L3 GI Organs Flashcards

1
Q

The digestive system consists of the following stuctures:

A
  • oral cavity
  • pharynx
  • esophagus
  • stomach
  • small intestine
  • large intestine
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2
Q

The accessory digestive organs are:

A
  • liver
  • gallbladder
  • salivary glands
  • pancreas
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3
Q

The oral cavity opens to the:

A

Pharynx

muscular tube & common chamber (shared by digestive & respiratory system)

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4
Q

The ____ to the ____ is located within the abdomen

A

distal esophagus; sigmoid colon

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5
Q

The esophagus enters the abdominal cavity through:

A

The diaphragm at T10

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6
Q

Anterior vagal trunk comes from the _____ nerve; Posterior vagal trunk comes from the _____nerve

A

left vagus nerve; right vagal nerve

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7
Q

The esophagus receives blood from which two arteries?

A
  • Left gastric (celiac trunk)
  • left inferior phrenic (abdominal aorta)
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8
Q

What is the function of the upper esophageal sphincter?

What is the function of the lower esophageal sphincter?

A
  • Prevent the entrance of air during respiration and reflux of gastric contents​
  • which guards against gastro-esophageal reflux
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9
Q

Name the 4 parts of the stomach.

A
  • Cardia/cardiac region
  • Fundus
  • Body
  • Funnel-shaped pyloric part
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10
Q

Where is the pyloric sphincter located?

A

within the pyloric constriction

Surrounds the distal portion of the stomach, the pyloric orifice.

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11
Q

Define “angular incisure”

A

A bend on the lesser curvature of the stomach

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12
Q

What is the start and end of the small intestine?

A

pylorus to the ileocecal junction

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13
Q

What are the three surface modifications that increase surface area in the small intestine?

A
  1. circular folds/plicae circulares of mucosa-sumucosa
  2. Vili
  3. Microvili
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14
Q

What is the most frequent location for peptic ulcers?

A

Duodenal cap

(imaging: x-ray w/barium swallow)

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15
Q

Where does the duodenum receive the bile and pancreatic enzymes?

A

Hepatopancreatic ampulla at the major duodenal papilla.

site for gallstone impaction

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16
Q

What is the junction between upper GI bleeding and lower?

A

duodenojejunal junction

17
Q

The jejunum is the proximal ____ of the small intestine is located in the ______ quadrant?

A

2/5; left upper (LUQ)

18
Q

The ileum forms the distal _____ of the small intestine and is located mainly in the _____ quadrant.

A

3/5; lower right (LRQ)

19
Q

Describe the blood supply of the jejunum.

A

few arterial arcades

long vasa recta

little fat

20
Q

Describe the blood supply of the ileum.

A

many arterial arcades

short vasa recta

laden with fat

21
Q

Ileum opens into large intestine at the _____.

A

Ileocecal junction

(may have embryonic remnant: ileal diverticulum (Meckel’s))

22
Q

The large intestine consists of:

A
  • Cecum
  • appendix​
  • Colon​
  • Ascending​
  • Transverse​
  • Descending​
  • Sigmoid​
  • Rectum​
  • Anal canal
23
Q

List the 3 features that distinguish the large intestine from the small intestine.

A
  • Omental appendices: small fatty projections​
  • Teniae coli: longitudinal smooth muscle​
  • Haustra (sacculations)
24
Q

Where is the appendix located? (which structure of the GI)

A

cecum (inferior to ileocecal junction)

25
Describe the cecum
* continuous w/ascending colon * receives contents from ileum at ileocecal junction Intestinal obstructions at this ileocecal junction: intussusception (pink sock), volvulus (twisting), gallstone ileus (blockage by gallstone)
26
Define the appendix.
intestinal diverticulum containing lymphoid tissue. variable position can make dx of appendicitis difficult (most are retrocecal)
27
Name the 4 parts of the colon.
* Ascending * Transverse * Descending * Sigmoid
28
The ascending colon meets the transverse colon at the \_\_\_\_; the transverse colon meets the descending colon at the \_\_\_\_\_.
right colic (hepatic) flexure; left colic (splenic) flexure
29
Which spinal level is the sigmoid colon located?
S3
30
Which section of the bowel causes 90% of volvulus?
sigmoid colon Suspended by mesentery (sigmoid mesocolon); intraperitoneal
31
The rectum is located in the \_\_\_\_\_; the anal canal is located in the \_\_\_\_\_.
pelvis perineum