Surgical Anatomy pearls

Question 1

Drainage of the left testicular vein

Answer 1

Left renal vein

Question 2

drainage of the right testicular vein

Answer 2

IVC

Question 3

What is Gerota’s fascia?

Answer 3

Fascia surrounding the kidney

Question 4

What are the prominent collateral circulations seen in portal hypertension?

Answer 4

Esophageal varicaes, hemorroids, patent umbilical vein and retroperitoneal vein via lumbar tributaries

Question 5

Retroperitoneal parts of the GI tract

Answer 5

Most of the Duodenum
Ascending colon
Descending colon
Pancreas

Question 6

What is the gubernaculum?

Answer 6

Embryonic structure that adheres the testes to the scrotal sac

Question 7

Which artery bleeds in bleeding duodenal ulcers?

Answer 7

Gastroduodenal artery

Question 8

Lymph nodes between the pectoralis minor and major?

Answer 8

Rotter’s

Question 9

Is the left vagus nerve anterior or posterior?

Answer 9

Anterior (the esophagus rotates clockwise during development)

Question 10

The most posterior cavity within the peritoneal cavity

Answer 10

Morrison’s pouch

Question 11

Location of the forgut

Answer 11

Mouth to ampulla of vater

Question 12

Location of the Midgut

Answer 12

Ampulla of Vater to D/3 of the transverse colon

Question 13

Location of the Hindgut

Answer 13

D/3 of transverse colon to the anus

Question 14

Order of the femoral vessels

Answer 14

NAVEL
Nerve
Artery
Vein
Empty space
Ligament

Question 15

Hesselback’s triangle

Answer 15

The area bordered by
Inguinal ligament
Epigastric vessels
Lateral border of the rectus sheath

Question 16

What nerve is located on top of the spermatic cord?

Answer 16

Illioinguinal nerve

Question 17

Triang of Calot boarders

Answer 17

Cystic duct
Common hepatic duct
Cystic artery

Question 18

What separates the right and left lobes of the liver?

Answer 18

Cantle’s line - line drawn form the IVC to just left of the gallbladder fossa

Question 19

Artery responsible for anterior spinal syndrome

Answer 19

Artery of Adamkwiewikz

Question 20

Where is the Space of Retzius?

Answer 20

Peritoneal space anterior to the bladder

Question 21

Lateral peritoneal reflections of the ascending and descending colon

Answer 21

white lines of Toldt

Question 22

Strongest layer of the small bowel

Answer 22

Submucosa (sub superior)

Question 23

Parts of the GI tract do that do not have serosa

Answer 23

Esophagus

Middle and distal rectum

Question 24

Vein that overlies the pylorus

Answer 24

Vein of Mayo

Question 25

What is pouch of Douglas

Answer 25

between the rectum and bladder uterus

Question 26

The thoracic duct empties into?

Answer 26

Left subclavian vein; left internal vein jugular junction

Question 27

What is the coronary vein

Answer 27

Left gastric vein

Question 28

What is the coronary artery

Answer 28

Internal Iliac artery

Question 29

Which is longer, the left or the right renal vein?

Answer 29

LEFT - long

Question 30

What are the layers of the abdominal wall

Answer 30

1. Skin, fat
2. Scarpa’s fascia
3. External Oblique
4. Internal Oblique
5. Transversalis abdominis
6. Transversalis fascia
7. Preperitoneal fat
8. Peritoneum

Question 31

What are the plicae circulares

Answer 31

small bowel circular mucosal folds

Question 32

Major structural differences between the jejunum and ileum

Answer 32

Jejunum - long vasa rectae, large plicae circularis, thicker wall

Ileum - think Inferior vasa rectae, Inferior plicae circulares, and inferior walll)

Question 33

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

Answer 33

Colon has taeniae coli, haustra and appendices epiploicae

Small intestine is smooth

Question 34

How far does the diaphram extend?

Answer 34

Men - nipples

Question 35

Umbilical dermatomal level

Answer 35

T10

Question 36

Major layers of the artery

Answer 36

Adventitia
Media
Intima