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NPLEX > ABD - KISS ll > Flashcards

ABD - KISS ll Flashcards

1
Q

Gastrohepatic Ligament contains?

A

L Gastric A

- it separates the Lesser and Greater sacs

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2
Q

Gastrocolic Ligament contains?

A

gastroepiploic A.

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3
Q

Gastrosplenic A. contains?

A

short gastric A.

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4
Q

Hepatoduodenal Ligament contains?

A

portal triad

hepatic A., Portal V, common bile duct

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5
Q

Falciform Ligament is where? contains?

A

anterior L - separates L and R lobes

- contains Ligamentum Teres - remnant of umbilical V.

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6
Q

Splenorenal ligament contains?

A

spleen vessel

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7
Q

Ligament of Treitz attached to?

A

from duod. to diaphragm

- separates upper and lower GI bleed

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8
Q

Inf. Mesenteric V. drains to?

A

Splenic V.

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9
Q

Splenic V merges w _____ to drain into the ______

A

superior mesenteric V to drain into the hepatic portal V

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10
Q

Portal HTN can cause?

A

esophageal varices
caput medusa
internal hemorrhoids

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11
Q

Portal Systems drains blood from?

A

below neck of pancreas to above the pectinate line

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12
Q

Nutmeg LR seen in? eti?

A

Budd-Chiari Syndrome

  • occlusion of the hepatic V.
  • -> centrilobular congestion –> LR failure
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13
Q

2 hepatic ducts become _____.

A

common hepatic duct

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14
Q

common hepatic duct + _______ —> ______

A

cystic duct (from GB) —-> common bile duct

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15
Q

common bile duct enters the pancreas and converges w the ______ to become the ______ as it exits the pancreas.

A

common bile duct converges w the pancreatic duct to become the Ampulla of Vater

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16
Q

Tumors what part of the pancreas can obstruct the common bile duct?

A

head

—> jaundice

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17
Q

the epithelium of the common bile duct contains?

A

alkaline phosphatase

18
Q

injury to the pancreas can cause?

A

saponification - which collects calcium

19
Q

Islet of Langerhans cells secrete what?
A
B
D

A

A- glucagon
B - insulin
D - somatostatin

20
Q

MC injured organ in traumatic events

A

SP

- its encapsulated

21
Q

Splenomegaly caused by?

A

Mono or AI Dz

22
Q

Gastric Ulcers vs Duodenal Ulcers

- pain

A

pain relieved w meals w duodenal ulcers

increased pain w meals w gastric ulcers

23
Q

L supraclavicular nodes also known as?

A

Virchow’s Node

LA assoc w Gastric Carcinoma

24
Q

Sister Mary Joseph Nodule

A

umbilical LA

25
Q

parasympathetic innervation to ST?

A

vagus N

26
Q

nonbilious V in baby w palpable olive-like mass in abd

A

Pyloric Stenosis

27
Q

2nd part of the duodenum contains?
3rd is located by?
4th part connected to?

A

ampulla of vater
3rd - superior mesenteric A
4th - cx to ligament of treitz

28
Q

“double bubble” sign on XRay assoc. w Down’s Syndrome

A

Duodenal Atresia

29
Q

UC and Crohns

pain located where?

A

UC - LLQ (uLcerative)

Crohn’s - RLQ (cRohn’s)

30
Q

Meckel’s Diverticulum is a remnant of?
true or false diverticulosis?
SSx

A

Vitelline Duct - dt failure of apoptosis
TRUE DIVERTICULUM
- abd pain, blood stools

31
Q

Diverticulosis vs Diverticulitis

A

Diverticulitis - LLQ PAIN, no blood

Diverticulosis - no pain.. BLOOD.. usu dt constipation. false diverticulum

32
Q

Coffee Bean sign on Xray

A

Volvulus

33
Q

Stacked Coin appearance along w current jelly stool, colicky pain

A

Intussusception

34
Q

SI and LI innervated by?

A

vagus N until spenic flexure, then S2 and S4

SNS: splanchnic N, celiac ganglia, sup. mesenteric ganglia, inf. mesenteric ganglia

35
Q

Rectum Innervation and blood supply - above and below pectinate line

A

above there is no sensory innervation so painless internal hemorrhoids
vs below - painful external hemorrhoids

ABOVE- rectal branch of inf. mesenteric A.
BELOW- pudendal A., inf. rectal branch of pudendal N., pudendal V drains to IVC

36
Q

failure of neural crest cells to migrate to sigmoid colon and rectum… assoc w CF and Down’s Syndrome

A

Hirschsprung’s Dz

- megacolon

37
Q

3 layers of Cortex of Suprarenal Gland:

- blood supply?

A

1: Glomerulosa - aldosterone
2. Fasciculata - cortisol
3. Reticularis - steroids
- blood supply from Aorta and Renal A.

38
Q

Medulla of Renals secrete what via?

A

Chromaffin cells –> EPI and NE

39
Q

R Gonadal V drains to?

A

IVC

direct so faster CA spread

40
Q

Which KD has a longer Renal V?

A

L

41
Q

What does the Cisterna Chyli do?

A

drain lymph from organs and chyle from gut

- continues to thoracic duct

42
Q

L gonadal V drains to?

A

L renal V so risk of varicocele

NPLEX (24 decks)

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