Next 20 Flashcards

1
Q

What will rupture of the achilles tendon cause? What will the patient be unable to do?

A

it will disrupt the triceps sure muscles (soleus and gastronemius). Patient will not be able to plantar flex.

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2
Q

A patient presents to the clinic. During examination of the breasts, the physician stumbles onto an adenoacarcinoma of the lactiferous glands. To what ligament will the tumor attach to?

A

suspensory ligamnt (Cooper’s Ligament)

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3
Q

Where will the lateral breasts drain to?

A

axillary lymph nodes

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4
Q

Where will the medial breasts drain to?

A

parasternal lymph nodes

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5
Q

When the phrenic nerve is damaged, what organ is damaged? Where will the paralyzed diaphragm move?

A

the diaphragm, it will move up instead of down during inspiration instead of down.

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6
Q

What are the two branches of the left coronary artery?

A

left circumflex artery and anterior interventricular artery (anterior descending)

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7
Q

what artery supplies the left atrium and left ventricle??

A

the left circumflex artery

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8
Q

What artery supplies the SA node and AV node?

A

SA = right coronary arteryAV = right coronary artery

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9
Q

what are the branches of the right coronary artery?

A

nodal branchmarginal artery posterior interventricular (PDA)

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10
Q

When a kid is brought to the ER due to swallowing of a small plastic truck, where can we find the truck using a laryngoscope?

A

in the right primary bronchus, at the middle or lower lobe. usually in the lower lobe.

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11
Q

Any abdominal hernia passes first which abdominal fascia?

A

transversalis fascia

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12
Q

What organs do we find in the right upper quadrant?

A

liver and gallbladder

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13
Q

what organs are in the left upper quadrant?

A

stomach and spleen

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14
Q

What organs are in the lower right quadrant?

A

appendix and cecum

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15
Q

What organs are in the left lower quadrant?

A

descending colon and sigmoid colon

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16
Q

Where does an indirect hernia pass through first?

A

it passes through thee deep inguinal ring, through the canal and out th superficial inguinal ring into the scrotum.it passes LATERAL to the inferior epigastric artery

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17
Q

The foramen of Winslow has anteriorly what structure?

A

the hepatoduodenal ligament

18
Q

What is inferior to the foramen of Winslow?

A

the 1st part of duodenum

19
Q

Where does the direct inguinal hernia pass through?

A

it passes along the posterior inguinal canal and through the superficial inguinal ring. Not onto the scrotumIt passes medial to the epigastric artery

20
Q

What 2 ligaments do we find in the lesser omentum (lesser sac)?

A

hepatogastric ligamenthepatoduodenal ligament

21
Q

Where do we find the rectouterine pouch?

A

between the rectum and the uterus.

22
Q

Where do we find the vesicouterine pouch?

A

between the uterus and the bladder

23
Q

What is the portal triad?

A

bile duct, portal vein, proper hepatic artery

24
Q

If there is a posterior gastric ulcer, what artery can be damaged?

A

splenic artery

25
Q

A posterior gastric ulcer may erode through the posterior wall of the stomach, what organ can be damaged?

A

pancreas, and patient will feel referred pain on his back

26
Q

What part of the duodenum do we find:ForegutMidgutHindgut

A

Foregut: 1 and 2Midgut: 2, 3, 4Hindgut: none

27
Q

What is Meckel’s Diverticulum?

A

inflammation of the vitelloinstestinal duct containing ectopic gastric, pancreatic, or endometrial tissue. it is located 2 feet from ileocecal junction and it is 2 cm long.

28
Q

What is a sliding hiatal hernia?

A

caused by a hernia of cardia of the stomach into the thorax through th esophageal hiatus of the diaphragm.

29
Q

What is a volvulus?

A

when the small intestine and the sigmoid colon rotate around its mesentery

30
Q

What is the first pain in appendecitis?

A

referred pain around the umbilicus

31
Q

what is the second kind of pain in appendicitis?

A

the pain is shifted laterally to Mc Burney’s point, where is felt precise, severe and localized

32
Q

Where is Mc Burney’s point?

A

junction between the lateral 1/3 and 2/3 of a line joining the right anterior iliac spine with umbilicus

33
Q

What is Hirschprung’s Disease?

A

it is a condition of aganglionic regions of the colon (absence of postganglionic parasympathetics)

34
Q

Where does the left gastric artery come from?

A

the celiac trunk

35
Q

where does the left gastric artery course through?

A

lesser curvature of the stomach

36
Q

what are the two branches of the common hepatic artery?

A

gastroduodenal arteryproper hepatic artery

37
Q

where does the celiac trunk originate from?

A

T12

38
Q

Where does the SMA, IMA, Renal and Common Iliac Arteries originate from?

A

SMA = L1IMA = L3Renal = L2Common Iliac = L4

39
Q

What are the celiac trunk branches?

A

left gastriccommon hepatic splenic

40
Q

What are the branches of the gastroduodenal artery?

A

superior pancreaticoduodenalright gastroepiploic

41
Q

Is the splenic artery retro or intra peritoneal?

A

retroperitoneal

42
Q

What ligament does the splenic artery enter?

A

splenorenal