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Q The testicular arteries typically branch from the abdominal aorta at the level of the:

• 1. renal arteries

  2. adrenal arteries

  3. abdominal aorta above the superior mesenteric artery

1. abdominal aorta below the renal arteries

   1. common iliac arteries

Q A 20 year old man is undergoing retroperitoneal dissection for a testicular germ cell tumour. The inferior mesenteric artery is divided during reflection of the intestines to expose the retroperitoneum. This can be expected to result in:

• 1. ischemia of the descending colon

  2. ischemia of the sigmoid colon

  3. ischemia of the rectum

  4. ischemia of the transverse colon

1. none of the above

Q Which of the following vessels drain(s) into the inferior vena cava.

1. Renal veins

   1. Superior mesenteric vein

   2. Inferior mesenteric vein

   3. Splenic vein

   4. All of the above

Q The left gonadal vein typically drains into the:

• 1. anterior aspect of the inferior vena cava

  2. left lateral aspect of the inferior vena cava

1. inferior aspect of the left renal vein

   1. left adrenal vein

   2. inferior aspect of the common iliac vein

Q The left renal vein crosses the abdominal aorta:

• 1. anteriorly, just above the superior mesenteric artery

1. anteriorly, just below the superior mesenteric artery

   1. posteriorly, at the level of the superior mesenteric artery

   2. anteriorly, just below the inferior mesenteric artery

   3. anteriorly, just above the inferior mesenteric artery

Q Which of the following vessels commonly drains into the left renal vein?

• 1. The left adrenal vein

  2. The second lumbar vein

  3. The left internal spermatic vein

1. All of the above

   1. None of the above

Q On a CT scan, a male patient is found to have enlarged lymph nodes along the abdominal aorta between the left renal hilum and the inferior mesenteric artery. Sites of malignancy that would commonly drain directly to these lymph nodes would NOT include the:

1. colon

2. left kidney

3. left testis

4. left renal pelvis

5. bladder

Q Lymph flow in the lumbar lymphatic chains of the retroperitoneum proceeds:

• 1. in a cephalad direction

1. in a cephalad direction and from right to left

   1. in a cephalad direction and from left to right

   2. caudally

   3. caudally and from left to right

Q The cisterna chyli is typically located at approximately the level of the first lumbar vertebral body:

• 1. posterior to the inferior vena cava

1. posterior to the aorta

   1. closely approximated to the posterior surface of the right adrenal gland

   2. associated with the superior mesenteric artery

   3. posterior to the right renal hilum

Q The primary lymph node drainage site for the right testis is the:

• 1. superficial right inguinal lymph nodes

  2. deep right inguinal lymph nodes

  3. right common iliac lymph nodes

  4. lymph nodes at the right renal hilum

1. interaortocaval lumbar lymph nodes

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