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Anatomy · Peritoneum
Sample itemA trauma patient lying supine on the ultrasound table has free intraperitoneal blood. In which space does it collect first because it is the most dependent part of the supine peritoneal cavity?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Hepatorenal pouch (Morison's pouch)
In the supine position, the hepatorenal pouch between the liver and the right kidney is the lowest part of the peritoneal cavity. Free fluid collects here, which is why it is checked first on a FAST scan.
Option by option
A. Lesser sac
The lesser sac is a closed recess behind the stomach and fills late, through a narrow foramen.
B. Left subphrenic space
The left subphrenic space lies high under the diaphragm and is not dependent when the patient is lying flat.
C. Rectouterine pouch
The rectouterine pouch is the most dependent recess when the patient is upright, not supine.
D. Hepatorenal pouch (Morison's pouch) (correct)
Correct. This pouch is the deepest recess in the supine position, so free blood pools there.
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.