Practice Quiz - Stomach &

Spleen

Below are written questions from previous quizzes and exams. Click here for
a Practical Quiz - old format or Practical Quiz - new format.

1. A patient was diagnosed with bleeding ulcer of the lesser curvature of the
stomach. Which artery is most likely involved?
Gastroduodenal
Left gastric
Left gastro-omental (epiploic)
Right gastro-omental (epiploic)
Short gastrics
2. Which is a derivative of the dorsal mesogastrium?
Falciform ligament
Hepatoduodenal ligament
Hepatogastric ligament
Greater omentum
Lesser omentum
3. The spleen:
Develops in the dorsal mesogastrium
Develops in the ventral mesogastrium
Develops in both the dorsal and ventral mesogastria
Is always retroperitoneal
Becomes retroperitoneal during its development
4. During a full workup on a 2-month-old infant with a history of intermittent
gastrointestinal pain and vomiting, physicians discovered that the cause was
lack of emptying of the stomach. They immediately suspected that the cause
 was a spasmodic contraction of which of the following parts of the
stomach?
cardiac notch
fundus
lesser curvature
pylorus
rugae
5. In order to do a vagotomy (section of vagal nerve trunks) to reduce the
secretion of acid by cells of the stomach mucosa in patients with peptic
ulcers, one needs to cut the gastric branches and retain vagal innervation to
other abdominal organs. Where would a surgeon look for these branches in
relation to the stomach?
along the gastroepiploic vessels
along the greater curvature
along the lesser curvature
in the base of the omental apron
in the gastrocolic ligament
6. While performing a splenectomy (removal of the spleen) following an
automobile accident, the surgeons were especially attentive to locate and
preserve the tail of the pancreas which is closely associated with the spleen.
This they found in the:
gastrocolic ligament
gastrosplenic ligament
phrenicocolic ligament
splenorenal ligament
transverse mesocolon
7. Which of the following structures does not lie at least partially in the
retroperitoneum?
adrenal gland
duodenum
kidney
 pancreas
spleen
8. Which ligament is a derivative of the dorsal mesogastrium?
Coronary
Falciform
Hepatoduodenal
Hepatogastric
Gastrocolic
9. A 60-year-old male executive who had a history of a chronic duodenal ulcer
was admitted to the ER exhibiting signs of a severe internal hemorrhage. He
was quickly diagnosed with perforation of the posterior wall of the first part
of the duodenum and erosion of an artery behind it by the gastric expellent.
The artery is most likely the:
Common hepatic
Gastroduodenal
Left gastric
Proper hepatic
Superior mesenteric
10. A twenty-year-old woman was broad-sided on the driver side by an SUV and
was taken to the hospital emergency room. Examination showed low blood
pressure and tenderness on the left mid-axillary line. Also, a large swelling
was felt protruding downward and medially below the left costal margin. X-
rays revealed that her 9th and 10th ribs were fractured near their angles on
the left side. The abdominal organ most likely to be injured by the fracture is:
Descending colon
Left kidney
Pancreas
Spleen
Stomach
11. You are observing an operation to remove the left suprarenal gland. To
expose the gland the surgeon mobilizes the descending colon by cutting
along its lateral attachment to the body wall and dissecting medialward in
the fusion fascia behind it. Suddenly the operative field is filled with blood.
 The surgeon realizes he has failed to cut a mesenteric attachment between
the left colic flexure and another organ. As a result of the traction, the surface
of the organ tore. Which organ was injured?
Duodenum
Kidney
Liver
Spleen
Suprarenal gland
12. A patient presented with a swollen spleen, which protruded medially toward
the umbilicus in the abdomen. A vertical and downward expansion of the
spleen was resisted by the:
Tail of the pancreas
Left colic flexure
Left kidney
Left renal artery
Stomach
13. During emergency surgery, it was found that a chronic gastric ulcer had
perforated the posterior wall of the stomach and eroded a large artery
running immediately posterior to the stomach. The artery is the:
Gastroduodenal
Common hepatic
Left gastroepiploic
Splenic
Superior mesenteric
14. The spleen contacts all of the following organs EXCEPT:
Jejunum
Kidney
Left colic flexure
Tail of the pancreas
Stomach
15. Which is not a boundary of the epiploic (omental) foramen?
Aorta
 Caudate lobe of the liver
First part of the duodenum
Hepatoduodenal ligament
16. In order to approach the area posterior to the stomach, a surgeon decided to
go through the lesser omentum. Before incising the mesentery she was
careful to find and preserve a nerve lying in the upper portion of the
hepatogastric ligament, i.e., the
Celiac branch of the anterior vagal trunk
Celiac branch of the posterior vagal trunk
Greater splanchnic branch to the right suprarenal gland
Hepatic branch of the anterior vagal trunk
Hepatic branch of the posterior vagal trunk
17. Which of the following is NOT in contact with the spleen?
Colon
Diaphragm
Duodenum
Pancreas
Stomach
18. The fundus of the stomach receives its arterial supply from the:
Common hepatic
Inferior phrenic
Left gastroepiploic
Right gastric
Splenic
19. During an emergency splenectomy, the surgeon accidentally tore the
gastrosplenic ligament and its contents. The artery (ies) likely to be damaged
in this event is (are) the:
Left gastric
Splenic
Short gastric
 Middle colic
Caudal pancreatic
20. While performing emergency surgery to control hemorrhage brought on by
arterial erosion caused by a duodenal ulcer, surgeons ligated the badly
damaged gastroduodenal artery near its origin, which affected all of its
branches as well. Assuming "average anatomy", in which of the following
arteries would blood now flow in retrograde fashion (backwards) from
collateral sources?
Left hepatic
Right gastroepiploic
Short gastric
Left gastric
Omental branches