GI amatomy Flashcards

1
Q

which nerve innervates the tongue muscles

A

all of the tongue muscles are innerated by CNXII (hypoglossal), except the palatoglossus which is innervated by CNX (vagus

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2
Q

what is the bile duct

A

where bile travels through from the gall bladder

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3
Q

what is the common hepatic duct

A

where bile travels through from the liver

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4
Q

where do ischioanal fossae lie

A

fossae lie on either side of the anal canal.

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5
Q

where is the appendices oriface located

A

on the posteromedial wall of the caecum, 1/3rd of the way between right ASIS, and the umbilicus

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6
Q

where does the abdominal aorta bifurcate into the common iliacs

A

L4 level

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7
Q

what is the main arterial anastomosis in the large intestine

A

the marginal artery of Drummond.

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8
Q

what supplies blood to the rectum and anal canal

A

Hindgut part – superior rectal artery from IMA.
Somatic part (below the pectinate line) – middle and inferior rectal arteries from the internal iliac artery.

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9
Q

where are the three main sites of portal anastomoses

A

Distal end of oesophagus.
Skin around the umbilicus.
Rectum/anal canal

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10
Q

what muscle is the pelvic floor

A

Levator ani muscle is the pelvic floor

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11
Q

where does the sigmoid colon become the rectum

A

rectosigmoid junction, anterior to S3.

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12
Q

where does the rectum become the anal canal

A

anterior to the tip of the coccyx

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13
Q

what muscles are associated with the levator ani

A

iliococcygeus, pubococcygeus, puborectalis.

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14
Q

what is the nerve supply of the levator ani

A

Nerve to levator ani (a branch of the sacral plexus, S3, S4).
Pudendal nerve (S2, S3, S4).

“S 2, 3, 4 keeps the pelvis off the floor”

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15
Q

what stimulated contraction of the external anal sphincter

A

pudenal nerve

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16
Q

what does the gallbladder do

A

the gall bladder stores AND concentrates bile.

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17
Q

what is the first branch of the abdominal aorta

A

coeliac trunk is the first branch of the abdominal aorta, at T12 level

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18
Q

what is the blood supply of the organs of the foregut

A

coeliac trunk

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19
Q

which ribs protect the spleen

A

Ribs 9-11 protect the spleen.

20
Q

what is the blood supply and drainage of the midgut

A

superior mesenteric artery
portal venous system

21
Q

what is the blood supply and drainage of the hindgut

A

inferior mesenteric artery
superior rectal vein

22
Q

what is the blood supply and drainage of the foregut

A

coeliac artery
coeliac vein

23
Q

what is the blood supply to the stomach

A

Right (from hepatic artery) and left (from coeliac trunk) gastric arteries.
Right (from gastro-duodenal branch of hepatic artery) and left (from splenic artery) gastro-omental arteries

24
Q

what ribs does the liver lie deep to

A

ribs 7-11

25
Q

what is the blood supply of the gall bladder

A

cystic artery

26
Q

what does the portal triad consist of

A

hepatic portal vein, hepatic artery, and common bile duct.

27
Q

what happens when the bile duct joins with the pancreatic duct

A

form the ampulla of vater/hepatopancreatic ampulla

28
Q

what is the blood supply to the pancreas

A

Mainly from pancreatic branches of splenic artery.
And superior (from gastroduodenal branch of hepatic artery) + inferior (from SMA) pancreaticoduodenal arteries.

29
Q

which section of the duodenum in intraparitoneal

A

First part of the duodenum is intraperitoneal. The other 3 parts are retroperitoneal.

30
Q

what are the visceral afferent nerve fibres of the hindgut

A

T10-12

31
Q

what are the visceral afferent nerve fibres of the midgut

A

T8-12

32
Q

what are the visceral afferent nerve fibres of the foregut

A

T6-9

33
Q

where do sympathetic nerves synapse

A

directly onto cells of the adrenal gland

34
Q

what is the parasympathetic innervation of the gut

A

Vagus nerve – up to the distal end of the transverse colon.
Pelvic splanchnic nerves (S2, S3, S4) – from the descending colon to the anal canal.

35
Q

what kind of organ is the liver

A

The liver is an intraperitoneal organ.

36
Q

what is the pain associated with appendicitis

A

it starts as a dull ache around the umbilicus, then moves to become a localised sharp pain in the RIF do to irritation of the parietal peritoneum

37
Q

what are the inner longitudinal muscles of the pharynx are innervated by

A

CN IX and X

38
Q

what is the only muscle innervated by CN IX

A

stylopharyngeus

39
Q

what is the innervation of the gag reflex

A

Sensory limb – CNIX.
Motor limb – CNIX + CNX.

40
Q

what is the innervation of the anterior 2/3 of the tongue

A

General sensory – CNV3.
Special sensory (taste) – CNVII.

41
Q

what is the innervation of the posterior 1/3 of the tongue

A

General and special sensory – CNIX.

42
Q

what is the innervation of the jaw opening and closing

A

by CNV3 – the mandibular division of the trigeminal nerve.

43
Q

what are the muscles of the jaw closing

A

masseter, temporalis, medial pterygoid

44
Q

what are the muscles of the jaw opening

A

lateral pterygoid

45
Q

what are pterygoid plates

A

part of the sphenoid bone