Gastrointestinal Flashcards

1
Q

What are the 3 pairs of salivary glands?

A

Parotid, submandibular and sublingual

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2
Q

How many minor salivary glands are present in the mouth? (range) and where are they located?

A

600-1000; in the mucosal lining of the oral cavity especially in the lips, cheeks and palate

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3
Q

Describe the composition of saliva.

A

99.4% water and 0.6% of mucins, electrolytes, enzymes and antibodies.

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4
Q

How much saliva do humans produce daily?

A

1.0-1.5L per day

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5
Q

How does the contribution of salivary glands change when compared to at rest and stimulated (i.e. hunger)?

A

At rest the submandibular gland produces the most saliva with 65% and the parotid increases from 20% at rest to 50% when stimulated

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6
Q

Name the classifications of the 4 (+accessory gland) salivary glands.

A

Parotid: serous + amylase
Submandibular: seromucous + mixed secretions
Sublingual: mucous + lubricant
Minor: mucous +lubricant

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7
Q

What forms a mucocoele?

A

A blocked salivary duct

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8
Q

What colours appear when using H&E to stain salivary glands

A

Serous cells = dark

Mucous cells = light

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9
Q

What muscle does the parotid duct pierce to enter the mouth?

A

The buccinator muscle

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10
Q

What vessels and/or nerves run through the parotid gland?

A

The facial nerve, external carotid artery and retromandibular vein.

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11
Q

Describe ‘Frey’s Syndrome’.

A

A common occurrence following a parotidectomy; the auriculotemporal nerve can become damaged and result in a mixing of sensory and parasympathetic fibres that supply the overlying skin and sweat glands. This results in a salivary stimulus resulting in gustatory sweating. Treatment includes botulinum toxin.

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12
Q

What are the 4 main muscles that compose the anterolateral abdominal wall?

A

The external and internal oblique, the transverse abdominis and the rectus abdominis muscles

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13
Q

name the attachment sites of the external oblique muscle of the abdominal wall.

A

Rib 5-12 TO the ASIS, linea alba and pubic tubercle

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14
Q

name the attachment sites of the internal oblique muscle.

A

thoracolumbar fascia, iliac crest TO ribs 10-12, linea alba and pubic crest

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15
Q

What innervates all the anterolateral abdominal muscles?

A

The anterior rami of the lower 6 thoracic spinal nerves (T7-T12) and L1.

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16
Q

What type of membrane makes up the 2 layers of the peritoneum?

A

Serous membrane made from mesothelium

17
Q

What are the 2 layers of the peritoneum?

A

Visceral: lines the internal organs
Parietal: lines the body wall

18
Q

List the intraperitoneal organs.

A

Stomach, spleen, liver, transverse and sigmoid colon

19
Q

List the retroperitoneal organs

A

pancreas, cecum, ascending and descending colon and the kidneys

20
Q

List the infra peritoneal organs

A

bladder and rectum

21
Q

What is the embryological derivative of the peritoneum?

A

The lateral plate mesoderm

22
Q

What suspends the gut tube in the abdominal cavity?

23
Q

What is the average weight of the liver?

24
Q

What are the 4 lobes of the liver?

A

Caudate, Quadrate, right and left

25
What is present between the diaphragm and liver?
The subphrenic recess
26
What space is present between the liver and the organs situated posterior to it?
The hepatorenal recess
27
Define 'couinaud classification'
The liver can be divided into 8 functionally independent segment, each with its own vasculature, biliary drainage, branch of the portal vein, hepatic artery and bile duct
28
What are the two supplies of blood to the liver?
The hepatic artery and the portal vein
29
What are the liver's specialised capillaries called? And what type of epithelium are they composed of?
Sinusoids; made up of fenestrated epithelium + does not have a BM
30
What are 'Kupffer cells'?
Specialised hepatic macrophages
31
What type of CT is present in the liver?
Loose CT - Space of Disse
32
What are the function of stellate cells in the liver?
These are the non-parenchymal cells of the liver that functions include the storage of retinoids and growth factors for hepatocytes
33
What condition involves abnormal production of collagen in the liver?
Fibrosis