Exam 3 Flashcards

1
Q

The liver lies mostly in the _____ hypochondrium and ________ region.

A

RIGHT hypochondrium

Epigastric

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2
Q

The ______ and ______/_____ of the ________ are found in the left hypochondrium

A

SPLEEN

FUNDUS/BODY of the STOMACH

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3
Q

13 layers of the anterior abdominal wall:

A
Skin
Superficial Layer of Superficial Fascia (Camper's Fascia)
Deep Layer of Superficial Fascia (Scarpa's Fascia)
Deep Fascia
External Oblique
Internal Oblique
Transversus Abdominus
Transfersalis Fascia
Extraperitoneal Fascia
Parietal Peritoneum
Peritoneal Cavity
Visceral Peritoneum
Abdominal Organs
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4
Q

Extravasation of urine occurs between which two layers?

A

Scarpa’s Fascia and Deep Fascia

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5
Q

External Oblique
Origin:
Innervation:

A

External Oblique
Origin: LOWER 8 RIBS
Innervation: ANTERIOR PRIMARY RAMI OF LOWER 6 THORACIC NERVES

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6
Q

Internal Oblique

Innervation:

A

Anterior Primary Rami of Lower 6 Thoracic and First Lumbar Nerves

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7
Q

Above the Arctuate Line
Anterior Layer of Rectus Sheath:
Posterior Layer of Rectus Sheath:

A

Above the Arctuate Line
Anterior Layer of Rectus Sheath: APONEUROSIS of EXTERNAL and INTERNAL OBLIQUE MUSCLES
Posterior Layer of Rectus Sheath: APONEUROSIS of INTERNAL OBLIQUE and TRANSVERSUS ABDOMINIS MUSCLES

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8
Q

Below the Arcuate Line
Anterior Layer of Rectus Sheath:
Posterior Layer of Rectus Sheath:

A

Below the Arcuate Line
Anterior Layer of Rectus Sheath: APONEUROSIS of EXTERNAL OBLIQUE, INTERNAL OBLIQUE, and TRANSVERSUS ABDOMINIS
Posterior Layer of Rectus Sheath: TRANSVERSALIS FASCIA

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9
Q

Median Umbilical Fold contains…
Medial Umbilical Fold contains…
Lateral Umbilical Fold contains…

A

Median Umbilical Fold contains URACHUS
Medial Umbilical Fold contains OBLITERATED UMBILICAL ARTERY
Lateral Umbilical Fold contains INFERIOR EPIGASTRIC VESSELS

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10
Q

The inguinal ligament is formed the lower edge of the _______ _______ aponeurosis

A

External Oblique

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11
Q

Superficial Inguinal Ring is a triangular opening in the _______ _______ aponeurosis

A

External Oblique

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12
Q

The Deep Inguinal Ring is an opening within the _________ ________.

A

Transversalis Fascia

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13
Q

An indirect inguinal hernia passes ______ to the inferior epigastric vessels

A

Lateral

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14
Q

A direct inguinal hernia passes _______ to the inferior epigastric vessels

A

Medial

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15
Q

The internal spermatic fascia is derived from the…

A

Transversalis Fascia

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16
Q

What structure runs in the inguinal canal but not in the spermatic cord

A

Ilioinguinal Nerve

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17
Q

Tunica Vaginalis is derived from…

A

Peritoneum

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18
Q

Seminiferous tubules unite to form straight tubules called…

A

Rete Testis

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19
Q

Condition where testes are undescended at birth

A

Cryptorchidism

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20
Q

Accumulation of fluid in peritoneal cavity

A

Ascites

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21
Q

T/F The transverse colon is a retroperitoneal structure

A

False - Transverse colon is NOT a retroperitoneal structure

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22
Q

Which peritoneum is sensitive to pain

A

Parietal Peritoneum

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23
Q

Omenta =

A

Apron

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24
Q

______ _______ (_______ ____): lies posterior to the liver, lesser omentum, and stomach.

A

Omental Bursa - Lesser Sac

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25
Q

________ ________ _______: longitudinal depression lateral to the ascending colon

A

Right Paracolic Gutter

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26
Q

The duodenum is derived from…

A

Forgut and Midgut

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27
Q

Myenteric Plexus: between ______ and _________ layers of muscularis externa

A

Circular and Longitudinal layers

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28
Q

The stomach functions primarily in…

A

Digestion rather than absorption

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29
Q

The most distal portion of the stomach

A

Pyloric Part

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30
Q

Opening between the stomach and duodenum

A

Pyloric Orifice

31
Q

“Which of the following is located within the stomach?”

A

Rugae/Gastric Folds

32
Q

________ ________ _______ ______: A tumor-like increase in the size of the pyloric sphincter.
More common in (males/females)

A

Congenital Hypertrophic Pyloric Stenosis

Males

33
Q

Spasmodic contraction of pyloric sphincter

A

Pylorospasm

34
Q

Smallest and largest branch of celiac trunk

A

Left Gastric Artery - smallest

Splenic Artery - Largest

35
Q

3 branches of the splenic artery

A

Pancreatic branches
Short Gastric artery
Left Gastro-Omental (Gastroepiploic) artery

36
Q

Branch of splenic artery that goes to the fundus of the stomach

A

Short Gastric Artery

37
Q

Branch of the splenic artery that runs to the RIGHT along the greater curvature of the stomach within the greater omentum

A

Left Gastroepiploic (Gastro-Omental) Artery

38
Q

3 branches of the gastroduodenal artery

A

Supraduodenal Artery
Right Gastroepiploic (Gastro-Omental) Artery
Superior Pancreaticoduodenal Artery

39
Q

Branch of the gastroduodenal artery that runs to the LEFT along the greater curvature of the stomach within the greater omentum.

A

Right Gastroepiploic (Gastro-Omental) Artery

40
Q

Gland that secretes a dilute alkaline mucus in duodenum

A

Brunner’s/Duodenal Gland

41
Q

Most common site for ulcers distal to stomach

A

Superior/First Part of Duodenum (Duodenal Cap)

42
Q

Junction of foregut and midgut

A

Descending/Second Part of Duodenum

43
Q

Where the bile duct and pancreatic duct empty.

A

Descending/Second Part of Duodenum

44
Q

Fibromuscular band which extends from the diaphragm to the duodenojejunal flexure

A

Suspesnsory Muscle of the Duodenum

45
Q

Duodenal Ulcers may perforate…

  • Allowing contents to escape into ______ ______, causing ________.
  • Due to proximity, _____, _____, and ______ are often damaged.
  • Can also erode __________ artery
A

Duodenal Ulcers may perforate…

  • Allowing contents to escape into PERITONEAL CAVITY, causing PERITONITIS.
  • Due to proximity, LIVER, PANCREAS, and GALLBLADDER are often damaged.
  • Can also erode GASTRODUODENAL artery
46
Q

Segment of the GI tract most Involved with nutrient uptake - absorption

A

Jejunum

47
Q

Ileum absorbs… (3)

A

Fat Soluble Vitamins
B12
Bile Salts

48
Q

Peyer’s Patches are present in the ______.

A

Ileum

49
Q

Plicae Circulares are _____, _____ in the jejunum

A

Tall, Many

50
Q

Fingerlike pouch which projects from the distal ileum

A

Ileal (Meckel’s) Diverticulum

51
Q

Ileal (Meckel’s) Diverticulum contains…

A

all layers of ileum

52
Q

Produces a “cobblestone” radiographic appearance

A

Crohn’s Disease

53
Q

Prevents backflow of feces into the small intestine

A

Ileal Fold

54
Q

Appendix
Most common position:
2nd most common position:

A

Retrocecal - most common

Pelvic - 2nd most common

55
Q

Taeniae Coli: three narrow longitudinal bands of muscle seen most prominently in the _____ and _____ _____

A

Cecum and Ascending Colon

56
Q

Herniation of the mucosa of the colon through the muscular layer WITHOUT inflammation

A

Diverticulosis

57
Q

Innervation of Large Intestine
Cecum through 2/3 of Transverse Colon:
Left 1/3 of Transverse Colon to Anal Canal:

A

Innervation of Large Intestine
Cecum through 2/3 of Transverse Colon: autonomic fibers from the SUPERIOR MESENTERIC PLEXUS
Left 1/3 of Transverse Colon to Anal Canal: autonomic fibers from INFERIOR MESENTERIC PLEXUS and HYPOGASTRIC PLEXUS

58
Q

Portal Venous System drains… (4)

A

GI Tract
Spleen
Pancreas
Gallbladder

59
Q

Obstructive sign in the umbilicus region

A

Caput Medusae

60
Q

Obstructive sign in rectum and anal canal

A

Hemorrhoids

61
Q

Obstructive sign in distal esophagus

A

Esophageal Varices

62
Q

Caval vein tributary in rectum and anal canal

A

Middle and Inferior Rectal veins

63
Q

Portal vein tributary in rectum and anal canal

A

Superior Rectal vein

64
Q

Portal vein tributary in distal esophagus

A

Left Gastric vein

65
Q

Hilum of liver

A

Porta Hepatis

66
Q

Porta Hepatis contains… (3)

A

Common Hepatic Duct
Hepatic Artery Proper
Portal Vein

67
Q

_______ lobe - receives blood from the LFFT branch of the hepatic artery
_______ lobe - receives blood from the RIGHT branch of the hepatic artery

A

QUADRATE lobe - receives blood from the LFFT branch of the hepatic artery
CAUDATE lobe - receives blood from the RIGHT branch of the hepatic artery

68
Q

Hepatic Segments I - IV in the _____ functional half

Hepatic Segments V - VIII in the _____ functional half

A

Hepatic Segments I - IV in the LEFT functional half

Hepatic Segments V - VIII in the RIGHT functional half

69
Q

Main blood supply to liver (2)

A

Portal Vein - 75%

Hepatic Artery - 25%

70
Q

Gallstones most commonly become impacted at the…

A

Hepatopancreatic Ampulla (or sphincter)

71
Q

30% of gallstone patients refer pain to…

A

Right Subclavian region of back

72
Q

Pancreatic Duct drains…

Accessory Pancreatic duct drains…

A

Pancreatic Duct drains… NECK, BODY, TAIL

Accessory Pancreatic duct drains… HEAD and UNCINATE PROCESS

73
Q

Three subdivisions of the visceral surface of the spleen

A

Gastric Surface
Colic Surface
Renal Surface