Anterior Abdominal Wall Flashcards
Which of the following is the level of the gall bladder fundus, pylorus, pancreatic neck, hepatic portal vein, hila of kidneys and transverse mesocolon?
A. Transpyloric Plane (L1)
B. Subcostal plane (L3, rib 12)
C. Transtubercle plane (L5)
D. Interspinous plane (S2)
Transpyloric Plane (L1)
also SMA origin
- Which of the following planes is at the level of the transverse colon?
A. Transpyloric Plane (L1)
B. Subcostal plane (L3, rib 12)
C. Transtubercle plane (L5)
D. Interspinous plane (S2)
Subcostal plane (L3, rib 12)
- Which of the following plans is between the level of ileocecal junction?
A. Transpyloric Plane (L1)
B. Subcostal plane (L3, rib 12)
C. Transtubercle plane (L5)
D. Interspinous plane (S2)
Transtubercle plane (L5)
- Which of the following is between the ASIS at the level of the appendix and sigmoid colon?
A. Transpyloric Plane (L1)
B. Subcostal plane (L3, rib 12)
C. Transtubercle plane (L5)
D. Interspinous plane (S2)
Interspinous plane (S2)
Fluid buildup within the abdominal wall, like blood, won’t flow out into the leg, but it CAN go into the superficial perineal pouch. What connection blocks flow into the thigh?
A. Connection of Scarpa’s fascia with colle’s fascia
B. Connection of Scarpa’s with camper’s fascia
C. Connection of Scarpa’s fascia with Tensor fascia lata
C. Connection of Scarpa’s fascia with Tensor fascia lata
NOTE: Scarpa’s fascia being continuous with Colle’ fascia allows the fluid to flow into the superficial perineal space
- Colle’s fascia is deep to scarpa’s fascia
Which of the following is the correct order of the following structures from most external to most internal?
A. Skin > Camper’s fascia > aponeurosis > Scarpa’s fascia
B. Skin > Scarpa’s fascia > Camper’s fascia > Aponeurosis
C. Skin > Camper’s fascia > Scarpa’s Fascia > Aponeurosis
D. Camper’s fascia > Scarpa’s fascia > aponeurosis > skin
C. Skin > Camper’s fascia > Scarpa’s Fascia > Aponeurosis
CSA: Camper’s Scarf down Apples
Which of the following muscles insertion forms the inguinal ligament attached to the ASIS and pubic tubercle?
A. External Oblique
B. Internal Oblique
C. Transversus Abdominus
D. Rectus Abdominus
External Oblique
Which of the following muscles sends fibers that follow the spermatic cord to make the Cremasteric Muscle?
A. External Oblique
B. Internal Oblique
C. Transversus Abdominus
D. Rectus Abdominus
Internal Oblique
What is the innervation of Transverse Abdominous and Internal Oblique muscle?
What is the innervation of the External Oblique M and REctus Abdominus M.?
T7-L1
T7-T12
What two muscles of the Anterior Abdominal wall come together to form the Conjoint Tendon also known as Inguinal Falx?
A. External Oblique and Transversus Abdominus
B. Internal oblique and External oblique
C. Internal Oblique and Transversus Abdominus
D. All of the above combine to form the tendon
Internal Oblique and Transversus Abdominus
- Which of the following correctly describes the arcuate line?
- Where anterior abdominal muscles’ aponeuroses become anterior to rectus abdominus M 1/4ths of the way down
- Where anterior abdominal muscles’ aponeuroses become posterior to the rectus abdominus 1/4ths of the way down
- The lateral border of the rectus abdominus
- None of the above
A. Where anterior abdominal muscles’ aponeuroses become anterior to rectus abdominus M 1/4ths of the way down
NOTE: external oblique aponeurosis was always anterior to rectus abdominus M., it is at the arcuate line that the IO and TA also follow suit
Below the arcuate line the rectus abdominus is in contact with Transversalis fascia
Which of the following nerves is a continuation of Intercostal Ns. and runs between Transversus abdominus and Internal Oblique?
A. Sub costal N. (T12)
B. Thoracoabdominal N (T7-T11)
C. Iliohypogastric N. (L1)
D. Ilioinguinal N. (L1)
B. Thoracoabdominal N (T7-T11)
What nerve has motor component as well as a sensory component that works superior to iliac crest?
A. Subcostal N. (T12)
B. Thoracoabdominal N (T7-T11)
C. Iliohypogastric N. (L1)
D. Ilioinguinal N. (L1)
Subcostal N. (T12)
What nerve sends motor to IO and TA, and sensory to upper inguinal and hypogastric region?
A. Subcostal N. (T12)
B. Thoracoabdominal N (T7-T11)
C. Iliohypogastric N. (L1)
D. Ilioinguinal N. (L1)
Iliohypogastric N. (L1)
What nerve sends motor to lower portion of IO and TA, as well as sensory to lower inguinal and anterior scrotum/labia near the medial thigh?
A. Subcostal N. (T12)
B. Thoracoabdominal N (T7-T11)
C. Iliohypogastric N. (L1)
D. Ilioinguinal N. (L1)
Ilioinguinal N. (L1)
Arteries of the abdominal wall include the continuation of intercostal arteries, as well as the arteries included below. Select the arteries that come off the femoral A.?
A. Lumbar aa.
B. Superficial epigastric A.
C. Superficial Circumflex Iliac A.
D. Deep Circumflex Iliac A.
E. Inferior Epigastric A.
A. Lumbar aa.- abdominal aorta
B. Superficial epigastric A.
C. Superficial Circumflex Iliac A.
D. Deep Circumflex Iliac A. - External Iliac
E. Inferior Epigastric A. -External Iliac
What artery runs posterior to rectus abdominus M. and anastomosis with the Superior Epigastric A.?
A. Lumbar aa.
B. Superficial epigastric A.
C. Superficial Circumflex Iliac A.
D. Deep Circumflex Iliac A.
E. Inferior Epigastric A.
Inferior Epigastric A.
Select the arteries that run along the Inguinal L. Indicate which one is found superior to the ligament
A. Lumbar aa.
B. Superficial epigastric A.
C. Superficial Circumflex Iliac A.
D. Deep Circumflex Iliac A.
E. Inferior Epigastric A.
Deep Circumflex Iliac A. - found deep and superior
Superficial Circumflex Iliac A.
What is the terminal branch of the Internal Thoracic A.?
SUPERIOR epigastric A.
NOTE: DO NOT confuse with superFICIAL epigastric A. off the femoral A.
What artery branches off from the underside of the inguinal L., then loops back up to cross over transversus abdominus and rectus abdominus?
A. Superior epigastric A.
B. Superficial epigastric A.
C. Superficial Circumflex Iliac A.
D. Deep Circumflex Iliac A.
Superficial epigastric A.
Which of the following folds are due to obliterated urachus?
A. Median Umbilical Fold
B. Medial Umbilical Fold
C. Lateral Umbilical fold
D. None of the above
Median Umbilical Fold
What fold is associated with the obliterated Umbilical aa.?
A. Median Umbilical Fold
B. Medial Umbilical Fold
C. Lateral Umbilical fold
D. None of the above
Medial Umbilical Fold
What fold is due to the Inferior Epigastric A. which runs anterior to the Posterior Rectus sheath?
A. Median Umbilical Fold
B. Medial Umbilical Fold
C. Lateral Umbilical fold
D. None of the above
Lateral Umbilical fold
What fossa is the gutter found on either side of the upper bladder just lateral to the Median Umbilical Fold?
A. Medial Fossa
B. Lateral Fossa
C. Supravesicular Fossa
Supravesicular Fossa
What fossa is associated wuth Deep inguinal ring?
A. Medial Inguinal Fossa
B. Lateral Inguinal Fossa
C. Supravesicular Fossa
Lateral Inguinal Fossa
NOTE: Both inguinal fossa are latearl to each respective Medial and Lateral umbilical folds
Lymphatic drainage pattern is divided by the Transumbilical Line. Vessels above the transumbilcal line drain to what?
A. Superficial Inguinal Nodes
B. Axillary Nodes and Parasternal Nodes
Axillary Nodes and Parasternal Nodes
NOTE: Below the transumbilical line drain to Superficial Inguinal Nodes
Which of the following incisions is often used to reach the gallbladder, biliary tract, or spleen?
A. Subcostal
B. Midline
C. Paramedian
D. Gridline (McBurney’s point)
E. Suprapubic
Subcostal
Which of the following incisions is used most in gynecological/obstertrical surgeries?
A. Subcostal
B. Midline
C. Paramedian
D. Gridline (McBurney’s point)
E. Suprapubic
Suprapubic
What incisions can be made rapidly for emergencies, and splits few BVs or nerves?
A. Subcostal
B. Midline
C. Paramedian
D. Gridline (McBurney’s point)
E. Suprapubic
Midline
What incisions only requires cutting through anterior sheath, and allows you to push the rectus abdominus asside to enter the peritoneum?
A. Subcostal
B. Midline
C. Paramedian
D. Gridline (McBurney’s point)
E. Suprapubic
Paramedian
