[2] Spleen, Pancreas, and Small Intestines

Question 1

5 Ligaments of the Liver

Answer 1

Falciform
Left and Right Triangular
Coronary
Round

Question 2

What thick structure covers the liver?

Answer 2

Glisson’s Capsule

Question 3

What forms the Triangular Ligament?

Answer 3

Fusion of the Coronary Ligaments (Upper and Lower)

Question 4

What ligament is located at the base of the Falciform Ligament?

Answer 4

Round Ligament / Ligamentum Teres Hepatis

Question 5

Origin of the Ligamentum Teres?

Answer 5

Umbilical Vein

Question 6

Right Lateral Surface of the liver spans which ribs?

Answer 6

7th to 11th Ribs

Question 7

What do you call Dilated Veins in:

1. Anus
2. Gastroesophageal
3. Paraumbilical

Answer 7

1. Hemorrhoids
2. Esophageal Varices
3. Caput Medusa

Question 8

Gallbladder can hold how much bile?

Answer 8

50mL

Question 9

Tip of the Fundus is found where?

Answer 9

Angle formed by the Lateral Border of the Rectus Abdominis and 9th Costal Cartilage

Question 10

What do you call the bulging inferior surface of the infundibulum?

Answer 10

Hartman’s Pouch

Question 11

What is the main arterial supply of the Gallbladder?

Answer 11

Cystic Artery arising from the right hepatic artery

Question 12

Where can the cystic artery originate from?

Answer 12

Right and Left Hepatic Arteries
Common Hepatic Artery
Superior Mesenteric Artery

Question 13

What is the main venous drainage of the Gallbladder?

Answer 13

There is no major cystic vein

Cystic veins pass directly into the liver and end in the portal capillary system

Question 14

Biliary Colic is caused by impaction of stones at which part of the Gallbladder?

Answer 14

Neck

Question 15

Components of the Greater Omentum

Answer 15

Gastrophrenic Ligament
Gastrosplenic Ligament
Gastrocolic Ligament

Question 16

Components of the Lesser Omentum

Answer 16

Hepatoduodenal Ligament

Hepatogastric Ligament

Question 17

Temporary Folds of the Stomach

Answer 17

Rugae

Question 18

Permanent Folds of the Small Intestine

Answer 18

Plicae Circulares

Question 19

[T/F]

The Spleen is normally palpable?

Answer 19

F, palpable ones are enlarged

DO NOT PALPATE

Question 20

Location of the Spleen?

Answer 20

Under the 9th, 10th and 11th ribs in the Midaxillary Line

Fractures of the lower libs should always consider spleen damage

Question 21

Notches are ONLY found on what part of the spleen?

Answer 21

On the superior border

Question 22

Describe the location of the Pancreas

Answer 22

Located at the epigastric and left hypochondriac areas, retroperitoneal

Question 23

What is the main Pancreatic Duct?

Answer 23

Duct of Wirsung

Question 24

How long is the small intestine?

Answer 24

6-7 meters from pylorus to ileocecal valve?

Question 25

3 Parts of the Small Intestine

Answer 25

Duodenum
Jejunum
Ileum

Question 26

Length of Duodenum

Answer 26

20-25cm

Question 27

What is the shortest, widest, and most sessile part of the small intestine?

Answer 27

Duodenum

Question 28

Impressions on the Spleen

Answer 28

Colic
Pancreatic
Gastric

Question 28

Where do the Spleen’s lymphatics drain?

Answer 28

Pancreaticosplenic Lymph Nodes

Question 28

What innervates the Spleen?

Answer 28

Celiac Nerve Plexus

Vasomotor in function

Question 28

What part of the Pancreas is exocrine? What does it secrete?

What part is endocrine? What does it secrete?

Answer 28

Exocrine: Acinar Cells, secretes pancreatic juice

Endocrine: Islets of Langerhans, secretes glucagon and insulin

Question 28

General blood supply of the Pancreas

Answer 28

Splenic Artery

Question 28

What supplies the Head of the Pancreas?

Answer 28

Anterior and Posterior Superior Pancreaticoduodenal Arteries [From Gastroduodenal Artery]

Anterior and Posterior Inferior Pancreaticoduodenal Arteries [From SMA]

Question 34

What is the minor pancreatic duct?

What does it drain?

Answer 34

Duct of Santorini

Anterosuperior Part of the Head