Topic 10. Unpaired visceral branches of abdominal aorta. Theoretical questions for the class: 1. Parietal branches of thoracic aorta. 2. Visceral branches of thoracic aorta. 3. Parietal branches of abdominal aorta. 4. Paired branches of abdominal aorta. 5. Ciliac trunk, its branches and topography. 6. Superior mesenteric artery. 7. Inferior mesenteric artery. B. Choose the correct answer. 1. A 40-year-old woman had appendectomy, during which an artery of the vermiform process was ligated. This artery separates from: A. Left colic artery. B. Jejunal artery C. Iliocolic artery. D. Right colic artery. E. Middle colic artery. 2. Examination of a patient has shown pancreas blood supply disorder. Which artery could be damaged? A. A. gastrica dextra. B. A. hepatica propria. C. A. gastrica sinistra. D. A. gastroepiploica dextra. E. A. lienalis. 3. A patient was admitted surgical department in grave condition with a stab wound in the right hypochondrium with signs of internal hemorrhage. After laparotomy, a doctor detected hepatic parenchyma injuries and blood in the abdominal cavity. For a temporary arrest of bleeding the doctor applied smooth tissue forceps hepatoduodenal ligament. Which vessels are bandaged in the region of this ligament? A. Right and left hepatic arteries. B. Hepatic veins and hepatic arteries. C. Proper hepatic artery and hepatic veins. D. Proper hepatic artery and porta. E. Coeliac trunk and superior mesenteric artery. 4. A patient with a stomach ulcer situated in the pyloric region on the lesser curvature of stomach has bleeding. What vessel should be ligated to stop the bleeding? A. Right gastric artery. B. Left gastric artery. C. Left gastroomental artery. D. Hepatic artery. E. Right gastroomental artery. 5. A surgeon makes operative intervention in the abdominal part of esophagus. Which vessel might be damaged? A. A. lienalis. B. A. gastrica dextra. C. A. gastrica sinistra. D. A. gastroomentalis sinistra. E. A. hepatica propria. 6. Examination of a patient with impaired blood coagulation revealed thrombosis of a branch of inferior mesenteric artery. What bowel segment is damaged? A. Colon sigmoideum B. Ileum C. Caecum D. Colon transversum E. Colon ascendens 7. Specify parts of the aorta. A. The cerebral part B. The cervical, the petrous, the cavernous and cerebral parts C. The prevertebral, the cervical, the atlantic and intracranial parts D. The cervical, the atlantic and intracranial parts E. The ascending, the arch and the descending parts 8. Specify parts of the descending aorta. A. The thoracic and abdominal parts B. The cervical, the petrous, the cavernous and cerebral parts C. The prevertebral, the cervical, the atlantic and intracranial parts D. The cervical, the atlantic and intracranial parts E. The ascending, the arch and the descending parts 9. The narrowing of large vessel caused worsening of outflow of blood from the left ventricle. Which vessel has undergone pathological changes? A. Pulmonary vein B. Pulmonary trunk C. Aorta D. Superior vena cava E. Inferior vena cava 10. Contraction of a great vessel reduced blood derivation from the left ventricle. Which vessel has undergone pathological changes? A. Pulmonary vein. B. Pulmonary trunk. C. Aorta. D. Superior vena cava. E. Inferior vena cava. Unpaired branches of the aorta Coeliac trunk Unpaired branches of the aorta Inferior mesenteric artery Topic 11. Iliac arteries. Arteries of the thigh. Theoretical questions for the class: 1. Division of abdominal aorta. 2. Internal iliac artery. Parietal and visceral branches of internal iliac artery, regions of supplying. 3. External iliac artery. Anastomosises of system of iliac arteries. Topography, branches, regions of supplying. 4. Common iliac artery. Topography of common iliac artery, branches, division. 5. Anastomosises between branches of external and internal iliac arteries and systems of other arteries. B. Choose the correct answer. 1. A patient has the affection of the head of the femur of ischemic origin diagnosed. Which artery is damaged? A. Ramus acetabularis. B. A. femoralis. C. A. illiaca extcrna. D. A. profunda femoris. E. A. umbilicalis. 2. A 70-year-old female patient was diagnosed with fracture of left femoral neck accompanied by disruption of ligament of head of femur. The branch of the following artery is damaged: A. Obturator B. Femoral C. External iliac D. Inferior gluteal E. Internal pudendal 3. Specify parts of the aorta. A. The cerebral part B. The cervical, the petrous, the cavernous and cerebral parts C. The prevertebral, the cervical, the atlantic and intracranial parts D. The cervical, the atlantic and intracranial parts E. The ascending, the arch and the descending parts 4. Specify parts of the descending aorta. A. The thoracic and abdominal parts B. The cervical, the petrous, the cavernous and cerebral parts C. The prevertebral, the cervical, the atlantic and intracranial parts D. The cervical, the atlantic and intracranial parts E. The ascending, the arch and the descending parts 5. The narrowing of large vessel caused worsening of outflow of blood from the left ventricle. Which vessel has undergone pathological changes? A. Pulmonary vein B. Pulmonary trunk C. Aorta D. Superior vena cava E. Inferior vena cava 6. A woman underwent an operation because of extrauterine (tubal) pregnancy. In course of the operation the surgeon should ligate the branches of the following arteries: A. Superior cystic and ovarian B. Uterine and ovarian C. Inferior cystic and ovarian D. Uterine and superior cystic E. Uterine and inferior cystic 7. Specify the terminal branches of the abdominal aorta. A. The right and left common iliac arteries B. The median sacral artery C. The left gastric artery D. The lateral sacral artery and lumbar arteries E. The coeliac trunk and superior mesenteric artery 8. Sick woman, 48 years old, needs in surgical intervention for ovarian neoplasms. Surgeon should remember that the ovary is blood supplied by anastomosing branches of large arterial vessels. What are they? A. Pars abdominalis aortae et a. iliaca interna. B. Pars abdominalis aortae et a. iliaca externa C A. iliaca interna et a. iliaca externa. D. A. mesenterica inferior et a. iliaca interna. E. A. mesenterica inferior et a. iliaca externa. 9. Sick woman, 57 years old, needs in surgical intervention for uterine neoplasms. Surgeon should remember that the uterus is blood supplied by branches of large arterial vessel. Specify its source. A. Pars abdominalis aortae B. A. iliaca externa C A. iliaca interna D. A. mesenterica inferior E. A. mesenterica superior 10. The patient was taken to hospital with a diagnosis - rupture of the femoral head. Which artery is violated in this case? A. Iliopsoas artery B. Superior gluteal artery C. Lateral sacral artery D. Acetabular artery E. Inferior gluteal artery Iliac Arteries Topic 12. Arteries of lower extremity. Theoretical questions for the class: 1. Popliteal artery, its branches, blood supplying of knee-joint. 2. Tibial arteries, their branches, regions of supplying. 3. Name all sources of blood supply of the foot. 4. Name arterial anastomoses of the lower limb. B. Choose the correct answer. 1. A patient has the ischemia of tissues below the knee-joint accompanied by intermittent claudication. Which artery occlusion is meant? A. Popliteal. B. Femoral. C. Posterior tibial. D. Anterior tibial. E. Proximal part of femoral artery. 2. While examining a patient, a surgeon detects artery pulsation behind medial malleolus. Which artery is meant? A. Posterior tibial. B. Fibular. C. Anterior tibial. D. Posterior recurrent tibial. E. Anterior recurrent tibial. 3. A 45-year-old patient's skin of the right foot and leg is pale; there is pulsations of the dorsal artery of foot and posterior tibial artery. Pulsation of the femoral artery is preserved. Which artery is damaged? A. Descending genicular. B. External iliac. C. Fibular. D. Deep artery of thigh. E. Popliteal. 4. Examining blood supply a doctor detects pulsation of a large artery, which passes ahead of the talocrural joint between the tendons of the long extensor of the big toe and the long extensor of fingers in a separate fibrous canal. Which artery is this? A. A. tarsea lateralis. B. A. tibialis posterior. C. A. tarsea medialis. D. A. dorsalis pedis. E. A. fibularis. 5. Examining blood supply of a foot a doctor detects pulsation of a large artery behind the malleolus medialis in a separate fibrous canal. Which artery is this? A. A. dorsalis pedis. B. A. tibialis posterior. C. A. tibialis anterior. D. A. fibularis. E. A. malleolaris medialis. 6. After resection of the middle third of a femoral artery, obstructed by a clot, a lower extremity is supplied with blood due to collateral anastomoses. Which artery is the most important for bloodstream restoration? A. External pudendal artery. B. Superficial circumflex iliac artery. C. Descending artery of knee joint. D. Superficial epigastric artery. E. Deep artery of thigh. 7. After resection of the middle third of femoral artery, obliterated by a thromb the lower extremity is supplied with blood due to the surgical bypass. Name an artery that plays the main role in reestablishment of blood flow: A. Deep femoral artery B. Superficial circumflex artery of hip bone C. Descending genicular artery D. Superficial epigastric artery E. Deep external pudendal artery 8. Specify parts of the aorta. A. The cerebral part B. The cervical, the petrous, the cavernous and cerebral parts C. The prevertebral, the cervical, the atlantic and intracranial parts D. The cervical, the atlantic and intracranial parts E. The ascending, the arch and the descending parts 9. Specify parts of the descending aorta. A. The thoracic and abdominal parts B. The cervical, the petrous, the cavernous and cerebral parts C. The prevertebral, the cervical, the atlantic and intracranial parts D. The cervical, the atlantic and intracranial parts E. The ascending, the arch and the descending part 10. The narrowing of large vessel caused worsening of outflow of blood from the left ventricle.