EXAM FOCUS MCQ ON ABDOMEN-GIT(spleen)#1

SPLEEN(GROSS)

1.Lienorenal Ligament Extends from:
a. posterior surface to the right kidney of the hilum of the spleen
b. posterior surface to the left kidney of the hilum of the spleen
c. Anterior surface to the left kidney of the hilum of the spleen
d. Anterior surface to the right kidney of the hilum of the spleen.
ANSWER: C.
NOTE: The splenorenal Ligament is also known as Lienorenal Ligament

2. Which of the following is not a Contents of splenorenal Ligament:
a. splenic vessels
b.short gastric vessels
c.Tail of pancreas
d.hepatic portal vein
ANSWER: Both B. and D are correct
NOTE: The splenic hilum is often in contact with the tail of the pancreas and constitutes the left boundary of the omental bursa.

3.Spleen is normally:
a. palpable
b. partially palpable
c. not palpable
d. none of the above
ANSWER: C
NOTE: Normally, the spleen does not extend inferior to the left costal margin; thus it is seldom palpable through the anterolateral abdominal wall unless it is enlarged.

4. The long axis of the spleen lies in the:
a. 12th rib
b. 8th rib
c.9th rib
d. 10th rib
ANSWER: D
NOTE: (its long axis is roughly parallel to the 10th rib) and separated from them by the diaphragm and the costodiaphragmatic recess—the cleftlike extension of the pleural cavity between the diaphragm and the lower part of the thoracic cage.

5. Spleen is:
a. retroperitoneum
b.intraperitoneum
c.interperitoneum
d.All of the above
ANSWER: B
NOTE: It is covered with a layer of visceral peritoneum that entirely surrounds the spleen except at the splenic hilum, where the splenic branches of the splenic artery and vein enter and leave.

6. Gastrosplenic Ligament Extends from:
a. the fundus of stomach to the hilum of the of spleen
b. the pyloric of stomach to the hilum of the spleen
c. the body of stomach to the hillum of the spleen
d. the antrum of stomach to the hilum of the spleen
ANSWER: A
NOTE: The spleen contacts the posterior wall of the stomach and is connected to its greater curvature by the gastrosplenic ligament.
7. Which of the following is not a Contents of gastrosplenic ligament:
a. splenic vessels
b.short gastric vessels
c.Tail of pancreas
d. left gastroepiploic vessels
ANSWER: Both A and C are correct
NOTE: These ligaments, containing splenic vessels, are attached to the hilum of the spleen on its medial aspect.

8. What is the name of the ligament extending from the left colic flexure to the diaphragm:
a.colicphrenic
b.coliccolic
c.phrenicocolic
d.phreniccolon
ANSWER: C
NOTE: these special ligament keeps the spleen in position.

9. Which of the following is not a relation of The diaphragmatic surface of the spleen:
a. 9th, 10th, and 11th ribs of the left side
b. right diaphragm
c. left diaphragm
d. left lung and left pleura above the diaphragm
ANJSWER: B
NOTE: The diaphragmatic surface of the spleen is convexly curved to fit the concavity of the diaphragm and curved bodies of the adjacent ribs.

10. Which of the following is not a relation of The Visceral surface of the spleen:
a. Anteriorly- gastric impressions above and anterior to hilum
b. Medially- renal impression below and posterior to hilum
c. inferiorly- colic impression near the lateral or anterior end
d. All of the above
ANSWER: D
NOTE: The viscerea are all separated by the greater sac except the tail of pancrease which lies in the lienolenal ligament.

11. The arterial supply of the spleen is from:
a. deudenal artery
b. superior mesenteric vessels
c. Inferior mesenteric vessels
d. splenic artery
ANSWER: D
NOTE: Slenic artery is the largest branch of the celiac trunk. It follows a tortuous course posterior to the omental bursa, anterior to the left kidney, and along the superior border of the pancreas. Between the layers of the splenorenal ligament, the splenic artery divides into five or more branches that enter the hilum.

12. The splenic vein unites with the SMV posterior to:
a. the body of pancrease to form the hepatic portal vein
b. the tail of pancrease to form the hepatic portal vein
c. the neck of the pancrease to form the hepatic portal vein
d. the uncinate process of the pancrease to form the hepatic portal vein
ANSWER: C
NOTE: The splenic vein unites with the SMV posterior to the neck of the pancreas to form the hepatic portal vein.

1.Lienorenal Ligament Extends from:
a. posterior surface to the right kidney of the hilum of the spleen
b. posterior surface to the left kidney of the hilum of the spleen
c. Anterior surface to the left kidney of the hilum of the spleen
d. Anterior surface to the right kidney of the hilum of the spleen.
ANSWER: C.
NOTE: The splenorenal Ligament is also known as Lienorenal Ligament

2. Which of the following is not a Contents of splenorenal Ligament:
a. splenic vessels
b.short gastric vessels
c.Tail of pancreas
d.hepatic portal vein
ANSWER: Both B. and D are correct
NOTE: The splenic hilum is often in contact with the tail of the pancreas and constitutes the left boundary of the omental bursa.

3.Spleen is normally:
a. palpable
b. partially palpable
c. not palpable
d. none of the above
ANSWER: C
NOTE: Normally, the spleen does not extend inferior to the left costal margin; thus it is seldom palpable through the anterolateral abdominal wall unless it is enlarged.

4. The long axis of the spleen lies in the:
a. 12th rib
b. 8th rib
c.9th rib
d. 10th rib
ANSWER: D
NOTE: (its long axis is roughly parallel to the 10th rib) and separated from them by the diaphragm and the costodiaphragmatic recess—the cleftlike extension of the pleural cavity between the diaphragm and the lower part of the thoracic cage.

5. Spleen is:
a. retroperitoneum
b.intraperitoneum
c.interperitoneum
d.All of the above
ANSWER: B
NOTE: It is covered with a layer of visceral peritoneum that entirely surrounds the spleen except at the splenic hilum, where the splenic branches of the splenic artery and vein enter and leave.

6. Gastrosplenic Ligament Extends from:
a. the fundus of stomach to the hilum of the of spleen
b. the pyloric of stomach to the hilum of the spleen
c. the body of stomach to the hillum of the spleen
d. the antrum of stomach to the hilum of the spleen
ANSWER: A
NOTE: The spleen contacts the posterior wall of the stomach and is connected to its greater curvature by the gastrosplenic ligament.
7. Which of the following is not a Contents of gastrosplenic ligament:
a. splenic vessels
b.short gastric vessels
c.Tail of pancreas
d. left gastroepiploic vessels
ANSWER: Both A and C are correct
NOTE: These ligaments, containing splenic vessels, are attached to the hilum of the spleen on its medial aspect.

8. What is the name of the ligament extending from the left colic flexure to the diaphragm:
a.colicphrenic
b.coliccolic
c.phrenicocolic
d.phreniccolon
ANSWER: C
NOTE: these special ligament keeps the spleen in position.

9. Which of the following is not a relation of The diaphragmatic surface of the spleen:
a. 9th, 10th, and 11th ribs of the left side
b. right diaphragm
c. left diaphragm
d. left lung and left pleura above the diaphragm
ANJSWER: B
NOTE: The diaphragmatic surface of the spleen is convexly curved to fit the concavity of the diaphragm and curved bodies of the adjacent ribs.

10. Which of the following is not a relation of The Visceral surface of the spleen:
a. Anteriorly- gastric impressions above and anterior to hilum
b. Medially- renal impression below and posterior to hilum
c. inferiorly- colic impression near the lateral or anterior end
d. All of the above
ANSWER: D
NOTE: The viscerea are all separated by the greater sac except the tail of pancrease which lies in the lienolenal ligament.

11. The arterial supply of the spleen is from:
a. deudenal artery
b. superior mesenteric vessels
c. Inferior mesenteric vessels
d. splenic artery
ANSWER: D
NOTE: Slenic artery is the largest branch of the celiac trunk. It follows a tortuous course posterior to the omental bursa, anterior to the left kidney, and along the superior border of the pancreas. Between the layers of the splenorenal ligament, the splenic artery divides into five or more branches that enter the hilum.

12. The splenic vein unites with the SMV posterior to:
a. the body of pancrease to form the hepatic portal vein
b. the tail of pancrease to form the hepatic portal vein
c. the neck of the pancrease to form the hepatic portal vein
d. the uncinate process of the pancrease to form the hepatic portal vein
ANSWER: C
NOTE: The splenic vein unites with the SMV posterior to the neck of the pancreas to form the hepatic portal vein.