Quiz 4 Flashcards
What landmarks are associated with the location of the gallbladder?
intersection of the right linea semilunaris with the 9th costal cartilage
A left 11th rib fracture would most likely be associated with an injury to which organ?
left kidney
Describe the Pringle maneuver
technique used to minimize and assess blood loss during hepatic surgery or injury by clamping the hepatoduodenal ligament which contains blood vessels entering the liver (hepatic artery and hepatic portal vein)
Which layers of the peritoneum must be entered to assess a thrombus in an intestinal artery?
parietal peritoneum
mesentery
Caput medusae develop due to obstruction of which vessel?
portal vein
Which nerve is responsible for penile erection?
pelvic splanchnic nerve
What is the cremasteric reflex and which nerve carries the efferent component?
when the inner thigh of a male is stroked prompting unilateral contraction of the cremasteric muscle (superiorly pulls the scrotum and testis)
innervated by the genital branch of the genitofemoral nerve
Name the organs found in the RUQ:
R lobe of liver
pylorus of stomach
gallbladder
duodenum
head of pancreas
R colic flexure
R suprarenal gland
part of ascending and transverse colon
R kidney
Name the organs found in the LUQ:
L lobe of liver
stomach
spleen
jejunum and proximal ileum
pancreas
L colic flexure
L suprarenal gland
part of descending and transverse colon
L kidney
Name the organs found in the LLQ:
part of descending colon
sigmoid colon
L ovary, oviduct, and uterus
L ureter
L spermatic cord
Name the organs found in the RLQ:
distal ileum
cecum
appendix
part of ascending colon
R ovary, oviduct, and uterus
R ureter
R spermatic cord
An injury to the posterior cruciate ligament would allow for which movement pattern r/t the tibia and distal femur?
holding the tibia with both hands, the tibia can be pressed backward under the distal part of the femur
The psoas muscle is pierced by which nerve?
genitofemoral nerve
What is the linea alba?
Line down the middle of the abdomen separating the rectus abdominus
Which part of the biliary system is located in close proximity to the head of the pancreas?
Common bile duct (fusion of the common hepatic and cystic ducts)
Which structure leads you to the location of the appendix?
Teniae libera of the descending colon
Which spinal segment provides sensory innervation to the umbilicus?
T10
What is the landmark between the duodenum and the jejunum?
Ligament of Treitz
What order do the segments of the small intestine follow?
Duodenum - jejunum - ileum
Describe meralgia paresthetica and which nerve it involves.
Deep, neuropathic pain on posterior thigh, occurs with too-small pants or compression of the inguinal ligament.
Involves compression of the lateral femoral cutaneous nerve.
Which quadrant is the liver located?
RUQ
Which quadrant is the rectum located?
LLQ
L4 spinal segment provides sensory innervation to which area of the leg?
Medial aspect
Which ligament of the knee is tightly associated with the meniscus?
Medial collateral ligament
What is the unhappy triad?
Sprain injury of the knee involving the ACL, medial meniscus, and the MCL
Achilles tendon jerk reflex is associated with which spinal segment?
S1-S2
Knee jerk reflex is associated with which spinal segment?
L3-L4
What is the site of knee aspiration?
Femoral-patellar joint
Which muscle is located anteriorly in the medial compartment of the lower leg?
Vastus lateralis
The superior gluteal nerve supplies motor innervation to which muscles?
Gluteus medius
Gluteus minimus
Tensor fascia latae
Which artery supplies the head of the femur?
Medial and lateral femoral circumflex and acetabular branch of the obturator artery
Describe the mechanism of the knee-jerk reflex.
Aka patellar reflex
Tendon attached to the patella stretches the quadriceps femoris
Which bone does the soleus muscle attach to?
Calcaneus
Injury to the tibial nerve would result in which position of the foot?
Dorsiflexion and eversion
What functions of the foot is the tibial nerve responsible for?
Travels on the posterior aspect
Responsible for flexors and inversion
Which nerve is injured in a patient with foot drop?
Fibular nerve
Which muscle of the posterior compartment of the leg attaches to the femur?
Gastrocnemius
Where do you palpate for the posterior tibial artery?
Behind the ankle, posterior to the medial malleolus
Which nerve provides sensory innervation to the “flip-flop” area?
Deep fibular/deep peroneal nerve
Injury to the tibial nerve would result in sensory loss to which location?
Sole of the foot
Which nerve travels on the sole of the foot and innervates the flexors of the great toe?
Medial plantar nerve
Which artery supplies the proximal part of the femur?
A branch of the profunda femoris
What nerves provide sensory supply to the perineum?
Pudendal and posterior femoral cutaneous
Which ligament is responsible for stabilization of the hip joint in childhood?
Ligament of the head of the femur
What is the most common nerve supply of the fibularis (peroneus) longus muscle?
Superficial fibular (peroneal)
Which artery should be palpated to monitor lower limb circulation?
Dorsalis pedis
Which nerve supplies the lateral posterior leg and lateral side of the foot?
Sural nerve
Which nerve is responsible for the ankle jerk reflex?
Tibial nerve
A cyst in the popliteal fossa compressing the tibial nerve would affect which movement?
Plantar flexion of the footl
A severe inversion sprain of the ankle would likely damage which structure?
Anterior talofibular ligament
Tearing of which ligament would cause the medial longitudinal arch to fall?
Plantar calcaneonavicular (spring) ligament
Which vein lies in the superficial popliteal region?
Lesser (short) saphenous vein
A hematoma in the medial malleolus causing overeversion of the foot would be due to a tear in which ligament?
Deltoid ligament
How many tarsal bones are in the human adult skeleton?
7
