Posterior abdominal Wall

Question 1

median arcuate ligament

Answer 1

arch of crura of diaphragm over aorta

Question 2

medial arcuate ligament

Answer 2

thickening of psoas fascia over psoas major

Question 3

lateral arcuate ligament

Answer 3

thickening of fascia lining quadratus lumborum

Question 4

right crus

Answer 4

larger and longer (L3-L4)

-encircles esophagus in most people

Question 5

left crus

Answer 5

-shorter than right

L2-L3

Question 6

Caval opening

Answer 6

T8

IVC and Rt phrenic N

Question 7

esophageal hiatus

Answer 7

T10
esophagus
post and ant vagal trunks

Question 8

aortic hiatus

Answer 8

T12
-aorta
thoracic duct
sometimes azygos and hemi-azygos vein

Question 9

aorta spinal level

Answer 9

T12-L4

Question 10

Celiac spinal level

Answer 10

T12

Question 11

superior mesenteric artery spinal level

Answer 11

L1

Question 12

renal arterys spinal level

Answer 12

L1-L2

Question 13

gonadal arterys spinal level

Answer 13

L2

Question 14

inferior mesenteric artery spinal level

Answer 14

L3

Question 15

bifurcation of the aorta

Answer 15

L4

Question 16

body of pancreas and splenic v spinal level

Answer 16

L1 and L2

Question 17

left renal V spinal level

Answer 17

L2

Question 18

horizontal part of duodenum spinal level

Answer 18

L3

Question 19

blood supply of the adrenal glands

Answer 19

1) superior suprarenal a- from inf phrenic a
2) middle suprarenal a- from aorta
3) inferior suprarenal a- L and R renal A

Question 20

what does R. suprarenal V drain into

Answer 20

directly into IVC

Question 21

what does L. Suprarenal V drain into

Answer 21

into left renal vein

Question 22

what are both kidneys in contact with?

Answer 22

1) muscular floor muscles (psoas major, quadratus lumborum, transversus abdominis)
2) diaphragm
3) branches of ilioinguinal and iliohypogastric N
4) subcostal N
5) 12th rib

Question 23

what structures exit the kidney from ant to post

Answer 23

“VAP”

1) renal vein
2) renal artery
3) renal pelvis

Question 24

what spinal level is the hilum of the kidney?

Answer 24

L1

Question 25

what are the ureter relationships

Answer 25

1) posterior to ductus deferens (male)

2) post to umbilical artery (female

Question 26

what are the constriction points of the ureter?

Answer 26

1) urteropelvic junction
2) crossing external iliac artery/ pelvic brim
3) ureter enters bladder wall

Question 27

what lymph nodes do the posterior abdominal wall, kidneys, ureters, testes or ovaries, uterus and uterine tubes drain into?

Answer 27

lumbar lymph nodes to cisterna chyli to thoracic duct