B5-085 Anterior Abdominal Wall, Inguinal Canal, and Organs Flashcards

I'm so sorry :(

1
Q

name the quadrant the organ is found in

right lobe of liver

A

RUQ

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2
Q

name the quadrant the organ is found in

gallbladder

A

RUQ

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3
Q

name the quadrant the organ is found in

pylorus of stomach

A

RUQ

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4
Q

name the quadrant the organ is found in

parts 1-3 of duodenum

A

RUQ

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5
Q

name the quadrant the organ is found in

head of pancreas

A

RUQ

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6
Q

name the quadrant the organ is found in

right suprarenal gland

A

RUQ

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7
Q

name the quadrant the organ is found in

right kidney

A

RUQ

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8
Q

name the quadrant the organ is found in

right hepatic flexure

A

RUQ

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9
Q

name the quadrant the organ is found in

superior part of the ascending colon

A

RUQ

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10
Q

right half of transverse colon is in what quandrant?

A

RUQ

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11
Q

name the quadrant the organ is found in

left lobe of liver

A

LUQ

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12
Q

name the quadrant the organ is found in

spleen

A

LUQ

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13
Q

name the quadrant the organ is found in

stomach

A

LUQ

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14
Q

name the quadrant the organ is found in

jejunum and proximal ileum

A

LUQ

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15
Q

name the quadrant the organ is found in

body and tail of pancreas

A

LUQ

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16
Q

name the quadrant the organ is found in

left kidney

A

LUQ

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17
Q

name the quadrant the organ is found in

left suprarenal gland

A

LUQ

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18
Q

name the quadrant the organ is found in

left splenic flexure

A

LUQ

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19
Q

name the quadrant the organ is found in

left half of transverse colon

A

LUQ

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20
Q

name the quadrant the organ is found in

superior part of descending colon

A

LUQ

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21
Q

name the quadrant the organ is found in

cecum

A

RLQ

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22
Q

name the quadrant the organ is found in

appendix

A

RLQ

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23
Q

name the quadrant the organ is found in

most of ileum

A

RLQ

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24
Q

name the quadrant the organ is found in

inferior part of ascending colon

A

RLQ

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25
Q

name the quadrant the organ is found in

right ovary

A

RLQ

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26
Q

name the quadrant the organ is found in

right uterine tube

A

RLQ

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27
Q

name the quadrant the organ is found in

abdominal part of right ureter

A

RLQ

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28
Q

name the quadrant the organ is found in

abdominal part of right spermatic cord

A

RLQ

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29
Q

name the quadrant the organ is found in

sigmoid colon

A

LLQ

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30
Q

name the quadrant the organ is found in

inferior part of descending colon

A

LLQ

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31
Q

name the quadrant the organ is found in

left ovary

A

LLQ

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32
Q

name the quadrant the organ is found in

left uterine tube

A

LLQ

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33
Q

name the quadrant the organ is found in

abdominal part of left ureter

A

LLQ

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34
Q

name the quadrant the organ is found in

abdominal part of left spermatic cord

A

LLQ

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35
Q

if the uterus or urinary bladder are enlarged, what quandrants could they be found in?

A

RLQ/LLQ

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36
Q

list the layers of the anterior abdominal wall as you would encounter them dissecting down

8

A
  1. superficial fatty layer (camper’s)
  2. deep membranous layer (scarpa’s)
  3. external oblique
  4. internal oblique
  5. transversus abdominis
  6. transversalis fascia
  7. extraperitoneal fat
  8. parietal peritoneum
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37
Q

extends into scrotum as dartos fascia and into the perineum as colle’s fascia

A

deep membranous layer (Scarpa’s)

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38
Q

what layer is fat removed from during a liposuction?

A

superficial fatty (camper’s)

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39
Q

between what two structures do the nerves of the anterior abdominal wall run?

A

internal oblique
transversus abdominis

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40
Q

descibe the orientation of the muscle fibers for each

external oblique
internal oblique
transversus abdominis
rectus abdominis

A

external oblique: inferiomedially (hands in pockets)
internal oblique: perpendicular to external obliques
transversus abdominis: horizontal
rectus abdominis: vertical

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41
Q

what muscle of the anterior abdominal wall prevents anterior pelvic tilit?

A

rectus abdominis

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42
Q
  • structure of abdominal wall that is absent in 20% of people
  • tenses linea alba
A

pyramidalis

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43
Q

aponeurosis of the external oblique meets at the midline to join the aponeurosis of the other side, forming what structure?

A

linea alba

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44
Q

name the muscles that make up the rectus sheath above the arcuate line

differentiate posterior and anterior structures

A

anterior: external and internal obliques
posterior: internal oblique, transversus abdominis, and transversalis fascia

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45
Q

name the muscles that make up the rectus sheath below the arcuate line

differentiate posterior and anterior structures

A

anterior: external obliques, internal obliques, transversus abdominis
posterior: traversalis fascia

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46
Q

is the rectus sheath stronger above or below the arcuate line?

why?

A

above

below, the only posterior structure is transversalis fascia = weak

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47
Q

vertebrae associated with nipple line

A

T4

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48
Q

vertebrae associated with umbilicus

A

T10

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49
Q

subcostal nerve is located at what vertebrae?

A

T12

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50
Q

L1 bifurcates into what two nerves?

A
  1. iliohypogastric
  2. ilioinguinal
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51
Q

what nerve innervates the upper inguinal and hypogastric region?

A

iliohypogastric

L1

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52
Q

what nerve innervates the mons pubis, anterior scrotum/labia, and the medial thigh?

A

ilioinguinal

L1

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53
Q

[vessel] will anstomose with [vessel] near the umbilicus

A

superior epigastric
inferior epigastric

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54
Q

external iliac a. becomes the [vessel] as it crosses the inguinal ligament

A

femoral a.

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55
Q

the blood vessels of the anterior abdominal wall lie between which two structures?

A

posterior rectus sheath and rectus abdominis

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56
Q

the internal thoracic a. gives rise to [2 vessels]

A

superior epigastic and musculophrenic

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57
Q

the external iliac a. gives rise to [vessel]

A

inferior epigastric

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58
Q

type of hernia common in newborns

A

umbilical

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59
Q

hernia occuring between umbilicus and xiphoid process

A

epigastric

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60
Q

hernia occuring along line of linea semilunaris

A

spigellan

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61
Q

above the transumbilical plane, lymphatics drain to what two structures?

A

axillary lymph nodes
parasternal lymph nodes

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62
Q

below the transumbilical plane, lymphatics drain to what structure?

A

superficial inguinal nodes

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63
Q

describe the flow of the deep lymphatics

3 structures

A

external iliac to common iliac to lumbar nodes

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64
Q

umbilical folds

remnant of obliterated urachus

A

median umbilical fold

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65
Q

umbilical folds

remnant of obliterated umbilical arteries

A

medial umbilical fold

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66
Q

umbilical folds

covers the inferior epigastric vessels

A

lateral umbilical fold

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67
Q

associated with direct inguinal hernias

A

medial inguinal fossae

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68
Q

associated with indirect inguinal hernias

A

lateral inguinal fossae

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69
Q

gonad migration follows what structure?

A

gubernaculum

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70
Q

from what germ cell layer do testes and ovaries derive?

A

intermediate mesoderm

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71
Q

formed when the testis first migrates out of the abdomen and starts to go through muscular layers

A

deep inguinal ring

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72
Q

the testis exits through the abdominal ring forming the

A

superficial inguinal ring

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73
Q

name the abdominal layers that give rise to the testicular layer

  • dartos
  • external spermatic fascia
  • cremasteric fascia
  • tunica vaginalis
  • internal spermatic fascia
A
  • dartos: Scarpa’s
  • external spermatic fascia: external oblique
  • cremasteric fascia: internal oblique
  • tunica vaginalis: peritoneum
  • internal spermatic fascia: transversalis fascia
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74
Q

what nerve innervates the posterior scrotum?

A

posterior cutaneous of thigh

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75
Q

what nerve innervates the anterior scrotum?

A

genitofemoral

ilioinguinal a bit as well

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76
Q

caused by fluid in persisent processus vaginalis

A

hydrocele

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77
Q

hydrocele can be detected using

A

transillumination

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78
Q

the spermatic cord exits the [structure]

A

superficial inguinal ring

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79
Q
A

you’re killing it!

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80
Q

supplies blood to testicle

A

testicular a.

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81
Q

thought to help with heat reduction in some animals

A

pampiniform plexus of veins

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82
Q

innervates cremasteric muscle

pulls testicle toward body to regulate temp

A

genitofemoral

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83
Q

pampiniform plexus of veins becomes enlarged causing scrotal fullness

bag of worms

A

varicocele

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84
Q

varicocele commonly occurs on which side

A

left

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85
Q

what structure passes through the superficial inguinal ring?

decribe both male and female

A

male: spermatic cord
female: round ligament

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86
Q

attaches from ASIS down to pubic tubercle

A

inguinal ligament

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87
Q

help to stabilize superficial inguinal ring to prevent splitting

2 structures

A

medial and lateral crus of the external oblique

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88
Q

the same fibers that form the inguinal ligament turn and form the [structure], then split and form the [structure]

A

lacunar ligament
pectineal ligament

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89
Q

internal oblique and transversus abdominis join to form what structure?

A

conjoint tendon

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90
Q

inguinal ligament is from what abdominal layer?

A

external oblique

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91
Q

pubic tract is from what abdominal layer?

A

transversalis fascia

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92
Q

lacunar ligament is from what abdominal layer?

A

external oblique

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93
Q

the cremaster muscle is from what abdominal layer?

A

internal oblique

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94
Q

borders of Hesselbach’s triangle

A

inferior epigastric
rectus abdominis
inguinal ligament

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95
Q

where do direct inguinal hernias occur?

A

Hasselbach’s triangle

(inferior epigastric vessel, inguinal ligament, and lateral aspect of rectus abdominis)

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96
Q

space below the inguinal ligament, next to femoral a. and v.

A

femoral canal

site of femoral hernias

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97
Q

hernias that occur lateral to inferior epigastic a.

A

indirect

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98
Q

most common type of hernias

A

indirect

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99
Q

hernias that occur medial to inferior epigastic a.

A

direct

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100
Q

many times, indirect inguinal hernias will descend through the inguinal canal to the

A

scrotum

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101
Q

hernias that occur superior to the inguinal ligament

A

direct and indirect

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102
Q
  • innervates scrotum
  • passes through inguinal canal to scrotum
A

ilioinguinal nerve

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103
Q

innervates the cremaster muscle

A

genitofemoral

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104
Q

hernias more common in women

A

femoral

present as emergency

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105
Q

hernias inferior to inguinal ligament

A

femoral

present as emergency due to strangulation of bowel

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106
Q

hernias through femoral canal

A

femoral

present as emergencies

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107
Q

lymph nodes affected by cancer or infection of testes/ovaries

A

lumbar nodes

108
Q

lower limbs, gluteal region, scrotum, and inferolateral region of trunk drain into what lymph nodes?

A

superficial inguinal

109
Q

site of cervical constriction of the esophagus

A

pharyingo-esophageal junction enclosed by cricopharyngus muscle

upper esophageal spinchter

110
Q

fundus of stomach herniates through the esophageal hiatus

A

para esophageal hiatal hernia

111
Q

esophagus, cardia, and fundus all herniate through the esophageal hiatus

A

sliding hiatal hernia

112
Q
  • connects liver to anterior abdominal wall
  • divides liver into left and right
A

falciform ligament

113
Q

portal triad

A

portal vein
hepatic artery
bile duct

114
Q

found at right side at 9th costal cartilage

A

gallbladder

115
Q

ascending colon
descending colon
and rectum

intra or retroperitoneal

A

retroperitoneal

116
Q

most completely covered with visceral peritoneum

retro or intra peritoneal

A

intraperitoneal

have movement

117
Q

outside of the peritoneal cavity and only partially covered with peritoneum

intra or retro peritoneal

A

retroperitoneal

don’t have movement

118
Q

structures anterior to stomach

3

A

anterior abdominal wall
diaphragm
left lobe of liver

119
Q

connects liver to anterior abdominal wall

A

falciform ligament

120
Q

what ligament contains the teres hepatis

A

falciform ligament

121
Q

connects liver to duodenum

A

hepatoduodenal ligament

122
Q

connects liver to lesser curvature of stomach

A

hepatogastric ligament

123
Q

connects greater curvature of stomach to transverse colon

A

gastrocolonic ligament

124
Q

connects greater curvature of stomach and spleen

A

gastrosplenic ligament

125
Q

connects spleen to left pararenal space

A

splenorenal ligament

126
Q

what ligament contains the portal triad?

A

hepatoduodenal

127
Q

what ligament contains the gastric vessels?

A

hepatogastric

128
Q

what ligament contains the splenic artery and vein, and tail of pancreas

A

splenorenal ligament

129
Q
  • lies posterior to the 1st part of duodenum and head of pancreas
  • enters 2nd part of duodenum with the pancreatic duct
A

bile duct

130
Q

3 places gallstones can become lodged

A
  1. cystic duct
  2. hepatic duct
  3. hepaticpancreatic ampulla
131
Q

what part of the small intestine?

  • greater vascularity
  • long vasa recta
  • simple vascular arcades
A

jejunum

132
Q

what part of the small intestine?

  • less vascular
  • short vasa recta
  • compound vascular arcades
A

ileum

133
Q

3 bands of longitudinal muscle on outside of colon that produce haustrae

A

taenia coli

134
Q
  • commonly found in the sigmoid colon
  • affects middle age/elderly
  • most commonly occurs on mesenteric side

clinical correlation

A

diverticulosis

135
Q

SADPUCKER

for retroperitoneal structures

A

Suprarenal
Aorta and IVC
Duodenum (2-4)
Pancreas (except tail)
Ureters
Colon
Kidneys
Esophagus
Rectum

136
Q

ligaments of the lesser omentum

2

A

hepatoduodenal ligament
gastrohepatic ligament

137
Q

ligaments of the greater omentum

3

A

gastrophrenic
gastrosplenic
gastrocolic

138
Q

the lesser sac communicates with the greater sac via

A

epiploic foramen

139
Q

boundaries of the epiloic foramen

A

anterior: hepatoduodenal ligament/portal triad
posterior: IVC and rt. crus of diaphragm
superior: caudate lobe of liver
inferior: 1st part of duodenum

140
Q

what ligament separates greater and lesser sacs on the left?

A

gastrosplenic

141
Q

what ligament separates the greater and lesser sacs on the right?

A

hepatogastric

may be cut during surgery to access lesser sac

142
Q

which ligament borders the omental foramen which connects the greater and lesser sacs?

A

hepatoduodenal

143
Q

layers of the gut wall

A

mucosa
submucosa
muscularis externa
serosa (intra) or adventitia (retro)

MSMS

144
Q

what layer of the gut contains the submucosal nerve plexus (Meissner)?

A

submucosa

145
Q

what layer of the gut wall contains the myenteric nerve plexus (Auerbach)?

A

muscularis externa

146
Q

describe the tension, innervation and vascular supply you’d encounter through a midline incision

A

tension: obliques
vascular: none
innervation: none

147
Q

describe the tension, innervation and vascular supply you’d encounter through a subcostal incision

A

tension: some from rectus
vascular: superior epigastric
innervation: thoracolumbar nerve

148
Q

describe the tension, innervation and vascular supply you’d encounter through a suprapubic incision

A

tension: rectus and obliques
vascular: inferior epigastric
innervation: usually no

149
Q

describe the tension, innervation and vascular supply you’d encounter through a paramedian incision

A

tension: obliques
vascular: i dont think any?
innervation: deinervates rectus abdominis (increase risk of herniation)

150
Q

hernia lateral to inferior epigastric vessels

A

indirect

151
Q

hernia medial to inferior epigastric vessel

A

direct

152
Q

hernias that occur inferior to inguinal ligament

A

femoral

153
Q

what is the embryological basis of an indirect hernia?

A

weakening of abdominal wall due to a defect in processus vaginalis

154
Q

what layers form the hernial sac of an indirect hernia?

A

peritoneal sac
external oblique (external spermatic fascia)
internal oblique (cremaster muscle)
transversalis fascia (internal spermatic fascia)

155
Q

what gives rise to the external spermatic fascia?

A

external oblique

156
Q

what gives rise to the cremaster muscle?

A

internal oblique

157
Q

what gives rise to the internal spermatic fascia?

A

transversalis fascia

158
Q

what layers form the hernial sac of a direct hernia?

A

parietal peritoneum
transversalis fascia
conjoint tendon

159
Q

what two muscles make up the conjoint tendon?

A

internal oblique and transversus abdominis

160
Q

what structures may be damaged during a hernia repair?

A

vas deferens
testicular vessels
external iliac vessels
inferior epigastric
ilioinguinal nerve

161
Q

the ilioinguinal nerve provides sensory for

A

medial thigh
anterior scrotum/labia

162
Q

the iliohypogastric provides sensory for

A

mons pubis

163
Q

innervates motor to cremaster muscle

A

genitofemoral

164
Q

what organs should be considered with mass in RUQ?

A

liver
gallbladder
right hepatic flexure
head of pancreas
right kidney
right adrenal gland
right transverse colon
pylorus of stomach

165
Q

compression of the common bile duct result in

A

jaundice

166
Q

pain illicited upon palpation under 9th rib

A

positive Murphy’s sign

gallbladder pain

167
Q

elevated alkaline phosphatase indicates

A

billiary issue

168
Q

what structures should be considered in surgery to remove pancreas?

A

portal triad
small intestine-duodenum
hepatoduodenal ligament
hepatogastric ligament
SMA and vein

169
Q

narrowest part of biliary passages and common site of gallbladder obstruction

A

hepatopancreatic ampulla
(spinchter of Oddi)

170
Q

obstruction of the cystic duct causes

A

biliary colic
(intense spasmodic pain)

but no jaundice

171
Q

positive Murphys sign

A

gallbladder pain

specifically: billiary colic and obstruction of cystic duct

172
Q

the neck and uncinate process of the pancreas wrap around what two structures?

of importance in removal of pancreatic cancer

A

SMA and SMV

173
Q

the tail of the pancreas and splenic artery run in which ligament?

A

splenorenal

174
Q

round ligament of the liver runs into the […] ligament

A

falciform

175
Q

diaphragmatic irritation refers pain to the

A

shoulder

176
Q

C4 and 5 keep the […] alive

A

diaphragm

177
Q

passage between greater sac and lesser sac

A

foramen of Winslow

178
Q

what organs are we concerned about in posterior stomach rupture

A

pancreas
kidney
splenic artery
left adrenal gland

179
Q

to remove fat during liposuction in which layer is the canula placed?

A

Camper’s subcutaneous tissue

180
Q

extends into the scrotum as dartos fascia and into the perineum as Colle’s fascia

A

Scarpa’s fascia

181
Q

extraperitoneal fat is located between the […] and […]

A

parietal peritoneum
transversalis fascia

182
Q

an incision through the […] would denervate the rectus abdominis

A

linea semilunaris

183
Q

dermatomal pattern for T1-T2

A

upper chest

184
Q

dermatomal pattern for T4

A

nipple line

185
Q

dermatomal pattern for T4-T5

A

level where sternal angle projects back

186
Q

dermatomal pattern of T10

A

umbilicus

187
Q

dermatomal pattern T12-L1

A

hypogastric region

188
Q

fold that contains inferior epigastric vessels

A

lateral umbilical fold

189
Q

fold that contains obliterated umbilical arteries

A

medial umbilical fold

190
Q

fold that contains fibrous remnant of urachus

A

median umbilical fold

191
Q

forms round ligament of liver and travels in falciform ligament

A

umbilical vein

192
Q

located superior to umbilicus and posterior to rectus abdominis

A

superior epigastric

193
Q

the internal oblique gives rise to

2

A

cremasteric muscle
conjoint tendon

194
Q

the external oblique gives rise to

5

A

external spermatic fascia
inguinal ligament
lacunar ligament
pectineal ligament
superficial inguinal ring

195
Q

transversalis fascia gives rise to

A

internal spermatic fascia

196
Q

the tunica vaginalis arises from the

A

peritoneum

197
Q

forms the posterior wall of the medial third/superficial ring of the inguinal canal

A

conjoint tendon

198
Q

forms the floor of the middle third of the inguinal canal

A

inguinal ligament

199
Q

forms floor of medial third/superficial ring of inguinal canal

A

lacunar ligament

200
Q

forms roof of medial third/superficial ring of the inguinal canal

A

medial crus of external oblique

201
Q

forms posterior wall of the middle third of inguinal canal

A

transversalis fascia

202
Q

which dermatomal level corresponds with the level of the inguinal ligament?

A

L1

203
Q

which dermatomal level corresponds with the level of the nipple line?

A

T4

204
Q

which dermatomal level corresponds with the level of the umbilicus?

A

T10

205
Q

an indirect hernia is found in the […] inguinal fossa

A

lateral

206
Q

a direct hernia is located in the […] inguinal fossa

A

medial

medial to inferior epigastric vessels

207
Q

space located between stomach and pancreas

A

lesser sac

208
Q

most inferior location of the peritoneum in pelvis

A

retrovesical space

209
Q

space between rectum and bladder

A

rectovesicle space

210
Q

opening to omental bursa

A

epiploic foramen

211
Q

obstruction of […] would cause enlargement of the gallbladder, but not jaundice

A

cystic duct

212
Q

enlargement of the gallbladder and obstructive jaundice is cause by what being blocked?

A

common bile duct

213
Q

connects jejunum and ileum to posterior abdominal wall

A

mesentery proper

214
Q
  • located between stomach and transverse colon
  • composed of gastrophrenic, gastrosplenic, gastrocolic
A

greater omentum

215
Q
  • located between liver and stomach
  • composed of hepatoduodenal and hepatogastric ligaments
A

lesser omentum

216
Q

attaches sigmoid to posterior abdominal wall

A

sigmoid mesocolon

217
Q

attaches transverse colon to posterior abdominal wall

A

transverse mesocolon

218
Q

the lesser omentum is located between the […] and [..]

A

liver
lesser curvature of stomach

219
Q

the greater omentum is located between […] and […]

A

greater curvature
transverse colon

220
Q

located between hilum of spleen and stomach

A

gastrosplenic ligament

221
Q

located along superior edge of pancreas

A

splenic vessels

222
Q

what ligament attaches the liver to the anterior abdominal wall

A

falciform

223
Q

located on diaphragmatic side of liver

A

coronary ligaments

224
Q

fibrous remnant of the fetal ductus venosus located posteriorly to liver

A

ligamentum venosum

225
Q

usual source of rectal sheath hematoma

A

inferior epigastric vein

226
Q

branches of the internal thoracic vein that run posterior to the rectus sheath but superior to umbilicus

A

superior epigastric vein

227
Q

drain into femoral vein and anastomose with other superficial veins to form a network radiating outward from umbilicus

A

superficial epigastric

228
Q

what abdominal muscles are contracting to bring right shoulder to left hip?

A

right internal oblique and left external oblique

229
Q

the thoraco-abdominal nerves run between which two structures?

A

internal oblique, transversus abdominis

230
Q

what nerve is responsible for the efferent limb of the cremasteric reflex?

A

genitofemoral

231
Q

innervates cutaneous sensation to the skin over iliac crest, upper inguinal and hypogastric regions

A

iliohypogastric

232
Q

innervates motor to internal oblique and transversus abdominis

A

iliohypogastric

233
Q

supplies cutaneous sensation to the skin in T12 dermatome

A

subcostal nerve

234
Q

supplies motor to the three muscles of the anterior abdominal wall and rectus abdominis

A

subcostal nerve

235
Q

receive lymph from scrotum, penis, gluteal region, and lower limb

A

superficial inguinal nodes

236
Q

receive lymph from testis and ovaries

A

lumbar nodes

237
Q

receive lymph from pelvic viscera

A

internal iliac nodes

238
Q

branch of L1 that courses between transversus abdominis and internal oblique muscles

A

iliohypogastric

239
Q

branch of L1 that enters inguinal canal and emerges through superficial inguinal ring

A

ilioinguinal

240
Q

which structure is likely to be defective due to a malformation of the transversalis fascia during development, resulting in a hernia?

A

deep inguinal ring

241
Q

lies in the transversalis fascia, lateral to inferior epigastric vessels

A

deep inguinal ring

242
Q

formed from the internal oblique and transversus abdominis muscles

A

conjoint tendon

243
Q

in the aponeurosis of the external oblique muscle

A

superficial inguinal ring

244
Q

formed by aponeurosis of external oblique

2

A

inguinal ligament
lacunar ligament

245
Q

painless swollen testis that feels like a water balloon

A

hydrocele

246
Q

abnormal dilation of pampiniform plexus of veins causing a “bag of worms” appearance of testis

A

varicocele

247
Q

structure near free edge of lesser omentum

3

A

portal vein
bile duct
hepatic artery

hepatoduodenal ligament

248
Q

opening lying posterior to hepatoduodenal ligament (free edge of lesser omentum)

A

omental foramen

249
Q

posterior boundary of omental foramen

A

IVC
right crus of diaphragm

250
Q

anterior boundary of omental foramen

A

hepatoduodenal ligament

251
Q

Pringle’s maneuver

A

hepatoduodenal ligament is clamped to control hepatic bleeding during liver surgery

252
Q

superior boundary of omental foramen

A

liver

253
Q

can be located by tracing along gallbladder until reaching

A

omental foramen

254
Q

inferior boundary of omental foramen

A

first part of duodenum

255
Q

superior pole of the kidney is closely related to […] rib

A

12th

256
Q

if gallstones erode through the fundus of the gallbladder, they are likely to enter the

A

transverse colon

257
Q

resides on left side, close to ribs 9-11

A

spleen

rib fractures can damage

258
Q

connects the hilum of the spleen with the left kidney and posterior abdominal wall

A

splenorenal ligament

259
Q

contains splenic vessels and tail of pancreas

A

splenorenal ligament

260
Q

connect diaphragmatic surface of liver to diaphragm

A

coronary ligament

261
Q

composed of hepatoduodenal and hepatogastric ligaments

A

lesser omentum

262
Q

composed of gastrophrenic, gastrosplenic, and gastrocolic ligaments

A

greater omentum

263
Q

which omentum attaches from stomach to spleen?

A

greater omentum

264
Q

which omentum attaches from liver to stomach/duodenum?

A

lesser omentum

265
Q

runs from left part of greater curvature of stomach to the hilum of the spleen

A

gastrosplenic