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NBME 18 Answers

nbme18/Block 4/Question#16 (reveal difficulty score)
an 83-year-old woman with systemic ...
descending colon ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—azibird(279)
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The IMA comes off the aorta between the renal arteries and bifurcation. The IMA supplies the hindgut, which spans the distal 1/3 of transverse colon to upper portion of anal canal. Compromise of the IMA would lead to decreased blood supply to these structures, of which "Descending colon" is the only answer choice.

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hemoglobin_  just to add, the marginal artery of Drummond is the collateral blood supply between SMA and IMA that protects the intestine from ischemia +



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submitted by notpennysboat(3)
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The graft is placed below the renal arteries and above the aortic bifurcation, which contains the IMA. IMA supplies the hindgut (distal 1/3 of transverse colon to to upper portion of the rectum).

FA 2019 pg. 357

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