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MED2100 & MED2200 - Foundations of medical practice & principles of medicine 2 - Clayton - FY 2025

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Which of the following are present within the area labelled A? (One or more correct answer)

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The structure labelled A in the following diagram refers to

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Which of the following structures drain into the right renal vein?  (One or more correct answers)

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When removing a kidney for a transplant, the structures around the hilum must be carefully dissected. Which of the following structures would be found most anteriorly at the hilum of the kidney?

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Additionally, when dissecting the renal hilum, care must be taken to tie off vessels to other viscera supplied by the renal arteries. Which of the following viscera have branches from the renal arteries? (One or more correct answers)

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In order to control the bleeding, and repair the vessel, the abdominal aorta must be clamped for a short period of time. The decision is made to clamp the aorta below the origin of the superior mesenteric artery, just inferior to a vein which crosses the aorta. Which of the following viscera may have a short period of ischaemia? (One or more correct answers).

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During repair of the vessel, a nerve emerging medially from the psoas major muscle, and passing laterally along the pelvic wall, is inadvertently injured. Which of the following might be consequences of damage to this nerve? (One or more correct answers)

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A 77-year old self-identified man is rushed to the operating theatre following a burst aneurysm of a large posterior abdominal wall artery. While initially difficult to locate, due to the large volume of blood, the surgeon manages to palpate and manually clamp an artery, just lateral of the midline, at the L5 vertebral level. In which artery has an aneurysm burst?

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Having now controlled the torrential bleeding, the surgeon turns their attention to removing the spleen. What peritoneal folds (and contents therein) must be divided to get the spleen out (i.e. what is holding the spleen into the abdomen)?

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A patient falls off a horse and is brought to the hospital. She is very unwell, found to have blood in the abdomen on ultrasound, and is taken for an emergency abdominal surgery. She is found to have a ruptured spleen causing massive haemorrhage, so the surgeon plans to place a clamp onto the splenic artery to control the bleeding. Unfortunately the surgeon has a "mental blank" and forgets which peritoneal fold the splenic artery runs in! Can you help the surgeon remember?

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