Gosling: Human Anatomy, 5th Edition
Test Bank
Abdomen
MULTIPLE CHOICE
1. Inguinal Region
Two weeks following surgery to correct an inguinal hernia, a male patient is brought to the
physician’s office. This time his chief complaint is pain radiating from the lower inguinal region
into the anterior scrotum. The most likely cause of the pain is entrapment of which of the
following in the surgical scar?
A. Iliohypogastric nerve
B. Ilioinguinal nerve
C. Lateral femoral cutaneous nerve
D. Obturator nerve
ANS: B
2. Abdominal Wall
Which of the following branches normally arises from the external iliac artery to contribute to
the blood supply to the anterior abdominal wall?
A. External pudendal artery
B. Inferior epigastric artery
C. Obturator artery
D. Superficial circumflex iliac artery
ANS: B
3. The umbilicus lies within the dermatome of which of the following spinal nerves?
A. T6
B. T8
C. T10
D. T12
E. L1
ANS: C
4. Spermatic Cord
A 30-year-old male, who is married and the father of two children, comes to your office to
discuss having a vasectomy. You assure him that the procedure is relatively simple and that the
surgeon will make a small incision in the superoanterior wall of the scrotum. Both ductus
deferens will be ligated and cut, but the procedure will leave both the proximal and distal
segments of the duct intact in case, at a later date, he wishes to have the procedure reversed. To
enter the spermatic cord, what is the correct order of structures that must be incised?
A. Colles’ fascia, external spermatic fascia, cremasteric fascia, internal spermatic
fascia, peritoneum
Copyright © 2008, Elsevier Limited. All rights reserved.
, Test Bank 2
B. Dartos fascia, external spermatic fascia, cremasteric fascia, internal spermatic
fascia
C. Dartos fascia, internal spermatic fascia, cremasteric fascia, peritoneum
D. External spermatic fascia, dartos fascia, cremasteric fascia, internal spermatic
fascia
E. Scarpa’s fascia, external spermatic fascia, internal spermatic fascia, cremasteric
fascia
ANS: B
5. An important relationship that contributes to thermoregulation of the testis is the fact that within
the spermatic cord the testicular artery is:
A. Alongside the artery of the ductus deferens
B. In the same plane as the cremaster muscle
C. Lateral to the ductus deferens
D. Superficial to the external spermatic fascia
E. Surrounded by the pampiniform venous plexus
ANS: E
6. Hydrocele of the testis is caused by an abnormal accumulation of fluid within the:
A. Ductus deferens
B. Epididymis
C. Internal spermatic fascia
D. Testicular vein
E. Tunica vaginalis testis
ANS: E
7. The nerve that passes through the superficial inguinal ring along with the round ligament of the
uterus in females is the:
A. Iliohypogastric nerve
B. Ilioinguinal nerve
C. Obturator nerve
D. Saphenous nerve
ANS: B
8. Peritoneum
Intraperitoneal organs:
A. Are almost completely covered by a layer of visceral peritoneum
B. Are associated with a dorsal mesentery but not a ventral mesentery
C. Receive blood supply from the same aortic branches that supply blood to the
body wall
D. All of the above
ANS: A
9. Parietal Peritoneum
Copyright © 2008, Elsevier Limited. All rights reserved.
, The medial umbilical ligaments are formed from the remnants of which of the following?
A. Ductus venosus
B. Umbilical arteries
C. Umbilical veins
D. Urachus
ANS: B
10. Innervation of the Peritoneum
A 68-year-old female patient is seen with pain in the right scapular region. She is least likely to
have which of the following?
A. Cholecystitis
B. Myocardial infarction
C. Pancreatitis
D. Pulmonary embolus
ANS: C
11. Visceral Peritoneum and Mesenteries
The lesser omentum connects the stomach to which of the following organs?
A. Left kidney
B. Liver
C. Spleen
D. Transverse colon
ANS: B
12. Omental Bursa
A 49-year-old stockbroker presents with acute abdominal pain in the epigastric region. An upper
gastrointestinal study reveals an ulcer on the posterior wall of the stomach that has perforated. In
this case, the gastric contents would likely be located in which of the following spaces?
A. Hepatorenal recess
B. Infracolic compartment of the greater sac
C. Omental bursa
D. Right paracolic gutter
ANS: C
13. Stomach
Typically, the pylorus is generally located to the right of the midline at which of the following
vertebral levels?
A. T12
B. L1
C. L2
D. L3
ANS: B
14. Duodenum
Copyright © 2008, Elsevier Limited. All rights reserved.
, Test Bank 4
Erosion of an ulcer through the posterior wall of the first part of the duodenum could result in a
fatal hemorrhage as a result of involvement of which of the following vessels that courses
posterior to this part of the duodenum?
A. Aorta
B. Gastroduodenal artery
C. Hepatic artery
D. Splenic artery
E. Superior mesenteric artery
ANS: B
15. Gallbladder
In the surgical procedure to remove a diseased gallbladder, the cystic artery must be identified,
ligated, and cut. This vessel is most frequently a branch of which of the following?
A. Celiac trunk
B. Common hepatic artery
C. Gastroduodenal artery
D. Left hepatic artery
E. Right hepatic artery
ANS: E
16. Colon
Which of the following vessels that supplies the transverse colon with blood is usually found in
the transverse mesocolon?
A. Ileocolic artery
B. Middle colic artery
C. Right colic artery
D. Right gastroepiploic (gastro-omental) artery
ANS: B
17. Pancreas
All of the following vessels give off branches that contribute to the blood supply of the pancreas
EXCEPT:
A. Gastroduodenal artery
B. Proper hepatic artery
C. Splenic artery
D. Superior mesenteric artery
ANS: B
18. Stomach Relations
A 47-year-old woman who had been treated for a chronic gastric ulcer that had not responded to
medical treatment was referred to surgery for a partial gastrectomy. The surgeon discovered that
the posterior wall of the stomach was “stuck” to the posterior abdominal wall. The surgeon had
to proceed with great care to avoid damaging important structures located in the bed of the
stomach. These include all of the following EXCEPT:
Copyright © 2008, Elsevier Limited. All rights reserved.
Test Bank
Abdomen
MULTIPLE CHOICE
1. Inguinal Region
Two weeks following surgery to correct an inguinal hernia, a male patient is brought to the
physician’s office. This time his chief complaint is pain radiating from the lower inguinal region
into the anterior scrotum. The most likely cause of the pain is entrapment of which of the
following in the surgical scar?
A. Iliohypogastric nerve
B. Ilioinguinal nerve
C. Lateral femoral cutaneous nerve
D. Obturator nerve
ANS: B
2. Abdominal Wall
Which of the following branches normally arises from the external iliac artery to contribute to
the blood supply to the anterior abdominal wall?
A. External pudendal artery
B. Inferior epigastric artery
C. Obturator artery
D. Superficial circumflex iliac artery
ANS: B
3. The umbilicus lies within the dermatome of which of the following spinal nerves?
A. T6
B. T8
C. T10
D. T12
E. L1
ANS: C
4. Spermatic Cord
A 30-year-old male, who is married and the father of two children, comes to your office to
discuss having a vasectomy. You assure him that the procedure is relatively simple and that the
surgeon will make a small incision in the superoanterior wall of the scrotum. Both ductus
deferens will be ligated and cut, but the procedure will leave both the proximal and distal
segments of the duct intact in case, at a later date, he wishes to have the procedure reversed. To
enter the spermatic cord, what is the correct order of structures that must be incised?
A. Colles’ fascia, external spermatic fascia, cremasteric fascia, internal spermatic
fascia, peritoneum
Copyright © 2008, Elsevier Limited. All rights reserved.
, Test Bank 2
B. Dartos fascia, external spermatic fascia, cremasteric fascia, internal spermatic
fascia
C. Dartos fascia, internal spermatic fascia, cremasteric fascia, peritoneum
D. External spermatic fascia, dartos fascia, cremasteric fascia, internal spermatic
fascia
E. Scarpa’s fascia, external spermatic fascia, internal spermatic fascia, cremasteric
fascia
ANS: B
5. An important relationship that contributes to thermoregulation of the testis is the fact that within
the spermatic cord the testicular artery is:
A. Alongside the artery of the ductus deferens
B. In the same plane as the cremaster muscle
C. Lateral to the ductus deferens
D. Superficial to the external spermatic fascia
E. Surrounded by the pampiniform venous plexus
ANS: E
6. Hydrocele of the testis is caused by an abnormal accumulation of fluid within the:
A. Ductus deferens
B. Epididymis
C. Internal spermatic fascia
D. Testicular vein
E. Tunica vaginalis testis
ANS: E
7. The nerve that passes through the superficial inguinal ring along with the round ligament of the
uterus in females is the:
A. Iliohypogastric nerve
B. Ilioinguinal nerve
C. Obturator nerve
D. Saphenous nerve
ANS: B
8. Peritoneum
Intraperitoneal organs:
A. Are almost completely covered by a layer of visceral peritoneum
B. Are associated with a dorsal mesentery but not a ventral mesentery
C. Receive blood supply from the same aortic branches that supply blood to the
body wall
D. All of the above
ANS: A
9. Parietal Peritoneum
Copyright © 2008, Elsevier Limited. All rights reserved.
, The medial umbilical ligaments are formed from the remnants of which of the following?
A. Ductus venosus
B. Umbilical arteries
C. Umbilical veins
D. Urachus
ANS: B
10. Innervation of the Peritoneum
A 68-year-old female patient is seen with pain in the right scapular region. She is least likely to
have which of the following?
A. Cholecystitis
B. Myocardial infarction
C. Pancreatitis
D. Pulmonary embolus
ANS: C
11. Visceral Peritoneum and Mesenteries
The lesser omentum connects the stomach to which of the following organs?
A. Left kidney
B. Liver
C. Spleen
D. Transverse colon
ANS: B
12. Omental Bursa
A 49-year-old stockbroker presents with acute abdominal pain in the epigastric region. An upper
gastrointestinal study reveals an ulcer on the posterior wall of the stomach that has perforated. In
this case, the gastric contents would likely be located in which of the following spaces?
A. Hepatorenal recess
B. Infracolic compartment of the greater sac
C. Omental bursa
D. Right paracolic gutter
ANS: C
13. Stomach
Typically, the pylorus is generally located to the right of the midline at which of the following
vertebral levels?
A. T12
B. L1
C. L2
D. L3
ANS: B
14. Duodenum
Copyright © 2008, Elsevier Limited. All rights reserved.
, Test Bank 4
Erosion of an ulcer through the posterior wall of the first part of the duodenum could result in a
fatal hemorrhage as a result of involvement of which of the following vessels that courses
posterior to this part of the duodenum?
A. Aorta
B. Gastroduodenal artery
C. Hepatic artery
D. Splenic artery
E. Superior mesenteric artery
ANS: B
15. Gallbladder
In the surgical procedure to remove a diseased gallbladder, the cystic artery must be identified,
ligated, and cut. This vessel is most frequently a branch of which of the following?
A. Celiac trunk
B. Common hepatic artery
C. Gastroduodenal artery
D. Left hepatic artery
E. Right hepatic artery
ANS: E
16. Colon
Which of the following vessels that supplies the transverse colon with blood is usually found in
the transverse mesocolon?
A. Ileocolic artery
B. Middle colic artery
C. Right colic artery
D. Right gastroepiploic (gastro-omental) artery
ANS: B
17. Pancreas
All of the following vessels give off branches that contribute to the blood supply of the pancreas
EXCEPT:
A. Gastroduodenal artery
B. Proper hepatic artery
C. Splenic artery
D. Superior mesenteric artery
ANS: B
18. Stomach Relations
A 47-year-old woman who had been treated for a chronic gastric ulcer that had not responded to
medical treatment was referred to surgery for a partial gastrectomy. The surgeon discovered that
the posterior wall of the stomach was “stuck” to the posterior abdominal wall. The surgeon had
to proceed with great care to avoid damaging important structures located in the bed of the
stomach. These include all of the following EXCEPT:
Copyright © 2008, Elsevier Limited. All rights reserved.
