Scribes

Question 1

Name 3 abdominal arteries that are end arteries

Answer 1

Most vasa recta of GI tract
Splenic artery
Short gastric artery

Question 2

3 major branches of abdominal aorta (aka Great Vessels)

Answer 2

Celiac artery
Superior Mesenteric Artery
Inferior Mesenteric Artery

Question 3

Celiac trunk is found at what level?

Answer 3

T12/L1

Question 4

Celiac trunk supplies blood to structures that originate from embryonic_______?

Answer 4

foregut

Question 5

Celiac trunk branches supply what organs?

Answer 5

abdominal espophagus
stomach
proximal (first part) of duodenum

Question 6

What is the path from the celiac trunk to the esophagus?

Answer 6

Celiac trunk>left gastric artery>esophageal branch

Question 7

What artery does the left gastric artery anastomose with?

Answer 7

right gastric artery

Question 8

What is the path of the celiac artery to the fundus of the stomach?

Answer 8

Celiac trunk>Splenic artery>Short Gastric artery>fundus of stomach

Question 9

What is the path of the celiac trunk to the superior portion of greater curvature of stomach and omentum?

Answer 9

Celiac trunk>Splenic artery>Left Gastroepiploic>superior portion of the greater curvature of stomach and omentum

Question 10

What artery does the left gastroepiploic artery anastomose with?

Answer 10

right gastroepiploic artery

Question 11

What is the path of the celiac trunk to supply the pancreas?

Answer 11

Celiac trunk>Splenic artery>pancreatic branches

Question 12

Which direction does the common hepatic artery split off of the celiac trunk ?

Answer 12

right

Question 13

Common Hepatic Artery runs to the patient’s right and then splits into?

Answer 13

Proper Hepatic Artery
Gastroduodenal Artery

Question 14

What is the path of the celiac trunk to supply the biliary tree?

Answer 14

Celiac trunk>Common hepatic artery> Proper Hepatic artery> Right Hepatic Artery>cystic artery>gallbladder

Question 15

The Proper Hepatic Artery gives off__________ that anastomoses with_______?

Answer 15

the proper hepatic artery gives off right gastric artery that anastomoses with left gastric artery

Question 16

What happens if the proper hepatic artery damaged?

Answer 16

damage to biliary tree

Question 17

What is the path of celiac trunk to inferior portion the greater curvature of the stomach?

Answer 17

Celiac trunk>Common Hepatic Artery> Gastroduodenal artery>Right gastroepiploic artery>inferior portion greater curvature of stomach (and then anastomoses with left gastroepiploic artery)

Question 18

What are the two branches of the Gastroduodenal artery?

Answer 18

Right gastroepiploic artery

Superior Pancreaticoduodenal artery

Question 19

Superior mesenteric artery found at vertebral level?

Answer 19

L1

Question 20

What structures does the superior mesenteric artery supply?

Answer 20

Embryonic midgut structures
Duodenum (except first part)
Small intestine
Cecum
Ascending colon
First 2/3 Transverse colon

Question 21

What is SMA Syndrome

Answer 21

Superior mesenteric artery constricts the duodenum causing intestinal obstruction

Question 22

What is nutcracker syndrome?

Question 23

What are the main branches of the SMA?

Answer 23

Inferior Pancreaticoduodenal

Colic

Ileal

Jejunal

Question 24

What Colic branch supplies ascending colon?

Answer 24

Right Colic artery

Question 25

What Colic branch supplies mesentery of transverse colon and splenic flexure?

Answer 25

Middle Colic Artery

Question 26

Middle Colic Artery and Left colic artery anastomose to prevent?

Answer 26

ischemia

Question 27

What Colic branch supplies ilieocecal junction?

Answer 27

Ileocolic artery

Question 28

Inferior Mesenteric artery found at vertebral level ?

Answer 28

L3

Question 29

IMA supplies what structures?

Answer 29

embryonic hindgut structures Last 1/3 of transverse colon Descending colon Sigmoid colon Rectum Upper 1/2 of anus

Question 30

What are three main branches of IMA?

Answer 30

Left Colic artery Sigmoid Artery SUperior rectal artery

Question 31

What is the Marginal Artery (of Drummond)

Answer 31

Collection of anastomoses of the branches of the mesenteric arteries that runs the entire length of the inner border of colon

Question 32

What is function of Marginal Artery (of Drummond)?

Answer 32

provide collateral circulation between middle colic artery (SMA) and left colic artery (IMA)

Question 33

___ is occluded in 50% of men over 50

Answer 33

IMA

Question 34

Function of Portal Vein?

Answer 34

transports deoxygenated, nutrient-rich blood from GI tract to liver where it is processed and dumped into IVC

Question 35

What 3 veins come together to form portal vein?

Answer 35

Splenic vein Superior Mesenteric Vein Inferior Mesenteric Vein

Question 36

Venous return of foregut, midgut, hindgut?

Answer 36

Splenic vein-foregut SMV-midgut IMV-hindgut

Question 37

What is characteristic of the portal vein that differs from other circulation?

Answer 37

NO VALVES

Question 38

How does blood flow in the portal circulation?

Answer 38

Blood from RIGHT side (SMV) preferentially flows to RIGHT SIDE OF LIVER Blood from LEFT side (IMV and SPLENIC v) flows to LEFT SIDE OF LIVER