General Abdomen Flashcards

1
Q

The subcostal plane passes through which anatomical structure?

A. Body of L5 vertebra
B. Xiphoid process
C. Inferior border of 10th costal cartilage
D. Subcostal space

A

C. Inferior border of 10th costal cartilage

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2
Q

Which is not true about the anterolateral abdominal wall?

A. The superior boundary is composed of the cartilages of 7th-10th ribs and xiphoid process
B. There are 4 bilaterally paired muscles
C. The external oblique is the largest and most superficial muscle
D. None of the above

A

B. There are 4 bilaterally paired muscles

There are 5: 3 flat (obliques) and 2 vertial (rectus and pyramidalis).

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3
Q

The transumbilical plane passes through which vertebral level?

A. L3-L4
B. L2-L3
C. L1-L2
D. T12-L1

A

A. L3-L4

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4
Q

When rotating the trunk and flexing the hip to the right, which muscles are being used?

A. Left ext. oblique and right int. oblique
B. Left ext. oblique and left int. oblique
C. Right ext. oblique and right int. oblique
D. Right ext. oblique and left int. oblique

A

D. Right ext. oblique and left int. oblique

REMEMBER: LEO RIO - Right
Left ext. oblique
Right int. oblique
To the right

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5
Q

All walls of the anterolateral abdomen are musculoaponeurotic. True/False?

A

False.

The posterior wall is NOT.

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6
Q

The xiphoid process is innervated by

A. T7
B. T8
C. T9
D. T10

A

A. T7

T10 - umbilicus

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7
Q

The aponeurosis of the external oblique forms a fibrous band between the ASIS and the pubic tubercle to form ___________

A

Inguinal/Poupart’s ligament

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8
Q

The midline raphe which extends from the xiphoid process to the pubic symphysis

A. Linea semilunaris
B. Linea alba
C. Pectinate line
D. Linea semicircularis

A

B. Linea alba

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9
Q

Mesh repair during inguinal surgery can be placed in this area

A. Inguinal falx
B. Superficial inguinal ring
C. Inguinal ligament
D. Space of Bogros

A

D. Space of Bogros

An extraperitoneal space underneath the transversalis fascia

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10
Q

Choose the correct muscle:function pair.

A. Transversus abdominis : compression of abdomen
B. Ext. and Int. Obliques : lateral movement of trunk
C. Rectus abdominis and Pyramidalis : increases the length of the abdominal cavity
D. None of the above

A

A. Transversus abdominis : compression of abdomen

B. Ext. and Int. Obliques : lateral movement of trunk
- TORSIONAL

C. Rectus abdominis and Pyramidalis : increases the length of the abdominal cavity
- SHORTENS

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11
Q

Which of the ff statements is true regarding the development of the inguinal canal?

A. At 5 weeks gestation, the testis travels down from the upper part of the abdomen
B. By the 8th week, the testis is already in the pelvis.
C. On the 7th month, the testis will travel down with the testicular vessels.
D. The pathway formed by the gubernaculum is a weak link that can cause direct inguinal herniation.

A

C. On the 7th month, the testis will travel down with the testicular vessels.

A. At 5 weeks gestation, the testis travels down from the upper part of the abdomen
- 7 weeks

B. By the 8th week, the testis is already in the pelvis.
- 12th week

D. The pathway formed by the gubernaculum is a weak link that can cause direct inguinal herniation.
- INDIRECT

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12
Q

The visceral peritoneum is sensitive to touch, heat, cold, and laceration. True/False?

A

False.

It is the PARIETAL peritoneum.

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13
Q

Venous drainage:

______ -> ______ -> ______

A

Superficial epigastric v. -> thoracoepigastric v. -> axillary v.

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14
Q

The greater omentum provides neurovasculature for the stomach. T/F?

A

False.

Omentum is only a covering. The neurovasculature is found in the MESENTERY.

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15
Q

Responsible for the wrinkled appearance of the scrotum

A

Dartos fascia and dartos muscle

Contraction when cold causes the scrotum to wrinkle and reduce its surface area, assisting the CREMASTER MUSCLE in holding it closer to the body.

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18
Q

The 9 abdominal regions are divided by 2 transumbilical planes and 2 midclavicular planes. T/F?

A

False.

It is divided by (1) subcostal plane (1) transtubercular plane and (2) midclavicular lines.

19
Q

Communication between the greater and lesser sacs

A

Omental or Epiploic Foramen

20
Q

The internal oblique muscle corresponds to what layer of the scrotum/testes?

A. External spermatic fascia
B. Cremaster muscle
C. Cremaster fascia
D. Internal spermatic fascia

A

B. Cremaster muscle

A. External spermatic fascia
- from ext. oblique

C. Cremaster fascia
- from int. oblique fascia

D. Internal spermatic fascia
- from transversalis fascia

23
Q

The medial boundary of the subinguinal space

A. Pectineal ligament of Cooper
B. Lacunar ligament of Gimbernat
C. Pectineus ms.
D. Femoral canal

A

C. Lacunar ligament of Gimbernat

Arched deep fibers that pass posteriorly to attach to the superior pubic ramus lateral to the tubercle.

24
Q

The ff structures are contents of the rectus sheath except:

A. Pyramidalis
B. Superior epigastric artery
C. Superficial epigastric artery
D. Abdominal portions of the anterior rami of spinal nerves T7-T12

A

C. Superficial epigastric artery