Lecture 20: Abdomen (Wall + Cavity) Flashcards

1
Q

___ is the superior boundary of the abdomen while ____ is in the inferior boundary of the abdomen

A
  • Thoraco-abdominal diaphragm (attaches to inferior thoracic aperture)
  • Pelvic Inlet
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2
Q

The Abdominal____ contains muscle and encloses the abdominal cavity

A

Abdominal Wall

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3
Q

Functions of Abdomen?

A
  1. Protects viscera
  2. Posture and position
  3. Respiration (expands and contracts thorax)
  4. Increase abdominal pressure
    - Defecation
    - Micturition
    - Parturition
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4
Q

The abdomen is divided into four quadrants by the intersection of two planes: a ____ plane through the umbilicus and a ____ plane

A

transverse plane; mid-sagittal plane

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5
Q

_____ is a part of the abdominal surface anatomy formed by costal cartilages of ribs 6-10; forms part of the inferior thoracic aperture

A

Costal Margin

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6
Q

What are the two attachment sites for inguinal ligament?

A

1) Anterior Superior Iliac Spine
2) Pubic Tubercle

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7
Q

True or False: The umbilicus is located at ~L3-4

A

True

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8
Q

The abdomen is divided into four quadrants by the intersection of two plane: a ___ plane through the umbilicus and a ____ plane

A

transverse; mid-sagittal

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9
Q

The abdomen is lined by skin and superficial fascia. In the abdomen, the superficial fascia consists of two layer:

1) _____: superficial, fatty layer (usually thicker)

2) ____: deep, membranous layer (usually thinner)

A

1) Camper’s Fascia
2) Scarpa’s Fascia

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10
Q

True or False: Both Camper’s Fascia and Scarpa’s Fascia are continous with fascial layers in the perineum

A

True

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11
Q

What type of abdominal muscles are the psoas major, quadratus lumborum, and ilacus?
A. Posterior Abdominal Wall Muscles
B. Anterolateral Abdominal Wall Muscles

A

A. Posterior Abdominal Wall Muscles

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12
Q

Which THREE posterior abdominal muscles reinforce the abdominal wall?

A

1) Iliacus
2) Psoas major
3) Quadratus Lumborum

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13
Q

Which TWO posterior abdominal muscles produce movements in the lower limb?

A

1) Iliacus
2) Psoas Major

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14
Q

The anterolateral abdominal wall consists of ___ layers of flat, obliquely-oriented muscles (laterally) AND ___ vertical muscle (medially)

A

three; one

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15
Q

What three muscles make up the flat, obliquely oriented m. of the anterolateral abdominal wall?

A

1) External abdominal oblique m.
2) Internal abdominal oblique m.
3) Transversus abdominus m.

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16
Q

External Abdominal Oblique m. has muscle fibers that course in the ____ direction while the Internal Abdominal Oblique m. has muscle fibers that course in the ____ direction

A

External Oblique m. = Infero-medial
Internal Oblique m. = Supero-medial

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17
Q

Which flat muscle is the most superficial? Which is the most deep?

A

Most superficial = external abdominal oblique m.

Most deep = transversus abdominus m.

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18
Q

Each abdominal oblique muscle forms an aponeurosis in which two directions?

A

Medially and Inferiorly

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19
Q

The aponeuroses formed by each abdominal m. come together to form the ____

A

rectus sheath

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20
Q

Which flat m. does the rectus sheath surround?

A

The rectus abdominus m.

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21
Q

The inferior margin of the external abdominal oblique m. forms the inguinal ___ → inguinal ____→ spermatic cord (males) + uterus ligament (females)

A

inguinal ligament; inguinal canal

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22
Q

Which ligament helps form the inguinal canal?

A

Inguinal Ligament

23
Q

____ is a passageway from the abdominal cavity to the abdominal wall

A

Inguinal Canal

24
Q

True or False: The Inguinal canal transmits the spermatic cord in males and the round ligament of the uterus in females

A

True

25
Q

What is the benefit of having varying directions of muscle fibers in the layers of flat m?

A

Helps strengthen abdominal wall (because each layer can resist pressure in different direction)

26
Q

____: long, paired, flat m that extends the length of anterior abdominal wall (from sternum to pelvis)

A

Rectus abdominus

27
Q

Each rectus abdominus m. contains __ tendinous intersections

A

3-4 tendinous intersections

28
Q

The right and left rectus abdominus m. are separated in the midline by the _____, which consists of the aponeuroses of all of the abdominal oblique m.

A

Linea Alba

29
Q

The posterior layer of the rectus sheath ends at the _____

A

arcuate line

30
Q

Inferior to the arcuate line, the anterior
abdominal wall is only separated from
the abdominal cavity by a thin layer of
fascia known as the ______

A

transversalis fascia

31
Q

True or False: The abdominal WALL is continuous inferiorly with the pelvic cavity; the continuous cavity is often referred to as the abdominopelvic cavity

A

False - the abdominal CAVITY is continuous inferiorly with the pelvic cavity; the continuous cavity is often referred to as the abdominopelvic cavity

32
Q

What is the name of the serous membrane that lines the abdominal cavity?

A

Peritoneum

33
Q

Identify the peritoneum:

1) ________: outer layer, surrounds wall of abdominal layer

2) ________: inner layer; surrounds abdominal organs

A

1) Parietal Peritoneum
2) Visceral Peritoneum

34
Q

What is the function of the serous fluid of the peritoneal cavity?

A

Allows organs to move freely + change shape

35
Q

Which viscera is suspended within the peritoneal cavity by mesentaries (folds of peritoneum)?
A. Secondarily Retroperitonal Viscera
B. Intraperitonal Viscera
C. Retroperitonal Viscera

A

B. Intraperitonal Viscera

36
Q

____ convery neurovasculature and lymphatics to/from organs they suspend

A

Mesentery

37
Q

Which viscera is located outside of the peritoneal cavity?
A. Secondarily Retroperitonal Viscera
B. Intraperitonal Viscera
C. Retroperitonal Viscera

A

C. Retroperitonal Viscera

38
Q

Which viscera is suspended by mesentery early in development, but later loses their mesenetaries and fuses with abdominal wall?
A. Secondarily Retroperitonal Viscera
B. Intraperitonal Viscera
C. Retroperitonal Viscera

A

A. Secondarily Retroperitonal Viscera

38
Q

Which viscera is suspended by mesentery early in development, but later loses their mesenetaries and fuses with abdominal wall?
A. Secondarily Retroperitonal Viscera
B. Intraperitonal Viscera
C. Retroperitonal Viscera

A

A. Secondarily Retroperitonal Viscera

39
Q

____: is a large, apron-like omentum
that drapes over the small
intestine and attaches to the
transverse colon

A. Greater Omentum
B. Intermediate Omentum
C. Lesser Omentum
D. Omenta

A

Greater Omentum

40
Q

____: double layers of peritoneum; connects stomach and first part of small intestine to other structure in the abdominal cavity

A. Greater Omentum
B. Intermediate Omentum
C. Lesser Omentum
D. Omenta

A

D. Omenta

41
Q

Which omentum connects to the liver?
A. Greater Omentum
B. Intermediate Omentum
C. Lesser Omentum
D. Omenta

A

C. Lesser Omentum

42
Q

Which omentum divides the peritoneal cavity into two parts: the Lesser Sac and Greater Sac?

A. Greater Omentum
B. Intermediate Omentum
C. Lesser Omentum
D. Omenta

A

C. Lesser Omentum

43
Q

Compare and contrast the Lesser and Greater Sac (of the Lesser Omentum)

A

Lesser Sac - smaller, between stomach and liver

Greater Sac - larger

44
Q

True or False: The gallbladder, liver, and
sphincter of oddi are accessory digestive organs

A

True

45
Q

Where are the adrenal glands located?

A

Adjacent to kidney

46
Q

Where are the inferior portion of
ureter and the urinary
bladder located?

A

Pelvic cavity

47
Q

What eight organs make up the intraperitoneal viscera?
(hint: PEG S3, L2)

A

Pancrease
Esophagous
Gallbladder

Small Intestines
Spleen
Stomach

Large Intestines
Liver

48
Q

What three organs/glands make up the retroperitoneal viscera?

A

1) Ureters
2) Adrenal Glands
3) Kidneys

49
Q

What three organs make up the secondarily retroperitoneal viscera?

A

Large Intestines
Pancreas
Small Intestines

50
Q

Which two organs are present in both the upper quadrants?

A

Liver and Pancreas

51
Q

True or False: Parts of the small and large intestines occupy ALL four quadrants

A

True

52
Q

The ureter is located in which two quadrants?

A

LLQ/RLQ

53
Q

The spleen and stomach are only located in the ___ quadrant

The gallbladder is only located in the ___ quadrant

A

LUQ

RUQ