Foregut

Question 1

Where does blood from the stomach drain to

Answer 1

hepatic portal

Question 2

what allows for communication between the greater and lesser sacs

Answer 2

epiploic foramen

Question 3

what gives the stomach its smooth, shiny external appearance

Answer 3

serosa covering

Question 4

Name the layers of the stomach (outer to inner)

Answer 4

serosa
muscularis externa (outer longitudinal, middle circular, inner oblique)
submucosa
mucosa

Question 5

at what level does the pyloric valve meet the duodenum

Answer 5

L1

Question 6

what structure lie posterior to the stomach

Answer 6

lesser sac, pancreas, spleen, left kidney

Question 7

which branch of the coeliac axis is the smallest

Answer 7

left gastric artery

Question 8

which branch is the largest of the coeliac axis

Answer 8

splenic artery

Question 9

is the right common hepatic artery a branch of the coeliac axis

Answer 9

No, it is a branch the common hepatic artery (which itself is a branch of the coeliac axis)

Question 10

Blood supply of lesser curvature

Answer 10

left and right gastric arteries

Question 11

blood supply to fundus

Answer 11

short gastric arteries
(from splenic)

Question 12

blood supply of greater curvature

Answer 12

gastro-omental arteries

Question 13

name the lymph nodes of the stomach

Answer 13

pre-aortic coeliac, cardiac ring, gastro-omental, gastric, pyloric, pancreaticoduodenal, pancreaticosplenic

Question 14

where does the hepatopancreatic duct open into

Answer 14

major duodenal papilla

Question 15

relations of 1st part of duodenum

Answer 15

liver

Question 16

relations of 2nd part of duodenum

Answer 16

right kidney and head of pancreas

Question 17

relations of 3rd part of duodenum

Answer 17

inferior to SM vessels

Question 18

relations of 4th part of duodenum

Answer 18

joins jejunum at root of mesentery

Question 19

which part of the duodenum is supplied by the superior pancreaticoduodenal artery

Answer 19

proximal

Question 20

what is the inferior pancreticoduodenal artery a branch of

Answer 20

superior mesenteric artery

Question 21

what nerves supply sympathetic fibres to the duodenum

Answer 21

Greater and lesser splanchnic nerves

Question 22

proximal duodenal lymph drainage

Answer 22

to pancreaticoduodenal, gastroduodenal and pyloric nodes
then to pre-aortic coeliac nodes T12

Question 23

distal duodenum lymph drainage

Answer 23

pancreaticoduodenal to pre-aortic superior mesenteric nodes L1

Question 24

where does the caudate lobe of the liver sit

Answer 24

between IVC and left lobe

Question 25

where is the quadrate lobe of the liver found

Answer 25

between the left lobe and gall bladder

Question 26

Give the surface marking of the gall bladder

Answer 26

right costal cartilage and mid-clavicular line

Question 27

how long is the bile duct

Answer 27

8cm

Question 28

what muscle does the pancreas sit anteriorly to

Answer 28

psoas muscle

Question 29

detail the dual supply of the pancreas

Answer 29

superior pancreaticoduodenal and inferior pancreaticoduodenal arteries
also dorsal pancreatic arteries from splenic artery

Question 30

venous drainage of pancreas

Answer 30

to splenic or superior mesenteric veins
then the portal system

Question 31

what ribs protect the spleen

Answer 31

ribs 9-11

Question 32

Describe the lymphatic drainage of the spleen

Answer 32

to pancreaticosplenic nodes then coeliac