Deck 14: Peritoneal Cavity and Abdominal Wall

Question 1

Which one of the following ligaments forms the posterior portion of the left lateral border of the lesser sac and separates the lesser sac from the renosplenic recess?

A) Gastrosplenic
B) Falciform
C) Splenorenal
D) Costophrenic

Answer 1

C

Question 2

Differential diagnosis of a lesser-sac abscess should include all of the following except a:

A) pseudocyst.
B) gastric outlet obstruction.
C) fluid-filled stomach.
D) pancreatic carcinoma.

Answer 2

D

Question 3

The most common site(s) for abdominal abscess formation is(are) the:

A) appendix.
B) retrovesical space.
C) hepatic recesses and perihepatic spaces.
D) portal vein.

Answer 3

C

Question 4

Clinical signs and symptoms of infection include all of the following except:

A) chills.
B) weakness.
C) localized tenderness.
D) elevated liver function tests.

Question 5

The most common primary lesions to develop peritoneal metastasis originate in the:

A) kidneys, testicles, and uterus.
B) stomach, pancreas, and colon.
C) ovaries, stomach, and colon.
D) pancreas, biliary tract, and kidneys.

Question 6

Fluid collects in the most ________ areas of the abdomen and pelvis.

A) lateral
B) posterior
C) inferior
D) dependent

Question 7

Generalized ascites, inflammatory fluid from acute abdominal processes can be found in which area?

A) Lesser sac
B) Hepatorenal recess
C) Greater sac
D) Retroperitioneal

Question 8

A smooth membrane that lines the entire abdominal cavity and is reflected over the contained organs is the:

A) perineum.
B) mesentery.
C) peritoneum.
D) retroperitoneum.

Question 9

An extrahepatic loculated fluid collection that may develop because of a spontaneous rupture of the biliary tree is called:

A) biloma.
B) bilitis.
C) cholangitis.
D) choledochitis.

Question 10

A double layer of peritoneum, extending from the liver to the lesser curvature of the stomach, is called the:

A) greater omentum.
B) mesentery.
C) lesser omentum.
D) peritoneum.

Question 11

What lesion may mimic a gas-containing abscess?

A) Fibroid
B) Teratoma
C) Lipoma
D) Hemangioma

Question 12

Which one of the following lies freely over the intestines similar to an apron?

A) Mesentery
B) Peritoneum
C) Greater omentum
D) Lesser omentum

Question 13

The splenorenal ligament _________the left kidney.

A) passes inferior to
B) separates
C) overlies
D) encompasses

Question 14

Which one of the following structures is found on the right side of the liver to form the subphrenic and subhepatic spaces?

A) Tendons
B) Fibers
C) Falciform ligament
D) Peritoneal ligaments

Question 15

Anterior displacement of the kidney and ureter suggests a mass in the:

A) intraperitoneum.
B) subcapsular space.
C) retroperitoneum.
D) interperitoneum.

Question 16

A cystic mass between the umbilicus and the bladder is called a:

A) seroma.
B) urachal cyst.
C) uroma.
D) urinoma.

Question 17

Inflammatory or malignant ascites demonstrate all of the following characteristics except:

A) anechoic patterns with smooth borders.
B) matting of bowel loops.
C) fine or coarse internal echoes.
D) loculations.

Question 18

Collections in the right posterior subphrenic space cannot extend between the bare area of the liver and the:

A) right kidney.
B) diaphragm.
C) right pleural space.
D) coronary ligament.

Question 19

The left lateral extension of the greater omentum that connects the gastric greater curvature to the superior splenic hilum is called the ______________ ligament.

A) splenorenal
B) gastrosplenic
C) falciform
D) gastrorenal

Question 20

The lesser sac is located:

A) superior to the pancreas.
B) anterior to the stomach.
C) superior to the stomach.
D) anterior to the pancreas.

Question 21

The superior portion of the subhepatic space is called:

A) the bare area of the liver.
B) Morison's pouch.
C) the anterior pararenal space.
D) the subphrenic space.

Question 22

On ultrasound, a discrete linear echogenicity in the deepest layer of the anterior abdominal wall is the:

A) linea alba.
B) rectus sheath.
C) peritoneal line.
D) subcutaneous fat.

Question 23

The ___________________ is able to adhere to diseased organs.

A) lesser omentum
B) peritoneum
C) mesentery
D) greater omentum

Question 24

Which one of the following hernia locations typically contains fat?

A) Epigastric
B) Umbilicus
C) Inguinal
D) Rectus abdominis

Question 25

A lymphocele may be defined as a:

A) walled-off collection of extravasated urine.
B) lymph-filled space without a distinct epithelial lining.
C) complex irregular mass.
D) cystic space anterior to the aorta.