Abdomen & Pelvis

Topics in this chapter

• Abdominal Wall and Inguinal Region
• Peritoneum and Retroperitoneal Spaces
• Gastrointestinal Tract Anatomy
• Liver and Portal Circulation
• Pelvic Organs and Perineum
• Urinary Tract and Ureters
• Abdominopelvic Vessels and Innervation

Practice questions

1. Question 1Q-A62E5C

   A 45-year-old man undergoes an emergency exploratory laparotomy for a perforated duodenal ulcer. During the procedure, the surgeon decides to perform the Pringle maneuver to control severe bleeding from the portal triad. Which of the following structures is compressed within the free margin of the lesser omentum during this maneuver?

   1. A.Inferior vena cava, hepatic veins, and common bile duct
   2. B.Proper hepatic artery, portal vein, and common bile duct
   3. C.Abdominal aorta, celiac trunk, and splenic artery
   4. D.Left gastric artery, short gastric veins, and splenic vein
   See the answer and solution
2. Question 2Q-328590

   During a routine pelvic examination, a physician palpates the structures in the female pelvis. Which of the following peritoneal recesses represents the lowest point of the abdominopelvic cavity in a standing female?

   1. A.Vesicouterine pouch
   2. B.Rectouterine pouch of Douglas
   3. C.Rectovesical pouch
   4. D.Paracolic gutter
   See the answer and solution
3. Question 3Q-3975C9

   A 50-year-old chronic alcoholic presents with massive hematemesis and is found to have esophageal varices due to portal hypertension. Which of the following represents a normal portosystemic anastomotic site involved in this condition?

   1. A.Left gastric vein and esophageal tributaries of the azygous vein
   2. B.Splenic vein and left renal vein
   3. C.Inferior mesenteric vein and internal iliac vein
   4. D.Superior mesenteric vein and inferior vena cava
   See the answer and solution
4. Question 4Q-362E57

   A 32-year-old man sustains a stab wound to the right flank. Exploratory surgery reveals a retroperitoneal hematoma. Which of the following organs is entirely retroperitoneal?

   1. A.Stomach
   2. B.Transverse colon
   3. C.Pancreas
   4. D.Jejunum
   See the answer and solution
5. Question 5Q-6BEA34

   A 60-year-old man undergoes a low anterior resection for rectal carcinoma. During the dissection of the pelvis, the surgeon is extremely careful to avoid injuring the pelvic splanchnic nerves. These nerves originate from which of the following spinal cord segments?

   1. A.T11-L2
   2. B.S2-S4
   3. C.L1-L3
   4. D.C5-T1
   See the answer and solution