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Anatomy · Embryology: fetal vessels
Sample itemA surgeon laparoscopically identifies a fibrous cord running from the internal iliac artery to the umbilicus, raising the medial umbilical fold on the inner anterior abdominal wall. It is the remnant of which fetal structure?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Umbilical artery
After birth, the distal parts of the umbilical arteries become obliterated as the medial umbilical ligaments, which raise the medial umbilical folds. The urachus forms the median umbilical ligament, and the umbilical vein forms the ligamentum teres hepatis.
Option by option
A. Umbilical vein
The umbilical vein becomes the ligamentum teres hepatis in the free edge of the falciform ligament.
B. Ductus venosus
The ductus venosus becomes the ligamentum venosum on the liver.
C. Urachus
The urachus becomes the median umbilical ligament in the midline.
D. Umbilical artery (correct)
Correct. The obliterated umbilical arteries form the medial umbilical ligaments.
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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