Large Bowel. Rectum. Appendix

Question 1

Valves of Houston found

Answer 1

Rectum

Question 2

Where taenia coli, haustra found

Answer 2

Colon

Question 3

Loc of cecum

Answer 3

Right Iliac fossa

Question 4

Wormlike, blind instertinal diverticulum with short triangular mesentery

Answer 4

Mesoappendix

Question 5

Base of appendix situated

Answer 5

MCBURNEY point

Question 6

Techniques precisely locate appendix

Answer 6

Trace the teniae coli on the cecum

Question 7

Blood supply of appendix

Answer 7

Appendicular a from ileocolic from IMA

Question 8

Drainage of appendix

Answer 8

Appendicular vein to posterior cecal v to smv

Question 9

Never can be injured during appendectomy

Manifest as weakening of anterior abdominal wall

Answer 9

Iliohypogastric nerve

Question 10

Supply of ascending colon

Answer 10

Ileocolic and right colic a from SMA

Question 11

Drainage of ascending colon

Answer 11

Ileocolic and right colic v to SMV

Question 12

Blood supply of transverse colon

Answer 12

Middle colic A from SMA, also by R colic from SMA and L colic from IMA

Question 13

Supply of descending colon

Answer 13

Left colic and sigmoid artery from IMA

Question 14

Twists around sigmoid mesocolon. Symptoms of left sided colicky oain, abdominal distention, hematichezia

Answer 14

Sigmoid volvulus

Question 15

Blood supply of rectum

Answer 15

Superior rectal from IMA
MIddle rectal from Iternal Iliac
Inferior rectal from internal pudendal

Question 16

Venous of rectum

Answer 16

Superior rectal c to IMV to Portal
Middle rectal to internal iliac
Inferior rectal to internal pudendal to internal iliac

Question 17

Level begins the anal canal

Answer 17

Puborectalis msc

Question 18

Divides anal canal to 2 segments with diff embryo, blood supply and innervation

Answer 18

Pectinate/dentate/anorectal line

Question 19

Part of anal canal with anal columns and sensitive to stretch

Answer 19

Upper

Question 20

Anal canal part without anal columbs

Sensitive to pain, temperature, touch, pressure

Answer 20

Lower

Question 21

Begins from dentate line and ends at anal verge

Answer 21

Anatomic anal canal

Question 22

Begins from anorectal ring or jxn ends at anal verge

Answer 22

Surgical anal canal

Question 23

True diverticulum. Persistence of remnant of vitellin ducts

Answer 23

Meckel diverticulum

Rule of 2

Question 24

Referred as celiac, superior mesenteric and inferior mesenteric LN

Answer 24

Preaortic