1. Chapter 8: Hepatobilary system
A: Anatomy
1. All of the following statements as
regards the gall bladder are true
except:
a. It’s fundus lies at the tip of the ninth
costal cartilage
b. It is supplied by the cystic artery
c. Its venous drainage passes to the cystic
vein that drains into left branch of portal
vein
d. Situated at the inferior surface of the liver
2. All of the following statements about
the biliary duct are correct except:
a. It descends in the free margin of lesser
omentum
b. It joins the pancreatic duct to form
ampulla of vatter
c. It is formed b the union of the cstic duct
and common hepatic duct
d. It descend behind the portal vein then
continues behind the duodenum( 1st part
)
3. Concerning the portal vein all of the
following are correct except:
a. It is formed by the union of superior
mesenteric and splenic veins infront of
the IVC
b. It passes in the free border of lesser
omentum as the most posterior structure
c. Inferior mesenteric and cystic veins are of
its tributatries
d. It is formed behind the neck of pancreas
4. All of the following are sites of
portosystemic anastomosis except:
a. Osophagus
b. Rectum
c. Around the umbilicus
d. At bare area of liver
5. The middle rectal artery originates
from:
a. Internal iliac artery
b. External iliac artery
c. Internal pudendal artery
d. Inferior mesenteric artery
e. Superior mesenteric artery
6. The inferior rectal artery originates
from:
a. Internal iliac artery
b. External iliac artery
c. Internal pudendal artery
d. Inferior mesenteric artery
e. Superior mesenteric artery
7. The following statements about the
upper part of the anal canal are correct
except:
a. It’s innervated by autonomic nerve fibers
b. It’s lymphatic drainage passes to the
superficial inguinal LN
c. It is endodermal in origion
d. It’s drained into the portal circulation
2. 8. As regards the ischiorectal fossa all are
correct except:
a. It is bounded superiorly by the linear
origion of levator ani muscles
b. The superior rectal artery is one of its
contents
c. The perineal branch of S4 is one of its
contents
d. It is filled with semiliquid pad of fat
9. All of the following are contents of the
ischiorectal fossa except:
a. Inferior rectal nerve
b. Scrotal nerve in males
c. Transverse perineal artery
d. Middle rectal vessels
10.Concerning the Rectum,All of the
following statements are true except:
a. It begins at the middle sacral piece and
terminates 1 inch below the tip of coccyx
b. It is completely covered with peritoneum
c. It contains valves
d. It is related posteriorly to superior rectal
artery and coccygeal nerves
11.All of the following are posterior
relations of the rectum except:
a. Piriformis muscle
b. Superior rectal artery
c. Lumbosacral trunk
d. Sacrum and coccyx
12.All of the following statements are true
except:
a. The superior rectal artery is the
continuation of inferior mesenteric
artery
b. The inferior rectal vein is one of the
tributaries of internal pudendal vein
c. The lumphatic drainage of the lower
half of rectum passes to the external
iliac LN
d. The anal canal is bounded posteriorly
by the anococcygeal raphe
Answers:
1. C
2. D
3. C
4. B
5. C
6. A
7. B
8. A
9. C
10. B
11. B
12. D
13. B
14. C
15. C
3. Essay:
1. Mention the surface anatomy of the fundus.
2. Discuss the different portions of the biliary system in breif.
3. Define portal circulation and give different examples of it found in our body.
4. State common bile duct relations
5. What are the different parts of GB
6. What's the composition of hepatic portal venous system
7. Mention the tributaries of the following
a. Splenic vein
b. Portal vein
c. Superior mesentric
d. Inferior mesentric
8. Mention the course of portal vein and its parts
9. Define portosystemic shunt (anastomosis) .. Mention it's different sites
10. Mention the effect of portal hypertension in sites containing portosystemic anastomosis
11. Mention the beginning, course and termination of Rectum
12. Explain the pattern of peritoneal covering of rectum
13. What are the different flexures of rectum?
14. Mention the rectum relations in male
15. What are the anterior and posterior relations of rectum in female?
16. Rectum derives its blood supply from many main vessels .. Mention its blood supply and origin of
each
17. Mention lymphatic drainage of rectum
18. Mention the beginning, course and termination of anal canal
19. What are the relations of anal canal?
20. Mention blood supply, lymph drainage and nerve supply of the anal canal
21. What's Hilton's line
22. What are the types of anal sphincters? Discuss
23. Anal triangle.. mention its boundaries and contents
24. What's ischiorectal fossa ?
25. What are the boundaries, contents of ischiorectal fossa?
26. Give a short account on pudendal canal
