Certified Surgical Technologist Anatomy and Physiology 2 — Questions and Answers
Question 1: Which layer of the abdominal wall is incised last before entering the peritoneal cavity?
- Skin
- Fascia
- Peritoneum (Correct answer)
- Muscle
Correct answer: Peritoneum
The peritoneum is the innermost layer of the abdominal wall and is entered last to access the peritoneal cavity.
Question 2: The celiac trunk is the first major branch of the abdominal aorta and supplies blood to which organs?
- Kidneys and adrenal glands
- Stomach, liver, and spleen (Correct answer)
- Small and large intestine
- Bladder and rectum
Correct answer: Stomach, liver, and spleen
The celiac trunk branches into the left gastric, splenic, and common hepatic arteries, supplying the stomach, liver, and spleen.
Question 3: Which nerve is at risk during a total hip arthroplasty due to its proximity to the posterior hip capsule?
- Femoral nerve
- Obturator nerve
- Sciatic nerve (Correct answer)
- Lateral femoral cutaneous nerve
Correct answer: Sciatic nerve
The sciatic nerve passes posterior to the hip joint and is the most commonly injured nerve during posterior approach total hip arthroplasty.
Question 4: The mitral valve separates which two cardiac chambers?
- Right atrium and right ventricle
- Left atrium and left ventricle (Correct answer)
- Right ventricle and pulmonary artery
- Left ventricle and aorta
Correct answer: Left atrium and left ventricle
The mitral (bicuspid) valve is located between the left atrium and left ventricle, preventing backflow during ventricular systole.
Question 5: Which structure passes through the carpal tunnel alongside the flexor tendons?
- Ulnar nerve
- Radial nerve
- Median nerve (Correct answer)
- Radial artery
Correct answer: Median nerve
The median nerve passes through the carpal tunnel with the flexor digitorum superficialis and profundus tendons and flexor pollicis longus tendon.
Question 6: The ureters enter the bladder at an oblique angle to create a valve-like effect that prevents:
- Urinary retention
- Vesicoureteral reflux (Correct answer)
- Urinary incontinence
- Renal calculi formation
Correct answer: Vesicoureteral reflux
The oblique insertion of the ureters through the bladder wall creates a flap valve mechanism that prevents vesicoureteral reflux during micturition.
Question 7: Which cranial nerve provides motor innervation to the muscles of mastication?
- Cranial nerve VII (Facial)
- Cranial nerve V (Trigeminal) (Correct answer)
- Cranial nerve IX (Glossopharyngeal)
- Cranial nerve XII (Hypoglossal)
Correct answer: Cranial nerve V (Trigeminal)
The mandibular branch of the trigeminal nerve (CN V3) provides motor innervation to the masseter, temporalis, and pterygoid muscles.
Which layer of the abdominal wall is incised last before entering the peritoneal cavity?