Test 3- Spleen, pancreas, liver, gallbladder

Question 1

What surrounds the spleen except at the hilum

Answer 1

Peritoneum

Question 2

What connects the spleen to the left kidney

Answer 2

splenorenal ligament

Question 3

what connects the spleen to the posterior wall of the greater curvature

Answer 3

gastrosplenic ligament

Question 4

Atrial and venous drainage of spleen

Answer 4

atrial- splenic artery (from celiac artery)

venous- Splenic vein (which ultimately goes to hepatic portal vein)

Question 5

nerve supply of spleen

Answer 5

celiac plexus with distribution along the splenic artery (vasomotor effect)

Question 6

Where does the main and accessory pancreatic ducts open

Answer 6

main- major duodenal papilla

accessory- minor duodenal papilla

Question 7

what do both ducts form in pancreas

Answer 7

form a dilated hepatopancreatic ampulla which opens at the major duodenal papilla

Question 8

arterial supply of head of pancreas (4)

Answer 8

1. anterior superior pancreaticoduodenal artery
2. Posterior superior pancreaticoduodenal artery

(both branches of gastroduodenal artery)

3. Anterior inferior pancreaticoduodenal artery
4. Posterior inferior pancreaticoduodenal artery

(both branches of superior mesenteric artery)

Question 9

venous drainage of pancreas

Answer 9

pancreatic veins which mostly drain into splenic vein

Question 10

PS and S supply of pnacreas

Answer 10

PS- Vagus

S- Greater/lesser splanchnic

Question 11

what portion of the liver is cover by peritoneum and which areas are not

Answer 11

covered- visceral surface

not- bare area which is in contact with the diaphram

Question 12

The portal hepatis is portal for the following structures (3)

Answer 12

1. hepatic portal vein
2. hepatic artery
3. Bile duct

Question 13

what is the lesser omentum and where does it extend from

Answer 13

encloses the portal triad

-extends from the liver to the lesser curvature of the stomach

Question 14

which lobe is bigger on the liver

Answer 14

Right is bigger

Question 15

what does the round ligament connect for the liver

Answer 15

connects liver to the anterior abdominal wall

Question 16

what is the left sagittal fissure a fissure for

Answer 16

the ligaments venosum

Question 17

What is the round ligament a fetal remnant of

Answer 17

the umbilical vein

Question 18

Atrial supply of the liver

Answer 18

hepatic artery

Question 19

how does the blood supply branch around the liver starting at portal hepatis

Answer 19

hepatic artery divides into R + L branches which supply R + L livers

-in each lobe secondary and tertiary branches form hepatic segments which contain hepatic veins

Question 20

What does the liver venous drainage

Answer 20

inferior vena cava

Question 21

Sympathetic and parasympathetic supply of liver

Answer 21

sympathetic- celiac plexus

Para
- anterior vagal trunk ( part of left vagus nerve)

• Posterior vagal trunk (part of right vagus nerve)

Question 22

Atrial supply of the gall bladder

Answer 22

Cystic artery( branch of the right hepatic artery)

Question 23

Venous drainage of gall bladder (from neck and Fungus/body)

Answer 23

Neck- drain into cystic veins and then hepatic portal

Fundus- into hepatic sinosus then hepatic portal

Question 24

sympathetic and parasympathetic supply of gallblader

Answer 24

sympathetic- celiac nerve plexus

parasympathetic- vagus

Question 25

What is contraction of gall bladder stimmed by

Answer 25

hormone CCK

which is released by the presence of fatty acids in the duodenum

Question 26

cystic artery is a branch of

Answer 26

Right hepatic artery

Question 27

rememnent of fetal ductus venosum

Answer 27

ligamentum venosum