Development Of Hind Gut Flashcards

1
Q

The cecum and appendix develop from _______

A

cecal bud

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2
Q

cecal bud

a _______ shaped (constriction or dilatation?) that appears in the _____ segment of the midgut loop near its (apex or base ?)

A

conical; dilatation

postarterial

Apex

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3
Q

Apex of midgut loop

site of attachment of ????

A

vitelline duct

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4
Q

The proximal part of the cecal bud grows (slowly or rapidly?) and forms _____, while its distal part remains (wide or narrow?) to form the _____.

A

cecum

Narrow

appendix

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5
Q

Change in Shape of Cecum and Appendix

At birth, the cecum is ____ in shape and vermiform appendix is attached at its (apex or base?) .

Later cecal growth results in formation of __________—one on either side.

A

conical

Apex

two saccules

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6
Q

The (right or left?) saccule grows faster than the (right or left?) .

As a result, the apex of the cecum and the base of the appendix is pushed towards (left or right?) , nearer to _____ junction.

For this reason in adults, the base of the appendix is attached to (anterior or posterior?) (medial or lateral?) wall of the cecum, near the ileocecal junction.

A

right; left

Left

ileocecal

Posterior; medial

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7
Q

On the basis of shape of the cecum and site of attachment of appendix, the cecum is classified into following four types :

  1. ____ (____) type
  2. ____ (_____) type
  3. _____ type
  4. ______ type
A

Conical; fetal

Infantile; quadrate

Normal

Exaggerated

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8
Q
  1. Conical (fetal) type ( ___ %)
  2. Infantile (quadrate) type (__%)
  3. Normal type (_____ %)
  4. Exaggerated type (___%).
A

2

3

80–90

4–5

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9
Q

Development of transverse colon

The right two-third of transverse colon develops from the _____ segment of the _____ while the left one-third of transverse colon develops from the _____.

For this reason, the right two-third of transverse colon is supplied by _______ artery and left one-third of transverse colon is supplied by the ________ artery

A

postarterial; midgut loop

hindgut

superior mesenteric

inferior mesenteric

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10
Q

Development of Descending Colon

It develops from _____.

A

hindgut

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11
Q

Development of Sigmoid Colon

It also develops from ____.

A

hindgut

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12
Q

Development of Rectum

The terminal dilated part of the hindgut distal to ____ is called _____.

A

allantois

cloaca

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13
Q

Cloaca is divided into two parts by _________

A

urorectal septum

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14
Q

Cloaca is divided into two parts by urorectal septum:

a) a (broad or narrow?) ventral part called ________

B) a (broad or narrow?) dorsal part is called ______.

A

Broad; primitive urogenital sinus

Narrow ; primitive rectum

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15
Q

The urogenital sinus gives rise to the ________ and _____ , while the primitive rectum gives rise to the _____ and ____ part of the _______

A

urinary bladder and urethra

rectum

upper; anal canal

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16
Q

Development of Anal Canal

The anal canal develops from two sources:

a)_____ and (b)______ .

A

hindgut

proctodeum

17
Q

The upper half of the anal canal is ___dermal in origin and develops from _________

A

Endo

primitive rectum.

18
Q

The lower half of the anal canal is ____dermal in origin and develops from anal pit called _____.

A

Ecto

proctodeum

19
Q

Initially, the upper and lower parts of the anal canal are separated from each other by _______.

Later when this membrane ruptures , the two parts communicate with each other.

A

anal membrane

20
Q

The site of anal membrane is represented by _____ in adults.

A

pectinate line

21
Q

____________ aka Hirschsprung’s disease

A

Congenital megacolon

22
Q

Congenital megacolon (Hirschsprung’s disease:

In this anomaly, a segment of the colon is (dilated or constricted?) .

However, it is the segment ______ to _____ that is abnormal.

In this abnormal segment, autonomic ______ ganglia are absent in the _____ plexus.

As a result there is no ___ in this segment.

It occurs 1 in ____ newborns.

This anomaly is produced due to failure of _______________ in the wall of the affected segment of the colon.

This anomaly is commonly seen in the ______ or _____.

Clinically it presents as: (a) loss of ____, (b) ____ retention, and (c) abdominal _____.

A

Dilated

distal to dilatation

parasympathetic; myenteric

peristalsis ; 5000

migration of neural crest cells

sigmoid colon or rectum

peristalsis; fecal; distension

23
Q

The newborns with aganglionic congenital megacolon may fail to pass ______ in _______ after birth.

A

meconium

first 24–48 hours

24
Q

Imperforate anus:

It is a clinical condition in which the _______ fails to ____ with ____.

The various types of imperforated ani are:

(a)The rectum and anal canal develop normally but _____ fails to ____. This is a (minor or major?) form of imperforated anus and can be corrected by _____ of the _____.

The upper and lower parts of the anal canal remain separated by a ____.

A

lower part of gut (GIT)

communicate

Exterior

anal membrane; breakdown; minor

excision; anal membrane

gap

25
The various types of imperforated ani are: The _____ remains a solid mass of ectodermal cells, and there is a big gap between it and ____ part of the ____
proctodeum upper; anal canal
26
The various types of imperforated ani are: The anal canal is _____. In this condition, anal canal and anal orifice are extremely (wide or narrow?) . It occurs when _____ deviates (ventrally or dorsally?) as it reaches cloacal membrane.
stenosed Narrow urorectal septum Dorsally
27
Rectal fistulae : The rectal fistulae are frequently seen in association with the imperforated anus. The common types of rectal fistulae are (a) recto___ fistula, (b) recto____ fistula, and (c) recto____ fistula. The rectal fistulae are usually associated with rectal ______.
vaginal vesical Urethral atresia
28
Congenital anomalies due to errors of fixation of the gut (a) The parts of intestine that normally become retroperitoneal may retain mesentery. As a result, they become highly ____ due to hypermotility—a portion of _____ twist along with its ______ on the axis of mesentery. Consequently the blood supply is compromised. This condition is called ____ .
mobile Intestine blood vessels volvulus
29
If volvulus is not corrected timely, it may cause an _______ of part of the intestine involved.
ischemic necrosis
30
Congenital anomalies due to errors of fixation of the gut The parts of intestine that normally retain their mesentery may be ____ particularly with any other organ by abnormal _____ of _____
fixed adhesions of peritoneum.
31
Situs inversus: In this condition, all the abdominal and thoracic viscera present on one side goes to _____, i.e., they are laterally transposed.
the opposite side