Abdomen MCQ 99+

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• The following are contents of the deep perineal space
  ক

  The bulbourethral glands

  খ

  Sphincter urethra

  গ

  Deep transversus perinei muscle

  ঘ

  Lies in superficial perineal pouch

  ঙ

  The paraurethral glands
• The ischio-rectal fossa
  ক

  Communicates with each other

  খ

  Contains the perineal nerve in its posterior part

  গ

  Lies inferior to the levator ani

  ঘ

  Forms the medial wall by anal canal and levator ani muscles

  ঙ

  Contains the middle rectal artery
• In male contents of the deep perineal pouch are
  ক

  Sphincter urethrae

  খ

  Urethral artery

  গ

  Deep transversus perinei

  ঘ

  Long perineal nerve

  ঙ

  Ischiocavernosus muscle
• Female pelvis
  ক

  Broader sacrum

  খ

  Larger angle of pubic arch

  গ

  Longer cavity

  ঘ

  Ovoid obturator foramen

  ঙ

  Narrow greater sciatic notch
• The inferior epigastric artery
  ক

  Anastomoses with a branch of the internal thoracic artery

  খ

  Pierces the fascia transversalis

  গ

  Passes in front of the arcuate line

  ঘ

  Lies lateral to the deep inguinal ring

  ঙ

  Originates from the internal iliac artery
• With regard to a plain abdominal x-ray renal trauma is likely if
  ক

  The psoas shadow is outlined more clearly

  খ

  There are fractured ribs 10

  গ

  11

  ঘ

  12

  ঙ

  There is scoliosis to the injured side

  চ

  Riggler’s sign is present

  ছ

  There are fractures of transverse process of T5
• The relations and land-marks in abdomen are
  ক

  Neck of the pancreas lies in the transpyloric plane

  খ

  Right adrenal gland is posterior to the inferior vena cava

  গ

  Neck of the pancreas is posterior to the portal vein

  ঘ

  Anterior vagal trunk carries both sympathetic and parasympathetic fibres

  ঙ

  Transverse mesocolon attaches to the anterior surface of pancreas
• The pelvic floor
  ক

  Is formed by coccygeus and levator ani muscle

  খ

  Is supplied by perineal branch of S3 & S4

  গ

  Has significant role in parturition

  ঘ

  Separates perineum from pelvic cavity

  ঙ

  Is covered by inexpansile pelvic fascia
• The ischio-rectal fossae
  ক

  Lie inferior to levator ani

  খ

  Have lateral wall formed in part by obturator internus fascia

  গ

  Allow dilatation of anal canal during defaecation

  ঘ

  Lie lateral to pudendal canal

  ঙ

  Are separated from each other by vagina
• Regarding the inguinal canal
  ক

  Anteriorly over its lateral one third is related to internal oblique muscle

  খ

  Floor is formed by inguinal ligament

  গ

  Conjoint tendon form the posterior wall of the canal medially

  ঘ

  Indirect inguinal hernia passes through the inguinal ring

  ঙ

  Direct inguinal hernia lies lateral to the inferior epigastric artery
• The inguinal canal
  ক

  Transmits the ilioinguinal nerve

  খ

  Has the fascia transversalis and conjoint tendon along its posterior wall

  গ

  In new born is more oblique than in adult

  ঘ

  Transmits the genital branch of genitofemoral nerve in both sexes

  ঙ

  Has the external oblique muscle in its roof
• The levator ani muscle
  ক

  Gains attachment from the fascia covering obturator internus

  খ

  Gains attachment to both perineal and anococcygeal body

  গ

  Is supplied by both sympathetic and parasympathetic nerves

  ঘ

  Is reinforced by both the anal and urethral sphincters

  ঙ

  Exclusively forms the pelvic floor
• Lymph drainage in the pelvis include the
  ক

  Scrotum to the superficial inguinal nodes

  খ

  Fallopian tubes to the pre-aortic nodes

  গ

  Ovaries to the lateral pelvic nodes

  ঘ

  Vagina to the lateral pelvic nodes

  ঙ

  Uterine cervix to the deep inguinal nodes
• Factors preventing inguinal hernia are
  ক

  Obliquity of the inguinal canal

  খ

  Shutter action of the arched fibres of internal oblique and transversus abdominis

  গ

  Contraction of cremasteric muscle

  ঘ

  Internal oblique muscle overlies the superficial inguinal ring

  ঙ

  Presence of gubernaculum testis
• The psoas major muscle
  ক

  Receives nerve supply from all the lumbar nerves

  খ

  Passes to the femur below the pubic rami

  গ

  Is attached to the middle of the sides of the lumbar vertebral bodies

  ঘ

  Is inserted to the lesser trochanter of the femur

  ঙ

  Flexes the hip joint and the trunk
• The pelvic peritoneum
  ক

  Covers both the uterus with uterine tubes

  খ

  Covers the superior surface of the bladder in both sexes

  গ

  Condenses to form the round ligaments of the uterus

  ঘ

  Fully covers the anterior surface of the rectum

  ঙ

  Condense to form ligament of cervix.
• Laceration of the male urethra just inferior to the urogenital diaphragm would likely result in extravasation of urine into the
  ক

  Abdominal wall between the deep layer of superficial fascia and deep fascia

  খ

  The penis between the superficial and deep fascia

  গ

  The scrotum deep to the dartos layer

  ঘ

  The anal triangle between the superficial fat and the deep fascia

  ঙ

  The urogenital triangle between the deep layer of superficial fascia and deep fascia
• The following statements are correct concerning the abdominal wall layers
  ক

  Scarpa's fascia affords little strength in wound closure.

  খ

  Fascia transversalis provides strength to the abdominal wall in preventing hernias.

  গ

  The wall is supplied by both thoracic and lumbar spinal segments.

  ঘ

  Omphalocele represents a defect in the abdominal wall lateral to the umbilical cord.

  ঙ

  Vertical incisions on the anterior abdominal wall heal with less scarring than transverse incisions.
• Anterior abdominal wall receives supply from following nerves
  ক

  Subcostal

  খ

  Ilioinguinal

  গ

  Iliohypogastric

  ঘ

  Genitofemoral

  ঙ

  Obturator
• A midline abdominal incision below the umbilicus passes through the
  ক

  Linea alba

  খ

  Extra peritoneal fat

  গ

  Fascia transversalis

  ঘ

  Pyramidalis

  ঙ

  Rectus abdominis
• During midline abdominal incision following structures are incised
  ক

  Fascia scarpa

  খ

  Linea alba

  গ

  Parietal peritoneum

  ঘ

  Fascia transversalis

  ঙ

  Anterior layer of rectus sheath
• The vulva and perineum are supplied by the following nerves
  ক

  Inferior rectal

  খ

  Ilioinguinal

  গ

  Posterior cutaneous nerve of thigh

  ঘ

  Obturator

  ঙ

  Branches from the sciatic nerve
• The vagina
  ক

  Is related laterally to the ureter

  খ

  Has a lymph drainage both to iliac and superficial inguinal nodes

  গ

  Is covered in its upper posterior part with peritoneum

  ঘ

  Usually lies at an axis of 450 with the uterus

  ঙ

  Is lined with epithelium rich in mucous glands
• The ovary
  ক

  Is lined by the germinal epithelium from which ova are derived

  খ

  Is attached to the infundibulopelvic ligament

  গ

  Is supplied by the ovarian artery

  ঘ

  Achieves its adult position by migrating along the paramesonephric duct

  ঙ

  Refers its pain along the distribution of the obturator nerve
• Ovary
  ক

  Drains into the para-aortic lymph node

  খ

  Is situated above the pelvic brim in the newborn

  গ

  Is lined by simple columnar epithelium

  ঘ

  Is attached to the anterior layer of the broad ligament

  ঙ

  Is connected to the uterus by the round ligament
• The ductus deferens
  ক

  Lined by pseudostratified ciliated columnar epithelium

  খ

  Is 45 cm in length

  গ

  Has the consistency of a whip cord

  ঘ

  Can be exposed during operation along the upper part of the scrotum

  ঙ

  Has a thinner wall than the epididymis
• Prostate
  ক

  Is the homologus of Skene's tubule in female

  খ

  Develops from primitive urethra

  গ

  Is involved in carcinoma that affect mostly in its peripheral zone

  ঘ

  Is characterized as a fibromusculoglandular organ

  ঙ

  Is involved in benign hyperplasia at its central zone
• In the testis
  ক

  The spermatogonia are the cells from which all spermatozoa are derived

  খ

  The sustentacular (supporting cell of Sertolare attachted to the limiting membrane of the tubules

  গ

  The interstitial cells (of Leydiare activated by oestrogens

  ঘ

  The efferent ductules are lined by cuboidal epithelium

  ঙ

  There is smooth muscle in the wall of the seminiferous tubule
• The testis
  ক

  Is supplied by sympathetic nerves originating in the 10th thoracic segment

  খ

  Is drained by the lymph vessels to the paraaortic lymph nodes

  গ

  Normally complete its descent into the scrotum at birth

  ঘ

  Has the epididymis lies to its medial side

  ঙ

  Is aided in its descent by the processus vaginalis
• Sites of ectopic testis are
  ক

  Medial side of thigh

  খ

  Root of the penis

  গ

  Deep inguinal ring

  ঘ

  Opposite scrotum

  ঙ

  Inguinal canal