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Multiple Choice Questions Questions Anatomy

Abdomen MCQs with Answers Key (below)

(Anterior Abdominal Wall)

NOTE: For each of the following multiple choice questions select the one
most appropriate answer:

1. Rectus Abdominus Muscle is divided in bellies by tendinous intersections. What

by far the most common configuration of the muscle bellies of the rectus
Abdominus.
(A) 2 Bellies and sym
symmetr
etric
(B) 2 Bellies and asymm
symmeetric
ric
(C) 4 Bellies and asymm
symmeetric
ric
(D) 6 Bellies and sym
symmetr
etric
(E) 8 Be
Bellies an
and sy
symmetric

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)
(B) Ant
Anteri
erior Int
Interco
ercost
stal
al Arter
rteriies
(C)
(C) Pos
Poster
terior
ior Int
Interco
ercost
stal
al Ar
Arter
teries
ies
(D)
(D) upe
uperirior
or Epi!
Epi!as
asttric Ar
Artery
tery
(E) In"erior Ep
Epi!astric
ric Ar
Artery

3. A pati
patient
ent com
comes es to your
your clin
clinicic who
whom m you
you oper
operated
ated for obst
obstruct
ructed
ed irre
irredu
du
indirect Left nguinal hernia one month ago. !e says "t has been over four w
from
from th
thee susurg
rger
eryy an
and
d  ststil
illl ha
have
ve mu
much ch di
disc
scom
omfofort
rt.. nsi
nside
de of my th
numb$ burns
burns or or simply hur
hurts
ts when touched.
touched. Whe
Whenn  mov
movee in cert
certain
ain ways  g
stabbing pain in that area accompanied with a sensation of being bit by a bunc
wasps %&ees'.( Which nerve is most li#ely damaged)
(A)
(A) #eni
#enitatall $ra
$ranc
nchh o"
o" #en
#enit
ito"
o"em
emororal
al ner%
ner%ee
(B) Illioin!uinal &er%e
(C) Cremasteric &er%e
(D) Illiohy
ohypo!
po!ast
astric &er%e
(E) u$coastal &er%e

*. This patient has more chances of developing which type of hernia in future
(A)
(A) 'i!h
'i!htt Dire
Direct
ct In!u
In!uininal
al er
ernia
nia
(B) e"t Di
Direct In!
In!uuinal ernia
(C)
(C) 'i!h
'i!htt Ind
Indiirect
rect In!ui
n!uina
nall er
erni
niaa
(D)
(D) e"t
e"t Indi
ndi t I ui l  ni
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(B) Medial *m$ilical "old

(C) Medial In!uinal +ossa
(D) ateral In!uinal +ossa
(E) ateral um$ilical +old

-. Median mbilical /old

(A) Is a remnant o" *rachus
(B) Is a remnant o" *m$ilical Artery
(C) Contains In"erior Epi!astric Artery
(D) Is a remnant *m$ilical ,ein
(E) Contains Ductus ,enosus

0. While operating for ndirect nguinal !ernia there started an unusual rapid oo1
of blood$ which filled the site with blood. The urgeon had to stop to control the
bleed. Which artery is most li#ely inured)
(A) In"erior Epi!astric
(B) Cremasteric
(C) -esticular  
(D) E.ternal Illiac
(E) Internal iliac
4. 5ou are e6amining a patient for !ernia during e6am. The e6aminer as#s you
differentiate between inguinal and /emoral !ernia. 5our best response will be
(A) +emoral ernia is a$o%e and medial to Pu$ic tu$ercle
(B) +emoral ernia is $elo/ and medial to Pu$ic tu$ercle
(C) +emoral ernia is a$o%e and ateral to Pu$ic tu$ercle
(D) +emoral ernia is $elo/ and ateral to Pu$ic tu$ercle
(E) &one o" A$o%e

7. A patient was diagnosed with Testicular 8arcinoma %eminoma'. !e comes to

and as#s what stage is his cancer is. 5ou advise him a test. What will you advise
(A) C- A$domen
(B) E'  
(C) An!io!ram
(D) *ltrasound -estis
(E) -esticular Biopsy

9:. A *+ year old man comes to your clinic and says that he has a ,ragging;li#e or
aching pain within scrotum and feeling a bag of worms. 5ou do a <hysical e6am
ma#e a diagnosis of =aricocele. 8onsidering his age what test will u order)
(A) C- A$domen
(B) E'  
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(A) ,a!ina
(B) Canal 0" &uc1  
(C) -unica Al$u!inea
(D) -unica ,a!inalis
(E) Clitoris

92. A 9: year old boy comes to your clinic at 4 <M for sudden <ain in his ing
region. !e is otherwise healthy. >n further ?uestioning you came to #now tha
Right testis never descended properly. 5ou notice a swelling ust medial to
inguinal ring. 5ou don@t have any facility of surgery in your office at night but
can operate in the morning. What will you do ne6t
(A) #i%e im Pain medicine and Arran!e to 0perate in the mornin! "or Direct
In!uinal hernia
(B) #i%e im Pain medicine and Arran!e to 0perate in the mornin! "or Indirect
In!uinal hernia
(C) #i%e im Pain medicine and anti$iotics to treat Epididymitis
(D) *r!ently operate "or stran!ulated Indirect In!uinal ernia
(E) 'e"er to Emer!ency ur!ical Department

93. ubcoastal nerve is in relation to which structure

(A) Median Arcuate i!ament
(B) Medial Arcuate i!ament
(C) ateral Arcuate i!ament
(D) Arcuate ine o" Anterior A$dominal all
(E) Arcuate ine o" Ilium

9*. There is a phenomenon in which some people are almost immune to anesthes
they metaboli1e anesthetic rapidly and start feeling pain. &ut the muscle rela6
don@t let them move. Thin#ing this has happened to your patient in nguinal !e
repair$ which dermatome is responsible for this pain.
(A) -3
(B) -5
(C) -
(D) -2
(E) &one 0" A$o%e

9+. nferior epigastric vessels perforate Rectus abdominis Muscle at the level of 
(A) +irst tendinous intersection
(B) econd tendinous intersection
(C) -hird tendinous intersection
(D) *m$ilicus
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9-. After nguinal !ernia Repair in a 9: year old boy medial side of thigh is stimu
to chec# the cremasteric refle6$ but it was found to be absent. Which nerv
responsible for contraction of cremaster muscle.
(A) Illioin!uinal ne%er 
(B) +emoral Branch o" #enito"emoral &er%e
(C) #enital Branch o" #enito"emoral &er%e
(D) Pudendal &er%e
(E) Cremasteric &er%e

90. 8remasteric Artery is a branch of

(A) Aorta
(B) In"erior epi!astric artery
(C) E.ternal pudendal
(D) Internal pudendal
(E) E.ternal iliac

94. 6ternal permatic /ascia arise from 6ternal obli?ue aponerosis$ o nternal
permatic /ascia arise from
(A) Internal 0$liue Aponeurosis
(B) -rans%ersalis "ascia
(C) Con7oint tendon
(D) E.ternal o$liue aponerosis
(E) -rans%eus A$dominus Aponeurosis

97. Transpyloric plane is

(A) al" /ay $et/een o/er $order o" .yphoid and um$ilicus
(B) al" /ay $et/een 7u!ular notch and pu$ic symphasis
(C) Belo/ lo/er $order o" costal cartila!es
(D) Both A and B
(E) Both B and C

2:. Ligamentum teres !epatis is a remanent of 

(A) *rachus
(B) *m$ilical Artery
(C) In"erior Epi!astric Artery
(D) *m$ilical ,ein
(E) Ductus ,enosus

29. Bust &elow the arcuate line of anterior abdominal wall$ what is in direct contact
rectus abdominus muscle
(A) Parietal Peritoneum
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22. Lateral mbilical /old 6tends from

(A) ateral ide o" Deep In!uinal 'in! to the *m$ilicus
(B) Medial ide o" Deep In!uinal 'in! to the *m$ilicus
(C) Medial side o" the deep in!uinal rin! to the arcuate line
(D) ateral side o" the deep in!uinal rin! to the arcuate line
(E) +rom ide o" Bladder to the *m$ilicus

23. Median mbilical /old lies between

(A) Con7oint -endon and +ascia -ran%ersalis
(B) Parietal and %isceral Peritoneum
(C) +ascia -rans%ersalis and Parital Peritoneum
(D) 'ectus a$domius and Posterior rectus heath
(E) 'ectus a$domius and Anterior rectus heath

2*. upravesical /ossa is a depression

(A) Bet/een Median and Medial *m$ilical +old
(B) Bet/een Medial and ateral *m$ilical +old
(C) ateral to ateral *m$ilical +old
(D) ust Behind 'ectus A$dominus a$o%e *m$ilicus
(E) 0n the upper ur"ace o" Bladder 

2+. Cavicular fossa is

(A) +ossa on the $ody o" Pu$is
(B) -he other name o" medial in!uinal "ossa
(C) Bet/een Median and Medial In!uinal +osaa
(D) -he terminal dilated part o" urethra in the !lans penis
(E) -he "ossa $et/een 9yphoid process and coastal cartila!es
2-. megma is
(A) tored in Ductus De"erens
(B) Produced $y -estis
(C) tored in Epidydmis
(D) -he secretion o" Preputial !lands
(E) -he secretion o" ymphatics

20. 6ternal >bli?ue arises from the outer surfaces Lower 4 ribs ust adacent to
origin of
(A) errtus Anterior 
(B) Internal 0$liue
(C) -rans%ersus A$dominus
(D) 'ectus A$dominus
(E) Pectoralis Minor  
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(A) It is inner%ated $y the ilioin!uinal and !enito"emoral ner%es:

(B) It recei%es $lood primarily "rom the testicular artery:
(C) Its %enous $lood drains primarily into the renal %ein on the le"t:
(D) Its lymphatic draina!e is primarily into upper lum$ar nodes:
(E) Its dartos tunic is continuous /ith the perineal mem$rane:

27. A radiologist interprets a lymphangiogram for a 27;year;old patient with metas

carcinoma. pper lumbar nodes most li#ely receive lymph from which
following structures)
(A) o/er part o" the anal canal
(B) a$ium ma7us
(C) Clitoris
(D) -estis
(E) crotum

3:. A 2-;year;old man comes to a hospital with fever$ nausea$ pain$ and itching
perineal region. >n e6amination by a urologist$ he is diagnosed as having infe
bulbourethral %8owperDs' glands. Which of the following structures isEare affe
by this infection)
(A) uper"icial perineal space
(B) phincter urethrae
(C) Production o" sperm
(D) -estis
(E) eminal %esicles

39. A 9-;year;old boy presents to the emergency department with rupture of the
urethra. 6travasated urine from this inury can spread into which of the follo
structures)
(A) crotum
(B) Ischiorectal "ossa
(C) Pel%ic ca%ity
(D) -estis
(E) -hi!h

32. After his bath but before getting dressed$ a *;year;old boy was playing with his
puppy. The boyDs penis was bitten by the puppy$ and the deep dorsal vein was
inured. The damaged veinF
(A) ies super"icial to Buc1;s "ascia
(B) Drains into the prostatic %enous ple.us
(C) ies lateral to the dorsal artery o" the penis
(D) Is "ound in the corpus spon!iosum
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bulbospongiosus muscles. This condition may occur as a result of inury to whi

the following nervous structures)
(A) Pel%ic ple.us
(B) Prostatic ple.us
(C) Pudendal ner%e
(D) Pel%ic splanchnic ner%e
(E) acral splanchnic ner%e

3*. A 30;year;old man is suffering from carcinoma of the s#in of the penis. 8ancer
are li#ely to metastasi1e directly to which of the following lymph nodes)
(A) E.ternal iliac nodes
(B) Internal iliac nodes
(C) uper"icial in!uinal nodes
(D) Aortic (lum$ar) nodes
(E) Deep in!uinal nodes

3+. A 90;year;old boy suffers a traumatic groin inury during a soccer matc
urologist notices tenderness and swelling of the boyDs left testicle that ma
produced by thrombosis in which of the following veins)
(A) e"t internal pudendal %ein
(B) e"t renal %ein
(C) In"erior %ena ca%a
(D) e"t in"erior epi!astric %ein
(E) e"t e.ternal pudendal %ein

3-. A 22;year;old woman receives a deep cut in the inguinal canal 9 inch lateral to th
pubic tubercle. Which of the following ligaments is lacerated within the inguina
canal)
(A) uspensory li!ament o" the o%ary
(B) 0%arian li!ament
(C) Mesosalpin.
(D) 'ound li!ament o" the uterus
(E) 'ectouterine li!ament

30. A 2;year;old boy presents with pain in his groin that has been increasing in natu
over the past few wee#s. !e is found to have a degenerative malformation of the
transversalis fascia during development. Which of the following structures on th
anterior abdominal wall is li#ely defective)
(A) uper"icial in!uinal rin!
(B) Deep in!uinal rin!
(C) In!uinal li!ament
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physician proceeds with a focal neurologic e6amination. n testing the

refle6es$ which of the following nerves would carry afferent impuls
cremasteric refle6)
(A) u$costal ner%e
(B) ateral "emoral cutaneous ner%e
(C) #enito"emoral ner%e
(D) Iliohypo!astric ner%e
(E) +emoral ner%e

37. A 7;year;old boy was admitted to the emergency department complaining of nau
vomiting$ fever$ loss of appetite. >n e6amination$ he was found to have tender
and pain on the right lower ?uadrant. &ased on signs and symptoms$ the diagn
of acute appendicitis was made. ,uring an appendectomy performed at Mc&urn
point$ which of the following structures is most li#ely to be inured)
(A) Deep circum"le. "emoral artery
(B) In"erior epi!astric artery
(C) Illiohypo!astric ner%e
(D) #enito"emoral ner%e
(E) permatic cord

*:. A pediatric surgeon has resected a structure that is a fibrous remnant of an

embryonic or fetal artery +;year;old child. Which of the following structures is m
li#ely to be divided)
(A) ateral um$ilical "old
(B) Medial um$ilical "old
(C) Median um$ilical "old
(D) i!amentum teres hepatis
(E) i!amentum %enosum

*9. A 29;year;old man developed a hernia after lifting heavy bo6es while moving
his new house. ,uring the repair of his resulting hernia$ the urologist recalls tha
genitofemoral nerveF
(A) 'uns in "ront o" the uadratus lum$orum
(B) Is a $ranch o" the "emoral ner%e
(C) upplies the testis
(D) Passes throu!h the deep in!uinal rin!
(E) #i%es rise to an anterior scrotal $ranch

*2. An emergent hernia repair is scheduled. As the attending physician is driving

hospital$ the medical student assisting on the case ?uic#ly reviews his anatomy
and is trying to commit to memory that the internal obli?ue abdominis mu
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(E) 'e"lected in!uinal li!ament

*3. A patient was operated for ,irect nguinal !ernia and Mesh was placed. Cow
Abdminal layers from Anterior to posterior are composed of in this patient A/T
Mesh <lacement.
: +ascia -ran%ersalis
2: Campers +ascia
<: Parietal Peitoneum
4: Mesh
=: E.ternal 0$liue Aponerosis
6: Con7oint tendon
>: permatic Cord
8: 1in
3: carpa +ascia
(A) 8? 2? 3? =? >? 6? ? 4? <
(B) 8? 3? 2? =? >? 4? 6? ? <
(C) 8? 2? 3? =? 4? >? 6? ? <
(D) 8? 2? 3? =? >? 6? 4? ? <
(E) 8? 2? 3? =? >? 4? 6? ? <

**. Anastomosis over Lacunar ligament is from the branches of 

(A) -esticular and In"erior Epi!asric Artery
(B) 0$turator Artery and Cremasteric Artery
(C) Cremasteric and Accesory 0$turator Artery
(D) 0$turtor Artery and In"erior Epi!asric Artery
(E) Accesory 0$turator Artery and -esticular Artery

*+. Which of the following is not a content of spermatic cord)

(A) -he !enital $ranch o" the !enito"emoral ner%e
(B) Illioin!uinal &er%e
(C) ympathetic and %isceral a""erent ner%e "i$ers
(D) ymphatics
(E) 'emnants
  o" the processus %a!inalis

Answers Key

 D
2 C
< B
4 B
= C
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 B
2 E
< C
4 E
= E
6 C
> B
8 B
3 B
25 D
2 C
22 C
2< C
24 A
2= D
26 D
2> A
28 A
23 D
<5 B
< A
<2 B
<< C
<4 C
<= B
<6 D
<> B
<8 C
<3 C
45 B
4 D
42 C
4< E
44 D
4= B