Abdominal Vasculature and Portal Venous System Flashcards

Master Review Questions material

1
Q

The transverse duodenum passes anteriorly to what?

A

The IVC and aorta

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2
Q

The SMA passes anteriorly to the:

A

duodenum and left renal vein

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3
Q

If the angle of the SMA decreases, what structures will most likely be obstructed?

A

Transverse portion of duodenum and left renal vein

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4
Q

Symptoms of aortic anuerysm

A

pulsation in his epigastric region and high blood pressure

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5
Q

caput medusae is an end-stage characteristic of what liver disease?

A

liver cirrhosis

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6
Q

Snakelike appearance on the body wall is a sign of what?

A

Caput medusae

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7
Q

Umbilical veins are are expanded when hypertension occurs in what vein?

A

Portal vein

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8
Q

Dilated veins on anterior wall of abdomen is a sign of what?

A

Caput medusae–obstruction of the portal vein

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9
Q

Gastroduodenal artery travels behind what structure?

A

First part of duodenum

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10
Q

To alleviate symptoms of portal hypertension, a vein from the portal venous system must anamost with a vein from what system?

A

Caval-systemic venous system

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11
Q

Fluid ascites, dilated varies, jaundice and portal hypertension are all aftereffects of what liver disease?

A

Hepatic cirrhosis

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12
Q

When pressure in the portal vein is elevated, varices occur at what sites?

A

Anorectal junction

Esophageal varices at the gastroesophageal region’

Caput medusae at the umbilicus

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13
Q

caput medusae: The para-umbilical veins anastomose with veins of:

A

anterior abdominal wall

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14
Q

anorectal junction: The superior rectal vein of the portal system anastomose with:

A

middle and inferior rectal veins

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15
Q

gastroeopogeal junction: where the left gastric vein anastomoses with:

A

azygos system of veins of the caval system

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16
Q

The caval-systemic venous system ideally is present to allow what:

A

low-resistance and easily performed anastomosis

17
Q

What vein of the liver carries blood to the back to the heart?

A

hepatic vein

18
Q

Portal vein drains from what organs to the liver

A

Stomach, spleen, pancreas, intestines

19
Q

Bleeding from esophogeeal varices is observed. The varices most likely a result of anastomoses between the left gastric vein and which other vessel (s)?

A

Azygos system of veins

20
Q

What artery will most likely provide collateral supply to descending colon if IMA is occluded?

A

Middle colic artery