Lab 3 Abdominal Viscera 2

Question 1

What attaches the liver to the diaphragm?

Answer 1

coronary ligament

Question 2

What is found between the liver and the diaphragm?

Answer 2

inferior vena cava

Question 3

What separates the visceral surface of the liver from the anterior diaphragmatic surface of the liver?

Answer 3

inferior (anterior) border of the liver

Question 4

Where is the bare area of the liver?

Answer 4

posterior aspect of the diaphragmatic surface

Question 5

Is the liver intraperitoneal or retroperitoneal?

Answer 5

intraperitoneal- however, it is not cover 100% by the visceral peritoneal

Question 6

Part of liver to the right of the groove for the inferior vena cava and the fossa for the gallbladder

Answer 6

right lobe

Question 7

Part of the liver to the left of the fissures for the ligamentum venosum and the falciform ligament/ligamentum teres

Answer 7

left lobe

Question 8

Part of liver between the IVC groove and the ligamentum venosum fissure

Answer 8

caudate lobe

Question 9

Part of liver between the gallbladder fossa and the falciform ligament fissure

Answer 9

quadrate lobe

Question 10

What forms the horizontal bar of the “H” on the liver?

Answer 10

porta hepatis

Question 11

The porta hepatis is a “portal” for what?

Answer 11

portal triad, lymphatics, and autonomic nerves

Question 12

Hepatic veins drain from the ___ into the ___.

Answer 12

liver, IVC

Question 13

Gallbladder- anterior, blind tip of the body, found at the level of 9th costal cartilage at the midclavicular line

Answer 13

fundus

Question 14

Gallbladder- main compartment between the fundus and neck

Answer 14

body

Question 15

Gallbladder- bent funnel of the body, becomes the custic duct

Answer 15

neck

Question 16

A fold in the mucosal lining fo the neck and cystic duct

Answer 16

spiral fold

Question 17

The superior mesenteric artery arises from the ___ surface of the abdominal aorta about 1cm ____ to the origin of the celiac trunk. This is ___ to the neck of the pancreas.

Answer 17

anterior, inferior, posterior

Question 18

As the superior mesenteric artery passes inferiorly, it progresses ___ to the neck of the pancreas, ___ to the left renal vein, ____ to the uncinate process of the pancreas and ___ to the 3rd part of the duodenum to finally enter the mesentery.

Answer 18

posterior
anterior
anterior
anterior

Within the mesentery, it courses inferiorly into the right lower quadrant toward the ileocecal junction

Question 19

The root of the mesentery is attached to the posterior abdominal wall along an oblique line from the ___ to the ____.

Answer 19

LUQ to the RLQ

Question 20

The superior mesenteric vein is more ___ and to the _____ of the superior mesenteric artery.

Answer 20

anterior and to the right

Question 21

The SMV and SMA will cross the anterior surface of what?

Answer 21

the 3rd part of the duodenum

Question 22

Branches of the superior mesenteric artery

Answer 22

inferior pancreaticoduodenal artery, intestinal arteries, ileocolic artery, appendicular artery, right colic artery, middle colic artery

Question 23

What is usually the first branch of the SMA?

Answer 23

inferior pancreaticoduodenal artery

Question 24

15-18 arteries to the jejunum and ileum

Answer 24

intestinal arteries

Question 25

The straight terminal ends of the intestinal arteries are called what? What connects adjacent intestinal arteries?

Answer 25

vasa rectae

arcades

Question 26

Near the proximal jejunum only 1 or 2 arcades are found between adjacent intestinal arteries yielding what?

Answer 26

long vasa rectae

Question 27

Near the distal ileum, 4-5 arcades are found between adjacent intestinal arteries yielding what?

Answer 27

short vasa rectae

Question 28

What artery supplies the distal ileum, cecum, appendix, and proximal ascending colon?

Answer 28

ileocolic artery

Question 29

What artery supplies the ascending colon and has superior/inferior branches?

Answer 29

right colic artery

Question 30

What artery supplies the transverse colon, diving into right and left branches?

Answer 30

middle colic artery

Question 31

The ileocolic and right colic arteries arise from the ___ side of the SMA and pass to the right in the ____ position. The middle colic artery arises from the ___ surface of the SMA and courses through the _____.

Answer 31

right side, retroperitoneal position

anterior, transverse mesocolon

Question 32

The duodenojejunal junction has a sharp bend and a fibromuscular ligament from the right crus of the diaphragm, the ______, which anchors the small intestine to the diaphragm.

Answer 32

suspensory ligament of the duodenum - this ligament passes posterior to the pancreas