Professional Documents
Culture Documents
MCQ Abd
MCQ Abd
2. A person was stung by a bee in the left lumbar region. The nerves supplying the region
accompany the branches of
(A) Musculophrenic Artery
(B) Anterior Intercostal Arteries
(C) Posterior Intercostal Arteries
(D) Superior Epigastric Artery
(E) Inferior Epigastric Artery
3. A patient comes to your clinic whom you operated for obstructed irreducible indirect Left
Inguinal hernia one month ago. He says It has been over four weeks from the surgery and
I still have much discomfort. Inside of my thigh is numb, burns or simply hurts when
touched. When I move in certain ways I get a stabbing pain in that area accompanied with
a sensation of being bit by a bunch of wasps (Bees). Which nerve is most likely damaged?
(A) Genital branch of Genitofemoral nerve
(B) Illioinguinal Nerve
(C) Cremasteric Nerve
(D) Illiohypogastric Nerve
(E) Subcoastal Nerve
4. This patient has more chances of developing which type of hernia in future
(A) Right Direct Inguinal Hernia
(B) Left Direct Inguinal Hernia
(C) Right Indirect Inguinal Hernia
(D) Left Indirect Inguinal Hernia
(E) Umbilical Hernia
5. During Laproscopic repair of Direct inguinal Hernia, the site of hernia will be located in
(A) Median Umbilical fold
(B) Medial Umbilical fold
(C) Medial Inguinal Fossa
(D) Lateral Inguinal Fossa
(E) Lateral umbilical Fold
7. While operating for Indirect Inguinal Hernia there started an unusual rapid oozing of
blood, which filled the site with blood. The Surgeon had to stop to control the bleed. Which
artery is most likely injured?
(A) Inferior Epigastric
(B) Cremasteric
(C) Testicular
(D) External Illiac
(E) Internal iliac
8. You are examining a patient for Hernia during exam. The examiner asks you to
differentiate between inguinal and Femoral Hernia. Your best response will be
(A) Femoral Hernia is above and medial to Pubic tubercle
(B) Femoral Hernia is below and medial to Pubic tubercle
(C) Femoral Hernia is above and Lateral to Pubic tubercle
(D) Femoral Hernia is below and Lateral to Pubic tubercle
(E) None of Above
9. A patient was diagnosed with Testicular Carcinoma (Seminoma). He comes to you and asks
what stage is his cancer is. You advise him a test. What will you advise
(A) CT Abdomen
(B) ESR
(C) Angiogram
(D) Ultrasound Testis
(E) Testicular Biopsy
10. A 45 year old man comes to your clinic and says that he has a Dragging-like or aching pain
within scrotum and feeling a bag of worms. You do a Physical exam and make a diagnosis
of Varicocele. Considering his age what test will u order?
(A) CT Abdomen
(B) ESR
(C) Angiogram
(D) Ultrasound Testis
(E) Testicular Biopsy
11. Processus vaginalis in males form the Tunica Vaginalis of testis. In females it forms
(A) Vagina
(B) Canal Of Nuck
(C) Tunica Albuginea
(D) Tunica Vaginalis
(E) Clitoris
12. A 10 year old boy comes to your clinic at 8 PM for sudden Pain in his inguinal region. He is
otherwise healthy. On further questioning you came to know that his Right testis never
descended properly. You notice a swelling just medial to deep inguinal ring. You dont
have any facility of surgery in your office at night but you can operate in the morning.
What will you do next
(A) Give Him Pain medicine and Arrange to Operate in the morning for Direct Inguinal
hernia
(B) Give Him Pain medicine and Arrange to Operate in the morning for Indirect Inguinal
hernia
(C) Give Him Pain medicine and antibiotics to treat Epididymitis
(D) Urgently operate for strangulated Indirect Inguinal Hernia
(E) Refer to Emergency Surgical Department
14. There is a phenomenon in which some people are almost immune to anesthesia, or they
metabolize anesthetic rapidly and start feeling pain. But the muscle relaxants dont let
them move. Thinking this has happened to your patient in Inguinal Hernia repair, which
dermatome is responsible for this pain.
(A) T9
(B) T10
(C) T11
(D) T12
(E) None Of Above
15. Inferior epigastric vessels perforate Rectus abdominis Muscle at the level of
(A) First tendinous intersection
(B) Second tendinous intersection
(C) Third tendinous intersection
(D) Umbilicus
(E) Arcuate Line of Anterior Abdominal Wall
16. After Inguinal Hernia Repair in a 10 year old boy medial side of thigh is stimulated to
check the cremasteric reflex, but it was found to be absent. Which nerve is responsible for
contraction of cremaster muscle.
(A) Illioinguinal never
(B) Femoral Branch of Genitofemoral Nerve
(C) Genital Branch of Genitofemoral Nerve
(D) Pudendal Nerve
(E) Cremasteric Nerve
18. External Spermatic Fascia arise from External oblique aponerosis, So Internal Spermatic
Fascia arise from
(A) Internal Oblique Aponeurosis
(B) Transversalis fascia
(C) Conjoint tendon
(D) External oblique aponerosis
(E) Transveus Abdominus Aponeurosis
21. Just Below the arcuate line of anterior abdominal wall, what is in direct contact with rectus
abdominus muscle
(A) Parietal Peritoneum
(B) Visceral Peritoneum
(C) Fascia Transversalis
(D) Posterior Layer of Rectus Sheath
(E) Conjoint Tendon
27. External Oblique arises from the outer surfaces Lower 8 ribs just adjacent to the origin of
(A) Serrtus Anterior
(B) Internal Oblique
(C) Transversus Abdominus
(D) Rectus Abdominus
(E) Pectoralis Minor
30. A 26-year-old man comes to a hospital with fever, nausea, pain, and itching in the perineal
region. On examination by a urologist, he is diagnosed as having infected bulbourethral
(Cowper's) glands. Which of the following structures is/are affected by this infection?
(A) Superficial perineal space
(B) Sphincter urethrae
(C) Production of sperm
(D) Testis
(E) Seminal vesicles
31. A 16-year-old boy presents to the emergency department with rupture of the penile
urethra. Extravasated urine from this injury can spread into which of the following
structures?
(A) Scrotum
(B) Ischiorectal fossa
(C) Pelvic cavity
(D) Testis
(E) Thigh
32. After his bath but before getting dressed, a 4-year-old boy was playing with his puppy. The
boy's penis was bitten by the puppy, and the deep dorsal vein was injured. The damaged
vein:
(A) Lies superficial to Buck's fascia
(B) Drains into the prostatic venous plexus
(C) Lies lateral to the dorsal artery of the penis
(D) Is found in the corpus spongiosum
(E) Is dilated during erection
33. A 39-year-old man is unable to expel the last drops of urine from the urethra at the end of
micturition because of paralysis of the external urethral sphincter and bulbospongiosus
muscles. This condition may occur as a result of injury to which of the following nervous
structures?
(A) Pelvic plexus
(B) Prostatic plexus
(C) Pudendal nerve
(D) Pelvic splanchnic nerve
(E) Sacral splanchnic nerve
34. A 37-year-old man is suffering from carcinoma of the skin of the penis. Cancer cells are
likely to metastasize directly to which of the following lymph nodes?
(A) External iliac nodes
(B) Internal iliac nodes
(C) Superficial inguinal nodes
(D) Aortic (lumbar) nodes
(E) Deep inguinal nodes
35. A 17-year-old boy suffers a traumatic groin injury during a soccer match. The urologist
notices tenderness and swelling of the boy's left testicle that may be produced by
thrombosis in which of the following veins?
(A) Left internal pudendal vein
(B) Left renal vein
(C) Inferior vena cava
(D) Left inferior epigastric vein
(E) Left external pudendal vein
36. A 22-year-old woman receives a deep cut in the inguinal canal 1 inch lateral to the pubic
tubercle. Which of the following ligaments is lacerated within the inguinal canal?
(A) Suspensory ligament of the ovary
(B) Ovarian ligament
(C) Mesosalpinx
(D) Round ligament of the uterus
(E) Rectouterine ligament
37. A 2-year-old boy presents with pain in his groin that has been increasing in nature over the
past few weeks. He is found to have a degenerative malformation of the transversalis fascia
during development. Which of the following structures on the anterior abdominal wall is
likely defective?
(A) Superficial inguinal ring
(B) Deep inguinal ring
(C) Inguinal ligament
(D) Sac of a direct inguinal hernia
(E) Anterior wall of the inguinal canal
38. A young boy is brought to the hospital after a bicycle accident and possible pelvic fracture.
While awaiting a computed tomography (CT) scan of his pelvis, a physician proceeds with
a focal neurologic examination. In testing the child's reflexes, which of the following nerves
would carry afferent impulses the cremasteric reflex?
(A) Subcostal nerve
(B) Lateral femoral cutaneous nerve
(C) Genitofemoral nerve
(D) Iliohypogastric nerve
(E) Femoral nerve
39. A 9-year-old boy was admitted to the emergency department complaining of nausea,
vomiting, fever, loss of appetite. On examination, he was found to have tenderness and pain
on the right lower quadrant. Based on signs and symptoms, the diagnosis of acute
appendicitis was made. During an appendectomy performed at McBurney's point, which of
the following structures is most likely to be injured?
(A) Deep circumflex femoral artery
(B) Inferior epigastric artery
(C) Illiohypogastric nerve
(D) Genitofemoral nerve
(E) Spermatic cord
40. A pediatric surgeon has resected a structure that is a fibrous remnant of an embryonic or
fetal artery 5-year-old child. Which of the following structures is most likely to be divided?
(A) Lateral umbilical fold
(B) Medial umbilical fold
(C) Median umbilical fold
(D) Ligamentum teres hepatis
(E) Ligamentum venosum
41. A 21-year-old man developed a hernia after lifting heavy boxes while moving into his new
house. During the repair of his resulting hernia, the urologist recalls that the genitofemoral
nerve:
(A) Runs in front of the quadratus lumborum
(B) Is a branch of the femoral nerve
(C) Supplies the testis
(D) Passes through the deep inguinal ring
(E) Gives rise to an anterior scrotal branch
42. An emergent hernia repair is scheduled. As the attending physician is driving to the
hospital, the medical student assisting on the case quickly reviews his anatomy atlas and is
trying to commit to memory that the internal oblique abdominis muscle contributes to the
formation of which of the following structures?
(A) Inguinal ligament
(B) Deep inguinal ring
(C) Falx inguinalis (conjoint tendon)
(D) Internal spermatic fascia
(E) Reflected inguinal ligament
43. A patient was operated for Direct Inguinal Hernia and Mesh was placed. Now the
Abdminal layers from Anterior to posterior are composed of in this patient AFTER Mesh
Placement.
1. Fascia Tranversalis
2. Campers Fascia
3. Parietal Peitoneum
4. Mesh
5. External Oblique Aponerosis
6. Conjoint tendon
7. Spermatic Cord
8. Skin
9. Scarpa Fascia
(A) 8, 2, 9, 5, 7, 6, 1, 4, 3
(B) 8, 9, 2, 5, 7, 4, 6, 1, 3
(C) 8, 2, 9, 5, 4, 7, 6, 1, 3
(D) 8, 2, 9, 5, 7, 6, 4, 1, 3
(E) 8, 2, 9, 5, 7, 4, 6, 1, 3
Answers Key
1 D
2 C
3 B
4 B
5 C
6 A
7 A
8 D
9 A
10 A
11 B
12 E
13 C
14 E
15 E
16 C
17 B
18 B
19 B
20 D
21 C
22 C
23 C
24 A
25 D
26 D
27 A
28 A
29 D
30 B
31 A
32 B
33 C
34 C
35 B
36 D
37 B
38 C
39 C
40 B
41 D
42 C
43 E
44 D
45 B