Block II--First Set of Review Questions

Question 1

What blood supply is directly behind the omental foramen?

Answer 1

IVC

Question 2

What is to the left of IVC

Answer 2

Aorta

Question 3

Where would peritonitis most likely occur if there is a perforating ulcer in the posterior will of the stomach?

Answer 3

Omental bursa/lesser sac

Question 4

What is the pouch of Morrison?

Answer 4

This is the hepatorenal space also known as the subhepatic space. This is the area behind the liver and anterior to right kidney.

Question 5

If a patient is in a supine position, he or she can develop peritonitis in the pouch of Morrison. True or False

Answer 5

True

Question 6

The subphrenic space is inferior to ______.

Answer 6

The diaphragm

Question 7

What is the pouch of Morrison?

Answer 7

This is the hepatorenal space also known as the subhepatic space. This is the area behind the liver and anterior to right kidney.

Question 8

If a patient is in a supine position, he or she can develop peritonitis in the pouch of Morrison. True or False

Answer 8

True

Question 9

The subphrenic space is inferior to ______.

Answer 9

The diaphragm

Question 10

If the beginning of the jejunum is exposed, what part of the duodenum will be exposed?

Answer 10

The second part of the duodenum is crossed anteriorly by the transverse colon.

Question 11

What organs are the retroperitoneal?

Answer 11

S–suprarenal glands
A—aorta
D— duodenum ( all but first part)

P---pancreas
U--- ureter
C--- colon (only ascending and descending colon)
K--- kidney
E---esophagus
R---rectum

Question 12

What artery supplies the fundus of the stomach?

Answer 12

Short gastric artery or dorsal gastric branches of splenic artery(dorsal aspect of the stomach)

Question 13

If an ulcer is in the posterior wall of the stomach, where will it spill its contents and blood directly into?

Answer 13

The omental bursa or lesser sac

Question 14

Physical examination reveals guarding and ridgity in the abdominal wall. An CT shows a thrombus in the intestinal artery supplying the ileum. Which of the following layers of peritoneum will have to be entered (INCISION) by the surgeon?

Answer 14

The parietal peritoneum because it covers the entire abdominal wall.
AND
The mesentery that surrounds the vessel.

The greater omentum would only have to be reflected not incised.

Question 15

What ligament separates the the diaphragm from the liver (subphrenic space)?

Answer 15

Falciform ligament

Question 16

Which of the following sites is least likely to show fluid collection in a patient.

Answer 16

The greater sac because it makes up majority of the space in the peritoneal cavity. (Diaphragm to pelvic cavity).

Smaller areas that contain peritoneal cavity will be a place to look. i.e) omental bursa, morrison pouch, pouch of douglas, etc

Question 17

What and where is the pouch of Douglas?

Answer 17

Also known as the rectouterine pouch. It is an extension of the peritoneal cavity between the rectum and back of uterus,

Question 18

If there is a tumor in the posterior wall of the stomach and perforates here, what space did the fluid from it enters first?

Answer 18

The omental bursa/lesser sac