Abdomen Flashcards

0
Q

Cremasteric reflex utilizes sensory and motor fibers in the ventral ramus of?

A

L1 spinal nerve

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1
Q

Layers of abdominal wall

A
(9)
Skin
Superficial fascia
Campers
Scarpas
Deep fascia
Muscles
Transversalis fascia
Extraperitoneal fat
Parietal peritoneum
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2
Q

Ligament that conducts the portal triad

A

Hepatoduodenal ligament

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3
Q

Foregut, a portion of thenprimitive gut, is supplied by what blood vessel

A

Celiac trunk/artery (level of T12)

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4
Q

Midgut, a part of the primitive gut, is supplied by what blood vessel?

A

Superior mesenteric artery (level of L1)

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5
Q

Hindgut, a portion of the primitive git, is supplied by what blood vessel?

A

Inferior mesenteric artery (level of L3)

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6
Q

Common site of aortic aneurysm

A

Proximal to bifurcation of the aorta at level of L4 vertebra

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7
Q

L and R hepatic veins drain into

A

IVC

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8
Q

R gonadal and R suprarenal veins drain into

A

IVC

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9
Q

L gonadal and suprarenal veins drain into

A

L renal

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10
Q

R gastroepiploic veins drains into

A

Superior Mesenteric Vein

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11
Q

L gastroepiploic vein drains into

A

Splenic vein

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12
Q

R colic drains into

A

Superior Mesenteric Vein

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13
Q

L Colic drains into

A

Inferior Mesenteric Vein

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14
Q

Length of esopohagus

A

23-25 cm long

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15
Q

Accompanies esophagus through the diaphragm

A

Vagus nerve (left and right vagi lie on its anterior and posterior surfaces) “LARP” left anterior right posterior

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16
Q

Esophagus passes through diaphragm at what vertebral level

A

T10

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17
Q

Blood supply of upper third of esophagus

A

Inferior thyroid artery from subclavian artery

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18
Q

Blood supply of middle third of esophagus

A

Descending thoracic aorta

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19
Q

Blood supply of,ower third of esophagus

A

Left gastric artery from celiac trunk of abdl aorta

20
Q

Venous drainage of esophagus

A

Upper third - inferior thyroid vein
Middle third - azygous vein
Lower third - left gastric vein

21
Q

Capacity of stomach

A

1.5 L

22
Q

Gastric ulcers are most commonly found in which part of the stomach?

A

Body

23
Q

Carcinomas of the stomach are most commonly found where?

A

Pylorus

24
Q

Parasympathetic nerve supply of the stomach

A

Vagus nerve

25
Q

Syp athetic nerve supply of the stomach

A

T6 to t9

26
Q

Length of duodenum

A

10 inches

27
Q

How many divisions does the duodenum have and what are they?

A

Superior - 5cm and lies anterolateral to border of L1
Descending - 7-10cm, descends along sides of L1 to L3
Horizontal - 6-8cm and crosses L3
Ascending - 5 cm and begins at the L of L3 and rises superiorly as far as superior border of L2

28
Q

Remnant of umbilical vein

A

Ligamentum teres/round ligament of liver

29
Q

Remnant of ductus venosus

A

Ligamentum venosum

30
Q

Blood supply of pancreas

A

Superior pancreaticoduodenal artery (hepatic-celiac)
Inferior pamcreaticpduodenal artery (from SMA)
Pancreatic arteries from Splenic

31
Q

Left lobe of liver is composed of what segments?

A

II (lateral superior) and III (lateral inferior)

32
Q

What composes the portal triad

A

Portal vein
Hepatic artery
Bile duct

33
Q

Where is a liver biopsy done?

A

Right 10th intercostal space, MAL

34
Q

Cystohepatic triangle/Triangle of Calot boundaries

A

Superior - Liver
Inferior - Cystic Duct
Medial - Common Hepatic Duct

35
Q

Common site of an impacted gallstone

A

Hepatopancreatic ampulla. Pxs exhibit referred pain at the epigastric region

36
Q

Where does the appendix lie?

A

Right Iliac Fossa

37
Q

Where does the anal anal begin

A

Where the rectal ampulla narrows at the level of a U shaped sling formed by the PUBORECTALIS MUSCLE

38
Q

Separates the anal canal into 2 segments

A

Dentate/Pectinate/Anorectal line

39
Q

Ascending and transverse colon recieve blood from _______ and parasympathetic fibers from _______

A

SMA

Vagus nerve

40
Q

Descending and sigmoid colons receive blood from ________ and parasympathetic fibers from __________

A

IMA

Pelvic splanchnic nerve from sacral nerves S2-S4

41
Q

Muscle of the loin refers to

A

Psoas major

42
Q

Nerve supply of the foregut

A

Parasympathetic - vagus nerve

Sympathetic - lower thoracic splanchnic nerves from T5-T9

43
Q

Nerve supply of the Midgut

A

Parasympathetic - vagus nerve

Sympathetic - lower horacic splanchnic nerves T5-T12

44
Q

Nerve supply of the hindgut

A

Parasympathetic - pelvic splanchnic nerves from S2-S4

Sympathetic - lower thoracic and lumbar splanchnic nerves from T11 -L2

45
Q

Injury to this nerve results in weakened abduction of the thigh by gluteus medius, waddling gait, and (+) Trendelenburg sign

A

Superior Gluteal Nerve

46
Q

Kidneys are at the level of

A

T12 - L3

47
Q

Renal fascia covering kidney

A

Gerota’s Fascia

48
Q

Blood supply of the ureters

A

Upper - renal artery
Middle - gonadal artery
Lower - superior vesical artery