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SPC > Surgical Anatomy > Flashcards

Surgical Anatomy Flashcards

1
Q

What is the drainage of the left testicular vein?

A

Left renal vein

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2
Q

What is the drainage of the right testicular vein?

A

IVC

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3
Q

What is Gerota’s fascia?

A

Fascia surrounding the kidney

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4
Q

What are the prominent collateral circulations seen in portal hypertension?

A

Esophageal varices
Hemorrhoids (inferior hemorrhoidal vein to internal iliac vein)
Patent umbilical vein (caput medusa)
Retroperitoneal vein via lumbar tributaries

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5
Q

What parts of the GI tract are retroperitoneal?

A

Most of the duodenum
Ascending colon
Descending colon
Pancreas

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6
Q

What is the gubernaculum?

A

Embryological structure that adheres the testes to the scrotal sac; used to help manipulate the testes during indirect hernia repair

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7
Q

Which artery bleeds in bleeding duodenal ulcers?

A

Gastroduodenal artery

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8
Q

What is the name of the lymph nodes between the pectorals minor and major muscles?

A

Rotter’s lymph nodes

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9
Q

Is the left vagus nerve anterior or posterior?

A

Anterior

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10
Q

What is Morrison’s pouch?

A

Hepatorenal recess - the most posterior cavity within the peritoneal cavity

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11
Q

Foregut location

A

Mouth to ampulla of Vater

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12
Q

Midgut location

A

Ampulla of Vater to distal third of transverse colon

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13
Q

Location of hindgut

A

Distal third of transverse colon to the anus

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14
Q

What are the blood vessels on a rib?

A

Vein, Artery, and Nerve (in that artery)

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15
Q

What is the order of the femoral vessels?

A 
Nerve (most lateral)
Artery
Vein
Empty space
Lymphatics (most medial)
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16
Q

What are the three landmarks that make up Hesselbach’s triangle?

A

Inguinal ligament
Epigastric vessels
Lateral border of the rectus sheath

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17
Q

What nerve is located on top of the spermatic cord?

A

Ilioinguinal nerve

18
Q

What landmarks make up Calot’s triangle?

A

Cystic duct
Common hepatic duct
Cystic artery

19
Q

What is Calot’s node?

A

Lymph node found in Calot’s triangle

20
Q

What is the gastrinoma triangle?

A

The triangle where >90% of gastrinomas are located
Bordered by:
- junction of the second and third portions of the duodenum
- Cystic duct
- Pancreatic neck

21
Q

Which artery is responsible for anterior spinal syndrome?

A

Artery of Adamkiewicz

22
Q

Where is McBurney’s point?

A

One third the distance from the anterior superior iliac spine to the umbilicus (estimate of the position of the appendix)

23
Q

How can you find the appendix after you find the cecum?

A

Trace the taeniae back as they converge on the origin of the appendix

24
Q

Where is the space of Retzius?

A

Preperitoneal space anterior to the bladder

25
Q

What are the white lines of Toldt?

A

Lateral peritoneal reflections of the ascending and descending colon

26
Q

What is the strongest layer of the small bowel?

A

Submucosa (think SUbmucosa = SUper)

27
Q

Which parts of the GI tract do not have a serosa?

A

Esophagus

Middle and distal rectum

28
Q

What is the vein that overlies the pylorus?

A

Vein of Mayo

29
Q

What is the pouch of Douglas?

A

Pouch between the rectum and bladder or uterus

30
Q

What does the thoracic duct empty into?

A

Left subclavian vein

Left internal jugular vein junction

31
Q

What is the coronary vein?

A

Left gastric vein

32
Q

What is the hypogastric artery?

A

Internal iliac artery

33
Q

What is longer, the left or right renal vein?

A

Left renal vein

34
Q

What are the layers of the abdominal wall?

A
  1. Skin, then fat
  2. Scarpa’s fascia, then more fat
  3. External oblique
  4. Internal oblique
  5. Transversus abdominis
  6. Transversalis fascia
  7. Preperitoneal fat
  8. Peritoneum
35
Q

What are the place circulares?

A

The circular folds of mucosa of the small bowel

36
Q

What is another name for the place circulares?

A

Valvular conniventes

37
Q

What are characteristic features of the jejunum?

A

Long vasa rectae
Large place circulares
Thicker wall

38
Q

What are the major structural features of the ileum?

A

Shorter vasa rectae
Small plicae circularis
Thinner wall

39
Q

What are the major anatomic differences between the colon and small bowel?

A

Colon has taeniae coli, haustra, and appendices epiplociae (fat appendages)
Small intestine is smooth

40
Q

How far up does the diaphragm extend?

A

To the nipples (fourth intercostal space)

41
Q

What dermatome is the umbilicus?

A

T10

42
Q

What are the major layers of an artery, from deep to superficial?

A

Intima
Media
Adventitia

SPC (2 decks)

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