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test > Surgical Anatomy Pearls > Flashcards

Surgical Anatomy Pearls 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), and retroperitoneal vein via lumbar tributaries

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5
Q

What parts of the GI tract are retroperitoneal?

A

Most of the duodenum, the ascending and descending colon, the 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 pectoralis 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 (remember that the esophagus rotates during development)

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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

What comprises the foregut?

A

Mouth to the ampulla of Vater

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12
Q

What comprises the midgut?

A

The ampulla of Vater to distal third of transverse colon

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13
Q

What comprises the hindgut?

A

Distal third of transverse colon to the anus

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14
Q

Where are the blood vessels on a rib?

A

Vein, Artery, and Nerve (VAN) are underneath the rib

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15
Q

What is the order of the femoral vessels?

A

Femoral vein is medial to the femoral artery (Think: NAVEL for the right femoral vessels)

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16
Q

What is Hesselbach’s triangle?

A

The area bordered by:

  1. Inguinal ligament
  2. Epigastric vessels
  3. Lateral border of the rectus sheath
17
Q

What nerve is located on top of the spermatic cord?

A

Ilioinguinal nerve

18
Q

What is Calot’s triangle?

A

The area bordered by:

  1. Cystic duct
  2. Common hepatic duct
  3. Cystic artery
19
Q

What is Calot’s node?

A

Lymph node found in Calot’s triangle

20
Q

What separates the right and left lobes of the liver?

A

Cantle’s line (drawn from the IVC to just left of the gallbladder fossa)

21
Q

What is the gastrinoma triangle?

A

Triangle where > 90% of gastrinomas are located, bordered by:

  1. Junction of the 2nd and 3rd portions of the duodenum
  2. Cystic duct
  3. Pancreatic neck
22
Q

Which artery is responsible for anterior spinal syndrome?

A

Artery of Adamkiewicz

23
Q

Where is McBurney’s point?

A

One third the distance from the anterior superior iliac spine to the umbilicus

24
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

25
Q

Where is the space of Retzius?

A

Preperitoneal space anterior to the bladder

26
Q

What are the white lines of Toldt?

A

Lateral peritoneal reflections of the ascending and descending colon

27
Q

What is the strongest layer of the small bowel?

A

Submucosa

28
Q

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

A

Esophagus, middle and distal rectum

29
Q

What is the vein that overlies the pylorus?

A

Vein of Mayo

30
Q

What is the pouch of Douglas?

A

Pouch between the rectum and bladder or uterus?

31
Q

What does the thoracic duct empty into?

A

Left subclavian vein

32
Q

What is the coronary vein?

A

Left gastric vein

33
Q

What is the hypogastric artery?

A

Internal iliac artery

34
Q

Which is longer, the left or right renal vein?

A

Left

35
Q

What are the layers of the abdominal wall?

A

Skin, fat, Scarpa’s fascia, fat, external oblique, internal oblique, transversus abdominis, transversalis fascia, fat, peritoneum

36
Q

What are the plicae circulares?

A

Circular folds of mucosa of the small bowel

37
Q

What is another name for the plicae circulares?

A

Valvulae conniventes

38
Q

How far up does the diaphragm extend?

A

To the nipples in men (4th intercostal space)

39
Q

What dermatome is at the umbilicus?

A

T10

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