Chapter·AnatomyGI development

Liver and biliary system developmentDownloads

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1

A 34-year-old woman comes to the emergency department because of a 2-hour history of abdominal pain, nausea, and vomiting that began an hour after she finished lunch. Examination shows abdominal guarding and rigidity; bowel sounds are reduced. Magnetic resonance cholangiopancreatography shows the dorsal pancreatic duct draining into the minor papilla and a separate smaller duct draining into the major papilla. The spleen is located anterior to the left kidney. A disruption of which of the following embryological processes is the most likely cause of this patient's imaging findings?

AProliferation of mesenchyme in the dorsal mesentery

BDifferentiation of the proximal hepatic diverticulum

CFusion of the pancreatic buds

DRotation of the midgut

ERotation of the dorsal mesogastrium

2

A 25-year-old female comes to her obstetrician’s office for a prenatal visit. She has a transvaginal ultrasound that correlates with her last menstrual period and dates her pregnancy at 4 weeks. She has no complaints except some nausea during the morning that is improving. She comments that she has had some strange food cravings, but has no issues with eating a balanced diet. Her BMI is 23 kg/m^2 and she has gained 1 pound since the start of her pregnancy. She is curious about her pregnancy and asks the physician what her child is now able to do. Which of the following developments is expected of the fetus during this embryological phase?

AFormation of male genitalia

BClosure of the neural tube

CMovement of limbs

DCreation of the notochord

ECardiac activity visible on ultrasound

3

A newborn is rushed to the neonatal ICU after becoming cyanotic shortly after birth. An ultrasound is performed which shows the aorta coming off the right ventricle and lying anterior to the pulmonary artery. The newborn is given prostaglandin E1 and surgery is planned to correct the anatomic defect. Which of the following developmental processes failed to occur in the newborn?

AFailure of the membranous ventricular septum to fuse with the muscular interventricular septum

BFailure of the septum primum to fuse with the septum secundum

CFailure of the aorticopulmonary septum to spiral

DFailure of the ductus venosus to close

EFailure of the ductus arteriosus to close

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