orgnaet abdominale Flashcards

1
Q

prej ku deri ku shtrihet pars abdominalis oesophagei

A

prej hiatus oseophages deri te ostium cardium

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2
Q

cilat jane marredheniet e oseophageus pars abdominalis

A

retroperitoneal
perpara lobus sinister hepar
n vagus sinister
n vagus dexter

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3
Q

kush perforcohet ne constrictio diaphragmatica te ezofagut

A

lig freniko - ezofageal

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4
Q

vaskularizimi i ezofagut

A

arteriet - rr oesophageales te a gastrica sinistria
dhe dege nga a phrenica inferior

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5
Q

cilat jane venat dhe nervat e ezofagut

A

venat - v gastrica sinister
venat torakale te ezofagut
v phrenica inferior sin

nervat - plexus gastricus

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6
Q

mes cilave pjese gjendet lukthi

A

ndermjet pjeses fundore te ezofagut dhe fillimit te duodenit

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6
Q

cilat jane vrimat komunikuese te gasterit

A

ostium cardiacum
ostium pyloricum

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7
Q

si quhen buzet e lukthit

A

curvatura gastrica major et minor

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8
Q

prej kujt formohet incisura cardiaca

A

mes pjeses perfundimtare te buzes se majte te ezofagut dhe pjeses fillestare te curvatura gastrica major

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9
Q

kush e formon incisura angularis

A

Pjesa perfundimtare e Curvatura Gastrica Minor dhe
Margo Superior e Pars Pylorica

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10
Q

kush e ndan ostium cardiacum nga fundusi i lukthit

A

plica cardiaca

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11
Q

me cka mbyllet ostium pyloricum

A

m sphincter pylori

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12
Q

kush e paraqet kufirin mes pars pylorica dhe duodenit

A

sulcus pyloricus - v prepylorica Mayo

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13
Q

cilat jane tonuset e lukthit

A

normotonik
hipertonik
hipotonik
atonik

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14
Q

cila eshte pjesa vertikale dhe horizontale e lukthit

A

Pjesen Vertikale(Pars Cardiaca/Fundus/Corpus Gastricus)
Pjesen Horizontale(Pars Pylorica)

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15
Q

cilin kend e formon incisura cardiaca me ezofagun

A

kendin e Hiss - it

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16
Q

nga cilat pjese ndertohet pylorusi

A

nga antrum pyloricum dhe canalis pyloricum

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17
Q

ne cilin regjion gjendet lukthi

A

regio hipocondriaca sinister et epigastrica

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18
Q

ne raport me ke qendron pjesa hipokondriake

A

Hepar (Lobus Sinister)
Diaphragma (Recessus Costodiaphragmaticus)
Pulmo Sinister(Margo Inferior)
Splen

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19
Q

me ke eshte ne raport pjesa epigastrike

A

me murin e perparme te abdomenit

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20
Q

kush e formon trekendeshin e Labbeut

A

Djathtas: Margo Inferior Hepatis
Majtas: Arcus Costalis(Costa VIII-IX)
Poshte: Vija horizontale qe bashkon Cartilago Costa IX Dexter/Sinister
6 cm mbi Umbilicus

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21
Q

ku eshte i vendosur muri i pasem i lukthit

A

ne lectulus ventriculi

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22
Q

kush e formon lectulus ventriculi

A

Pancreas
Splen (Facies Gastrica)
Gl. Suprarenalis
Ren

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23
Q

kufinjte e spatium seminulare

A

Prapa Costae VI-IX
Larte: Margo Inferior Pulmo Sinister, Margo inferior hepatis (d), margo anterior splen (s)
Poshte: Arcus Costalis prej costae VIII deri te linea axillaris anterior

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24
Q

cilat jane buzet e omentum minus

A

Buza e siperme:
Porta Hepatis,Fissura Lig.Venosi,Diafragma,Hiatus
Oesophagus(Skaji i djathte)
Buza e majte:Curvatura Gastrica Minor
Buza e poshtme: Nga Incisura Angularis-buza e siperme e Pars
Pylorica Gastrica,dhe buza e siperme e Pars Superior Duodeni
Buza e djathte: Nga pars sup duodeni deri te Porta Hepatis(Skaji i djathte)

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25
Q

nga cilat ligamente perbehet omentum minus

A

nga lig hepatoduodenal
lig hepatogastricum

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26
Q

kush hyn ne perberje te lig hepatoduodenal dhe lig hepatogastricum

A

ne lig hepatogastricum - a gastrica dextra et sinistria

ne lig hepatoduodenal ductus choledocus v portae hepatis a hepatica propia

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27
Q

nga cilat ligamente perbehet omentum majus

A

lig gastrophrenicum
lig gastrocolicum
lig gastrosplenicum

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28
Q

cilat jane shtresat e tunica muscularis te lukthi

A

stratum longitudinale
stratum circulare
fibrae oblique

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29
Q

ke kufizojne fibrae oblique

A

sulcus salvarius

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30
Q

tregoni vaskularizimin e pjeseve te lukthit

A

cardia - truncus cardioesofundalis
fundus - aa gastricae breves
pars pylorica - a gastroduodenalis
curvatura gastrica minor - a gastrica sin/dex
curvatura gastrica major - a gastroomentalis sin/dex

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31
Q

cilat jane venat e lukthit

A

v gastrica sinistria
v gastrica dextra
vv gastricae breves
v gastroomentalis sin
v gastroomentalis dexter
v prepylorica mayo

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32
Q

kolaterale te kujt jane venat e lukthit

A

v portae hepatis

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33
Q

cila eshte anastomoza venoze ne zonen e kardies

A

mes vcs (v gastrica sinistria) dhe v portae hepatis ( vv oseophageae, deget e v hemiazygos )
*duhet mu kon e kunderta se vena gastrica sin bashkohet me v porta hepatis e vv oseophageae ne vcs

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34
Q

cilat jane gershetimet intramurale te lukthit

A

plexus mysentericus - motoriken
plexus submucosus - sekretimin e gjendrave

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35
Q

ne cilat regjionet projektohet dhimbja e lukthit

A

ne regjionin nervezues te qiftit 7 8 9 te nervit torakal
Zona Haed

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36
Q

prej ku deri ku shtrihet zorra e holle

A

prej pylorusit deri te ostium valvae ilealis/ileocecale

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37
Q

nga kush perbehet intestinum tenue

A

nga doudeni jejunumi ileumi

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38
Q

prej ku deri ku shtrihet doudeni

A

prej pylorusit deri te flexura doudenojejunalis

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39
Q

cilat jane pjeset e doudenit dhe ne cilat vertebra projektohen

A

Pars Superior (L1)
Pars Descendens (L1-L3)
Pars Inferior qe ka:
Pars Horizontalis (L3)
Pars Ascendens (L3-L2)

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40
Q

cilat jane flexurat e duodenit

A

Flexura Duodeni Superior (Mes Pars Superior dhe Pars Descendens)-L1

Flexura Duodeni Inferior (Mes Pars Descendens dhe Pars Inferior)-L3

Flexura Duodenojejunale (Mes Pars Ascendens Duodeni dhe Jejunum)-L2

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41
Q

cila eshte pjesa me e gjere e duodenit dhe si quhet

A

eshte pars superior qe quhet bulbus duodeni

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42
Q

me cka vazhdon peritoneumi te duodeni

A

lig hepatoduodenal
omentum majus

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43
Q

cilet jane xhepat peritoneal te duodenit

A

recessus retroduodenalis, duodenalis superior, inferior

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44
Q

kush e shkakton plica duodenalis superior/inferior

A

superior - v mesenterica inferior
inferior - a colica sinistria

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45
Q
A
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46
Q

me cka perforcohet duodeni

A

m suspensorium duodeni
koken e pankreasit
fundin e ductus choledochus
peritoneum

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47
Q

cilat jane raportet e pars superior duodeni

A

perpara lobus quadratus
lobus dexter hepatis
collum vesicae biliaris

prapa v portae hepatis
a gastroduodenale
ductus choledochus

nen caput et collum pancreatica
harku arterial pankreatikodudodenal

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48
Q

cilat jane raportet e pars descendens duodeni

A

lat - colon ascendens
med - koka e pankreasit

perpara - lobus dexter hepatis
fundus vesicae biliaris
colon transversum
mesocolon transversum

pas - veshka e dajthte me enet e gjakut
ureteri
m psoas major
gll suprarenalis dex
vena cava inf

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49
Q

cilat jane raportet e pars inferior duodeni

A

para - radix mesenteri
a et v mesenterica superior

pas - aorta abdominale
vena cava inferior
m psoas major dex
enet vaskulare spermatike
ureteri i djathte

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50
Q

raportet pars ascendens duodenalis

A

para - colon transversum
ansat e jejunumit
para djathtas - a et v mesenterica superior

djathtas - aorta abdominis

majtas - plica duodenalis sup/inf, recessus retroduodenalis

siper - buza e poshtme e corpus pancreatica

pas - enet e gjakut dhe nervat e ren sin
enet spermatike/ovarike te majta
m psoas major
trungu simpatetik i majte

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51
Q

ku gjenden gll duodenales te Brunnerit

A

ne tela submucosa te pjeses descendente te duodenit

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52
Q

nga kush shkaktohet plica longitudinalis duodeni

A

nga ampulla hepatopancreatica

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53
Q

kush hapet ne skajin e siperm dhe te poshtem te plica longitudinalis duodeni

A

ne skajin e siperm - papilla duodeni minor (ductus pancreaticus accessorius)
ne skajin e poshtem - papilla duodeni major (ductus choledocus dhe ductus pancreaticus)

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54
Q

ne cilen tunice gjendet plica longitudinalis duodeni

A

ne tunica mucosa

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55
Q

nga kush ndertohet arcus pancreatico duocenalis superior dhe inferior

A

arcus pancreatico duocenalis superior - a pancreaticoduodenalis sup ant + a pancreaticoduodenalis inferior

arcus pancreatico duocenalis inferior - a pancreaticoduodenalis sup post + a pancreaticoduodenalis inferior

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56
Q

cfare elemente ka ne mukozen e duodenit

A

plicae duodenalis
vili intenstinales

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57
Q

nga kush vaskularizohet pars superior duodeni

A

a gastrica dextra
a gastroduodenalis
a gastroomentalis dex
a supraduodenalis

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58
Q

ku derdhen venat e duodenit

A

nga harku i perparem dhe i pasem venoz ne v mesenterica superior
nga pjesa e siperme ne v gastrica dextra

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59
Q

kush e nervezon duodenin

A

plexus hepaticus
plexus mesentericus superior

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60
Q

prej ku deri ku shtrihet intestinum tenue mesenteriale

A

prej flexura duodenojejunalis deri te valva ilealis/ileocecale

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61
Q

cilat jane dallimet mes jejunum dhe ileum

A

shakujt limfatike - jejunum te vetmuar
ileum - pllakat e peyer (shakuj limfatike te grumbulluar)
zvogelimi i plicae circulares ne ileum

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62
Q

cilat jane buzet e jejunumit

A

margo anterior - liber
margo mesenteralis

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63
Q

sa ansae intenstinales ka jejunumi dhe ileumi

A

7 - 8 - jejunumi
5 - 6 - ileumi

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64
Q

ne nivel te kujt gjendet ostium valvae ilealis/ileocaecale

A

ne nives te fossa iliaca dextra

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65
Q

`ku gjendet diverticulum ilei verum

A

proksimalisht nga ostium ileocaecale

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66
Q

cilat jane marredheniet e jejuno - ileumit

A

siper - colon et mesocolon transversum
poshte - faqen e pasme te vesica urinaria dhe uterusit, colon sigmoideum, rectum
djathtas - cekum, colon ascendens
majtas - colon descendens

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67
Q

kush projektohet ne piken e mc burney

A

ostium valvae ilealis/ileocaecale

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68
Q

ku kalon radix mesenteri

A

procc unicatus
pars horizontalis duodenum
aorta abdominalis
v cava inferior
ureteri i djathte
m psoas major i djathte
a iliaca communis
a iliaca externa

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69
Q

cfare gjendet mes 2 fleteve te mesenteriumit

A

a et v mesenterica superior
plexus mesentericus superior
nodi lymphaciti mesenterici superiores

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70
Q

cilat jane veqorite e tunica mucosa te jejuno ileumi

A

plicae circulares
villi intenstinales
microvilli
glandulae intestinales
folliculi lymphatici

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71
Q

kush e formon plexus entericus

A

plexus submucosus dhe myentericus

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72
Q

prej ku deri ku shtrihet zorra e trashe

A

prej ostium valvae ilalis/ ileocaecalis deri te anusi

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73
Q

nga cilat pjese ndertoher intestinum crassum

A

caecum (+ appendix vermiformis)
colon
rectum

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74
Q

clat jane veqorite e jashtme te zorres se trashe

A

taeniae coli
haustrae coli
appendices epiploicae
sulci transversi

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75
Q

prej ciles shtrese muskulare formohen taeniae coli

A

prej stratum longitudinale

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76
Q

si quhet ndryshe appendix vermiformis

A

tonsilla intestinales

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77
Q

cila eshte pozita me e zakonshme e appendix vermiformis

A

retrocaecale dhe parakolike

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78
Q

si jane shakujt limfatike ne appendix vermiformis

A

foliculi lymphatici aggregati

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79
Q

cfare organi eshte appendix ne raport me peritoneumin

A

intrapreitoneal

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80
Q

cilat jane segmentet e kolonit

A

ascendens transversal descendens sigmoideum

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81
Q

cilat jane marredheniet e colon ascendens

A

para - muri anterolateral I abdomenit; pas - m iliacus, transversus abdominis, qudratus lumborum; medialisht - ansat jejuno-ileale

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82
Q

kush e mundeson komunikimis mes reg hypocondriaca dexter dhe fossa iliaca dexter

A

sulci paracolici

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82
Q

cilat jane marredheniet e flexura colli dextra

A

te zorret - para - lobus dexter hepatis; pas - facies ant ren dex

te marredheniet - lat - margo inferior hepatica, diaphragm, arcus costalis dex
pas - veshka e dajthte

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83
Q

ciles zone I pergjigjet harku I colon transversum

A

regio umbilicalis

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84
Q

tregoni raportet e colon trasnversum

A

kranialisht (mbi) - fundus vesicae biliaris, curvatura gastrica major; dorzalisht (pas) - pars descendens duodeni, caput pancreatica; kaudalisht (poshte) - intestinum tenue

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85
Q

ku kalon radix mesocoli transversi

A

skaji i poshtem i veshkes se djathte
pars descendens duodeni
proc unicatus pancreatica
buza e poshtme e pankreasit
ne buzen e jashtme te veshkes

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86
Q

kush lidhet me lig phrenicocolicum

A

flexura coli sinistria me diafragmen

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87
Q

ku mbeshtetet colon descendens

A

ne veshken e djathte dhe m quadratus lumborum

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88
Q

ku shtrihet colon sigmoideum

A

prej crista iliaca deri te S3

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89
Q

prej kujt perbehet colon sigmoideum

A

colon iliacum dhe pelvicum

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90
Q

cfare organi eshte melqia

A

organ parankimatoz tek

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91
Q

ne cilat regjione eshte e vendosur melqia

A

ne regio hypocondriaca dex, regio epigastrica dhe nje pejse e vogel ne hypocondriaca sin

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92
Q

cilat jane faqet dhe buzet e melqsie

A

facies superior,inferior, margo inferior

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93
Q

ne cilat pjese ndahet facies diaphragmatica

A

pars anterior
pars superior
pars posterior

94
Q

kush e ndan faqen e siperme te melqise

A

lig falciforme hepatis

95
Q

cila pjese quhet pars nuda

A

pars posterior e facies diaphragmatica

96
Q

prej kujt formohet fossa sagitalis dextra

A

prej fossa vesicae biliaris dhe sulcus v cava

97
Q

prej kujt perbehet fissura sagitalis sinistria

A

nga fissura lig teretis
dhe fissura lig venosi

98
Q

cka paraqesin lig teres hepatis dhe lig venosi

A

lig teres hepatis - vena umbilikale e obliteruar
lig venosi - ductus venosus

99
Q

ku gjendet portae hepatis

A

mes collum vesicae biliaris, fissura lig venosum, fissura lig teretis

100
Q

kush hyn dhe del nga porta hepatis

A

hyjne a hepatica propia, v portae hepatis, nervat
dalin ductus hepaticus dex/sin
enet limfatike

101
Q

cilat jane lobuset e facies viceralis

A

lobus hepatis dexter, sinister,
lobus caudatus, quadratus

102
Q

cilat jane impresiot e lobus dexter hepaticus

A

impresio colica
impresio duodenalis
impressio renalis
impressio suprarenalis

103
Q

nga kush kufizohet lobus quadratus

A

fossa vesica biliaris dhe fissura lig teretis

104
Q

ku mbeshtet lobus quadratus

A

ne pars pylorica te gaster dhe pars superior duodenalis

104
Q

cilat jane zgjatimet e lobus caudatus

A

processus papillaris dhe processus caudatus

105
Q

kush e kufizon lobus caudatus

A

sulcus v cava dhe fissura lig venosum

106
Q

cilat impresio verehen facies visceralis te lobus sinister hepatis

A

impressio gastrica
impressio oesophaga

107
Q

ku gjendet tuber omentale te hepari

A

mes impressio gastrica dhe lig venosi

108
Q

cilat incissura gjenden ne margo inferior

A

incissura vesicae biliaris dhe incisura lig teretis

109
Q

ku projektohet margo inferior hepatis

A

djathtas pika ku pritet vija medioklavikulare me arcus cotalis
majtas pika ku pritet linea parasternalis me arcus costalis (cartilago costae 8)

110
Q

cilat jane dyfishimet peritoneale te peritoneumit visceral te heparit

A

omentum minus
lig falciforme hepatis
lig teres hepatis
lig coronarium hepatis
lig triangulare dex/sin
lig hepatorenal

111
Q

ku shtrihet lig teres hepatis

A

prej umbilikusit deri te incisura lig teres hepatis

112
Q

lidhjen mes kujt e bejne fletat e lig coronarium hepatis

A

siperme - pars posterior te fascia diaphragmatica te melqise me diafragme
poshtme - melqine me murin e pasem te abdomenit

113
Q

cilin ligament e formojne ne skaje lig coronarium hepatis

A

lig triangulare dex/sin

114
Q

ne cilen ane gjendet recessus hepatorenalis

A

ne anen e djathte
lobus dexter hepatis - ren dexter

115
Q

cilat jane kufizimet e recessus hepatorenalis

A

lart - (kulmi ) lig hepatorenal
poshte flexura coli dextra
lateralisht sulcus paracolicus dexter

116
Q

vazhdim i kujt eshte lig hepatorenal

A

i fletes se pasme te lig coronarium hepatis

117
Q

cilat jane mbeshtjellesit e melqise

A

tunica serosa
tunica fibrosa/capsula fibrosa perivascularis

118
Q

ke mbeshtjelle perveq faqes se jashtme te melqise capsula fibrosa

A

kanalin portal dhe futet ne parenkime

119
Q

kush eshte njesia themelore e melqise

A

lobuli hepatis

120
Q

sa zona ka lobuli hepatis

A

zona centralia, intermedia, periferialis

121
Q

nga cilat qeliza perbehet lobuli hepatik

A

nga hepatocytus/ epitheliocytus hepatis

122
Q

si quhet vendi ku takohen 3 lobule hepatike

A

canalis portalis

123
Q

kush kalon neper canalis portalis

A

trias hepatica - a et v interlobulare
ductus interlobularis biliferi

124
Q

me cka vazhdon v centralis

A

me v sublobularis - vv hepaticae

125
Q

kush e formon rete mirabile

A

v porta hepatis - vv hepaticae

126
Q

me cka perfundojne degezat me te vogla te a hepatica propia

A

vas capilare interlobulare

127
Q

me cka perfundojne degezat e v interlobularis

A

me vas capilare sinusiodeum

128
Q

kush e nderton murin e vas capilare sinusoideum

A

qelizat epiteliale dhe ato me forme ylli te kupferit

129
Q

cilet kapilare i kane te ndertuar muret nga hepatocitet

A

canaliculus bilifer

130
Q

ku derdhen kanalis bilifer

A

ne ductus bilifer

131
Q

cila eshte ena nutritive dhe cila ena funksionale e melqise

A

ena nutritive a hepatica propia
ena funksionale v porta hepatis

132
Q

me bashkimin e kujt formohet v porta hepatis

A

v mesentira inferior
v splenica
v mesenterica inferior

133
Q

cilat jane deget e v porta hepatis

A

r dexter/sin

134
Q

cila eshte renditja e venave prej porta hepatis deri te v cava inf

A

v portae hepatis
v interlobares dex/sin
v interlobulares
va capilare sinusoideum
vv centrales
v sublobulares
vv hepaticae
v cava inf

135
Q

cilat jane deget e r dex/sin te v portae hepatis

A

r dexter - r anterior/posterior
r sinister - pars transversa - rr caudati / pars umbilicalis - rr laterlae dhe rr mediales

136
Q

cilat jane deget qe ndahen nga r dexter et sin a hepatica propia

A

dex - a cystica
a lobi caudati
a segementi anterioris
a segmenti posterioris
sin - a lobi caudati
a segmenti lateralis
a segmenti medialis

137
Q

nga kush inervohet melqia

A

nga plexus hepaticus
+ rr hepatici nga truncus vagalis ant

138
Q

cilat jane segmentet e melqise

A

segmentum anterius , posterius, mediale, laterale

139
Q

si ndahen rruget biliare

A

ne intrahepatike dhe ekstrahepatike

140
Q

cilat jane rruget biliare intrahepatike

A

canalicus biliferi
ductulus biliferi
ductus interlobularis biliferi

141
Q

cilat jane rruget biliare ekstrahepatike

A

ductus hepaticus dexter /sin
ductus hepaticus communis
ductus choledochus

142
Q

cilat jane rruget biliare esktrahepatike anesore

A

vesica biliaris
ductus cysticus

143
Q

cilat jane pjeset e vesica biliaris

A

fundus corpus collum

144
Q

cila pjese e vesica biliaris i pergjigjet incissura vesicae biliaris

A

fundus vesicae biliaris

145
Q

cilat jane faqet e vesicae biliaris

A

e siperme dhe e poshtme

146
Q

ku projektohes fundus vesicae biliaris

A

ne piken ku takohen m rectus abdominis me arcus costalis dexter

147
Q

si formohet ductus choledochus

A

nga ductus cysticus dhe dutus hepatis communis

148
Q

cilat jane llojet e bashkimit te ductus cysticus dhe hepatis communis

A

angular, paralel, spiral

149
Q

cfare ka ductus cysticus ne mukoze dhe cili eshte roli i tyre

A

ka plica spirales qe ta mbajne hapur ductys cyticus

150
Q

nga kush formohet trekendeshi cistohepatik - Calot dhe kush e perkufizon

A

formohet nga
ductus hepaticus communis
ductus cysticus
melqia
perkufizohet nga
a cystica
r dexter a hepatica propia dhe ductus cysticus

151
Q

cilat jane 4 pjeset topografike te ductus choledochus

A

supraduodenalis
retroduodenale
retropankreatike
intramurale

152
Q

cilat jane raportet e pjeseve te ductus choledochus

A

suprapaduodenalis - lig hepatoduodenal

retroduodenal - lateralisht nga v portae hepatis
ne raport me a gastroduodenalis dhe a pancreaaticoduoodenalis sup/post

retropankreatike - prapa v cava inferior, majtas v portae hepatis, perpara a pancreaticoduodenalis superior posterior

153
Q

kush e formon ampulla hepatopancreatica

A

bashkimi i ductus pancreaticus dhe ductus choledochus

154
Q

cilet muskuj formohen nga stratum circulare ne ampulla hepatopancreatica

A

m sphincter ampullae hepatopancreatica
dhe
m sphinccter ductus choledochi

155
Q

ku porjektohet ampulla hepatopancreatika

A

ne vijen e desjardins-it

156
Q

ke e vaskularizon a cystica

A

ductus hepaticus des/sin, ductus hepaticus communis, ductus cysticus, vesica biliaris

157
Q

kush e formon harkun venoz parabiliar dhe ku derdhet

A

e formojne venat e rrugeve ekstrahepatike biliare dhe derdhen ne deget perfundimtare te v porta hepatis

158
Q

ku derdhen venat e vesica biliaris

A

ne deget intrahepatike te v porta hepatis

159
Q

cfare gershetimi ka fshikeza e temthit

A

gershetim intramural

159
Q

kush i inervon rruget e jashtme biliare

A

plexus hepaticus

160
Q

ku projektohen dhimbjet e vesica biliaris

A

ne regio epigastrica

161
Q

cila eshte pika me e larte e projektimit te melqise

A

vija medioklavikulare brinja V djathtas

162
Q

ku projektohet majtas kufiri i siperm i melqise

A

ictus cordis

163
Q

ku shtihet kufiri i poshtem

A

prej pikes me te ulet te arcus costalis dexter deri te kerca e perparme e brinjes se X pastaj deri te cartilago cotalis 8 te arcus costalis sin dhe perfundon ne nivel te hapsires se 5 nderbrinjore ne nivel te linea mediklavikularis

164
Q

kujt i pergjigjet bashkimi i ductus cysticus dhe ductus hepaticus communnis

A

discus intervertebralis T 11 - 12

165
Q

ku projektohet ampulla hepatopankreatike

A

discus intervertebralis L 2-3

166
Q

me ke eshte ne raport area nuda

A

me diafragmen
v cava inferior
gll suprarenalis dex
ren dex

167
Q

me ke jane ne raport lobet e melqise ne faqen e siperme

A

ne anen e djathte - recessus costodiaphragmaticus dexter
ne anen e majte - me zemren, perikardin, pleaura diaphragmatica dexter

168
Q

ku mbeshtetet lobus quadratus

A

ne pars pylorica dhe pars sup duodeni

169
Q

ku mbeshtetet lobus caudatus

A

ne pjesen e pasme te diafragmes

170
Q

cilat jane 5 elemente qe e sigurojne poziten e melqise

A

1 perngjitja e area nuda me diafragme
2 indi lidhor qe fikson v cava inf
3 presioni negativ nen diafragme
4 lig falciforme hepatis
5 lig coronarium hepatis

171
Q

ne nivel te cilave vertebra gjendet pankreasi

A

ne nivel te vertebrave L1 - 2

172
Q

cila pjese e pankreasit i takon situs abdominis inferioris

A

proc. ucinatus

173
Q

ne cilat regjione te abdomenit gjendet pankreasi

A

ne regio epigastrica dhe hypochoncriaca sin

174
Q

cilat jane pjeset e pankreasit

A

caput, isthmus, corpus, cauda

175
Q

ku gjendet incisura pancreatis

A

mes buzes se siperme te proc ucinatus dhe buzes se poshtme te trupit te pankreasit

176
Q

cilat jane faqet e pankreasit dhe buzet e tij

A

facies anterior posterior inferior
margo superior anterior inferior

177
Q

ku gjendet tuber omentale te pankreasi

A

mes kokes dhe qafes ne buzen e siperme

178
Q

cak ngjitet ne margo anterior te pankreasit

A

radix mesocoli transversi

179
Q

ne raport me peritoneumin cfare organi eshte pankreasi

A

sekondar retroperitoneal perveq bishtiti i cili mbeshtillet me peritoneum duke u lidhur me shpretken permes lig splenornale

180
Q

prej cilave pjese perbehet pankreasi

A

nga pars exocrina dhe endocrina pancreatica

181
Q

cila pjese e pars exocrina pancreatica formon lengun pankreatik

A

acinus pancreaticus

182
Q

cilat jane pjeset ndertuese te pars exocrina pancreaticus

A

lobulus pancreaticus
acinus pancreaticus
exocrinocytus pancreaticus
granulum zimogeni

183
Q

nga kush formohet ductus pancreaticus accessorius

A

nga kanalet interlobulare te pjeses anterosuperiore te kokes se pankreasit

184
Q

nga cka perbehet pars endocrina pancreatica

A

nga insulae pancreticae

185
Q

ne cilat grupe qelizash ndahen endocrinocytus pancreaticus

A

glucagonocytus
insulinocytus
endocrinocytus delta

186
Q

cili eshte raporti i pankreasit me duodenin

A

ne buzen e siperme - pars superior duodeni
lateralisht - pars descendens duodeni
buza e poshtme e proc unicatus - pars inferior

187
Q

kush gjendet prapa kokes se pankreasit

A

dutus choledochus
a pancreatico duodenalis sup post
a pancreatico duodenalis inf
v cava inf

188
Q

kush gjendet perpara dhe pas qafes se pankreasit

A

perpara - pilorusi dhe colon trasnversum
pas - v portae hepatis
ganglionet e plexus coeliacus

189
Q

kush e formon katerkendeshin venoz retropankreatik

A

kolateralet e v portae hepatis ( mesenterica sup/inf, splenica ) dhe v renalis sinistria

190
Q

cilat jane raportet e trupit te pankreasit

A

perpara - bursa omentale
pas - aorta abdominalis
v splenica
ren sin me enet e gjakut
gll suprarenalis sin
crus sin diaphragmatis
poshte - flexura duodenojejunalis

191
Q

cilat jane raportet e bishtit te pankreasit

A

perpara a et v splenica
pas hilum splenicum
facies anterior ren sin

192
Q

nga kush inervohet pankreasi

A

nga plexus mesentericun superior dhe plexus coeliacus

193
Q

cilat jane faqet buzet dhe skajet e shpretkes

A

facies diaphragmatica dhe visceralis
extremitas anterior posterior
margo superior/inferior

194
Q

si ndahet fascies visceralis e shpretkes

A

ne fascies colica gastrica dhe renalis

195
Q

ku gjendet hilum splenicum

A

ne pjesen e poshtme te faqes gastrike

196
Q

kush kalon neper hilum splenicum

A

hyjne – a splenica dhe nervat
dalin – v splenica dhe enet limfatike

197
Q

cilat jane skajet e shpretkes

A

extremitas anterior et posterior

198
Q

cilat jane buzet e shpretkes

A

margo superior et inferior (obtutus)

199
Q

cili lig eshte mbajtes i shpretkes

A

lig phrenicocolicum

200
Q

cilat jane projeksionet e shpretkes

A

extremitas anterior - linea axillaris costa 10
extremitas posterior - majt proc spinosus v10

201
Q

cilat jane ligamentet e shpretkes

A

lig gastrosplenicum
lig splenorenal
lig phrenicosplenicum

202
Q

cilat jane shtresat e shpretkes

A

tunica serosa
tunica fibrosa - trabeculae splenicae
pulpa splenica

203
Q

nga kush formohet pulpa splenica

A

nga pulpa rubra at pulpa alba

204
Q

kush e formojne pulpa alba et pulpa rubra

A

pulpa alba - folliculi lymphatici splenici
pulba rubra - sinus splenicus

205
Q

nga kush perkufizohet zona splenica

A

perpara - lukthi
pas - ren sinister
jashte - diafragma
poshte - flexura colli sinistria

206
Q

ne cilen pjese eshterore gjendet zona splenica

A

ndermjet spatium intercostale 9 dhe 10 apo brinja 9 - 11

207
Q

me ke eshte ne raport faqja konvekse e shpretkes

A

me recessus costodiaphragmaticus sinister

208
Q

ku projektohet skaji i pasem i shpretkes

A

ne nivel te brinjes se 10 majtas

209
Q

cfare ka ne mukozen e zorres se trashe

A

foliculi lymphatici solitari
plica semilunares coli
kriptet e lieberkhun
sulci transversi

210
Q

kush e ben vaskularizimin e zorres se trashe

A

gjysma e djathte - a colica dextra et media et a ileocolica
gjysma e majte - a colica sinistra, aa sigmoideae dhe a rectalis sup

211
Q

cilat jane venat e zorres se trashe

A

v mesenterica superior dhe inferior- v portae hepatis
v iliaca interna - vcs

212
Q

kush e inervon zorren e trashe

A

plexus mesentericus superior - djathtas
plexus mesentericus inferior - majtas
plexus rectalis medius - rektumi

213
Q

kush e formon plexus mesentericus superior

A

simpatetike - n splanchnicus major et minor
parasimpatetike - n vagus dex

214
Q

kush e formon plexus mesentericus inferior

A

simpatetike - plexus intermesentericus plexus aorticus nn splanchnici lumbales
parasimpatetike - nn splanchnici pelvici dhe n vagus sin

215
Q

cilat vrima hapen ne caecum

A

ostium ilealis/ ileocaecale
ostim apendicis vermiformis

216
Q

cilat jane buzet e ostium ilealis/ileocaecale

A

labrum superius/inferius

217
Q

ku bashkohen buzet e ostium ilealis/ileocaecale dhe cfare formojne

A

ne skajet e tyre dhe formojne frenulum valvae ilealis/ileocaecalis

218
Q

tregoni marredheniet e cekumit

A

perpara - ansat jejuno-ileale
ose omentum majus

pas - fossa iliaca dextra
peritoneumi
a et v iliaca externa
ureteri i djathte
enet spermatike te djathta
fascia iliaca n cutaneus femoris lateralis
n genitfemoralis

jashte - crista iliaca
poshte - lig inguinal
brenda - linea terminalis

219
Q

cfare organi eshte cekumi ne raport me peritoneumin

A

intrapreitoneal

220
Q

me ane te kujt fiksohet cekumi ne peritoneum parietal

A

me ane te plicae caecales

221
Q

ke e kufizojne plica caecales

A

recessus retrocaecalis

222
Q

kush e vaskularizon cekumin

A

a ileocolica - a caecalis ant/post
venat jane kolaterale te v porta hepatis

223
Q

cila pjese e colon sigmoideum eshte e levizshme

A

“colon pelvicum”

224
Q

flexura coli sinistria raportet

A

perpara - arcus costalis sin dhe muri anterior i abdomenit
lat prapa -skaji i poshtem i shpretkes bishti i pankreasit dhe skaji i poshtem i veshkes se majte
madialish - curvatura gastrica major

225
Q

cilat jane marredheniet e elementeve ne porta hepatis

A

perpara dhe djathtas ductus hepaticus
pas dega e majte dhe e djathtte e a hepatica propria
pas tyre v porta hepatis

226
Q

mes kujt gjendet processua caudata

A

mes v cava dhe porta hepatis

227
Q

ku shtrihen recessus subphrenicus dex/sin

A

pas - lig coronarium hepatis
perpara dhe anash - komunikojne me cavitas peritonealis te barkut

228
Q

kush e vaskularizon trupin dhe bishtin e pankreasit

A

a pancreatica magna
a pancreatica dorsalis
a pancreatica inferior
a cauda pancreatis

229
Q

kush e vaskularizon shpretken

A

a splenica

230
Q

cilat jane deget intrasplenike te a splenica

A

aa trabeculares
aa pulpares
aa centrales
vas capillare terminale

231
Q

si formohet v splenica

A

prej sinus venularis
vas capillare sinusoideum
vv pulpae rubrae
vv trabeculares
v splenica

232
Q

kush e inervon shpretken

A

plexus splenicus