Peete CTSA Aa Anatomy Practice Questions Duodenum, Pancreas and Abdominal Aorta1. A 40 year-old male with a long history of duodenal ulcer problems was brought in for emergency surgery to control severe hemorrhage into the peritoneal cavity. The surgeons found that erosion by the ulcer of a vessel passing behind the first part of the duodenum was the source of the hemorrhage. Which of the following vessels passes behind the first part of the duodenum and would need to be clamped off to control the bleeding? A. coronary vein B. gastroduodenal artery C._ inferior pancreatoduodenal arcade D. proper hepatic artery E. splenic vein © Copyright The Regents of the University of Michigan ‘Answer: The correct answer is: B gastroduodenal artery ‘The gastroduodenal artery lies behind the superior part of the duodenum. It has three branches: the posterior superior pancreaticoduodenal artery, the anterior superior pancreaticoduodenal artery, and the right gastroomental artery. The other vessels are not near the superior duodenum. The coronary vein is made of the right and left gastric veins and located in the lesser curvature of the stomach. The inferior pancreatoduodenal arcade is found in the inferior part of the head of the pancreas. It supplies the pancreas and duodenum. It is near the horizontal (3rd) part of the duodenum, not the superior part. The proper hepatic artery is a branch of the ‘common hepatic artery which delivers oxygenated blood to the liver. Finally, the splenic vein comes from the spleen—it joins the ‘superior mesenteric vein to form the portal vein.2. Orally ingested contrast medium opacifies all of the following structures except the: colon duodenum esophagus gall bladder stomach mooOm> © Copyright The Regents of the University of Michigan Answer: The correct answer is: D gall bladder ‘The orally ingested contrast medium would coat all the structures of the gut tube, including the esophagus, stomach, duodenum, and colon. The medium should go ‘anywhere that ingested food might go in the GI tract. The gallbladder, however, is not a part of the passageway for food - it concentrates and secretes stored bile. So, the gall bladder would not be filled with contrast.