Great Vessels of the Abdomen

Question 1

Aortic hiatus of diaphragm spine location

Answer 1

T12

Question 2

Aorta bifurcation spine level/other known area

Answer 2

L4/umbilicus

Question 3

What comes off celiac axis

Answer 3

R->L
Common hepatic artery
Left gastric artery
Splenic artery

Question 4

Common hepatic artery splits into

Answer 4

Hepatic artery proper and gastroduodenal artery

Question 5

Splenic artery travels/supplies

Answer 5

Along superior aspect of pancreas
Supplies spleen and tail of pancreas

Question 6

Left gastric artery travels/supplies

Answer 6

Along lesser curvature of stomach
Supplies stomach

Question 7

Adrenal arteries arises

Answer 7

Between CA and SMA on lateral aspect of aorta
Not seen on ultrasound

Question 8

SMA full name/supplies

Answer 8

Superior mesenteric artery
Supplies small intestines, right/left transverse colon, ascending colon

Question 9

SMA surrounded by

Answer 9

Hyperechoic fat

Question 10

SMA surrounded by

Answer 10

Hyperechoic fat

Question 11

Location of renal arteries

Answer 11

Inferior to SMA

Question 12

Is the R/L renal arteries anterior or posterior to R/L renal veins

Answer 12

Posterior

Question 13

How does the RRA get past the IVC (ant/post)

Answer 13

Posterior

Question 14

RRA compared to LRA (length, position and why)

Answer 14

RRA is longer (travels further to kidney)
RRA slightly inferior (liver pushes stuff lower)

Question 15

Gonadal arteries originate from

Answer 15

Anterior aspect of aorta inferior to renal arteries (not typically seen on ultrasound)

Question 16

IMA originates

Answer 16

Anterior aorta at L3 (bifurcation at L4 so very low)

Question 17

IMA supplies

Answer 17

Left transverse colon, descending colon, sigmoid colon, rectum

Question 18

Lumbar arteries (how many, origination, supplies)

Answer 18

Paired (4-5 pairs)
Originate lat/post of aorta
Supplies lumbar spine

Question 19

Median sacral artery (where/supplies)

Answer 19

Most Inferior branch of aorta
Supplies sacrum
Not seen on ultrasound

Question 20

Common iliac arteries formed by

Answer 20

Formed by bifurcation of aorta at L4

Question 21

CIA vs CIV (post/ant)

Answer 21

CIA are anterior

Question 22

CIA branch into

Answer 22

Internal (to pelvis) and external (to legs) iliac arteries

Question 23

Where do CIV’s meet to form IVC

Answer 23

L5

Question 24

Where does IVC pierce diaphragm

Answer 24

T8

I8 10eggs At12
IVC. Esophagus. Aorta

Question 25

CIV in position to CIA and ureters

Answer 25

Posterior to both

Question 26

Lumbar veins (how many, origin)

Answer 26

4-5 pairs
Lat walls of IVC and CIV
Accompany lumbar arteries

Question 27

Gonadal veins AKA

Answer 27

Ovarian or testicular veins

Question 28

Gonadal veins ascends along

Answer 28

Psoas muscle

Question 29

R vs L gonadal vein

Answer 29

Right: drains into ant IVC below renal vein
Left: drains into left renal vein because aorta is in the way

Question 30

Renal veins vs renal arteries

Answer 30

Veins anterior to arteries

Question 31

RRV vs LRV

Answer 31

RRV shorter/slightly inferior

Question 32

How does LRV travel around aorta

Answer 32

Ant aorta post to SMA

Question 33

What two veins dump into LRV

Answer 33

Left gonadal and suprarenal veins

Question 34

R vs L adrenal (suprarenal) veins

Answer 34

Right drain into IVC
Left drains into LRV

Question 35

Hepatic veins travel from/to

Answer 35

Ant inf position within liver to post sup position to join IVC

Question 36

Where do hepatic veins empty into IVc

Answer 36

Just inferior to diaphragm

Question 37

What is the only arteries that branch off the lateral aorta (seen on ultrasound)

Answer 37

RRA/LRA