Gastrointestinal Flashcards

0
Q

Griffith’s point

A

Splenic flexure; most common site of infarction

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1
Q

Congenital hypertrophy of pigmented retinol epithelium
Desmoid tumors/epidermal cysts
Mandibular osteomas

A

Gardner’s syndrome

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2
Q

IMA and SMA anastomosis

A

Marginal artery of Drummon

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3
Q

MC site of gastric CA

A

Pylorus and antrum

Favored location: lesser curvature of antropyloric region

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4
Q

What is the length of the esophagus?

A

25cm

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5
Q

What is the distance of GEJ from incisor of teeth?

A

40cm - 43m

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6
Q

What is the pharyngoesophageal fistula located in the cricopharyngeus?

A

Zenker’s diverticulum

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7
Q

What syndrome involves esophageal tear involving all layers?

A

Boerhaave Syndrome

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8
Q

What is the thin, submucosal ring in the lower esophagus associated with a hiatal hernia?

A

Schatzki’s ring

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9
Q

Which blood type is associated with duodenal ulcer? gastric ulcer?

A

Ulcer - Blood Type
Duodenal Ulcer: Type O
Gastric Ulcer: Type A

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10
Q

What are periumbilibal metastatic nodules associated with stomach CA?

A

Sister Mary Joseph’s Nodule

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11
Q

What is the most common primary site for GI lymohoma?

A

Stomach

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12
Q

What is the pre pyloric vein of Mayo?

A

Landmark for pylorus

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13
Q

What artery is involved in bleeding peptic ulcers?

A

Gastoduodenal artery

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14
Q

Most common complication of duodenal ulcer?

A
Perforation	Bleeding (Back)
Air (Anterior)
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15
Q

What is the location of Virchow nodes?

A

Left supraclavicular lymph nodes

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16
Q

What enteric nervous system is responsible for muscular contraction?

A

Auerbach/Myenteric plexus (between inner circular and outer longitudinal muscles)

17
Q

What enteric nervous system is responsible for secretion?

A

Meissner (Submucosa) plexus

18
Q

What is the definition of a short bowel syndrome ?

A

<200cm of small bowel in an adult patient

Resection of 50-80% after bowel surgery

19
Q

What is the Waldeyer’s fascia?

A

Rectosacral fascia that extends from S4 to the rectum

20
Q

What are visceral metastasis to posterior cul-de-sac?

A

Blummer’s Shelf

21
Q

What marks the transition between hind gut and distal anus?

A

Dentate line

Ectoderm - distal anus

22
Q

What is the fascia anterior to lower third of the rectum?

A

Denonviolier’s fascia

23
Q

What is the length of appendix?

A

6-9cm

24
Q

What is the most common site of Stomach CA?

A

Pylorus

25
Q

What is the stomach CA metastases to the ovaries?

A

Krukenberg Tumor

26
Q

What is the length of the small intestine?

A

5-10m (ave of 6m)

27
Q

The type of hernia which contains a Meckel’s diverticulum?

A

Littre’s hernia

28
Q

Where are brunner’s glands located?

A

Duodenum, submucosa

29
Q

What is the most common complication of PUD?

A

Bleeding

30
Q

Which nerve is left highly intact in selective vagotomy?

A

Nerves of Latarjet

Supplies pylorus
From posterior and anterior vagus
Terminates at incisura as Crow’s foot

31
Q

What nerve is responsible for recurrent ulcer?

A

Criminal nerve of Grassi

32
Q

From what branch is the criminal nerve of Grassi?

A

Branch from posterior vagus

Supplies the posterior fundus

33
Q

What is the counterpart of the external oblique muscles in the scrotum?

A

Poupart ligament/inguinal ligament

Camper’s fascia
Scarpa’s fascia Fascia lata: superficial fascia in the thigh
Colle’s fascia
Dartos fascia
External oblique Poupart ligament/inguinal ligament
Superficia inguinal ring
Internal oblique Middle spermatic fascia
Transversus abdominis Not found in the scrotum
Transversalis fascia Internal spermatic fascia

34
Q

What makes up the conjoint tendon?

A

Internal oblique and transversus abdominis

35
Q

What is the counterpart of the internal oblique muscles in the scrotum?

A

Middle spermatic fascia

Camper’s fascia
Scarpa’s fascia Fascia lata: superficial fascia in the thigh
Colle’s fascia
Dartos fascia
External oblique Poupart ligament/inguinal ligament
Superficia inguinal ring
Internal oblique Middle spermatic fascia
Transversus abdominis Not found in the scrotum
Transversalis fascia Internal spermatic fascia

36
Q

Which abdominal structure is not found in the scrotum?

A

Transversus abdominis

Camper’s fascia
Scarpa’s fascia Fascia lata: superficial fascia in the thigh
Colle’s fascia
Dartos fascia
External oblique Poupart ligament/inguinal ligament
Superficia inguinal ring
Internal oblique Middle spermatic fascia
Transversus abdominis Not found in the scrotum
Transversalis fascia Internal spermatic fascia

37
Q

Where is the location of epigastric vessels?

A

Posterior rectus sheath

38
Q

Which vessels are responsible for rectus sheath hematoma?

A

Inferior epigastric vessels

Location: posterior to the posterior rectus sheath

39
Q

Where do most water absorption occur?

A

Jejunum