Anatomy & Imaging GIT

Question 1

Pancreatitis causes inflammation and enzymes can leak out and damage other organs. Since the kidney is right behind the pancreas, why does it not get damaged by pancreatits?

Answer 1

It doesn’t get damaged because it is surrounded by Gerata’s fascia which is dense and protects kidney’s from damage

Question 2

Is free air on a film normal?

Answer 2

No, it means there is a perforation somewhere

Question 3

Is morison’s pouch intra or retroperitoneal? Douglas pouch?

Answer 3

Intraperitoneal, retroperitoneal?

Question 4

What are the key nerves for swallowing?

Answer 4

5, 9, 10, 11, 12

Question 5

These nerves are involved in the oral prep phase of chewing and producing saliva?

Answer 5

V3, VII

CN 5, 7

Question 6

These nerves are involved in the oral (buccal phase) of moving the food bolus to back of throat?

Answer 6

CN 5, 7, 12

Mylohyloid helps out

Question 7

These nerves are involved in the pharyngeal phase

Answer 7

5, 10, 11, 12

Question 8

What nerve is important in chewing and sensation to the mouth and anterior 2/3 of tongue?

Answer 8

CN 5

PSNS to salivary glands in mouth and parotid gland

Question 9

What nerve is responsible for taste on anterior 2/3 of tongue?

Answer 9

Facial n 7 via chorda tympani

Question 10

What nerve is responsible for taste and sensation on posterior 1/3 of tongue?

Answer 10

CN 9

Question 11

This nerve is involved in taste from epiglottis

Answer 11

Vagus neve 10

Question 12

This nerve assists in swallowing function

Answer 12

CN 11

Question 13

This nerve supplies motor innervation to the tongue?

Answer 13

CN 12

Question 14

Is the esophagus under conscious control?

Answer 14

Skeletal muscle, not under conscious control

Question 15

Weakness in Killian’s Dehisence can lead to what?

Answer 15

Zenker’s diverticulum

Question 16

What are the symptoms of Zenker’s diverticulum?

Answer 16

Symptoms include difficulty swallowing, feeling swallowed material sticking in the throat, regurgitation, weight loss, bad breath, choking, and coughing.

Question 17

What is at the gastroesophageal junction that can cause problems but is usually asymptomatic?

Answer 17

Schatski RIng

Question 18

What type of cancer cells happen in the esophagus?

Answer 18

adenocarcinoma

Question 19

A ______ is blocked first in a stangulated hernia and then the ______ is blocked second

Answer 19

vein, artery

Question 20

Would postprandial response be increased or decreased in ischemia? What about obstruction?

Answer 20

Increased in obstruction and decreased in ischemia (paralysis)

Question 21

What is the difference between a bowel obstruction and ileus?

Answer 21

Ileus- Irritation and inflammation has caused a loss of peristalis, causing dilated and non-functioning bowel (no bowel sounds)

mechanical obstruction- secondary to adhesions, tumor, hernias, intussecption and IBS (herperactive bowel sounds) because the peristalsis tries to overcome the obstruction causing cramping and pain

Question 22

A malrotation leads to ________

Answer 22

volvulus

Question 23

The porta hepatis (portal triad) contains what structures?

Answer 23

• Common bile duct
• hepatic artery proper
• portal vein

Question 24

acoustic shadowing

Answer 24

cholelithiasis

Question 25

We cut this spinchter to open up the duct so stones will pass through into the descending duodenum?

Answer 25

Spinchter of ode (surrounds cystic duct)

Question 26

Currant jelly stools

Answer 26

intussecption

Question 27

Thumbprinting indicating bowel wall edema

Answer 27

pseudomembranous colitis

Question 28

Whenever you see a large dilated loop of bowel, think ________

Answer 28

volvulus