath is formed by which of the following:

    >
  • x

    Innervation of the Rectum

    Pain from the rectum is carried to which of the following spinal cord levels:

    >
  • Bones of the Pelvis

    The sacrum articulates with which of the following structures:

    >
  • Surface Anatomy of the Appendix

    McBurney's point, the surface projection of the base of the appendix is located at which of the following sites:

    >
  • Innervation of the Quadratus Lumborum Muscle

    The quadratus lumborum muscle is innervated by which of the following:

    >
  • x

    Lymphatic Drainage of the Abdomen

    The lumbar para-aortic lymph nodes receive lymph from all of the following structures EXCEPT the:

    >
  • x

    Structure of the Urinary Bladder

    The base of the bladder faces:

    >
  • Positions of the Appendix

    Which of the following best describes the attachment of the base of the appendix:

    >
  • x

    Surface Anatomy of the Duodenum

    A patient presents to ED with stab wound to his abdomen. Imaging shows a duodenal injury. The first part of the duodenum lies at the level o

    >
  • x

    Lymphatic Drainage of the Scrotum

    A 41 year old man presents to ED with a painful, infected abscess on the posterior aspect of the scrotum. Which of the following lymph node

    >
  • Structure of the Ductus Deferens

    The ductus deferens originates from which of the following structures:

    >
  • x

    Blood Supply of the Pancreas

    The arterial supply to the pancreas is mainly derived from which of the following:

    >
  • Nerves of the Lumbar Plexus

    The femoral nerve is formed from the anterior rami of:

    >
  • Function of the Psoas Major Muscle

    The psoas major muscles acts to produce which of the following movements:

    >
  • x

    Anatomy of the Rectus Abdominis Muscle

    Regarding the rectus abdominis muscle, which of the following statements is INCORRECT:

    >
  • x

    Innervation of the Testis

    Visceral afferent fibres from the testes usually travel to which of the following spinal cord levels:

    >
  • x

    Innervation of the Stomach

    Which of the following nerves transmits the parasympathetic supply to the stomach:

    >
  • x

    Direct vs Indirect Inguinal Hernia

    A patient presents to ED with a strangulated hernia. He awaiting a hernia repair and previous imaging shows the hernia is located medial to

    >
  • x

    Innervation of the Jejunum and Ileum

    Pain in the jejunum and ileum is typically referred to which of the following regions:

    >
  • Surface Anatomy of the Abdominal Aorta

    The abdominal aorta begins at which vertebral level:

    >
  • x

    Lymphatic Drainage of the Anal Canal

    A 50 year old man complains of lumps in his groin and is found to have painless superficial inguinal lymphadenopathy. Lymph node biopsy demo

    >
  • Surface Anatomy of the Liver

    Which of the following best describes the regions of the abdomen that the liver normally occupies:

    >
  • Contents of the Inguinal Canal

    Which of the following structures does NOT pass through the inguinal canal:

    >
  • x

    Innervation of the Ureter

    Pain from the ureters is usually referred to dermatomes supplied by:

    >
  • Blood Supply of the Uterus

    The uterus receives its blood supply primarily from which of the following blood vessels:

    >
  • Ligaments of the Pelvis

    The sacrotuberous ligament spans between which of the following structures:

    >
  • x

    Contents of the Rectus Sheath

    A patient presents with a superficial stab wound to the rectus sheath. Which of the following muscles is contained within the rectus sheath:

    >
  • x

    Innervation of the Psoas Major Muscle

    The psoas major muscle is innervated by which of the following:

    >
  • Anatomical Relations of the Hepatic Portal Vein

    A 54 year old man presents to ED complaining of abdominal pain radiating to his back. Imaging shows a tumour at the neck of the pancreas. Wh

    >
  • Innervation of the Uterus

    The uterine visceral afferent fibres usually follow sympathetic efferents to which of the following spinal cord segments:

    >
  • x

    Fascia of the Kidney

    A 79 year old man presents to ED complaining of fever and left sided abdominal and back pain. Imaging reveals a large perinephric abscess. W

    >
  • x

    Surface Anatomy of the Abdominal Aorta

    The abdominal aorta bifurcates into the right and left common iliac arteries at which of the following vertebral levels:

    >
  • x

    Structure of the Common Bile Duct

    The common bile duct is formed from which of the following structures:

    >
  • Blood Supply of the Colon

    A 35 year old male is brought to ED with a knife wound. Imaging shows damage to the superior mesenteric artery. Which of the following struc

    >
  • x

    Blood Supply of the Duodenum

    The arterial supply of the duodenum is primarily derived from which of the following:

    >
  • x

    Anatomical Relations of the Ureter

    A 49 year old female patient undergoes surgery for uterine cancer. Whilst attempting to ligate the uterine artery, the surgeon accidentally

    >
  • Anatomical Relations of the Common Bile Duct

    A 65 year old man presents to ED complaining of abdominal pain, jaundice and weight loss. Imaging shows a tumour of the head of the pancreas

    >
  • x

    Direct vs Indirect Inguinal Hernia

    A 29 year old man presents to ED with a painful lump in his left groin. Which of the following structures can be used to differentiate betwe

    >
  • x

    Function of the Iliacus Muscle

    The iliacus muscle acts to produce which of the following movements:

    >
  • x

    Anatomical Relations of the Kidney

    The kidneys are related posteriorly to all of the following structures EXCEPT for the:

    >
  • x

    Anatomical Relations of the Duodenum

    Which of the following best describes the relationship of the duodenum to the pancreas:

    >
  • Structure of the Inguinal Canal

    Regarding the inguinal canal, which of the following statements is CORRECT:

    >
  • x

    Compartments of the Peritoneal Cavity

    A 49 year old known alcoholic presents to ED complaining of acute severe epigastric pain. X-ray shows pneumoperitoneum and further imaging d

    >
  • Anatomy of the Female Urethra

    Regarding the female urethra, which of the following statements is CORRECT:

    >
  • x

    Nerves of the Lumbar Plexus

    The lateral cutaneous nerve of the thigh is formed from the anterior rami of:

    >
  • Structure of the Inguinal Ligament

    The inguinal ligament spans between which of the following two structures:

    >
  • x

    Anatomical Relations of the Prostate

    Which of the following best describes the relationship of the prostate gland and rectum:

    >
  • x

    Surface Anatomy of the Inferior Vena Cava

    The inferior vena cava is formed from the union of the two common iliac veins at which of the following vertebral levels:

    >
  • Lymphatic Drainage of the Anal Canal

    A 69 year old man presents to ED complaining of rectal bleeding. Examination reveals a tumour below the pectinate line. Which of the followi

    >
  • x

    Deep vs Superficial Inguinal Ring

    The deep inguinal ring is an 'opening' in which of the following structures:

    >
  • Anatomical Relations of the Prostate

    Which of the following structures lies immediately posterior to the prostate gland:

    >
  • Blood Supply of the Liver

    The right and left hepatic arteries are derived from which of the following blood vessels:

    >
  • x

    Boundaries of the Inguinal Canal

    The roof of the inguinal canal is formed primarily by which of the following structures:

    >
  • Levator Ani Muscle

    A 65 year old lady complains of faecal incontinence. Dysfunction of which of the following structures is most likely a contributing factor t

    >
  • x

    Anatomical Relations of the Rectum

    Regarding the rectum, which of the following statements is CORRECT:

    >
  • Compartments of the Peritoneal Cavity

    The greater sac of the peritoneal cavity is divided into two compartments by which of the following structures:

    >
  • Lobes of the Prostate

    A 66 year old man presents to ED complaining of difficulty passing urine and nocturia. On examination you note the prostate is enlarged and

    >
  • x

    Intraperitoneal vs Retroperitoneal Organs

    A patient is brought to ED following a road traffic collision. CT demonstrates retroperitoneal haemorrhage. Which of the following structure

    >
  • x

    Surface Anatomy of the Abdominal Aorta

    The abdominal aorta bifurcates into its terminal branches at which of the following vertebral levels:

    >
  • x

    Site of Meckel's Diverticulum

    Which of the following describes the site of a Meckel's diverticulum:

    >
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