invite friends ⋅ share via emailtwitter
support the site ⋅ become a member ⋅ unscramble the egg
free120  nbme24  nbme23  nbme22  nbme21  nbme20  nbme19  nbme18  nbme17  nbme16  nbme15  nbme13 

NBME 22 Answers

nbme22/Block 1/Question#24 (32.9 difficulty score)
A 48-year-old man with renal artery stenosis ...
Testicular artery🔍
tags:

Login to comment/vote.




 +2  upvote downvote
submitted by snripper(30),

Essentially, we're trying to get to the renal artery from the femoral.

We cross through internal iliac (B) already to reach the aorta.

Remember the branches of the abdominal aorta: Celia -> SMA -> Renal -> IMA (FA 2020 pg. 363)

Celiac (A) and SMA (C) is superior to the renal so cross them out.

We're left with testicular artery.




unscramble the site ⋅ become a member ($36/month)

is isth iuqtosen kisnag thaw we syalycilph sspa gothuhr ro ?by

impostersyndromel1000  no, basically the question is testing if you know the branches of the abdominal aorta and which is closest to the renal (in this case, inferior to the renal arteries) +1  
impostersyndromel1000  what you are passing by would better answer your question actually +1  



This question in it's essence is asking that after inserting the catheter in the femoral artery, which landmark should we use beyond which superiorly lies the renal artery, and the answer is the origin of the testicular artery. What a weirdly worded question though. :?

makinallkindzofgainz  I don't think it's worded that weirdly. The guide wire should be advanced superiorly just beyond the testicular artery to approach the right renal artery. +