Chapter·AnatomyLymphatic drainage pathways

Abdominal lymphatic drainageDownloads

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Sample Questions

1

A 34-year-old patient presents with severe pain in the right upper quadrant that radiates to the right shoulder. During laparoscopic cholecystectomy, which of the following anatomical spaces must be carefully identified to prevent bile duct injury?

AForamen of Winslow

BLesser sac

CCalot's triangle

DMorrison's pouch

2

During a surgical procedure to repair an abdominal aortic aneurysm, the surgeon must be careful to avoid injury to which of the following arterial structures that originates near the level of the renal vessels?

ALeft renal artery

BCeliac trunk

CRight renal artery

DSuperior mesenteric artery

3

A 29-year-old man presents to his primary care provider complaining of testicular pain. He reports a four-day history of dull chronic pain in his left testicle that is worse with standing. His past medical history is notable for asthma and major depressive disorder. He takes inhaled albuterol as needed and sertraline. He is sexually active with a single female partner and always uses barrier protection. His temperature is 99.2°F (37.3°C), blood pressure is 125/75 mmHg, pulse is 85/min, and respirations are 17/min. Physical examination reveals a non-tender twisted mass along the left spermatic cord that disappears when the patient lies supine. This patient’s condition most likely stems from decreased laminar flow at which of the following vascular junctions?

ADescending aorta – Left testicular artery

BLeft testicular vein – Left suprarenal vein

CLeft testicular vein – Inferior vena cava

DLeft testicular vein – Left renal vein

ELeft testicular vein – Left internal iliac vein

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