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MRCS memory tools > Part B > Flashcards

Part B Flashcards

1
Q

Name the origin and insertion of the rectus abdominis muscle

A

O - 5th-7th costal cartilages
I - pubic crest

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2
Q

Name the origin and insertion of the external oblique

A

O - ribs 5-12
I - linea alba, pubic crest, pubic tubercle, anterior 1/2 of iliac crest

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3
Q

Name the origin and insertion of the internal oblique

A

O - lumbar fascia, anterior 2/3 iliac crest, lateral 2/3 inguinal ligament
I - ribs 10-12, linea alba, pubic crest via transverse tendon

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4
Q

What is the nerve supply of the abdominal muscles?

A

Rectus Abdominis and External Oblique - lower 6 thoracic nerves
Internal oblique and transversus abdominis - lower 6 thoracic nerves, iliohypogastric and ilioinguinal nerves

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5
Q

Spigellian hernia

A

Occurs at the junction between the linea semilunaris and arcuate line

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6
Q

Boundaries of inguinal canal

A

Boundaries of inguinal canal (MALT):

Roof: Internal oblique and transversus abdominis Muscle fibres
Anteriorly: External oblique Aponeurosis and internal oblique
Floor: Inguinal Ligament
Posteriorly: Transversalis fascia

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7
Q

What is the deep inguinal ring?

A

Defect in transversalis fascia
1cm above the mid-inguinal point
Lateral to inferior epigastric arteries

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8
Q

What is the superficial inguinal ring?

A

Triangular defect in the inguinal canal
Above and medial to pubic tubercle

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9
Q

Contents of inguinal canal

A

Male: Spermatic cord and ilioinguinal nerve
Female: Round ligament, genital branch of genitofemoral nerve and ilioinguinal nerve

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10
Q

Contents of spermatic cord

A

Piles Don’t Contribute To A Good Sex Life
Pampiniform plexus
Ductus Deferens
Cremasteric artery
Testicular artery
Artery to ductus deferens
Genital branch of genitofemoral nerve
Sympathetic fibres
Lymphatics

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11
Q

Borders of femoral triangle

A

SAIL
Lateral border: Sartorius muscle
Medial border: Adductor longus muscle
Base or superior border: Inguinal Ligament

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12
Q

Contents of femoral triangle

A

NAVEL
Femoral Nerve, Femoral Artery, Femoral Vein, Femoral canal (Empty space), Lymphatics

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13
Q

Floor of femoral triangle

A

APPI
Adductor longus
Pectineus
Psoas major
Illiacus muscles

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14
Q

Boundaries of femoral canal

A

FLIP
Femoral vein - lateral
Lacunal ligament - medial
Inguinal ligament - anterior
Pectineal ligament - posterior

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15
Q

Contents of femoral canal

A

Fat, lymphatics, cloquet’s node

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16
Q

Which organs are retroperitoneal?

A

Remembered by the mnemonic SAD PUCKER

S - suprarenal (adrenal) gland
A - aorta/IVC
D - duodenum (second and third part)
P - pancreas (except tail)
U - ureters
C - colon (ascending and descending)
K - kidneys
E - (o)esophagus
R - rectum (upper 2/3)

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17
Q

What is the blood supply of the pancreas?

A

Mainly splenic artery (from coeliac trunk)
Head and uncinate process are from superior pancreaticoduodenal from gastroduodenal, and inferior pancreaticoduodenal from SMA

18
Q

Blood supply of the oeseophagus

A

Cervical - inferior thyroid A+V
Thoracic - aortic branches and azygous
Abdominal - inferior phrenic and gastric

19
Q

Blood supply of the duodenum

A

Upto ampulla of vater - superiopancreaticoduodenal from gastroduodenal from coeliac
After ampulla - inferiopancreaticoduodenal from SMA

20
Q

Transpyloric plane - which level and contents

A
21
Q

Structures that pass through the diaphragm

A

Aortic hiatus - aorta, azygous
Oesophageal opening - oeseophagus, CN X
Caval opening - IVC, R phrenic
Superior epigastric vessels, L phrenic, greater and lesser splanchnic nerves

21
Q

Structures that pass through the diaphragm

A

Aortic hiatus - aorta, azygous
Oesophageal opening - oeseophagus, CN X
Caval opening - IVC

22
Q

Boundaries of axilla

A

Anterior - pec major/pen minor
Medial - serratus anterior, thoracic wall
Lateral - intertuberlar sulcus of humerus
Posterior - subscapularis, teres major, latissimus dorsi
Base - axillary fascia
Apex - clavicle, 1st rib, scapula

23
Q

Axillary node levels

A

Level 1 - lateral and inferior to pec minor
Level 2 - posterior to pec minor
Level 3 - medial and superior to pec minor

24
Q

Axillary node clearance nerves damaged

A

Long thoracic nerve - serratus anterior
Thoracodorsal nerve - latissimus dorsi
Med/lateral pectoral nerves
2nd intercostal nerve

25
Q

Origins, insertions and actions of rotator cuff muscles

A

Supraspinatous:
O: supraspinatous fossa
I: Greater tubercle of humerus
A: Abduction

Infraspinatous:
O: infraspinatous fossa
I: Greater tubercle of humerus
A: Lateral rotation

Teres Minor:
O: Lateral border scapula
I: Greater tubercle of humerus
A: Lateral rotation

Subscapularis:
O: Subscapularis fossa
I: Lesser tubercle of humerus
A: Medial rotation

26
Q

Borders and content of quadrangular space

A

Superior: inferior border teres minor

Inferior: superior border teres major

Lateral: long head triceps

Medial: humerus

Contents: axillary N, posterior circumflex humeral artery

27
Q

Borders and content of triangular space

A

Superior: inferior border teres minor

Inferior: superior border teres major

Medial: long head triceps

Contents: circumflex scapular artery

28
Q

Borders and content of triangular interval

A
29
Q

How to talk about a condition systematically

A

Definition, Incidence, Age, Sex, Geography, Aetiology, Pathogenesis, Microscopic, Macroscopic, Symptoms, Signs, Prognosis

Dressed In A Surgeons Gown A Physician Might Make some Significant Progress

30
Q

Structures passing behind medial malleolus

A
31
Q

Muscles and blood and nerves for anterior thigh compartment

A
32
Q

Muscles and blood and nerves for medial thigh compartment

A
33
Q

Muscles and blood and nerves for posterior thigh compartment

A
34
Q

Muscles and blood and nerves for anterior leg compartment

A
35
Q

Muscles and blood and nerves for lateral leg compartment

A
36
Q

Muscles and blood and nerves for superficial posterior leg compartment

A
37
Q

Muscles and blood and nerves for deep posterior leg compartment

A
38
Q

Muscles and blood and nerves for deep posterior leg compartment

A
39
Q

Branches of subclavian

A
40
Q
A

MRCS memory tools (2 decks)

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