ANATOMY
47
Abdomen & Pelvis – Nerves
1.
Referred pain from pancreatitis is at what level
a.
T7/8
T - T6-T9 accord to Moore p324
b.
L1/2
F
c.
T3/4
F
d.
T12/L1
F
Abdomen & Pelvis – Lymphatics
2.
Superficial inginal lymph nodes drain all of the following except
a.
anterior thigh
F
b.
base of penis
F
c.
testis
T - they are drained by paraaortic nodes due to their embryological origin
3.
Which lymph nodes drain the lower anal canal
a.
External iliac
F
b.
Deep inguinal
F
c.
Para-aortic
F
d.
Superficial inguinal
T - inferior to the pecitnate line p448NM
e.
Internal iliac
F - this is superior to the pectinate line
4.
Concerning lymphatic drainage of the viscera:
a.
The pectinate line is a watershed
T - inferior to it to superficial inguinal LN’s, superior to it to internal iliac nodes
b.
All the abdominal skin drains to the inguinal nodes
F - p212 NM
c.
The rectum drains to the para-aortic nodes
F - Superior portion to pararectal to sacral to inferior mesenteric nodes.
Inferior portion to internal iliac
Abdomen & Pelvis – Spaces
5.
What goes through the lesser sciatic foramen
a.
Piriformis
F
b.
pudendal nerve
T
c.
Sup gemelli
F
d.
Obturator internus
T - Tendon of obturator internus does
e.
internal pudendal artery
T - and also goes through greater p384NM
f.
superior gluteal artery
F
g.
inferior gluteal artery
F
h.
pudendal artery
F – only true if it is internal pudendal
Summary of structures passing through the lesser sciatic foramen:
Tendon of obturator internus
Internal pudendal artery
Nerve to obturator internus
Pudendal nerve
I am pretty sure that the pudendal nerve, pudendal artery, tendon of obt
internus adn nerve to obturator internus all go through...
nb) this question seems to be one we have never got the right answer for over
the years. I think Last’s doesn’t make it clear.
6.
Which does not pass through the transpyloric plane
a.
splenic vein
T - (from Saunders)
b.
tips of the 9
th
costal cartilages
F - ? it does
c.
lower border of L1
F - It does
d.
Spleen
F - Hilum of
e.
superior mesenteric artery
F - It does
Remember transpyloric plane = L1
