Qs Flashcards

1
Q

What does femoral nerve do?

A

Hip flexion

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2
Q

All of the following cause visceral pain EXCEPT

A

heat

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3
Q

Which of the following does NOT have somatic motor innervation?

A

lateral femoral cutaneous nerve

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4
Q

What does lateral femoral cutaneous not have?

A

Somatic motor

is ONLY sensory

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5
Q

What does obturator not have?

A

Parasympathetic

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6
Q

All of the following nerves imerge from the psoas major EXCEPT?

A

obturator

(iliogastric, femoral, and ilio-inguinal do)

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7
Q

All of the following relationships are correct except

A

stomach and mesentery

stomach does have a mesentery, but it is not refered to as just mesentery (this is found with the intestines)

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8
Q

What is the ligament teres is a remnant of?

A

umbilical vein

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9
Q

How many rings does indirect inguinal hernia go through?

A

3

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10
Q

What is in normally fucntioning adult that is left over from embryonic development?

A

Lateral umbilical ligament

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11
Q

(T/F) Superior epigastric run on superior portion of rectus abdominus

A

false

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12
Q

Layers of skin to DEEP

A
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13
Q

what is not result from parasympathetic?

A

retention of urine and feces

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14
Q

Which don’t have mesentery?

A

Kidney

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15
Q

Which is not 2 ̊ retroperitoneal

A

Aorta

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16
Q

Gas bubble in standing adult?

A

Fundus

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17
Q

Which not branch of celiac?

A

Inferior pancreaticoduodenal

comes from superior mesenteric

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18
Q

The celiac trunk supplies all of the following EXCEPT

A

appendix

suppiles liver pancreas and gallbladder

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19
Q

(T/F)Right renal vein crosses anterior to aorta

A

false

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20
Q

Which don’t drain into IVC?

A

Portal Vein

goes into the liver

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21
Q

The superior mesenteric vein and which of the following join to form the portal vein?

A

splenic vein

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22
Q

All of the following relationships are correct except (#2)

A

falciform ligament: obliterated umbilical vein

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23
Q

What point visceral pain axons slit forms sympathetic motor nerves?

A

juction of ventral and dorsal root

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24
Q

Sympathetics inhibit internal urinary sphincter

A

false

para inhibts!!!! (cause it to relax)

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25
Q

Preferred method of entry into lesser sac?

A

Epiploic foramen

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26
Q

Caldocentesis takes sample from?

A

Rectouterine pouch

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27
Q

Tail of pancreas-

A

in linorenal ligament

is a mesentery

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28
Q

McBurney’s point

A

where you can find appendix

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29
Q

Which ligament does short gastric artery run through?

A

Gastrosplenic (ligament)

between stomach and spleen

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30
Q

What is lateral arcuate ligament associated with?

A

Quadratus lumborum

ligament is an arch near aorta hiatus (is the outer most)

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31
Q

Which isn’t in portal hepatis?

within hepatoduodenal

A

Hepatic vein

takes blood from liver to IVC (portal is entering liver)

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32
Q

All of the following are in the spermatic cord except

A

a. internal spermatic fascia
b.ductus deferens
c. external spermatic fascia
d. parietal peritoneum

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33
Q

Referred pain of appendix?

spinal cord

A

T10

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34
Q

Femoral nerve associated with?

section of spinal cord

A

L2-L4

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35
Q

Sympathetics for hindgut?

spinal cord

A

T12-L2

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36
Q

Where does bile enter GI tract?

A

2nd segment at duodenum

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37
Q

Which part of the duodenum has the major and minor duodenal papilla?

A

2

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38
Q

Which not in spermatic cord?

A

Transversus abdominus

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39
Q

what lies posterior to the rectus abdominus?

A

transversalis fascia

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40
Q

What is posterior (deep) to the Rectus sheath?

A

Transversalis fascia

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41
Q

Where is ligamentum venosum?

A

Left sagittal fissure

on liver

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42
Q

all of the following have an insertion formed by the ending of their respective aponeurosis on the line alba except

A

rectus abdominus

insertion on xiphoiod (goes up and down)
is what forms Abs

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43
Q

Which is 2 ̊ retroperitoneal?

A
  • Pancreas (head, neck, & body)
  • Duodenum (2nd & 3rd)
  • Ascending Colon
  • Descending Colon
  • Upper Recutum

anwser was not listed but these are the only ones that are

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44
Q

Renal pelvis is most posterior in

A

kidney

there may be more to this question this was all that was listed

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45
Q

Where does the gastroepiploic artery run?

also know as right gastoomental artery

A

Gastrocolic (liagment)

located on the bottom of the stomach

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46
Q

What doesn’t empty into the IVC?

A

the gut

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47
Q

Where does the right gastrohepatic ligament lie?

A

Between liver and stomach

it is apart of the lesser omentum which is a mescentary

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48
Q

Where is the referred pain of the appendix?

A

Skin surrounding umbilicus

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49
Q

What part of the stomach is visible in an xray?

A

fundis

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50
Q

Arrangement of the portal hepatis?

within the hepatoduodenal ligament

A

Portal Vein (Posterior) Hepatic artery (anterior-left) Common bile duct (anterior-right)

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51
Q

Which part of the pancreas is mesenteric?

A

tail
(not retroperitoneal)

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52
Q

Psoas shadow is a good landmark to estimate what organ?

A

kidney

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53
Q

obturator nerve has what function on leg?

A

Adduction of leg (L2-L4 obturator nerve supplies adductor muscles of the thigh)

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54
Q

What nerve do anterior compartment of thigh (leg)?

A

Femoral nerve

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55
Q

Where does lymph in skin around xiphoid process drain?

A

Axillary nodes

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56
Q

What nerves/axons would you cut through if you sliced the mesentery of SI several inches before the body wall?

(SMA)

A

Post-synaptic sympathetic, presynaptic parasympathetic

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57
Q

Which of these is primarily retroperitoneal?

A

Suprarenal gland

never had a mesentery

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58
Q

Which organ is entirely mesenteric?

A

Stomach

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59
Q

In late pregnancy which nerve is compressed between the anterior superior iliac and the inguinal ligament?

A

Lateral femoral cutaneous

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60
Q

the lower border of the aponeurosis of which of the following forms the inguinal ligament?

A

external oblique

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61
Q

A person standing up, what is most easily seen in a radiograph?

A

Fundus

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62
Q

What is the most common position of the appendix?

A

retrocecal

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63
Q

In who is indirect inguinal hernia most commonly found?

A

Infant male

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64
Q

Which type of hernia is shown in picture?

A

direct

exits superfical ring

medial to epigastric vessel exits at the superficial

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65
Q

Consider the lesser sac as if it was a 4-sided room with ceiling being the liver, which side is the omental foramen located?

A

right

66
Q

Which organs PP is sensitive to temperature and cutting?

A

Pancreas

67
Q

Which organ has a rich dual blood supply?

A

pancreas

68
Q

Iliohypogastric is the ventral rami of what segment?

A

L1

69
Q

Where do the hepatopancreatic secretions mix before entering the duodenum?

A

Ampulla of Vater

70
Q

(T/F)Left Renal vein passes behind the aorta

A

false

71
Q

The Inferior Mesenteric vein drains into what?

A

Splenic Vein

72
Q

Which of these do not drain into the internal inguinal lymph nodes?

A

testes

Paraaortic lymph nodes drian gonads ( because they travel down)

73
Q

In adults which of these contains function vessels?

A

Lateral umbilical vein

74
Q

WHich of the following does not develop as apart of the GI system?

A

spleen

75
Q

WHich of the following does not contain any vessels?

A

Gastrophrenic Ligament

near top of stomach

76
Q

If a male urethra is injured and ruptures, between what anterior abdominal body wall layers does blood and urine accumulate?

A

Between Scarpia’s fascia and External Abdominal wall

77
Q

Which layer does not contribute to the spermatic cord?

A

Transversus Abdominus

78
Q

Where is the Ductus Deferens located?

A

Within internal spermatic fascia and posterior to process vaginalis

79
Q

What gives cremaster motor innervation?

A

Genitofemoral

males only have motor in this

80
Q

What ligament is around the uterine tube?

A

Mesosalpinx

81
Q

Which of the following fill not be affected by the loss of somatic innervation to the anterior abdominal wall?

A

inhalation

82
Q

If the lesser sac were a room with ceiling, two walls and a floor, where would the hilum of the spleen be loacted?

A

left wall

83
Q

What organ has a mesenteric attachment to the anterior body wall?

A

liver

only organ that does

84
Q

The internal iliac artery supplies all the following except?

A

ovary

85
Q

Which is not an autonomic ganglion?

A

dorsal root

somatic sensory

86
Q

The round ligment in females is a remnant of

A

Gubernaculum

87
Q

Which of the following structures remians in the inguinal canal in women?

A
  • (b)genito branch of genitofemoral nerve
  • (d)remnant of Gubernaculum

answer is (e. b and d)

88
Q

The attachment of the Gubernaculum in the scrotum is homologous with what in females?

A

Labia majora

89
Q

Which segment of the duodenum retains its mesenteries?

A

1st

90
Q

Where would the anastomoses of the celiac artery and the superior mesenteric artery occur in the duodenum?

A

Between the 2nd and 3rd

91
Q

All are part of the greater omentum except?

A

hepatodunodenal

is apart of the lesser omentum

92
Q

Which of these organs is attached to the anterior body wall through the mesenteric ligament?

A

liver

93
Q

Behind the pancreas the splenic vein runs

A

inferior to the splenic artery

94
Q

When going through the path of lesser splanchnic you will not encounter which of the following?

A

grey Communicans

95
Q

In the great splanchnic nerve you find?

A

Sympathetic and visceral pain

96
Q

Increase parasympathetic stimulation of the bladder causes?

A

detruser muscle to contract, and internal urinary sphincter to relax to eliminate urine

97
Q

List the renal structures anterior to posterior

A

Renal vein, renal artery, renal plexus

VAP

98
Q

at what level does the esophagus pierce the diaphragm?

A

T10

99
Q

In the esophageal varices, the azygous has anastomoses with which branch of the portal vein?

A

Left gastric vein

100
Q

Which of these aortic branches passes by the c-shape lesser curvature of the duodenum?

A

Superior mesenteric Artery

101
Q

in terms of bile drainage and arterial blood supply, the caudate lobe is part of which functional side?

A

left side

102
Q

The gallbladder lies where in relation to the saggittal fissures of the liver?

A

Anterior part of right sag. Fissure

103
Q

When the common hepatic artery branches off celiac artery and goes what direction?

A

right

104
Q

The deep inguinal ring is located?

A

Lateral to inferior epigastric vessels

105
Q

The obturator nerve does what action?

A

adduct

106
Q

The appendicular artery branches off of what?

A

ileocolic

107
Q

Which of the following gets its parasympathetic innervation from the pelvic splanchnic nerves?

A

Descending

the division is at the 2/3 transverse colon

108
Q

Where is the anastomoses b/t Inferior Mesenteric Artery and Superior Mesenteric Artery?

A

2/3 Transverse Colon or Left colic flexure

(mesocolon)

109
Q

Pelvic splanchnic nerves may contain all of the following except:

A

Sympathetics

110
Q

the Pelvic splanchnic nerve provides what type of intervention to the hindgut?

A

parasympathetic

111
Q

Preganglionic sympathetics reach the celiac ganglion primarily via the:

A

Greater splanchnic nerve

112
Q

(T/F)Transversalis fascia always lies superficial to the rectus abdominus

A

false

it lies below it

113
Q

Which of the following lists the correct sequence of visceral pain from the jejunum to the CNS?

A

superior mesenteric plexus, lesser splanchnic nerve, white ramus, spinal nerve, dorsal root

is in midgut (VP follows symp back)

114
Q

What best describes what kinds of nerve fibers surround the Superior Mesenteric Artery?

A

postganglionic sympathetics and preganglionic parasympathetics

115
Q

The cremaster muscle is an extension of

A

internal abdominal obliques

116
Q

(T/F) structures that are mesenteric also contain a parietal peritoneum

A

false

would be covered in viseral peritoneum

117
Q

The splenic artery is a direct branch of:

A

Celiac Artery

118
Q

(T/F)the ilioinguinal nerve innervates the cremaster muscle

A

false

genitofemoral nerve innervates (only males have motor)

119
Q

The major duodenal papilla are located in:

A

2nd segment of the duodenum

120
Q

Which of the following vessels passes anterior to the fourth segment of the duodenum?

A

superior mesenteric artery

121
Q

Which of the following will maintain the normal direction of blood flow in a severe case of portal hypertension?

A

inferior vena cava

122
Q

(T/F) the lesser sac lies anterior to the stomach

A

false

123
Q

Which artery lies within the transverse mesocolon?

A

Middle colic

124
Q

Which of the following structures is primarily retroperitoneal?

A

Ureters

125
Q

The superior rectal artery is a branch of:

A

inferior mesenteric artery

126
Q

If a sample is to be taken from the uterorectal pouch a needle is passed through:

A

the vagina

127
Q

Trace the path of urine from the renal pyramids to the outside world:

A

renal pyramids – papillae – minor calyces – major calyces – renal pelvis – ureter – bladder – urethra

128
Q

The gastroepiploic arteries:

A

run in the greater omentum

129
Q

from what spinal nerve segment does the genitofemoral nerve arise?

A

L1 and L2

130
Q

Which muscle is pierced by the genitofemoral nerve?

A

Psoas major

131
Q

The correct pathway for semen from the testis to the outside is:

A

testis → epididymis → ductus deferens → ejaculatory duct → prostatic urethra → membranous urethra → penile urethra → external urethral orifice

132
Q

(T/F)the prostate is superior to the urinary bladder

A

false

133
Q

Which is not transmitted by the hepatoduodenal ligament?

A

main pancreatic duct

is within the pancreas

134
Q

Which of the following types of innervation causes the muscles of the anterior abdominal wall to contract?

A

somatic motor

135
Q

Which of the following structures is suspended by “The Mesentery”?

A

Ileum

136
Q

Which of these are secondarily retroperitoneal?

A

pancreas

everything but the tail

137
Q

What will receive primary blood supply from the inferior mesenteric artery

A

descending colon

138
Q

The coronary ligament separates:

A

The bare area of the liver and peritoneal cavity

139
Q

Which of the following is not a site of anastomosis in the case of severe portal hypertension?

A

splenic flexure of the colon

These are places you would have them Esophagus (Esophageal varices),
Umb

140
Q

Which organ receives its preganglionic sympathetic innervation primarily via the lesser splanchnic nerve?

A

ascending colon

midgut

141
Q

On which side of the portal-canal system does the blood flow reverse?

A

Portal Vein

142
Q

What is primary retroperitoneal?

A
  • Kindey
  • Adernal Glands
  • Ureters
  • Aorta
  • Rectum (lower)
  • IVC
  • Anal Canal

never had a mesentery

UR 3A IK

143
Q

Along what pathway would visceral pain from the rectum travel?

A

pelvic splanchinic

144
Q

What does primary retroperitoneal mean?

A

it never had a mesentery

145
Q

what does secondary retroperitoneal mean?

A

had a mesentery but lost it during development

146
Q

What does intraperitoneal mean?

A

suspend in a mesentery

147
Q

The superior mesentreric vein drains all of the following except

A

spleen

(drains transvese colon, small intestine and cecum)

148
Q

the inferior mesenteric artery supplies all of the following except

A

ascending colon

supplies descending colon, sigmoid colon, and rectum

149
Q

What are structures are intraperitoneal?

A
  • Stomach
  • Liver and Gallbladder
  • Duodenum (1st)
  • Pancreas (TAIL)
  • Spleen
  • Appendix
  • Ileum, Jeunum, Transverse Colon, Sigmoid colon

all of GI tube but the ascending and descending and DUO 2 and 3

150
Q

Which of the following structures receieves parasympathetic innervation from. the pelvic splanchnic?

A

sigmoid colon

151
Q

Parasympathetics Rectum

A

-Relaxtion of interal sphincter(inhibit)
-Increased Peristalsis of rectum

152
Q

Sympathetics Rectum

A

-Tightening of interal sphincter
-Decreased Peristalsis of rectum

153
Q

Sympathtics Foregut

A

greater splan — > (celiac)—->

T5-T9

post gang follows artery same name as the (prevertral ganglion)

154
Q

Sympathetics Midgut

A

lesser splan —-> (superior mesenteric)—->

T9- T12

post gang follows artery same name as the (prevertral ganglion)

155
Q

Sympathetics Hindgut

A

least splan —–> (inferior mesenteric)—->

T12- L2

post gang follows artery same name as the (prevertral ganglion)

156
Q

Funciton of left Liver (bile)

A

left
quadrate
caudate

157
Q

Funciton of RIght Liver (bile)

A

Right

158
Q

Funciton of left Liver (arteral blood)

A

left
quadrate
caudate

159
Q

Funciton of right Liver (arteral blood)

A

right
quadrate

160
Q

Which vessel gives rise to the right gastroomental artery

A

gastroduodenal artery

161
Q

Where is the location of the splenic vein?

A

posterior to pancreas and inferior to splenic artery