WBR0172: Difference between revisions

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{{WBRQuestion
{{WBRQuestion
|QuestionAuthor={{Rim}}
|QuestionAuthor={{Rim}}, {{AJL}} {{Alison}}
|ExamType=USMLE Step 1
|ExamType=USMLE Step 1
|MainCategory=Anatomy
|MainCategory=Anatomy
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|MainCategory=Anatomy
|MainCategory=Anatomy
|SubCategory=Gastrointestinal
|SubCategory=Gastrointestinal
|Prompt=A 52 year old male patient is diagnosed with gastric cancer. He is scheduled to undergo total gastrectomy. During his surgery, the surgeon resects the ligament that connects the greater curvature of the stomach and the spleen. Which artery is most likely contained in the resected ligament?
|Prompt=A 52-year-old male patient, diagnosed with gastric cancer, is scheduled to undergo total gastrectomy. During his surgery, the surgeon resects the ligament that connects the greater curvature of the stomach and the spleen. Which of the following arteries is most likely contained in the resected ligament?
|Explanation=The ligament resected in the vignette is the gastrosplenic ligament, which connects the greater curvature of the stomach to the spleen. The gastrosplenic ligament separates the greater and the lesser sacs on the left side. It contains several structures, including the short gastric arteries, and the left gastroepiploic vessels.
|Explanation=The ligament that is most likely resected in the patient presented in this scenario is the [[gastrosplenic ligament]], which connects the greater curvature of the stomach to the spleen. The [[gastrosplenic ligament]] separates the greater and the lesser sacs on the left side. The [[gastrosplenic ligament]] contains several structures, including the short gastric arteries and the left gastroepiploic vessels.


Educational Objective: The gastrosplenic ligament connects the greater curvature of the stomach to the spleen. It contains the short gastric arteries.
|EducationalObjectives= The gastrosplenic ligament connects the greater curvature of the stomach to the spleen. The [[gastrosplenic ligament]] contains the short gastric arteries.
|References= First AID for the USMLE Step 1 2013 Pg 336
|AnswerA=Left gastric artery
|AnswerA=Left gastric artery
|AnswerAExp=The left gastric artery is not contained in the gastrosplenic artery.
|AnswerAExp=The left gastric artery is not contained in the gastrosplenic artery.
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|RightAnswer=B
|RightAnswer=B
|WBRKeyword=ligament, structure, contain, contained, greater, great, less, lesser, sac, omentum, left, curvature, spleen, stomach, short, gastric, artery, arteries, surgery, gastrectomy, gastric, cancer
|WBRKeyword=ligament, structure, contain, contained, greater, great, less, lesser, sac, omentum, left, curvature, spleen, stomach, short, gastric, artery, arteries, surgery, gastrectomy, gastric, cancer
|Approved=No
|Approved=Yes
}}
}}

Revision as of 18:29, 10 July 2014
Author [[PageAuthor::Rim Halaby, M.D. [1], Alison Leibowitz [2] (Reviewed by Alison Leibowitz)]]
Exam Type ExamType::USMLE Step 1
Main Category MainCategory::Anatomy
Sub Category SubCategory::Gastrointestinal
Prompt [[Prompt::A 52-year-old male patient, diagnosed with gastric cancer, is scheduled to undergo total gastrectomy. During his surgery, the surgeon resects the ligament that connects the greater curvature of the stomach and the spleen. Which of the following arteries is most likely contained in the resected ligament?]]
Answer A AnswerA::Left gastric artery
Answer A Explanation AnswerAExp::The left gastric artery is not contained in the gastrosplenic artery.
Answer B AnswerB::Short gastric artery
Answer B Explanation AnswerBExp::The short gastric arteries are contained in the gastrosplenic ligament. The gastrosplenic ligament connects the greater curvature of the stomach to the spleen.
Answer C AnswerC::Hepatic artery
Answer C Explanation AnswerCExp::The portal triad, which includes the hepatic artery, portal vein, and common bile duct, is contained in the hepatoduodenal ligament. The ligament connects the liver to the duodenum.
Answer D AnswerD::Splenic artery
Answer D Explanation AnswerDExp::The splenic artery is contained in the splenorenal ligament. The splenorenal ligament connects the spleen to the posterior abdominal wall.
Answer E AnswerE::Gastroepiploic artery
Answer E Explanation AnswerEExp::The gastroepiploic artery is contained in the gastrocolic ligament, which connects the greater curvature of the stomach to the transverse colon.
Right Answer RightAnswer::B
Explanation [[Explanation::The ligament that is most likely resected in the patient presented in this scenario is the gastrosplenic ligament, which connects the greater curvature of the stomach to the spleen. The gastrosplenic ligament separates the greater and the lesser sacs on the left side. The gastrosplenic ligament contains several structures, including the short gastric arteries and the left gastroepiploic vessels.

Educational Objective: The gastrosplenic ligament connects the greater curvature of the stomach to the spleen. The gastrosplenic ligament contains the short gastric arteries.
References: First AID for the USMLE Step 1 2013 Pg 336]]

Approved Approved::Yes
Keyword WBRKeyword::ligament, WBRKeyword::structure, WBRKeyword::contain, WBRKeyword::contained, WBRKeyword::greater, WBRKeyword::great, WBRKeyword::less, WBRKeyword::lesser, WBRKeyword::sac, WBRKeyword::omentum, WBRKeyword::left, WBRKeyword::curvature, WBRKeyword::spleen, WBRKeyword::stomach, WBRKeyword::short, WBRKeyword::gastric, WBRKeyword::artery, WBRKeyword::arteries, WBRKeyword::surgery, WBRKeyword::gastrectomy, WBRKeyword::gastric, WBRKeyword::cancer
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