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Anatomy: several systems (Jenna Goff) > Cadaver GI > Flashcards

Cadaver GI Flashcards

1
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I. LABELS 1. Liver

  1. Stomach
  2. Transverse colon
  3. Small intestine
  4. Cecum

II. CLINICAL ANATOMY The small intestine is composed of the duodenum, jejunum, and the ileum. Although the latter two are not delineated by a specific point, they are distinguished as follows: • The jejunum has less fat inside its mesentery than the ileum. • The jejunum is typically larger in diameter than the ileum. • The jejunum has simple arcades and long vasa recta, whereas the ileum has more complex arcades and shorter vasa recta.

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2
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LABELS

  1. Ligamentum teres hepatitis (round ligament of the liver; reflected)
  2. Cystic artery
  3. Right gastric artery
  4. Right gastro-omental (gastroepiploic) artery
  5. Abdominal part of the oesophagus (cardiac part of the stomach)
  6. Left gastric artery; branch of the celiac trunk
  7. Gastroduodenal artery; splits into superior pancreatoduodenal and right gastro-omental arteries
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3
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LABELS

  1. Gallbladder (fundus)
  2. Hepatoduodenal ligament
  3. Probe within the epiploic (omental) foramen (of Winslow)
  4. Descending part of duodenum
  5. Caudate lobe of liver
  6. Greater curvature of stomach
  7. Lesser omentum
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4
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  1. Gallbladder
  2. Probe within the epiploic (omental) foramen
  3. Right colic (hepatic) flexure of the large intestine
  4. Head of the pancreas
  5. Branches of gastro-omental artery
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5
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II. QUESTION Upon putting his finger through the epiploic foramen, the surgeon knows that directly posterior to his finger is:

A. Inferior vena cava (IVC)

B. Common hepatic artery

C. Cystic duct

D. Portal vein

E. Gastroduodenal artery

A

A. Inferior vena cava (IVC)

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6
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I. LABELS

  1. Fundus of gallbladder
  2. Cystic duct
  3. Ligamentum teres hepatis (round ligament of the liver)
  4. Common hepatic duct
  5. Hepatic artery proper
  6. Ligamentum venosum
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7
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I. LABELS

  1. Cystic duct
  2. Common bile duct
  3. Pancreatic duct
  4. Major duodenal papilla
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8
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I. LABELS

  1. Liver
  2. Inferior vena cava (IVC)
  3. Thoracic aorta 4

. Kidney

  1. Stomach
  2. Spleen
  3. Left renal vein
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9
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II. QUESTION In the emergency department, an adult patient is shown to have a ruptured spleen after an automobile crash. Which of the following is most likely in this situation?

A. The spleen will be repaired.

B. The splenic artery will be ligated.

C. The celiac trunk will be ligated.

D. A splenectomy will be performed.

E. The spleen will be transplanted.

A

D. A splenectomy will be performed.

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10
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I. LABELS

  1. Portal vein
  2. Common hepatic duct (dilated)
  3. Right gastro-omental (gastroepiploic) artery
  4. Left kidney
  5. Celiac trunk
  6. Splenic artery
  7. Body of pancreas
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11
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  1. Ligamentum teres hepatis
  2. Cystic artery
  3. Right gastric artery; here going to the pylorus (cut and reflected)
  4. Superior mesenteric artery
  5. Splenic vein
  6. Main pancreatic duct
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12
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II. QUESTION A patient is having severe abdominal pain that is attributable to ischemia. A CT arteriogram reveals that all the branches of the superior mesenteric artery are patent. Therefore, the pain may be a consequence of ischemia in which of the following structures?

A. Ascending colon

B. Transverse colon

C. Descending colon

D. Jejunum

E. Cecum

A

C. Descending colon

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13
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  1. Proper hepatic artery
  2. Cystic duct
  3. Gallbladder
  4. Splenic artery
  5. Tail of pancreas
  6. Superior mesenteric artery
  7. Ureter
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14
Q

II. QUESTION Following blunt trauma to the abdomen, an emergency laparotomy is performed. Copious bleeding is noted from a lacerated liver. The surgeon inserts an index finger into the epiploic (omental) foramen (of Winslow) and compresses the hepatoduodenal ligament with the thumb (Pringle manoeuvre). Blood supply to which of the following structures would not be affected by this procedure?

A. Gallbladder

B. Quadrate lobe of liver

C. Caudate lobe of liver

D. Left lobe of liver

E. Pancreas

A

E. Pancreas

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15
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  1. Proper hepatic artery
  2. Common hepatic artery
  3. Gastroduodenal artery
  4. Duodenum
  5. Gallbladder
  6. Celiac trunk
  7. Splenic artery
  8. Superior mesenteric artery
  9. Superior mesenteric vein
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16
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  1. Middle colic artery
  2. Right colic artery
  3. Duodenum
  4. Duodenojejunal flexure
  5. Superior mesenteric vein
  6. Ileal artery
17
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  1. Central tendon of diaphragm
  2. Ureter
  3. Right gonadal vein
  4. Splenic artery
  5. Suprarenal (adrenal) gland
  6. Left suprarenal vein
  7. Left gonadal vein
  8. Superior hypogastric plexus; composed mainly of lumbar splanchnic nerves (sympathetic)
18
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QUESTION Kidney transplant surgeons prefer to transplant the left kidney compared to the right kidney. Which of the following is true and most likely explains this preference?

A. The left renal vein is longer than the right renal vein.

B. The left renal artery is longer than the right renal artery.

C. The right renal vein receives the right gonadal vein.

D. The right renal artery is the only source of blood to the right suprarenal gland.

E. The right kidney is firmly attached to the liver.

A

A. The left renal vein is longer than the right renal vein.

19
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A
  1. Right greater thoracic splanchnic nerve
  2. Celiac ganglion; “solar plexus”
  3. Left renal vein
  4. Right sympathetic trunk and ganglion
  5. Left suprarenal (adrenal) gland
  6. Left renal artery
  7. Left ureter
20
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  1. Right renal vein
  2. Iliohypogastric or ilioinguinal nerve (L1)
  3. Genitofemoral nerve (L1 and L2)
  4. Ductus deferens
  5. Testis and epididymis
  6. Inferior mesenteric artery
  7. Ureter
21
Q
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  1. Right kidney
  2. Right ureter
  3. Inferior vena cava
  4. Uterus
  5. Round ligament of the uterus
  6. Urinary bladder
  7. Abdominal aorta
22
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  1. Quadratus lumborum
  2. Genitofemoral nerve
  3. Iliacus
  4. External iliac artery
  5. Iliohypogastric nerve
  6. Ilioinguinal nerve
  7. Lateral cutaneous nerve of thigh
  8. Obturator nerve
  9. Femoral nerve
23
Q
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  1. Right crus of diaphragm
  2. Psoas major muscle
  3. Median sacral artery
  4. Left inferior phrenic artery
  5. Muscular part of diaphragm
  6. Psoas major muscle
24
Q

Your patient has an abscess in the superior part of her thigh that is associated with a muscle that lies lateral to the lumbar vertebrae and attaches to the lesser trochanter of the femur. What muscle is involved in the infection?

A. Quadratus lumborum

B. Transversus abdominis

C. Adductor longus

D. Obturator externus

E. Psoas major

A

E. Psoas major

25
Q
A
  1. Right crus of diaphragm
  2. Quadratus lumborum muscle
  3. Psoas minor muscle
  4. Lumbar part of diaphragm
  5. Median arcuate ligament
  6. Psoas major muscle
26
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Anatomy: several systems (Jenna Goff) (23 decks)

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