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Multiple choice questions on GIT module Prepared by / Professor Dr / Said Zaghloul --------------------------------------------------------------------------------Regarding sensory nerve supply of mucosa of mouth, choose one correct statement: 1- Greater palatine nerve supplies the floor of mouth 2- The roof of mouth is supplied by lingual nerve 3- Outer (labial) side of the lower gum is supplied by maxillary nerve 4- Buccal branch of facial nerve supplies mucosa of the cheek 5- Chorda tympani that carry taste sensation is a branch from facial nerve The nerve that provides the taste fibers to the posterior third of the tongue is the: 1- Facial nerve 2- Hypoglossal nerve 3- Glossopharyngeal nerve 4- Mandibular nerve 5- Maxillary nerve The muscle responsible for protrusion of the tongue is the: 1- Intrinsic muscles 2- Palatoglossus 3- Styloglossus 4- Genioglossus 5- Hyoglossus Which of the following muscles is present in the posterior pillar of fauces? 1- Palatoglossus 2- Styloglossus 3- Stylopharyngeus 4- Palatopharyngeus 5- Levator palati Regarding the mouth, the following statements are true, except: 1- The mouth proper lies in front the teeth and gums 2- The vestibule communicates with mouth proper behind 3rd molar tooth 3- The parotid duct opens in the vestibule of mouth opposite upper 2nd molar tooth 4- The roof of mouth proper is formed by hard and soft palate 5- Submandibular duct opens at the side of frenulum of the tongue As regard sensory nerve supply of the mouth, choose one correct statement: 1- Lesser palatine nerves supply the floor of mouth 2- Chorda tympani which carries taste is a branch from glossopharyngeal nerve 3- The roof of mouth receives sensory nerve supply from maxillary nerve 4- The Buccal branch of facial nerve supplies the mucosa of the check 5- Lingual nerve supplies mucosa of inner surface of lower lip Which of the following muscles produce retraction and elevation of the tongue? 1- Genioglossus of both sides 2- Styloglossus and hyoglossus 3- Hyoglossus and Genioglossus 4- Intrinsic muscles of the tongue 5- Styloglossus and palatoglossus The tongue is connected by its muscles to the following structures, except: 1- Hyoid bone 2- Mandible 3- Styloid process 4- Mastoid process 5- Soft palate Regarding blood supply & lymph drainage of the tongue, the following are true, except: 1- The lingual artery supplies most of the tongue 2- Posterior part is supplied by ascending pharyngeal & tonsillar branch of facial arteries 3- Veins of the tongue drain into external jugular vein. 4- Lymphatics from the tip of the tongue drains into submental lymph nodes 5- Lymphatics from the posterior third of the tongue drains into jugulomohyoid nodes Lesion of the lingual nerve can lead to the following, except: 1- Loss of sensation of the lingual side of the lower gums 2- Loss of general sensation of the floor of the mouth 3- Loss of taste sensation from anterior 2/3rds of the tongue 4- Loss of general sensation from the posterior 1/3rd of the tongue. 5- Loss of secretions from the submandibular and sublingual salivary glands As regard mouth and tongue, choose the correct statement: 1- The lingual nerve carries general sensation from anterior 2/3rd of tongue 2- The submandibular duct opens in the floor of mouth by several openings 3- To stop bleeding from the tongue, press the tongue anterior to laceration 4- Injury of the hypoglossal nerve leads to deviation of tongue to same side of lesion 5- Chorda tympani carries taste sensation from posterior 1/3rd of tongue Regarding the palate, choose one correct statement: 1- Bony palate is formed by palatine & zygomatic bones 2- Tensor veli palatini muscle is supplied by pharyngeal plexus (pharyngeal branch of vagus) 3- Palatopharyngeus muscle can elevate the larynx 4- The soft palate forms the roof of nasopharynx 5- Palatoglossus muscle lies behind the tonsil Regarding the Genioglossus muscle, the following are true, except: 1- It originates from superior genial tubercle (mental tubercle) 2- It is innervated by the hypoglossal nerve 3- Its superior fibers are inserted into the tip of the tongue 4- It draws the tongue forward and protrudes the tip to the same side 5- Its inferior fibers are attached to the body of the hyoid bone The muscle that opens the auditory tube during swallowing is the: 1- Levator veli palatini 2- Palatoglossus 3- Palatopharyngeus 4- Salpingopharyngeus 5- Stylopharyngeus Regarding the pharynx, the following are correct, except: 1- The auditory tube opens into the nasopharynx 2- The Tonsillar bed is formed by the superior constrictor muscle 3- The constrictor muscles of pharynx are supplied by hypoglossal nerve 4- It extends from the base of the skull to the 6th cervical vertebra 5- The glossopharyngeal nerve supplies the stylopharyngeus muscle The following muscles are supplied by pharyngeal plexus (pharyngeal branch of vagus), except: 1- Superior constrictor 2- Salpingopharyngeus 3- Palatopharyngeus 4- Levator palati 5- Tensor palati Regarding the vestibule of the mouth, choose one correct statement: 1- It receives the opening of submandibular duct 2- It does not communicate with the oral cavity 3- It receives the opening of the parotid duct 4- It is present inner to the teeth & gum 5- None of the above Which of following tongue muscles is not supplied by hypoglossal nerve? 1- Styloglossus 2- Palatoglossus 3- Hyoglossus 4- Genioglossus 5- Intrinsic muscles of the tongue Regarding the palate, the following are true, except: 1- It lies between the oral & nasal cavities 2- It is formed of hard anterior and soft posterior parts 3- Its sensory innervation by maxillary nerve 4- All its muscles are supplied by pharyngeal branch of vagus (pharyngeal plexus) 5- It is drained by deep cervical lymph nodes Regarding the pharynx, the following are true, except: 1- It ends at the level of 6th cervical vertebra 2- Auditory tube opens in its nasal part 3- Palatine tonsils lie in the oral part 4- Its constrictor muscles are supplied by cranial part of accessory nerve (pharyngeal branch of vagus = pharyngeal plexus) 5- The mucosa of the oral part is supplied by maxillary nerve Regarding the pharynx, the following are true, except: 1- Opposite 6th cervical vertebra, it continues as esophagus 2- Its constrictor muscles are supplied by glossopharyngeal nerve 3- Its nasal part is connected to middle ear by Eustachian tube 4- The oropharynx contains palatine tonsils 5- Oropharyngeal isthmus is bounded by the palatoglossal arches Regarding the pharynx, the following are true, except: 1- It is formed of nasal, oral, and laryngeal parts 2- Auditory tube opens in its nasal part 3- Palatine tonsils lie in its oral part 4- Its constrictor muscles are supplied by the spinal part of accessory nerve 5- It ends at the lower border of cricoid cartilage Regarding movement of the tongue, the following are true, except: 1- Shape of the tongue is modified by the intrinsic muscles 2- Protrusion of the tongue is produced by both genioglossus muscles 3- Depression of the tongue is produced by both hypoglossi muscles 4- Retraction of the tongue is produced by styloglossus 5- Elevation of the tongue is produced genioglossus of one side Regarding the pharynx, the following are true, except: 1- The palatine tonsil is related laterally to superior constrictor muscle 2- The laryngopharynx is supplied by the internal laryngeal nerve 3- The cricopharyngeus part of inferior constrictor acts as a sphincter 4- The nasopharynx is sensory innervated by glossopharyngeal nerve 5- The palatine tonsils are drained by jugulodigastric lymph nodes Regarding the Genioglossus muscle, the following are true, except: 1- It originates from the superior genial (mental) tubercle 2- innervated by the cranial part of accessory nerve (pharyngeal plexus) 3- Its inferior fibers are inserted are attached to the body of hyoid bone 4- Its superior fibers are inserted into the tip of the tongue 5- It protrudes the tip of the tongue to opposite side Stylopharyngeus muscle is supplied by: 1- Hypoglossal nerve 2- Cranial part of accessory nerve (pharyngeal plexus) 3- Spinal part of accessory nerve 4- Glossopharyngeal nerve 5- Facial nerve Palatoglossus muscle is supplied by: 1- Pharyngeal branch of vagus nerve (pharyngeal plexus) 2- Spinal part of accessory nerve 3- glossopharyngeal nerve 4- Mandibular nerve 5- Facial nerve Tensor palati muscle is supplied by: 1- Facial nerve 2- Cranial part of accessory through pharyngeal branch of vagus (pharyngeal plexus) 3- Spinal part of accessory nerve 4- Glossopharyngeal nerve 5- Mandibular nerve Quinsy is formation of abscess lateral to the: 1- Nasopharyngeal tonsil 2- Tubal tonsil 3- Lingual tonsil 4- Palatine tonsil 5- Submandibular gland The esophagus pierces the diaphragm at level of: 1- Ninth thoracic vertebra 2- Tenth thoracic vertebra 3- Eleventh thoracic vertebra 4- Twelfth thoracic vertebra 5- First lumbar vertebra The following are direct branches of the superior mesenteric artery except: 1- Ileocolic artery 2- Appendicular branch 3- Right colic artery 4- Middle colic artery 5- Inferior pancreaticoduodenal artery The following are branches of the inferior mesenteric artery, except: 1- Middle rectal artery 2- Superior rectal artery 3- Sigmoid arteries 4- Left colic artery The following are direct tributaries of the portal vein, except: 1- Splenic vein 2- Superior mesenteric vein 3- Inferior mesenteric vein 4- Right gastric vein 5- Left gastric vein The following are branches of splenic artery except: 1- Terminal splenic branches 2- Pancreatic branches 3- Short gastric branches 4- Left gastric artery 5- Left gastroepiploic artery The following are direct branches of hepatic artery except: 1- Terminal right branch to right lobe of the liver 2- Terminal left branch to lefty lobe of the liver 3- Right gastroepiploic artery 4- Right gastric artery 5- Gastroduodenal artery The following are sites of portosystemic anastomoses except: 1- At the lower 1/3rd of esophagus 2- In the wall of jejunum & ileum 3- In the lower part of rectum & anal canal 4- Around the umbilicus 5- In the posterior abdominal wall The lymphatic drainage of transverse colon into:. 1- Superior mesenteric nodes 2- Para-aortic nodes 3- Inferior mesenteric nodes 4- Superior & inferior mesenteric nodes 5- Celiac & superior mesenteric nodes As regard the liver the following are true except: 1- The quadrate lobe drains bile into right hepatic duct 2- The lesser omentum connects stomach to visceral surface of liver 3- The left triangular ligament connects liver to diaphragm 4- The liver is supported mainly by the hepatic veins into the IVC 5- The Ligamentum venosum is attached the left branch of portal vein As regard the pancreas the following are true except: 1- It receives part of its arterial supply from splenic artery 2- Its main pancreatic duct opens into third part of duodenum 3- The uncinate process projects from the head 4- The common bile duct lies posterior to the head 5- The transverse mesocolon is attached to anterior border of pancreas As regard stomach the following are true except: 1- The splenic artery runs behind stomach along upper border of pancreas 2- Greater curvature receives its blood from right & left gastric arteries 3- Lymph drainage from gastroesophageal junction into celiac nodes 4- Lesser sac lies behind the stomach 5- Pyloric end is attached to posterior abdominal wall by the duodenum The lymphatic drainage of the head of pancreas into: 1- Celiac nodes 2- para-aortic nodes 3- Superior mesenteric nodes 4- Inferior mesenteric nodes 5- Celiac & superior mesenteric nodes As regard ileum & jejunum the following are true except: 1- The circular muscle layer of terminal ileum acts as a sphincter 2- The arterial arcades are more in the ileum than jejunum 3- Peyer's patches are present in the submucosa of the lower ileum 4- The plicae circularis are more in the ileum than jejunum 5- The parasympathetic nerve supply of jejunum & ileum is derived from vagus nerve As regard the pancreas, the following are true except: 1- It has head, neck, body & tail 2- It is completely covered by peritoneum 3- Its body lies transversely posterior to stomach 4- The head lies in the concavity of the duodenum 5- The tail is related to the spleen As regard biliary system, the following are true except: 1- The neck of gall bladder continues as cystic duct 2- The fundus of gall bladder is felt below the tip of right 9th costal cartilage 3- The common bile duct lies in the free border of lesser omentum 4- The junction of right & left hepatic ducts forms the common bile duct 5- The cystic vein drains into portal vein Which of the following is eroded in perforated ulcer in the posterior wall of 1st part duodenum? 1- Hepatic artery 2- Splenic artery 3- Right gastric artery 4- Gastroduodenal artery 5- Right gastroepiploic artery As regard the small intestine, select one correct statement: 1- The jejunum has complicated arterial arcades 2- The ileum forms the proximal 2/5ths of the small intestine 3- The lymphoid follicles are larger & numerous in jejunum than in ileum 4- Both jejunum & ileum have appendices epiploicae 5- It is supplied by branches of superior mesenteric artery The following are peritoneal folds, except: 1- Falciform ligament 2- Lienorenal ligament 3- Gastrosplenic ligament 4- Ligamentum venosum 5- Coronary ligament The following structures are present posterior to 1st part of duodenum, except: 1- Lesser sac 2- Bile duct 3- Liver 4- Gastroduodenal artery 5- Portal vein As regard the superior mesenteric artery, select one correct statement: 1- It is the artery of hindgut 2- It lies to the right of the superior mesenteric vein 3- It takes origin at the level of 3rd lumbar vertebra 4- It supplies lower part of duodenum & pancreas 5- It descends behind the 3rd part of duodenum The stomach is related posteriorly to the following except: 1- Left kidney 2- Left suprarenal gland 3- Left lobe of the liver 4- Lesser sac 5- Transverse mesocolon Pain of inflamed gall bladder (Cholecystitis) is referred to the: 1- Shoulder 2- Back 3- Iliac fossa 4- Umbilicus 5- Hypogastrium The following veins form portosystemic anastomoses except: 1- Esophageal tributaries of left gastric & azygos veins 2- Internal & external iliac veins 3- Paraumbilical & anterior abdominal veins 4- Right colic & lumbar veins 5- Veins in liver bare area & phrenic vein As regard the inferior mesenteric artery the following are true except: 1- Its colic branch supplies descending colon 2- It gives off inferior pancreaticoduodenal artery 3- It supplies sigmoid colon 4- Its branches contribute to the marginal artery 5- It arises from aorta just below 3rd part of duodenum Which of following is eroded in perforated peptic ulcer in the posterior wall of stomach? 1- Gastroduodenal artery 2- Left gastric artery 3- Right gastric artery 4- Hepatic artery 5- Splenic artery The inferior mesenteric vein terminates in: 1- Portal vein 2- Superior mesenteric vein 3- Splenic vein 4- Hepatic vein 5- Inferior vena cava The Ligamentum teres is the remains of: 1- Umbilical artery 2- Umbilical vein 3- Ductus venosus 4- Ductus arteriosus 5- Allantois The Appendicular artery is a direct branch of: 1- The inferior mesenteric artery 2- The ileocolic artery 3- The superior mesenteric artery 4- The superior rectal artery 5- The left colic artery The following are parts of biliary system except: 1- Common bile duct 2- Cystic duct 3- Pancreatic duct 4- Common hepatic duct 5- Right and left hepatic ducts Regarding the pancreas, the following are true except: 1- Cancer head causes obstructive jaundice 2- Its tail is present in the lienorenal ligament 3- Its head lies in the concavity of duodenum 4- Splenic artery lies at its upper border 5- Portal vein begins behind its body The following are present in the stomach bed except: 1- LT renal vein 2- Splenic artery 3- Pancreas 4- Left kidney 5- Left suprarenal gland As regard the liver the following are true except: 1- The visceral surface of the liver is related to the duodenum 2- The hepatic veins lie in the porta hepatis 3- The quadrate lobe is a functional part of the left lobe 4- Its nerve supply is derived from the celiac plexus 5- It is not completely covered by peritoneum In case of cancer stomach which group of lymph nodes might be affected? 1- Superior mesenteric 2- Inferior mesenteric 3- Celiac 4- Para-aortic 5- None of the above The visceral surface of spleen is related to the following except: 1- Stomach 2- Splenic flexure of the colon 3- Left kidney 4- Left suprarenal gland 5- Tail of pancreas The following are sites of portosystemic anastomosis except: 1- Around the umbilicus. 2- In the spleen. 3- Lower end of esophagus. 4- In the bare area of the liver. 5- In the wall of anal canal. The following structures are related to the posterior surface of the stomach except: 1- Left kidney. 2- Left suprarenal gland. 3- Splenic vein. 4- Splenic artery. 5- Body of pancreas. The following arteries share in the formation of marginal artery of the colon except: 1- Ileocolic artery 2- Right colic artery 3- Middle colic artery 4- Left colic artery 5- Middle rectal artery Regarding the spleen, the following are true, except: 1- It is a lymphatic organ 2- It is related to the posterior wall of the stomach 3- It is completely enclosed by peritoneum, except the hilum 4- It is usually palpable (you can feel it) in normal individual 5- Splenic & superior mesenteric veins form portal vein Pain of appendicitis is referred to the: 1- Shoulder 2- Epigastrium 3- Hypogastrium 4- Dermatomes T 5 - T 9 5- Region of the umbilicus Which of the following arteries is a branch of superior mesenteric artery ? 1- Superior rectal 2- Inferior rectal 3- Gastroduodenal 4- Inferior pancreaticoduodenal 5- Superior pancreaticoduodenal As regard the anal canal the following are true except: 1- The anal valves mark the boundary between upper & lower parts of anal canal 2- The mucosa of the upper part is sensitive to touch & pain. 3- The upper part is supplied by superior rectal artery. 4- The internal anal sphincter is supplied by autonomic nerves. 5- The external anal sphincter is supplied by somatic nerves. As regard the subcutaneous part of external anal sphincter which of the following statement is true? 1- It encircles the anal canal 2- Is attached to anococcygeal body 3- Is composed of smooth muscle 4- Is supplied by superior rectal nerve 5- It causes the rectum to join the anal canal at an acute angle Damage of anorectal ring will cause one of the following: 1- Anal fissure 2- Anal abscess 3- Fecal incontinence 4- Internal hemorrhoids 5- External hemorrhoids Which one of the following takes origin behind neck of pancreas? 1- Celiac trunk. 2- Portal vein. 3- Inferior mesenteric artery. 4- Superior mesenteric artery. 5- Hepatic artery. The gall bladder lies in the: 1- Upper left quadrant. 2- Upper right quadrant. 3- Lower left quadrant. 4- Lower right quadrant. 5- Epigastrium Which of following is more common in females than in males? 1- Direct inguinal hernia 2- Indirect inguinal hernia 3- Femoral hernia 4- Lumbar hernia 5- Epigastric hernia The commonest type of hernia is: 1- Umbilical hernia 2- Epigastric hernia 3- Paraumbilical hernia 4- Direct inguinal hernia 5- Indirect inguinal hernia About indirect inguinal hernia, the following are true except: 1- It is considered as congenital type 2- Its neck lies below & lateral to pubic tubercle 3- It occurs through inguinal canal 4- It usually descends to scrotum 5- It is usually unilateral About the direct inguinal hernia, the following are true, except: 1- It occurs usually in children 2- It is usually bilateral 3- It occurs in the posterior wall of inguinal canal 4- Its neck is wide 5- It is more common in males than females About femoral and inguinal hernias, the following are true, except: 1- Femoral hernia occurs in the femoral canal 2- Indirect inguinal hernia occurs in the inguinal canal 3- The neck of femoral hernia lies above & medial to pubic tubercle 4- Femoral hernia is more common in females than in males 5- Inguinal hernia is more common in males than in females About hernias, the following are true, except: 1- Internal hernia may occurs in the peritoneal recesses 2- Diaphragmatic hernia is the passage of mobile viscera through diaphragm 3- Lumbar hernia may occurs through lumbar triangle 4- Divarication (separation) of the recti usually occurs in muscular males 5- Incisional hernia occurs in a weak scar after surgical operation