Large Intestine, Appendix, Superior & Inferior Mesenteric Vessels Flashcards

1
Q

Storage of undigested materials until expelled as feces and absorption of water and electrolytes

These are the function of?

A. Small intestine
B. Large intestine

A

B. Large intestine

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2
Q

___ junction is at the level where the ascending colon begins.

A. Ileocecal
B. Gastroduodenal

A

A. Ileocecal

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3
Q

Ileocecal ___ two horizontal folds or lips at the iloeocecal opening.

A. Junction
B. Valve
C. Flexure

A

B. Valve

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4
Q

Gallstones can be lodged from the common bile duct, it will go to the medial
border of the second part of the ___ and then will be expelled; but it can be lodged in the ___ if it is too big which will cause
intestinal obstruction.

A. Duodenum, ileocecal junction
B. Jejunum, ileocecal junction
C. Cecum, ileocecal junction

A

A. Duodenum, ileocecal junction

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5
Q

___ is the first part of the large intestine; it is continuous with the ascending colon.

A. Cecum
B. Ileum
C. Duodenum

A

A. Cecum

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6
Q

The cecum ___ mesentery so it has relative ___ and may be displaced from the iliac fossa.

A. Has no, freedom
B. Has, no freedom

A

A. Has no, freedom

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7
Q

Cecum has the __ lumen and ___ muscular wall among the segments.

A. Widest, thickest
B. Widest, thinnest
C. Narrowest, thinnest

A

B. Widest, thinnest

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8
Q

Peritoneal organ = mobile or immobile =almost completely covered by peritoneum

A. Mobile
B. Immobile

A

A. Mobile

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9
Q

Retroperitoneal organs. = rigid and ___ = placed ___

A. Immobile, posteriorly
B. Immobile, anteriorly
C. Mobile, posteriorly

A

A. Immobile, posteriorly

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10
Q

longitudinal muscle that is in the form of 3 flat bands, called ___ coli (anterior, medial, lateral) and these 3 bands converge at the ___ of appendix, serves as a clue of surgeons when they cannot find the appendix.

A. Taenia, apex
B. Taenia, base

A

B. Taenia, base

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11
Q

Taenia libera/free taenia: located ___
Mesocolic taenia: located ___
Omental taenia: located ___

A. Medial, anterior, lateral
B. Anterior, medial, lateral
C. Lateral, medial, anterior

A

B. Anterior, medial, lateral

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12
Q

3 peritoneal folds (peritoneal recesses) close to the cecum are:

First recess - ___ ileocal recess
Below - ___ ileocecal recess
Behind - ___ recess

A. Retrocecal, inferior ileocecal, super ileocecal
B. Superior ileocecal, inferior ileocecal, retrocecal
C. Inferior ileocecal, retrocecal, superior ileocecal

A

B. Superior ileocecal, inferior ileocecal, retrocecal

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13
Q

Appendix is located at the __ side of the cecum, on the __ iliac fossa

A. Anteromedial, left
B. Posteromedial, left
C. Posteromedial, right

A

C. Posteromedial, right

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14
Q

___ of appendix is constant or fixed; ___ of appendix is mobile.

A. Base, tip
B. Tip, base

A

A. Base, tip

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15
Q

Appendicitis can be a ___ pain and the most common cause is hardened ____

A. RLQ, stool
B. LLQ, stool
C. RLQ, lymph node

A

A. RLQ, stool

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16
Q

If the tip of appendix is located at the pelvic, the ___ region will feel pain.

A. epigastric region
B. hypogastric region

A

B. hypogastric region

17
Q

During appendectomy, the surgeon will cut along the ___ Point. This is the ___ of the appendix in relation to the anterior abdominal wall. 1/3 up the imaginary line from the right ASIS to the ___.

A. McBurney’s, base, umbilicus
B. McBurney’s, apex, umbilicus

A

A. McBurney’s, base, umbilicus

18
Q

This segment of the colon starts at the ileocecal junction and ends at the right colic flexure.

A. descending colon
B. ascending colon
C. transverse colon

A

B. ascending colon

19
Q

This segment of the colon is the largest and most mobile and it has its own mesentery that attaches it to the ___ abdominal wall

A. ascending colon, anterior
B. descending colon, anterior
C. transverse, posterior

A

C. transverse, posterior

20
Q

The left colic flexure (splenic flexure) is __ than the right colic flexure.

A. Lower
B. Higher

A

B. Higher

21
Q

The transverse mesocolon is attached to the ___ border of the transverse colon.

A. Inferior
B. Superior
C. Lateral

A

B. Superior

22
Q

Greater omentum is attached to the ____ border of transverse colon and at the ___ curvature of the stomach

A. Inferior, greater
B. Superior, lesser
C. Inferior, lesser

A

A. Inferior, greater

23
Q

Descending colon is located at the ___ & ___

A. RUQ & RLQ
B. LUQ & LLQ

A

B. LUQ & LLQ

24
Q

Descending colon starts at the left colic flexure (aka splenic flexure) to the ___

A. Sigmoid colon
B. Pelvic brim
C. Rectum

A

B. Pelvic brim

25
Q

The sigmoid begins at the pelvic ___ and is continuous with the rectum at the level of ___.

A. Outlet, L3
B. Inlet, L4
C. Inlet, L3

A

C. Inlet, L3

26
Q

Taenia coli ends at the level of ___ (aka rectosigmoid junction)

A. S2
B. S3
C. S4

A

B. S3

27
Q

Ileocolic, medial colic, and right colic arteries come from ___.

A. Inferior mesenteric artery
B. Superior mesenteric artery
C. Celiac trunk

A

B. Superior mesenteric artery

28
Q

___ displacement of appendix and cecum can happen during pRegnancy.

A. Counterclockwise
B. Clockwise

A

A. Counterclockwise

29
Q

The appendicular artery is a branch of ___ artery.

A. Medial colic
B. Ileocolic
C. Right colic

A

B. Ileocolic

30
Q

What are the branches of inferior mesenteric artery?

A. Left colic, sigmoid arteries
B. Medial colic, right colic, ileocolic
C. Appendicular artery

A

A. Left colic, sigmoid arteries

31
Q

The ___ artery of Drummond, supplies blood to the segments from the branches of SMA and ___.

A. Distal, celiac
B. Proximal, IMA
C. Marginal, IMA

A

C. Marginal, IMA

32
Q

All in the right side supplied by ___ mesenteric artery same with vein
drainage and lymph nodes:
Cecum
Ascending colon
Appendix
Transverse colon (___ 2/3)

A. Superior, proximal
B. Superior, distal
C. Inferior, proximal

A

A. Superior, proximal

33
Q

__ mesenteric artery same with vein and lymph nodes
Transverse colon (___ 1/3)
__ colon
Descending colon

A. Superior, distal, ascending
B. Superior, proximal, sigmoid
C. Inferior, distal, sigmoid

A

C. Inferior, distal, sigmoid

34
Q

__ mesenteric artery same with vein and lymph nodes
Transverse colon (___ 1/3)
__ colon
Descending colon

A. Superior, distal, ascending
B. Superior, proximal, sigmoid
C. Inferior, distal, sigmoid

A

C. Inferior, distal, sigmoid

35
Q

What are the 3 mobile segments of the large intestine?

A. Descending colon, cecum
B. Transverse colon, cecum, sigmoid colon
C. Transverse colon, ascending colon

A

B. Transverse colon, cecum, sigmoid colon

36
Q

What are 2 immobile segments of large intestine?

A. Ascending and descending colon
B. Transverse colon, descending colon
C. Sigmoid colon, cecum

A

A. Ascending and descending colon