GA1 - Stomach, pancreas and spleen Flashcards

1
Q

the dilated portion of the digestive tract

A

stomach

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2
Q

the stomach extends from the ___ to the ____

A

esophagus

duodenum

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3
Q

stomach’s function is ___ and ___ of food

A

reception

storage

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4
Q

adults capacity of the stomach is _-_L

A

2-3

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5
Q

stomach’s function is ___ and ___ digestion

A

mechanical

chemical

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6
Q

mixing food with gastric juices forming a pasty substance called ____

A

chyme

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7
Q

the stomach releases ___ into the duodenum

A

chyme

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8
Q

the stomach is the only organ that secretes ____

A

HCl

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9
Q

HCl activates ___ enzymes

A

gastric

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10
Q

the stomach lies under the ___ costal margin into the ___ and ___ regions

A

left
epigastic
umbilical

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11
Q

the stomach is _-shaped

A

J

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12
Q

the stomach has _ openings, _ curvatures, _ surfaces and is divided into _ parts

A

2
2
2
4

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13
Q

the stomach’s 4 parts

A

fundus
body
pyloric antrum
pylorus

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14
Q

3 attachments to the stomach

A

greater omentum
lesser omentum
gastrosplenic lig or omentum

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15
Q

2 curvatures of the stomach

A

lesser

greater

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16
Q

2 surfaces of the stomach

A

anterior

posterior

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17
Q

2 openings of the stomach

A

cardiac

pyloric

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18
Q

___ ___ is the landmark to determine the fundus from the body

A

cardiac notch

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19
Q

___ ____ is the landmark to determine the pylorus from the body

A

angular incisure

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20
Q

___ _____ regulates the amount of chyme from the stomach to the duodenum

A

pyloric sphincter

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21
Q

___ ___ is the largest part of the pylorus

A

pyloric antrum

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22
Q

___ ___ is the smaller inferior part of the pylorus

A

pyloric canal

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23
Q

if you draw a horizontal line from the cardiac notch you will make the border for the ___

A

fundus

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24
Q

the stomach has mucous membranes that are thrown into folds called ___

A

rugae

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25
Q

in general, GI tract has ___ 2 layers of smooth muscle

A

2: inner circular and outer longitudinal

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26
Q

the stomach has 3 layers of smooth muscle:

A

inner: oblique
middle: circular
outer: longitudinal

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27
Q

the stomach is completely surrounded by ____

A

peritoneum

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28
Q

the rugae is for ____ of the stomach, not absorption

A

expansion

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29
Q

the stomach is bounded anteriorly by 6

A
anterior abdominal wall
left costal margin
left pleura and lung
diaphragm
left lobe of liver
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30
Q

the stomach is bounded posteriorly by 9

A
lesser sac
diaphragm
spleen
left suprarenal gland
upper part of left kidney
splenic artery
pancreas
transverse mesocolon
transverse colon
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31
Q

blood supply to the stomach: gastroduodenal a –> R ____ ____ artery

A

R gastric epiploic artery

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32
Q

R gastroepiploic artery runs along the ___ ___ and anastomoses with the ___ ___ ____

A

greater curvature

L gastric epiploic

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33
Q

___ ___ from the celiac trunk downward toward the lesser curvature to anastomose with the ___ ___

A

left gastric

right gastric

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34
Q

__ ___ arteries go to the fundus

A

short gastric

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35
Q

splenic artery gives off __ ___ ___ branch of the splenic a

A

L gastric epiploic

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36
Q

veins of the stomach drain into the ___ vein

A

portal

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37
Q

___ nodes found around the celiac artery

A

celiac

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38
Q

lymph drainage flow of the stomach

A

celiac nodes –> intestinal trunk –> cysterna chyli –> thoracic duct –> L brachiocephalic

39
Q

nerve supply to the stomach is through the ____ plexus

A

celiac

40
Q

vagus nerve supplies ___ ___ fibers that are _____ to the gastric glands and ___ to the ___ muscles of the stomach; also contains ___ fibers to the pyloric sphincter; ____ for reflexes

A
pre-ganglionic parasympathetic
secretomotor
smooth muscles
inhibitory
GVA
41
Q

splanchnic nerves sends motor fibers to the ____ ____ and ___ ___; contains ___-___ nerve fibers; ____ ___ that synapse at ___ ganglia

A
pyloric sphincter
blood vessels
pain-transmitting
preganglionic sympathetic
celiac
42
Q

___ glands go specific to an area exhibiting a local effect

A

exocrine

43
Q

___ gland are secretion carried by blood vessels exhibits a systemic effect

A

endocrine

44
Q

the ___ lies mostly posterior to the stomach

A

pancreas

45
Q

the pancreas extends across the posterior abdominal wall from the ____ to the ____

A

duodenum

spleen

46
Q

the pancreas crosses __ and ___ vertebrae

A

L1

L2

47
Q

if there is a disease of the pancreas there will be pain at ___ and ___ vertebrae

A

L1

L2

48
Q

the pancreas is ____peritoneal except for the small part of the ____

A

retro

tail

49
Q

the pancreas’ tail points toward the ____

A

spleen

50
Q

3 parts to the pancreas

A
head
uncinate process
neck
body
tail
51
Q

the head of the spleen is enclosed by the ___

A

duodenum

52
Q

the head has the ____ ___

A

uncinate process

53
Q

behind the neck of the spleen is the ___ vein, part of the ___ ___ and the ___ ___ vein and artery

A

portal
abdominal aorta
superior mesenteric

54
Q

___ artery runs along the superior portion of the body and tail of the pancreas

A

splenic

55
Q

___ vein runs directly posterior to the spleen

A

splenic

56
Q

accessory pancreatic duct drains into the ___ duodenal papilla

A

minimal

57
Q

main pancreatic duct joins with the ___ ___ duct and drains into the ___ ___ of the duodenum into the ___ duodenal papilla

A

common bile
2nd portion
major

58
Q

____ vessels go to the body and tail of the pancreas

A

splenic

59
Q

___ ___ ____ artery goes to the head and uncinate process

A

anterior superior pancreaticoduodenal

60
Q

lymph vessels of the pancreas follow the __ ___

A

blood vessels

61
Q

lymph drainage flow of pancreas

A

pancreato-splenic nodes –> pyloric nodes

62
Q

efferent lymph drainage from above

A

celiac –> hepatic –> superior mesenteric

63
Q

pancreatic nerve supply: PS from ___ for ___

A

vagus

secretomotor

64
Q

pancreatic nerve supply: SP from ___ for ____

A

thoracic splanchnic

vasomotor

65
Q

celiac plexus contains both ___ SP and ___ PS fibers

A

postganglionic

preganglionic

66
Q

largest single mass of lymphoid tissue in the body

A

spleen

67
Q

spleen is ___ in shape and ___ appearance

A

oval

reddish

68
Q

spleen lies beneath the ___ ____ region close to the __-__ ribs

A

left hypochondriac

9-11

69
Q

if you break the 9-11 ribs you can ___ the spleen

A

rupture

70
Q

anterior to the spleen is the

A

stomach

71
Q

medial to the spleen is the ___ ___ and __ of ____

A

left kidney

tail of pancreas

72
Q

inferior to the spleen is the ___ ___ ___

A

left colic flexure

73
Q

posterolateral to the spleen is (4)

A

diaphragm
left pleura
left lung
ribs 9-11

74
Q

intraperitoneal =

A

moveable

75
Q

retroperitoneal =

A

fixed

76
Q

R flexure =

A

hepatic flexure (under the right lobe of the liver)

77
Q

the spleen is ___peritoneal

A

intra

78
Q

_____ ligament that attaches the spleen to the upper part of the greater curvature of the stomach

A

gastrosplenic

79
Q

____ ligament is the ligament from the hilum of the spleen to the left kidney

A

lienorenal

80
Q

blood supply to the spleen is the ___ artery

A

splenic artery and vein

81
Q

nerve supply to the spleen is the ___ plexus

A

celiac

82
Q

the sleep participates in the body’s defense system as a site of ____ proliferation and of immune __ and ___

A

lymphocyte
surveillance
response

83
Q

spleen is a ___ ___

A

blood reservoir

84
Q

spleen is for the removal of ___ RBCs and ____ ___ platelets

A

expended

broken down

85
Q

spleen is for ____

A

hematopoiesis

86
Q

lymphatic vessels leave the lymph nodes in the ____ and pass to the ______-_____ lymph nodes

A

hilum

pancreatico-splenic

87
Q

nerve supply to the spleen is through the ____ plexus

A

celiac

88
Q

GVA fibers to the spleen through the ____ and ___ ____

A

vagus

greater splanchnic

89
Q

cell bodies of post gg sympathetic in the ___ ganglia

A

celiac

90
Q

pancreatic cancer attacks the ___

A

head

91
Q

when there is pressure on the common bile duct -

A

jaundice

92
Q

splenomegaly

A

enlargement of the spleen

93
Q

splenectomy

A

removal of the spleen

94
Q

if you do not have a spleen you will be predisposed to ____ diseases

A

exotic