Midterm Two Flashcards
What are the branches of the celiac trunk?
- left gastric
- splenic artery
- common hepatic artery
Draw the branches of the celiac trunk.
Where does the esophagus enter the diaphragm and at which vertebral level?
- esophageal hiatus of diaphragm at T-10 level
What type of muscle is found in the first, middle and last thirds of the esophagus?
- top (first) third
- voluntary striated muscle
- middle third
- voluntary striated muscle
- smooth muscle
- bottom (last) third
- smooth muscle
Which lymphatic trunks and nodes does the thoracic part of the esophagus drain into?
- lymph from top of esophagus (neck)
- drains into jugular trunk
- lymph from middle part of esophagus (near lungs)
- drains into bronchomediastinal trunks
- lymph from lower part of esophagus
- drains into superior diaphragmatic lymph nodes
Which lymph nodes does the abdominal part of the esophagus drain into?
- abominal lymph nodes
- celiac lymph nodes
On a diagram, label the esophageal arteries, the esophageal branch of the left inferior phrenic artery, the esophageal branch of the left gastric artery and the left gastric artery
On a diagram of the stomach, label the following: cardiac notch, cardia, fundus, body, pyloric canal, pyloric antrum, lesser curvature, greater curvature, gastric canal, gastric folds, cardiac orfice, Z-line
What forms the physiological inferior esophageal sphincter?
- diaphragmatic musculature surrounding hiatus
What does the Z-line demarcate?
- transition line from esophageal to gastric mucosa
What are the two parts of the pyloris? Which part is wide and which part is narrow?
- antrum (chamber) = wide
- canal = narrow
Along which curvature is the angular incisure found?
lesser curvature
The angular incisure is the junction between which structures?
- body
- pylorus
When an where does the gastric canal form?
- during swallowing only temporarily
- forms between the longitudinal gastric curves along the lesser curvature
On a diagram of the stomach, label the following: celiac trunk, left and right gastric arteries, left and right gastro-omental arteries.
Which arteries supply the lesser curvature and which supply the greater curvature?
- lesser curvature
- right gastric artery
- greater curvature
- left and right gastro-omental artery
What are the parts of the small intestine?
- duodenum
- jejunum
- ileum
On diagrams of the small intestine, label the following: celiac trunk, gastroduodenal artery, superior mesenteric artery, inferior mesenteric artery, arterial arcades, vasa recta straight arteries.
On diagrams of the small intestine, label the following: splenic vein, hepatic portal vein, pancreaticoduodenal vein, superior mesenteric vein.
What is the arterial supply of the proximal part of the duodenum? What is the arterial supply of the distal part of the duodenum?
- proximal
- branches of celiac trunk
- distal
- branches of superior mesenteric artery
Which lymph nodes drain the duodenum?
- pyloric lymph nodes
- superior mesenteric lymphnodes
What is the sympathetic nerve supply of the duodenum?
- superior mesenteric plexus
- celiac plexus
What is the parasympathetic supply of the stomach?
- anterior and posterior vagal trunks
What is the sympathetic supply of the stomach including splanchnic nerve and plexus?
- T5-T9 segments
- greater splanchnic nerve
- celiac plexus
The mixed sympathetic and parasympathetic supply is around the parietal plexus. Which arteries are involved in this periarterial plexus around the stomach?
- gastric arteries
- gastromomental arteries
Identify on a diagram the jejunum and ileum.
Which artery provides the blood supply to the jejunum? Explain in terms of arterial arcades and vasa recta and straight arteries.
- jejunum and ilium get blood supply from superior mesenteric artery
- arterial arcades - loops
- vasa recta come off the arterial arcades
- straight arteries branch off vasa recta
Describe the relationship of the superior mesenteric vein, splenic vein, and hepatic portal vein.
- hepatic portal system
What is the sympathetic nervous system supply of the jejunum and ileum including the splanchnic nerves, galnglia and plexuses.
- greater and lesser splancnic nerves which innervate the celiac and superior mesenteric ganglia
What is the parasympathetic nerve supply of the jejunum and ileum? Where do the postsynaptic parasympathetic neurons synapse?
- posterior vagal trunk
- presynaptic parasympathetic fibers synapse with postsynaptic parasympathetic fibers in the myenteric and submucus plexuses in the intestinal wall
Which plexus does the greater splanchnic nerve converge on?
celiac
What is the cystic artery a branch of?
right hepatic artery
Which 2 veins does the thoracic esophagus drain into?
- esophageal vein
- azygous vein
Which 2 veins does the abdominal esophagus drian into?
- left gastric vein drains into portal venous system
Which vessels supply the duodenum?
- gastroduodenal artery
- superior pancreaticoduodenal artery
- inferior pancreaticoduodenal artery
Which lymph nodes drain the duodenum?
- pyloric and superior mesenteric
The ileocolic artery is a direct branch from which artery?
superior mesenteric artery
What is the cystic artery a branch of?
right hepatic artery
What main artery does the appendicular artery come from?
ileocolical
Identify the superior and inferior pancreaticoduodenal veins.
What is the arterial supply to the cecum?
ileocolic artery which is a terminal branch of the superior mesenteric artery
What is the arterial supply to the appendix?
appendicular artery which is a branch of the ileocolic artery
The ileoceolic artery is a branch of which artery?
- terminal branch of the superior mesenteric artery
The appendicular artery is a branch of which artery?
- ileocolic artery
What is the arterial supply of the ascending colon?
- ileocolic artery
- right colic artery
What is the parasympathetic supply of the cecum?
vagal trunks
The ileocolic and right colic arteries are branches of which artery?
superior mesenteric artery
Describe the venous drainage of the colon and right colic flexure.
- ileocolic and right colic veins
- which drain into the superior mesenteric vein
Which flexures are at the end of the transverse colon?
- right colic flexure
- left colic flexure
What is the blood supply of the transverse colon?
- middle colic artery
- right colic arteries via anastemoses
- left colic artery
What is the venous drainage of the transverse colon?
- superior mesenteric vein
True or false: some nerves from the inferior mesenteric plexus may follow anastomoses from the left colic artery in the transverse colon.
true
What is the parasympathetic nervous system supply of the ascending colon and right colic flexure?
vagal trunks
For the sympathetic nervous system supply of the transverse colon, list the plexuses and the blood vessels involved.
- superior mesenteric plexus
- will follow right and middle colic arteries
- inferior mesenteric plexus
- will follow left colic artery
What is the parasympathetic nerve supply for the transverse colon?
vagal trunks
What is the blood supply of the descending and sigmoid colon?
- left colic artery and sigmoid artery
- which are both branches of inferior mesenteric artery
- marginal artery
What is the venous drainage of the descending and sigmoid colon?
- inferior meseneteric vein
- which drains into the splenic vein
- which drains into the hepatic portal vein
- which drains into the splenic vein
What is the sympathetic nervous system supply of the descending and sigmoid colon?
- inferior mesenteric ganglion
- pariarterial plexuses on inferior mesenteric artery and its branches
What is the parasympathetic nervous system supply of the descending and sigmoid colon?
- pelvic splanchnic nerves which merge on the inferior hypogastric plexus
Label this diagram.
What are the 4 features to know of the large colon?
- teniae coli
- thickened bands of longitudinal muscle
- haustra
- pouches
- omental appendices
- small fatty appendices
- caliber
- large diameter of the colon
Label this diagram.
Label this diagram.
On a diagram, label the following: celiac artery, splenic artery, gastroduodenal artery, anterior and posterior pancreaticoduodenal arteries, superior mesenteric artery.
On a diagram, label the following: splenic vein, inferior mesenteric vein, hepatic portal vein, superior mesenteric vein.
On a diagram, label the following: vagus nerve, greater splanchnic nerve, lesser splanchnic nerve, celiac ganglion, celiac trunk, superior mesenteric ganglion, superior mesenteric artery.
- greater splanchnic nerve is close to the artery
- lesser splanchnic nerve is further from the artery
On a diagram of the pancreas and duodenum, label the following: uncinate process, head of pancreas, neck of pancreas, body of pancreas, tail of pancreas, bile duct, accesory pancreatic duct, minor duodenal papilla, major duodenal papilla, main pancreatic duct.
What is the minor duodenal papilla an opening for?
accessory pancreatic duct
What is the major duodenal papilla an opening for?
- ampula
On a diagram of the duodenum and its ducts, label the following: sphincter of the bile duct, spincter of the pancreatic duct, hepatopancreatic ampulla, major duodenal papilla.
On a diagram of the liver, label the following: falciform ligament, bare area, portal triad, quadrate lobe, right lobe, left lobe, caudate lobe, left and right sagittal fissures, portal vein and porta hepatis
On a diagram of the liver, label the following: falciform ligament, bare area, portal triad, quadrate lobe, right lobe, left lobe, caudate lobe, left and right sagittal fissures, portal vein and porta hepatis
Which ligament anchors the liver to the anterior abdominal wall?
falciform ligament
Which ligament separates the right lobe from the left lobe?
falciform ligament