Abdominal walls, cavities, regions and planes Flashcards

1
Q

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Serosa covering the abdominal cavity and reflects on the abdominal viscera

A

Peritoneum

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2
Q

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The potential space lined by the peritoneum

A

Peritoneal cavity

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3
Q

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Contents of the peritoneal cavity

A

ECF

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4
Q

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The abdominal cavity extend superiorly into the thoracic cage up to which intercostal space?

A

4th

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5
Q

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Abdominal organs protected by the thoracic cage

A

Spleen, part of kidneys, liver, stomach

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6
Q

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Which planes divide the abdominal cavity into 4 quadrants?

A

Median plane and transumbilical plane

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7
Q

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The transumbilical plane passes through which level of the vertebra?

A

Level of IV disc between L3 and L4

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8
Q

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In which quadrant: jejunum

A

Left upper

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9
Q

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In which quadrant: ileum

A

Right lower

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10
Q

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In which quadrant: pylorus

A

RIght upper

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11
Q

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In which quadrant: gall bladder

A

Right upper

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12
Q

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Planes that divide the abdominal cavity into nine regions

A

Right and left midclavicular plane, subcostal plane (sometimes, transpyloric plane), and transtubecular plane (sometimes, interspinous plane)

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13
Q

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The midclavicular planes pass from which points to which points?

A

From clavicle to midinguinal point

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14
Q

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The subcostal plane is on which level of the vertebra?

A

L3

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15
Q

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The subcostal plane is marked by which costal cartilage?

A

10th

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16
Q

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The transtubecular plane is on which vertebral level?

A

L5

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17
Q

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The transtubecular plane extends from to which points?

A

Iliac tubercles

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18
Q

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Plane marked by the 10th costal cartilage

A

Subcostal plane

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19
Q

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Horizontal plane on L5

A

Transtubecular plane

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20
Q

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Vertebral level of the transpyloric plane

A

L1

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21
Q

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Structure that mark the interspinous plane

A

ASIS

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22
Q

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Horizontal plane on L3

A

Subcostal plane

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23
Q

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Horizontal plane that stretches from iliac tubercle to iliac tubercle

A

Transtubecular plane

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24
Q

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Horizontal plane that stretches from ASIS to ASIS

A

Interspinous plane

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25
Q

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Horizontal plane on L1

A

Transpyloric plane

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26
Q

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Horizontal planes of the abdominal cavity

A

Subcostal and transtubecular plane Transpyloric and interspinous plane Transumbilical plane

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27
Q

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Regions between the right and left midclavicular plane (superior to inferior)

A

Epigastric, umbilical, pubic regions

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28
Q

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Regions lateral to the midclavicular plane (superior to inferior)

A

R. and L. hypochondrium, R. and L. lateral, R. and L. inguinal regions

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29
Q

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Superior border of the anterolateral abdomiinal wall

A

Cartilages of 7-10th ribsa and xiphoid process

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30
Q

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Inferior border of the anterolateral abdominal wall

A

Inguinal ligament and anterolateral aspects of the pelvic girdle (iliac crest, pubic crest, pubic symphysis)

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31
Q

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Layers of the anterolateral abdominal wall (outer to inner)

A

Skin, subcutaneous tissue, muscles, extraperitoneal fat, parietal peritoneum

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32
Q

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Layers of the anterolateral abdominal wall’s subcutaneous tissue (superficial fascia)

A

Superficial fatty layer (Camper fascia), deep membranous fatty layer (Scarpa fascia)

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33
Q

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Major site of fat storage in the anterolateral abdominal wall of males

A

Superficial fascia

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34
Q

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The skin of the anterolateral abdominal wall attaches losely to the subcutaneous tissue except at which area?

A

Umbilicus

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35
Q

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The parietal epithelium is how many layer of epithelial cells?

A

One

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36
Q

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Muscles of the anterolateral abdominal wall (outer to inner)

A

External oblique, internal oblique, transversus abdominis

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37
Q

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Fascia covering the surface of the EO

A

Superficial investing fascia

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38
Q

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Fascia between EO and IO

A

Intermediate investing fascia

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39
Q

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Fascia between IO and TA

A

Deep investing fascia

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40
Q

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Fascia lining the deep surface of TA

A

Transversalis fascia

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41
Q

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Five (bilaterally paired) muscles of the anterolateral abdominal wall

A

EO, IO, TA, rectus abdominis, pyramidalis

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42
Q

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Aponeuroses of the RA muscle

A

Rectus sheath

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43
Q

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The midline raphe formed by the interweaving aponeurosis of the RA

A

Linea alba

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44
Q

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The linea alba extends from which point superiorly to which point inferiorly?

A

Xiphoid process to pubic symphysis

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45
Q

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Largest most superficial flat muscle of the AAW

A

EO

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46
Q

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Direction of EO fibers

A

Inferomedial (fingers in pocket)

47
Q

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Direction of IO fibers

A

Superiomedial (hand on chest)

48
Q

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Direction of TA fibers

A

Mostly transverse Inferiormost superomedial

49
Q

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Above the costal margin, the rectus sheath is formed by which aponeurosis?

A

EO aponeurosis anterior the RA

50
Q

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What is the arcuate line?

A

The crescentic demarcation of the transition between the aponeurosis make up the rectus sheath

51
Q

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Aponeurosis making up the rectus sheath above the arcuate line

A

Anterior rectus sheath = aponeurosis of EO and IO Posterior rectus sheath = aponeurosis of IO and TA

52
Q

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Aponeurosis making up the rectus sheath below the arcuate line

A

Anterior rectus sheath = aponeurosis of EO, IO, and TA No posterior rectus sheath

53
Q

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Which part of the rectus sheath does not span the RA?

A

Posterior rectus sheath

54
Q

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The posterior rectus sheath is only present on which parts of the rectus sheath?

A

Below the costal margin, above the arcuate line

55
Q

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The posterior rectus sheath is composed of which aponeurosis?

A

Aponeurosis of TA and posterior lamina of IO aponeurosis

56
Q

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At which point does the IO aponeurosis split into an anterior and posterior lamina?

A

Below the costal margin, above the arcuate line

57
Q

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Contents of the rectus sheath

A

Superior and inferior epigastric vessels RA, pyramidalis Lymphatic vessels Distal thoraco-abdominal nerves (abdominal parts of anterior rami of spinal nerves)

58
Q

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All layers of the AAW fuse at which point?

A

Umbilicus

59
Q

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When does the skin around the umbilicus ring become raised and the umbilicus becomes depressed?

A

7-14 days after birth, when the atrophic umbilical corf “falls off.”

60
Q

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Dermatome of the umbilicus

A

T10

61
Q

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Which are the thoracoabdominal nerves?

A

T7-T11

62
Q

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Which is the subcostal nerve?

A

T12

63
Q

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What are the five umbilical peritoneal folds of the AAW?

A

Median umbilical fold (1) Medial umbilical folds (2) Lateral umbilical folds (2)

64
Q

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Which umbilical fold extends from the umbilicus to the apex of the urinary bladder?

A

Median umbilical fold

65
Q

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The median umbilical fold is a remnant of which embryonic structure?

A

Urachus

66
Q

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Which umbilical folds are occluded parts of the umbilical arteries?

A

Medial umbilical folds

67
Q

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Which umbilical fold is the fibrous remnant of the urachus?

A

Median umbilical fold

68
Q

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Which umbilical folds cover the inferior epigastric vessels?

A

Lateral umbilical fold

69
Q

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What is the urachus?

A

An embryonic structure that once joined the apex of the urinary bladder to the umbilicus

70
Q

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The lateral umbilical fold bleeds when cut. Why is that?

A

Underneath it is the inferior epigastric vessels

71
Q

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The peritoneal fossa are potential sites for hernia. T/F

A

T

72
Q

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The median umbilical fold extends from which structure to which structure?

A

From umbilicus to apex of urinary bladder

73
Q

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Which umbilical fold bleeds when cut?

A

Lateral umbilical folds

74
Q

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The peritoneal fossae

A

Lateral inguinal fossae, medial inguinal fossae, supravesical fossae

75
Q

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Which fossae lies between the median and medial umbilical folds?

A

Supravesical fossae

76
Q

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Which fossae lies lateral to the medial umbilical folds?

A

Medial inguinal fossae

77
Q

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Which fossae lies lateral to the lateral umbilical folds?

A

Lateral inguinal fossae

78
Q

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Sites for indirect hernia

A

Lateral inguinal fossa

79
Q

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Sites for direct hernia

A

Medial inguinal fossa/ inguinal triangles/ Hesselback triangles

80
Q

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What lies underneath the medial umbilical folds?

A

Occluded parts of the umbilical arteries

81
Q

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Two layers of the peritoneum

A

Parietal and visceral peritoneum

82
Q

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Membranous lining of the viscera

A

Visceral peritoneum

83
Q

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Membranous lining of the abdominopelvic wall

A

Parietal peritoneum

84
Q

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Peritoneal layer with poorly localized pain sensation

A

Visceral peritoneum

85
Q

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Peritoneal layer which share the nerve supply of the overlying skin

A

Parietal peritoneum

86
Q

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Visceral peritoneum stimulus

A

Stretching, chemical irritation

87
Q

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Parietal peritoneum stimulus

A

Pressure, pain, heat, cold, laceration

88
Q

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Intraperitoneal organs are only partially covered by peritoneum. T/F

A

F They are almost completely covered by peritoneum.

89
Q

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Intraperitoneal organs are located in the peritoneal cavity. T/F

A

F The peritoneal cavity does not contain organs, but is filled with a thin film of peritoneal fluid.

90
Q

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The stomach and spleen are extraperitoneal organs. T/F

A

F They are intraperitoneal.

91
Q

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The kidney is subperitoneal. T/F

A

F It is retroperitoneal.

92
Q

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The urinary bladder is extraperitoneal. T/F

A

F It is subperitoneal.

93
Q

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The peritoneal cavity is completely closed in males. T/F

A

T

94
Q

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Omentum and mesentery are double layered. T/F

A

T

95
Q

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A double layer of peritoneum that occurs as a result of the invagination of the peritoneum by an organ, and constitutes a continuity of the visceral and parietal peritoneum

A

Mesentery

96
Q

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A double-layered extension or fold of peritoneum that passes from stomach to proximal parts of the duodenum to adjacent organs in the abdominal cavity

A

Omentum

97
Q

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A prominent, four-layered peritoneal fold that hands down like an apron from the greater curvature of the stomach, proximal the duodenum

A

Greater omentum

98
Q

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A much smaller double-layered peritoneal fold that connects stomach to a triad of structures that run between duodenum and liver

A

Lesser omentum

99
Q

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The parts of the greater omentum

A

Gastrohepatic ligament, gastrosplenic ligament, gastrocolic ligament

100
Q

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The parts of the lesser omentum

A

Hepatogastric ligament, hepatoduodenal ligament

101
Q

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Connects intraperitoneal organs to the body wall: omentum or mesentery

A

Mesentery

102
Q

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The supracolic and infracolic compartments of the greater sac is divided by which structure in abdomen?

A

Transverse colon

103
Q

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Organs of the supracolic compartment

A

Stomach, liver, pancreas

104
Q

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Organs of the infracolic compartment

A

Small intestine, ascending and descending colon

105
Q

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Which mesentery is known as ‘the mesentery’?

A

The mesentery of the small intestines

106
Q

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In the suprapubic area, the posterior rectus sheath is formed by A. External oblique aponeurosis B. Internal oblique aponeurosis C. Transversus abdominis aponeurosis D. AOTA E. NOTA

A

E

107
Q

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The outermost covering of the spermatic cord within the inguinal canal? A. cremaster muscle B. external spermatic fascia C. internal spermatic fascia D. processus vaginalis

A

B

108
Q

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Hernia is due to the weakness of which border of the inguinal canal? A. Anterior Wall B. Posterior Wall C. Roof D. Floor

A

B

109
Q

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Which demarcates the suprapubic area from the umbilical region? A. Transpyloric plane B. Transumbilical plane C. Transtubercular plane D. Subcostal plane

A

C

110
Q

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What is the remnant of the umbilical artery? A. Median umbilical ligament B. Medial umbilical fold C. Medial umbilical ligament D. Median umbilical fold

A

C

111
Q

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The limits of the pelvic outlet includes the following except? A. Ischial tuberosity B. Coccyx C. Pubic arch D. Arcuate line

A

D

112
Q

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These ligaments do not provide support for the urinary bladder: a. pubovesical ligaments b. median umbilical ligaments c. middle umbilical folds d. puboprostatic ligaments

A

C

113
Q

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The omental sac communicates with the greater sac through which opening?

A

Omental (epiploic) foramen

114
Q

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The cremasteric fascia is made of: A. External oblique B. Transversusabdominis C. Internal oblique D. Transversus fascia

A

C