Gastroenterology Quiz #7: Portosystemic Anastomoses

1. A 55-year-old man with a history of chronic alcohol abuse presents with hematemesis. On examination, he has dilated veins around his umbilicus, resembling a “caput medusae.” This clinical finding is most directly associated with increased pressure in which of the following vessels? 

Question 1 of 5

2. A 60-year-old woman with a history of cirrhosis is found to have esophageal varices on endoscopy. Which of the following venous connections is primarily involved in the formation of these varices? 

Question 2 of 5

3. Which of the following anatomic sites is a common location for portosystemic shunting in patients with portal hypertension? 

Question 3 of 5

4. A patient with advanced liver disease develops splenomegaly and thrombocytopenia. This combination of findings is most likely a consequence of which of the following pathophysiological processes? 

Question 4 of 5

5. During a procedure to relieve portal hypertension, a connection is surgically created between the portal vein and the inferior vena cava. This procedure is known as: 

Question 5 of 5


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