GIT Pre-practial Flashcards

1
Q

Layers of the anterolateral abdominal wall superficial to deep

A
  1. Skin
  2. Superficial fascia 2 layers- Camper (fatty) //7 Scarpa (membranous)
  3. Deep fascia (surrounds muscle)
  4. Muscles – ext, int obliques, transversus abdominis, rectus abdominis
  5. Transversalis fascia (deep to tranversus abdominis)
  6. Extraperitoneal fatty layer
  7. Parietal peritoneum
  8. Visceral peritoneum
  9. Organs
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2
Q

Rectus sheath is

A

A continuation of external oblique aponeurosis which covers rectus abdomens muscles

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3
Q

Internal thoracic artery gives rise to

A

Superior epigastric artery

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4
Q

What does the superior epigastric artery anastomose with

A

Inferior epigastric artery behing rectus abdominis

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5
Q

Which nerves innervate the abdominal muscles

A

Lower 6 intercostal nerves continue over the abdominal wall (T7-T12)

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6
Q

What is the arcuate line

A

A horizontal line that demarcates the lower limit of the posterior layer of the rectus sheath i.e. where the traverses abdomens muscle ends inferiorly

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7
Q

What is the terminal branch of the internal thoracic artery

A

Superior epigastric artery

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8
Q

What arises from the external iliac arteries

A

Inferior epigastric artery

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9
Q

Lateral branches of the superior and inferior epigastric arteries supply

A

Anterolateral abdominal wall

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10
Q

How long is the inguinal canal

A

4cm long

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11
Q

Where does the inguinal canal lie

A

Parallel and superior to the medial half of the inguinal ligament

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12
Q

What are the contents of the inguinal canal in men and women

A

Spermatic cord

Round ligament of uterus

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13
Q

What other components are located in the inguinal canal

A

Blood, lymphatic vessels and ilioguinal nerve

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14
Q

What leads to the formation of the inguinal canal

A

Evagination of the aponeurosis of the oblique muscle into the scrotum/uterus

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15
Q

Where is the inguinal ligament located

A

In between the pubic tubercle and the iliac spine

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16
Q

The roof of the inguinal canal is formed by

A

The conjoint tendon and the meeting of the anterior and posterior walls of the canal

17
Q

The anterior wall of the canal is formed by

A

external oblique muscle throughout and internal oblique laterally

18
Q

The posterior wall is formed from

A

the traversals fascia and conjoint tendon

19
Q

The floor is formed by an

A

Incurving inguinal ligament which is part of the external oblique muscle, forming a gutter

20
Q

What are the 2 types of inguinal hernias

A

Direct and Indirect

21
Q

Describe an Indirect hernia

A

Hernia follows the same course as the spermatic cord and enters via the deep inguinal ring

22
Q

Who is more prone to having an indirect hernia

A

Young, male as it is congenital

23
Q

Describe a direct hernia

A

Created by a bulge through weakened fascia of abdominal wall and is directly behind superficial inguinal ring. Rarely enters scrotum

24
Q

Who is most prone to direct hernias

A

Elderly

25
Q

What is the inguinal triangle (Hesselbach’s triangle)

A

A common location for direct hernias to occur. The weak point is caused by a deficiency in the number of transverses abdomens aponeurotic fibres

26
Q

Where is the location of the inguinal triangle

A

Inferior epigastric artery and vein
Rectus abdominis muscle
Inguinal ligament

27
Q

What type of cells are found in the oesophagus, anal canal and what is it purpose

A

Stratified squamous and protection

28
Q

What type of cells are found in the stomach and what is its purpose

A

Simple columnar epithelium and secretory

29
Q

What type of cells are found in the small intestine and what is its purpose

A

Simple columnar epithelium with goblet cells (vili) secretory and absorptive

30
Q

What type of cells are found in the large intestine and what is its purpose

A

Simple columnar epithelium with goblet cells (no villi)

Absorptive and protective