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Anatomy · Abdominal viscera
Sample itemA man with a long-standing peptic ulcer on the posterior wall of the first part of the duodenum presents with massive haematemesis. Which artery is most likely eroded?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Gastroduodenal artery
The gastroduodenal artery, a branch of the common hepatic artery, runs directly behind the first part of the duodenum. A posterior duodenal ulcer can erode into it and cause severe bleeding.
Option by option
A. Left gastric artery
The left gastric artery runs along the upper lesser curvature of the stomach, not behind the duodenum.
B. Right gastric artery
The right gastric artery is a small vessel on the lesser curvature near the pylorus and is not related to the posterior duodenal wall.
C. Gastroduodenal artery (correct)
Correct. This artery lies immediately behind the first part of the duodenum, so a penetrating posterior ulcer reaches it.
D. Splenic artery
The splenic artery runs along the upper border of the pancreas toward the spleen, away from the duodenal cap.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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