Anatomy

Question 1

Retroperitoneal Organs

Answer 1

SAD PUCKER
Suprarenal glands
Aorta/IVC
Duodenum
Pancreas(except tail)
Ureters
Colon(ascending+descending)
Kidneys
Esophagus
Rectum

Question 2

Transpyloric Plane

Answer 2

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Hila of kidney
Hepatic portal vein
L1
Pancreatic neck
Pylorus
Transverse mesocolon
9th costal cartilage
Fundus of gallbladder
Duodenojejunal flexure
Origin of SMA
Spinal cord termination

Question 3

Abdominal Aorta

Answer 3

Begins T12
Ends L4
Branches
T12 celiac, phrenic
L1 SMA, middle suprarenal
L2 renal
L3 IMA, gonadal
L4 median sacral, common iliac
4 pairs of lumbar arteries

Question 4

External iliac

Answer 4

Starts sacroiliac joint
Ends midinguinal point as femoral artery
Branches
Deep circumflex
Inferior epigastric gives cremasteric anastamoses with superior epigastric at umbilicus

Question 5

Right adrenal venous drainage

Answer 5

IVC

Question 6

Left adrenal venous drainage

Answer 6

Left renal vein

Question 7

Lymphatic drainage inferior to dentate line

Answer 7

Inguinal nodes

Question 8

Lymphatic drainage superior to dentate line

Answer 8

Mesorectal lymph nodes

Question 9

Waldeyers fascia

Answer 9

Presacral/Rectosacral fascia, posterior to rectum

Question 10

Denonvilliers fascia

Answer 10

Rectovesical/Rectoprostatic/Rectovaginal fascia, anterior to rectum
Inhibits posterior spread of prostatic adenocarcinoma

Question 11

Retzius space

Answer 11

Extraperitoneal
Between urinary bladder and symphysis pubis

Question 12

Midinguinal point

Answer 12

Halfway between ASIS and pubic symphysis
Where external iliac artery become femoral artery

Question 13

Midpoint of inguinal ligament

Answer 13

Halfway between ASIS and pubic tubercle
Deep inguinal ring 1.5cm above midpoint of inguinal ligament

Question 14

Arcuate line

Answer 14

Insertion of inf epigastric artery into rectus sheath
Inferior limit of posterior rectus sheath

Question 15

Appendix

Answer 15

appendicular artery from ileocolic

Question 16

Mcburneys

Answer 16

1/3 from ASIS to umbilicus

Question 17

Lacunar ligament

Answer 17

Inguinal ligament (external oblique aponeurosis)

Question 18

Conjoint tendon

Answer 18

Transversus abdominis and Internal oblique
Weakness leads to direct inguinal hernia

Question 19

Midgut

Answer 19

2nd part of duodenum to 2/3 of transverse colon

Question 20

Hindgut

Answer 20

distal 1/3 of transverse colon to anus

Question 21

Deep inguinal ring

Answer 21

opening in fascia transversalis
0.5 inch above

Question 22

Cecal diameter

Answer 22

<9cm
>10cm ischemia and pending perforation

Question 23

Celiac trunk

Answer 23

Left Hand Side
Left gastric
Hepatic atery
Splenic artery

Question 24

Cremasteric reflex

Answer 24

Genitofemoral nerve

Question 25

Adrenal medulla

Answer 25

ectoderm, neural crest cells

Question 26

Ovaries and Uterine fundus

Answer 26

paraaortic LN

Question 27

Body of uterus

Answer 27

iliac LNS

Question 28

Cervix

Answer 28

Externa iliac
Prescaral nodes
Internal iliac

Question 29

Adrenal cortex

Answer 29

mesoderm of post abdominal wall

Question 29

Epiploic foramen

Answer 29

Anterior bile duct, portal vein, hepatic artery
Postrior IVC
Inferior 1st part of duodenum
Superior Caudate process of liver

Question 29

Internal anal sphincter

Answer 29

smooth muscle, surrounds upper 2/3 of anal canal, sympathetic nerves

Question 29

External anal sphincter

Answer 29

striated muscles, surrounds internal sphincter, s2,3,4

Question 30

Femoral nerve

Answer 30

Medial cutaneous nerve of thigh
Intermediate cutaneous nerve
Saphenous nerve
Vastus
Quadriceps femoris
Sartorius
PEctineus