P2 ANATOMY stomach& duodenum

Question 1

the stomach occupies what areas

Answer 1

epigastric , umbilical & left hypochondriac

Question 2

Anatomical part of the stomach

Answer 2

fundus
body
antrum
pylorus

Question 3

Right gastric vein gives branch to what important vein

Answer 3

prepyloric vein

Question 4

Towards which curvature folds are more

Answer 4

Greater curvature

Question 5

landmark for surgeons to identify pyloric end

Answer 5

prepyloric vein

Question 6

structure of the stomach thats situated to the left of midline

Answer 6

Cardiac orifice

Question 7

cardiac orifice lies behind what costal cartilages

Answer 7

6th / 7th

Question 8

how many cm is the cardiac orifice away from median line

Answer 8

2.5 cm

Question 9

at which vertebral level is the cardiac orifice

Answer 9

T11

Question 10

at which plane is the pylorus

Answer 10

transpyloric plane

Question 11

Vertebral level of pylorus

Answer 11

L1

Question 12

which omentum is related to lesser curvature

Answer 12

lesser omentum

Question 13

to which curvature greater omentum is related

Answer 13

greater curvature

Question 14

greater curvature is closely related to which intercostal space

Answer 14

left 5th ICS

Question 15

Structure covering the gastric surfaces

Answer 15

Peritoneum

Question 16

the Antero-superior surface of the stomach in contact with

Answer 16

Diaphragm
left costal margin
left lobe of liver

Question 17

postro-inferior surface in contact with

Answer 17

Diaphragm
left adrenal
upper part of left kidney
splenic Art.
Anterior pancreatic surface
colic flexure & transverse mesocolon

Question 18

Gastric arteries

Answer 18

left gastric
right gastric
left gastro-epiploic
right gastro-epiploic

Question 19

left gastric Art. coming from

Answer 19

celiac trunk

Question 20

short gastric Art comes from

Answer 20

splenic Art. Posteriorly

Question 21

Art. Supplying stomach posteriorly

Answer 21

splenic Art

Question 22

Parasympathetic nerve that supplies stomach

Answer 22

vagus nerve

Question 23

Sympathetic gastric supply is coming from what segments

Answer 23

T6-T9 spinal cord segments

Question 24

name the plexuses for sympathetic supply

Answer 24

celiac , hepatic , left phrenic

Question 25

name the plexuses formed from celiac , hepatic & left phrenic

Answer 25

sub-mucosal plexus of meissner myenteric plexus of Auerbach

Question 26

post. lymph nodes

Answer 26

Pancreatic group pf lymph node

Question 27

incase of post. gastric ulcer what Art. is highest risk for bleeding / can cause sever bleeding

Answer 27

Splenic Art.

Question 28

Superior part of duodenum related to which vertebral level

Answer 28

L1

Question 29

Descending part of duodenum related to which vertebral level

Answer 29

L2

Question 30

Horizontal , ascending part of duodenum related to which vertebral level

Answer 30

L3

Question 31

part of the duodenum that is more prone to ulcers

Answer 31

Duodenal cap/bulb

Question 32

Numerous folds of duodenum called

Answer 32

plicae circulares

Question 33

main pancreatic duct opens into

Answer 33

major duodenal papilla

Question 34

what is opening into minor duodenal papilla

Answer 34

Accessory pancreatic duct

Question 35

incase of duodenal ulcer posteriorly what Art. can cause severe haemorrhage

Answer 35

gastroduodenal Art.

Question 36

duodenal ulcer can be difficult to differentiate from

Answer 36

acute appendicitis

Question 37

Related to first part of the duodenum anteriorly

Answer 37

liver , gall bladder

Question 38

Related to first part of the duodenum posteriorly

Answer 38

bile duct , portal vein , gastroduodenal Art. IVC

Question 39

Related to Second part of the duodenum anteriorly

Answer 39

liver , transverse colon coils of jejunum

Question 40

Related to second part of the duodenum posteriorly

Answer 40

right kidney , IVC right psoas major

Question 41

Related to third part of the duodenum anteriorly

Answer 41

Superior mesenteric vessels root of mesentery

Question 42

Related to third part of the duodenum posteriorly

Answer 42

right psoas major right ureter , IVC , abdominal aorta right gonadal vessels origin of inferior mesenteric Art

Question 43

Related to forth part of the duodenum anteriorly

Answer 43

transverse colon & mesocolon Stomach

Question 44

Related to forth part of the duodenum posteriorly

Answer 44

left crus of diaphragm left psoas major left sympathetic chain left renal vessels left gonadal vessels Inferior mesenteric vein

Question 45

Duodenum drains into

Answer 45

panceaticoduodenal node

Question 46

Duodenum drains into

Answer 46

panceaticoduodenal node

Question 47

Arterial supply is coming from

Answer 47

Mesenteric artery & celiac trunk branches