ABDOMINAL Flashcards

CHECK ON LEARNING PART I

1
Q

regions of the abdomen?

A
epigastric
left/right hypochondriac 
umbilical
left/right lumbar
hypogastric
left/right inguinal
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2
Q

quadrants of the abdominal cavity?

A

left/right upper

left/right lower

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3
Q

right upper quadrant?

A

liver-right lobe, gallbladder, stomach-pylorus, first three parts of the duodenum, head of pancreas, right suprarenal gland, right kidney, right colic flexure, ascending colon-superior part, transverse colon right half

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4
Q

left upper quadrant?

A

left lobe of liver, spleen, stomach

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5
Q

right lower quadrant?

A

cecum, vermiform appendix, most of ileum

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6
Q

left lower quadrant?

A

sigmoid colon, descending colon

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7
Q

what comprises the abdominal wall?

A
skin
subcutaneous fascia, campers and scarpa
muscles
transversalis fascia
extraperitoneal fascia
parietal peritoneum
internal organs
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8
Q

this fatty layer of the abdominal wall is next to skin, used for energy storage and as a lubricant?

A

camper’s fascia

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9
Q

this fatty layer of the abdomen is not fatty, a membranous layer

A

scarpa’s fascia

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10
Q

this is the inferior limit of the posterior layer of the rectus sheath, the point at which the posterior IO and TA become part of the ANTERIOR rectus sheath, leaving the posterior rectus sheath uncovered except for the transversalis fascia

A

arcuate line

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11
Q

superior to the arcuate line

how does the aponeurosis of the EO, IO and TA pass over the rectus abdominus?

A

anterior to the RA

splits to go on either side of the RA

passes posterior to RA

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12
Q

posterior to the arcuate line

how does the aponeurosis of the EO, IO and TA pass over the rectus abdominus?

A

the aponeurosis of IO does not split

the aponeurosis of all three flat muscles pass anterior to RA

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13
Q

deep fasciae covers what?

A

all three flat muscles

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14
Q

this fascia of the abdominal wall runs deep to the TA?

A

transversalis fascia

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15
Q

this fascia of the abdominal wall is the fatty layer, deep to the TA?

A

extraperitoneal fascia

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16
Q

what are the five surface markings of the anterior abdominal wall?

A

2 x lateral umbilical fold
2 x medial umbilical fold
1 x median umbilical fold

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17
Q

this surface marking of the anterior abdominal wall is a fold in the peritoneum where the inferior epigastric ran?

A

lateral umbilical fold

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18
Q

this surface marking of the anterior abdominal wall covers the medial umbilical ligaments, remnant of the umbilical arteries

A

medial umbilical fold

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19
Q

this surface marking of the anterior abdominal wall covers the medial umbilical ligament, a remnant of the urachus, joined by the fetal bladder to the umbilicus

A

median umbilical fold

20
Q

what is the ligaments teres the remnant of?

A

remnant of the umbilical vein

21
Q

main constituent of the inguinal canal?

A

spermatic cord in males, round ligament in females,

22
Q

what comprises the spermatic cord?

A

internal spermatic fascia

cremaster fascia and muscle from internal oblique muscle that draws testes superiorly

external spermatic fascia from external oblique aponeurosis

23
Q

in the female, also part of the inguinal canal, this connects the uterus with the labia majora?

A

round ligament

24
Q

what is the entrance into the inguinal canal?

A

deep (internal) inguinal ring formed from transversalis fascia

25
Q

this is the exit of the inguinal canal?

what are the medial and lateral margins of the ring called?

A

superficial (external) ring

lateral and medial crura

26
Q

this forms the floor of the inguinal canal? it goes from the ASIS to pubic tubercle and runs inferior to the canal

A

inguinal ligament

27
Q

what is the inguinal canal derived from?

A

the external oblique muscle

28
Q

the most inferior medial tendinous fiber of the internal oblique joining with aponeurotic fibers of the TA. Attaches to the pubic crest and pecten pubis?

A

conjoint tendon or inguinal canal

29
Q

what comprises the hesselbach triangle? significance?

A

inferior epigastric artery superolaterally

rectus abdominis medially

inguinal ligament inferiorly

direct inguinal hernias

30
Q

this is a protrusion of a portion of an organ or tissue through an abnormal opening?

A

inguinal hernias

31
Q

what type of hernia?

medial to the inferior epigastric artery

protrudes through the inguinal triangle

seen in adult males

A

direct inguinal hernia

32
Q

what type of hernia?

lateral to the inferior epigastric vessels

enters the scrotum

seen in young males

*most dangerous

A

indirect inguinal hernia

33
Q

this is the chief muscle of inspiration? innervation

A

diaphragm

C:3,4,5

34
Q

this is the largest cavity of the body? how many parts? what is it separated by? what are they

A

abdominopelvic cavity

2

pelvic brim

abdominal cavity (diaphragm to pelvic brim)

pelvic cavity (pelvic brim to pelvic floor)

35
Q

this peritoneum covers the organ? this one lines the body cavity?

A

visceral peritoneum

parietal peritoneum

36
Q

a specific peritoneal reflection that supports gut and holds it to the posterior body wall?

A

mesentery

37
Q

mesentery of the large intestine?

A

mesocolon

38
Q

mesentery of the ilium and jejunum?

A

mesentery proper

39
Q

the peritoneum makes up what two sacs?

this sac lines the abdominal cavity

this is a sac within a sac formed by the folding over the peritoneum to form the greater omentum

A

peritoneal cavity proper, greater sac
omental bursa, lesser sac

peritoneal cavity proper, greater sac

omental bursa, lesser sac

40
Q

this is a double layer of peritoneum that hangs down from the greater curvature of the stomach like an apron with the purpose to insulate to maintain core body temperature

A

greater omentum

41
Q

this interconnects the greater and lesser sacs, lies posterior to the lesser omentum and is significant in spread of infection?

A

epiploic foramen of Winslow

42
Q

location of these organs

kidneys
suprarenal glands
urinary bladder
ascending and descending colon
rectum
2,3,4 part of duodenum
head of pancreas
uterus
ureters
aorta
IVC
A

retroperitoneal

43
Q

pathologic condition of serous fluid accumulation in peritoneal cavity, fluid build up can impair the function of organs it presses on?

from inflammation
from blood backing up due to heart failure

A

ascites

44
Q

what is this potential space?

between liver and right kidney

A

pouch of douglas

45
Q

what is this potential space?

between pubic crest and urinary bladder in both sexes

A

retropubic space

46
Q

what is this potential space?

between uterus and rectum

A

retrouterine space, pouch of douglas

47
Q

what is this potential space?

in males between bladder and rectum

A

rectovesicular pouch