Organs of the GI tract DSA Flashcards

1
Q

at what spinal level . can the esophagus be found piercing the diaphragm

A

T10

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2
Q

at what spinal level does the esophagus enter the stomach

A

T11

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3
Q

in the cervical region, the esophagus is constricted by

A

the upper esophageal sphincter

pharo-esophageal junction enclosed by cricopharyngeus

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4
Q

the the thoracic region, the esophagus is constricted by

A

the bronchus and the aorta that it passes next to

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5
Q

at T10, the esophagus is constricted by

A

the diaphragm

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6
Q

hernia with no regurgitation and peritoneum/fundus pushed thorugh diaphragmatic haitus

A

para-esophageal hernia

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7
Q

hernia with regurgitation and esophagus, cardia, and fundus entering the haitus of diaphragm

A

sliding hernia

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8
Q

the left end of the stomach is fixed at spinal level

A

T10-T11

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9
Q

the right end of the stomach is fixed at spinal level

A

L1

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10
Q

as opposed to the first part of the duodenum that is intraperitoneal, parts 2-4 are

A

retroperitoneal

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11
Q

the first part of the duodenum is associated with what ligament

A

the hepatoduodenal ligament that contains the portal vein, bile duct and hepatic artery

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12
Q

the second part of the duodenum is where what two ducts enter: what is the common entry

A

bile duct and pancreatic duct enter at the duodenal papilla

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13
Q

describe the medial, anterior, and posterior structures to the second part of the duodenum

A

medial - head of the pancreas
anterior - gallbladder, right lobe of liver, transverse colon
posterior - right kidney and ureter

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14
Q

which portion of the duodenum do the SMA/V cross anteriorly

A

3rd part

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15
Q

describe the superior and anterior structures to the third part of the duodenum

A

superior - head of pancreas

anterior - jejunum

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16
Q

the fourth part of the duodenum is fixed to the diaphragm by what ligament

A

suspensory ligament of trietz

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17
Q

describe the posterior and anterior structures to the fourth part of the duodenum

A

posterior - left margin of aorta, inferior mesenteric vein and psoas muscle
anterior - root of mesentery and jejunum

18
Q

is the jejunum intraperitoneal or retroperitoneal

A

intraperitoneal

19
Q

the jejunum has ____ vascular arcades and _____ vasa recta

A

simple vascular arcades

long vasa recta

20
Q

the ileum has ___ vascular arcades and ____ vasa recta

A

compound vascular arcades

short vasa recta

21
Q

the jejunum as a ____ diameter, ______ walls, and _____ plicae circularis as compared to the ileum

A

greater diameter
thicker walls
more plicae circularis

22
Q

a persistent remnant of the vitelline duct on the antimesenteric border of the ileum is known as a

A

meckel’s diverticulum

23
Q

the SMA, lymph nodes, fat and autonomic nerves of the jejunum and ileum are contained within what peritoneal structure

A

THE mesentery

24
Q

structures the mesentery crosses

A
L2-L5 
3rd and 4th parts of duodenum 
abdominal aorta 
IVC
Right ureter 
Right psoas major 
Right gonadal vessels
25
Q

longitudinal bands of smooth muscle on the outside of the colon

A

taenia coli

26
Q

the three bands of taenia coli converge onto what structure

A

appendix

27
Q

tags of fat characteristic of the large intestine

A

appendicies apiploicae

28
Q

large gross sections of the colon

A

haustrae

29
Q

unlike other parts of the large intestines, the cecum contains no amount of what structure

A

epiploic appendages

30
Q

the ascending colon and descending colon are both

A

secondarily retroperitoneal

31
Q

the transverse colon and sigmoid colon are both

A

intraperitoneal
Transverse mesocolon
sigmoid mesocolon

32
Q

diverticulosis typically occurs in what region of the colon. on what interior surface does it typically occur on

A

sigmoid colon

between bands of teniae coli, where nutrient arteries perforate the muscle coat to reach submucosa

33
Q

folds that overlie the thickened parts of the circular muscle layer of the rectum

A

transverse rectal folds

34
Q

dilated terminal part of the rectum

A

rectal ampulla

35
Q

the spleen is located at what spinal level

A

T9-T11

never forget

36
Q

what two ligaments support the spleen

A

gastrosplenic l

splenorenal l

37
Q

describe structures that lie anterior, posterior, inferior and medial the the spleen

A

anterior - stomach, tail of pancreas
posterior - diaphragm
inferior = left colic flexure
medial - left kidney, phrenicocolic ligament

38
Q

all parts of the pancreas are retroperitoneal except for

A

the tail

39
Q

spinal level of the pancreas

A

L1-L2

40
Q

the uncinate process of the pancreas lies posterior to what major a

A

SMA/V

41
Q

the common entry point into the duodenum of the bile duct and main pancreatic duct

A

hepatopancreatic ampulla – major duodenal papilla