Lower GIT Flashcards

1
Q

Where does the descending thoracic aorta become abdominal aorta?

A

Aortic hiatus at the level of T12

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2
Q

Where does the abdominal aorta terminate?

A

Level of L4 where it bifurcates into right and left common iliac arteries

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3
Q

What do the common iliac arteries divide into?

A

External and internal iliac arteries

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4
Q

At what vertebral level does the celiac trunk arise?

A

Upper boarder of L1

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5
Q

What attaches jejunum and ileum to posterior abdominal wall?

A

Mesentery containing blood vessels and nerves

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6
Q

What are Payer’s patches?

A

Microscopic group of lymph nodes

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7
Q

Where are Payer’s patches found?

A

Ileum of small intestine

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8
Q

At what vertebral level does the superior mesenteric artery arise?

A

Lower boarder of L1

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9
Q

At what vertebral level does the inferior mesenteric artery arise?

A

Lower boarder of L3

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10
Q

At what vertebral level does median sacral artery arise?

A

L4

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11
Q

What is the median sacral artery?

A

Single parietal artery

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12
Q

Where does the ascending colon become the transverse colon?

A

Right colic flexure

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13
Q

Where does the transverse colon become the descending colon?

A

Left colic flexure

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14
Q

In terms of peritoneum, how is the ascending and descending colon described?

A

Retroperitoneal

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15
Q

In terms of peritoneum, how is the transverse colon described?

A

Intraperitoneal

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16
Q

What are 3 of the main branches of the inferior mesenteric artery?

A
  1. Left colic artery
  2. Sigmoid arteries
  3. Superior rectal artery
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17
Q

What body system is the spleen a part of?

A

Immune system

18
Q

At what vertebral level does the inferior vena cava enter the thorax?

A

T8

19
Q

What 2 branches of IVC correspond to parietal branches of abdominal aorta?

A
  1. Inferior phrenic veins

2. Lumbar veins

20
Q

What 3 branches of IVC correspond to visceral branches of abdominal aorta?

A
  1. Right suprarenal vein
  2. Right and left renal veins
  3. Right gonadal vein
21
Q

How do left suprarenal and left gonadal veins drain?

A

Indirectly via left renal vein

22
Q

How does venous drainage occur from spleen, pancreas, gallbladder and GIT (except inferior part of rectum)?

A

Through portal system which delivers venous blood to liver and then IVC via hepatic veins

23
Q

How is inferior part of the rectum drained of venous blood?

A

Via inferior rectal vein which ends in interior iliac vein

24
Q

What are 4 main muscles of the posterior abdominal wall?

A
  1. Psoas major
  2. Psoas minor
  3. Iliacus
  4. Quadratus lumborum
25
Q

Where does psoas major originate?

A

Bodies of vertebrae T12 - L5

26
Q

Where does psoas major insert?

A

Lesser trochanter of the femur

27
Q

What is the action of psoas major when trunk is stabilised?

A

Flexes thigh at hip join

28
Q

What is the action of psoas major when the body is supine?

A

Flexes the trunk

29
Q

What is the nerve supply of psoas major?

A

Anterior rami of L1 - L3

30
Q

Where does psoas minor originate?

A

Vertebrae T12 - L1 and intervening intervertebral disc

31
Q

Where does psoas minor insert?

A

Pectineal line of pelvic brim

32
Q

What is the action of psoas minor?

A

Weak flexor of the trunk

33
Q

What is the nerve supply of psoas minor?

A

Anterior rami of L1

34
Q

What is the origin of iliacus?

A

Iliac fossa

35
Q

What is the insertion of iliacus?

A

Lesser trochanter of femur

36
Q

What is the action of iliacus?

A

Forms iliopsoas with psoas major as chief flexor of the thigh

37
Q

What is the nerve supply of iliacus?

A

Femoral nerve (L2 - L4)

38
Q

What is the origin of quadratus lumborum?

A

Transverse process of L5 and adjoining part of iliac crest

39
Q

Where is the insertion of quadratus lumborum?

A

Inferior boarder of rib 12

40
Q

What are 2 actions of quadratus lumborum?

A
  1. Fixes 12 rib

2. Lateral bending of trunk

41
Q

What is the nerve supply of quadratus lumborum?

A

Anterior rami of T12 - L4