Clinical Anatomy - Abdomen

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0 [{"id":78003,"quiz_id":"5866","answer_id":null,"answerType_id":"0","created_at":"2016-06-09 03:51:37","updated_at":"2016-06-10 12:03:48","questionName":"The decision is made by emergency department surgeons to perform an exploratory laparotomy on a 32-year-old female with severe abdominal pain. Where would the incision most likely be made to separate the left and right rectus sheaths?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":4,"explanation":"Linea alba is the junction of the aponeuroses of the left and right rectus abdominis muscles","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":78000,"quiz_id":"5866","answer_id":null,"answerType_id":"0","created_at":"2016-06-09 03:44:34","updated_at":"2016-06-10 12:03:48","questionName":"A 45-year-old male was admitted to the hospital with groin pain and a palpable mass just superior to the inguinal ligament. The patient was diagnosed with an inguinal hernia and a surgical repair was performed. During the operation the surgeon found a loop of intestine passing through the deep inguinal ring. Which of the following types of hernia was this?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":1,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":77999,"quiz_id":"5866","answer_id":null,"answerType_id":"0","created_at":"2016-06-09 03:42:21","updated_at":"2016-06-10 12:03:48","questionName":"A 24-year-old woman has a dull aching pain in the umbilical region, and flexion of the hip against resistance (psoas test) causes a sharp pain in the right lower abdominal quadrant. Which of the following structures is most likely inflamed to cause the pain?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":0,"explanation":"Appendix lies in RIF, and refers pain to umbilicus (midgut structure) Positive psoas sign occurs because the psoas muscle is posterior to the appendix. Flexing the psoas can cause the muscle to touch the inflamed appendix and cause pain.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":78012,"quiz_id":"5866","answer_id":null,"answerType_id":"0","created_at":"2016-06-09 04:19:30","updated_at":"2016-06-10 12:03:48","questionName":"A 51-year-old woman is admitted to the hospital with an acutely painful abdomen. Radiographic examination reveals penetration of the fundic region of the stomach by an ulcer, resulting in intraabdominal bleeding. Which of the following arteries is the most likely source of the bleeding?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":13,"explanation":"Short gastric arteries are a branch of the splenic artery ","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":78005,"quiz_id":"5866","answer_id":null,"answerType_id":"0","created_at":"2016-06-09 04:04:14","updated_at":"2016-06-10 12:03:48","questionName":"An obese 45-year-old female patient with an elevated temperature comes to the physician\u2019s office complaining of nausea and intermittent, acute pain in the right upper quadrant of the abdomen during the past 2 days. She has a 24-hour history of jaundice. She has a history of gallstones. Which of the following structures has most likely been obstructed by a gallstone?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":6,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":78011,"quiz_id":"5866","answer_id":null,"answerType_id":"0","created_at":"2016-06-09 04:14:45","updated_at":"2016-06-10 12:03:48","questionName":"A 36-year-old man was brought to the emergency department with a bullet wound to the abdomen. The bullet penetrated the anterior abdominal wall superior to the umbilicus. If the bullet passed directly posterior in the midline, which of the following structures was most likely to have been struck first by the bullet?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":12,"explanation":"Transverse colon is the most anterior\/superficial structure of the options Aorta is retroperitoneal Stomach is posterior to colon, and to the left Pancreas is deeper than the colon Gallbladder is superior and to the right","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":78013,"quiz_id":"5866","answer_id":null,"answerType_id":"0","created_at":"2016-06-09 04:20:19","updated_at":"2016-06-10 12:03:48","questionName":"A 15-year-old female is brought to the hospital with fever, nausea, and diffuse paraumbilical pain, which later becomes localized in the lower right quadrant. An appendectomy procedure is begun with an incision at McBurney\u2019s point. Which of the following landmarks best describes McBurney\u2019s point?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":14,"explanation":"McBurney\u2019s point corresponds to the base of the appendix (the attachment to the caecum)","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":78004,"quiz_id":"5866","answer_id":null,"answerType_id":"0","created_at":"2016-06-09 04:01:08","updated_at":"2016-06-10 12:03:48","questionName":"A 49-year-old man presents with acute abdominal pain and jaundice. Radiographic studies reveal a tumour in the head of the pancreas. Which of the following structures is most likely being obstructed?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":5,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":78007,"quiz_id":"5866","answer_id":null,"answerType_id":"0","created_at":"2016-06-09 04:08:43","updated_at":"2016-06-10 12:03:48","questionName":"During the surgical repair of a perforated duodenal ulcer in a 47-year-old male patient, the gastroduodenal artery is ligated. A branch of which of the following arteries will continue to supply blood to the pancreas in this patient","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":8,"explanation":"Anterior superior pancreaticoduodenal artery is a branch of the gastroduodenal artery Posterior inferior pancreaticoduodenal artery is a branch of the superior mesenteric artery","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":78010,"quiz_id":"5866","answer_id":null,"answerType_id":"0","created_at":"2016-06-09 04:13:46","updated_at":"2016-06-10 12:03:48","questionName":"A 32-year-old woman was admitted to the hospital with a complaint of pain over her umbilicus. Radiographic examination revealed acute appendicitis. The appendix was removed successfully in an emergency appendectomy. One week postoperatively the patient complained of paraesthesia of the skin over the pubic region and the anterior portion of her perineum. Which of the following nerves was most likely injured during the appendectomy?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":11,"explanation":"Ilioinguinal nerve from L1, innervates medial aspect of thigh, scrotum\/labia majora, and mons pubis (area over pubic symphysis) Ilioinguinal nerve generally crosses the iliacus muscle (posterior to the appendix) and the internal oblique muscle, so it is ","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":78001,"quiz_id":"5866","answer_id":null,"answerType_id":"0","created_at":"2016-06-09 03:46:20","updated_at":"2016-06-10 12:03:48","questionName":"A 45-year-old male is admitted to the hospital with a massive hernia that passes through the inguinal triangle (of Hesselbach). Which of the following structures is used to distinguish a direct inguinal hernia from an indirect inguinal hernia?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":2,"explanation":"Indirect hernias: through the deep inguinal ring to the inguinal canal and superficial inguinal ring, lateral to inferior epigastric arteries","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":78002,"quiz_id":"5866","answer_id":null,"answerType_id":"0","created_at":"2016-06-09 03:47:23","updated_at":"2016-06-10 12:03:48","questionName":"A 39-year-old woman is admitted to the hospital with pain radiating to her inguinal region. Radiographic and physical examination reveal a herniation. Which of the following is the most common type of hernia in a female patient?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":3,"explanation":"Indirect inguinal hernias are the most common herniation in females Femoral hernias are more common in females than males, but are not the most common hernias Direct inguinal hernias are equally common in males and females","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":78009,"quiz_id":"5866","answer_id":null,"answerType_id":"0","created_at":"2016-06-09 04:11:41","updated_at":"2016-06-10 12:03:48","questionName":"A 34-year-old man is undergoing an emergency appendectomy. After the appendectomy has been performed successfully, the patient undergoes an exploratory laparoscopy. Which of the following anatomic features are the most useful to distinguish the jejunum from the ileum?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":10,"explanation":"LAPROSCOPY IS ALWAYS LOOKING AT THE OUTSIDE. Simplest way to differentiate jejunum from ileum is by the amount of mesenteric fat Jejunum < Ileum Jejunum has shorter vascular arcades than the ileum","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":78006,"quiz_id":"5866","answer_id":null,"answerType_id":"0","created_at":"2016-06-09 04:05:36","updated_at":"2016-06-10 12:03:48","questionName":"A 44-year-old man is admitted to the emergency department with excessive vomiting and dehydration. Radiographic images demonstrate that part of the bowel is being compressed between the abdominal aorta and the superior mesenteric artery. Which of the following intestinal structures is most likely being compressed?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":7,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":78008,"quiz_id":"5866","answer_id":null,"answerType_id":"0","created_at":"2016-06-09 04:10:08","updated_at":"2016-06-10 12:03:48","questionName":"A 35-year-old male is admitted to the hospital from the emergency department because of excruciating pain in the back and left shoulder. A CT scan reveals an abscess in the upper part of the left kidney, but no abnormality is detected in the shoulder region. The shoulder pain may be caused by the spread of the inflammation to which of the following neighbouring structures?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":9,"explanation":"Spread of infection to the diaphragm causing referred pain in the shoulder Superior pole of kidneys are in close proximity to diaphragm Phrenic nerves (C3-C5) innervate diaphragm and shoulder tip","question_score_id":null,"lang":null,"questionAudioPath":null}]
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The decision is made by emergency department surgeons to perform an exploratory laparotomy on a 32-year-old female with severe abdominal pain. Where would the incision most likely be made to separate the left and right rectus sheaths?

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