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ANA 2020 > Abdomen > Flashcards

Abdomen Flashcards

1
Q

Motor supply of diaphragm

A

Phrenic

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2
Q

Sensory supply of diaphragm

A

Central- phrenic

Peripheral- intercostal

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3
Q

Level of Caval hiatus

A

T8

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4
Q

Level of esophageal hiatus

A

T10

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5
Q

Level of aortic hiatus

A

T12

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6
Q

Pass caval hiatus

A

IVC and Right phrenic

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7
Q

Pass aortic hiatus

A

Aorta, thoracic duct, azygous vein

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8
Q

Pass esophageal hiatus

A

Esophagus and vagus

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9
Q

Thoracic duct empty to

A

Left brachiocephalic vein

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10
Q

Level of umbilicus

A

L3

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11
Q

Runs obliquely downward and medially

A

External oblique

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12
Q

Runs upward and medial

A

Internal oblique

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13
Q

Formed by aponeurosis of int oblique and transversus abdominis

A

Conjoint tendon

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14
Q

Marking inferior limit of posterior recrus sheat. Midway of umbilicus and pubic crest

A

Arcuate line/linea semicircularis

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15
Q

Forms linea alba

A

EO, IO, TA

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16
Q

Lymph from lower abdominal wall, buttocks, penis, scrotum, labia mahora, lower vagina and anal canal drains to

A

Superficial inguinal LN

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17
Q

Lymphatic drainage of anterior abdominal wall

A

Above umbilicus- AXILLARY LN

BELOW- superficial inguinal lymph nodes

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18
Q

Borders of HESSELBACH triangle

A

Superolateral- inf epigastric artery
Medial- rectus abdominis
Inferior- inguinal ligament/poupart ligament

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19
Q

Walls of INGUINAL CANAL

A

Ant- external spermatic
Post- transversalis fascia and conjoint tendon
Floor- inguinal lig
Roof- io and Ta

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20
Q

Pass through inguinal canal

A

Male-spermatic cord
Female- round ligament
ILIOINGUINAL nerve

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21
Q

Structures within spermatic cord

A

3- testicular, cremasteric, artery of vas deferens
2- autonomic and genital branch of genitofemoral nerve
2- vas deferens and processus vaginalis
1- testicular vein
1- lymph of testis

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22
Q

Hernia
Congenital; patent processus vaginalis, children, sac LATERAL to inferior Epigastric vessels, covered by peritoneum and spermatic cord

A

Indirect hernia

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23
Q

Hernia

Acquired, weak abdominal wall, elderly, MEDIAL to inferior epigastric, covered only by external spermatic fascia

A

Direct hernia

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24
Q

Cremaster muscle derived from

A

Internal oblique

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25
Q

Afferent limb of cremasteric reflex

A

Femoral branch of Genitofermoral nerve

26
Q

Efferent of cremaateric reflex

A

Genital branch of Genitofemoral nerve

27
Q

Peritoneum

Pain is localized

A

Parietal

28
Q

Peritoneum

Insensitive, pain is poorly localized

A

Visceral

29
Q

Retroperitoneal organs

A 
Suprarenal glands
Abdominal aorta/ IVC
Duodenum (2nd and 3rd)
Pancreas (except tail)
Ureters
Colon (ascending and descending)
Kidneys
Esophagus 
Rectum (middle)
30
Q

Peritoneal cavity
Main and larger
From
Diaphragm to pelvis

A

Greater sac

31
Q

Peritoneal cavity
Smaller
Post to stomach and lesser omentum
Super and inferior recess

A

Lesser sac/ Omental bursa

32
Q

boundaries of foramen of winslow

A

A: hepatoduodenal lig, portal vein, hepatic artery, bile duct
P: IVC
S: caudate lobe
I: superior duodenum

33
Q

Formed by hepatoduodenal lig and hepatogastric lig

Connects lesser curvature

A

Lesser omentum

34
Q

Portal triad

A

Portal vein posterior
Cbd anterior and right
Hepatic artery anterior and to the left
* in relation to hepatoduodenal lig

35
Q

Abdominal entry of Paracentesis

A

2cm below umbilicus midline

4cm superior and midline to ASIS in either side

36
Q

Ant unpaired branch of AA

A

Celiac
SMA
IMA

37
Q

AA

Lateral paired visceral

A

Suprarenal
Renal
Gonadal

38
Q

AA

Lateral paired abdominal

A

Inferior phrenic

Lumbars

39
Q

AA

terminal branches

A

Common Iliac and median sacral

40
Q

Supply of foregut

A

Celiac trunk

41
Q

Supply of midgut

A

SMA

42
Q

Supply of hindgut

A

IMA

43
Q

Primitive gut of duodenum

A

Fore and mid

44
Q

Primitive gut of transverse colon

A

Mid and hind

45
Q

Primitive of anal canal

A

Upper- hindgut

Lower- ectoderm

46
Q

Level of celiac artery

A

T12

47
Q

Branches of Celiac artery

A 
Left gastric (terminal)
Splenic: left gastroepiploic and short gastric
Common hepatic: right gastric, r and l hepatic, gastroduodenal (right gastroepiploic and superior pancreaticoduodenal)
48
Q

Level of SMA

A

L1

49
Q

Level of IMA

A

L3

50
Q

Branches of SMA

A 
Inferior Pancreaticoduodenal
Middle colic
Right colic
Ileo-colic
Jejunal-ileal
51
Q

Branches of IMA

A

Left colic
Sigmoid
Superior rectal
Marginal artery of Drummond

52
Q

Common site of aortic aneurysm

A

Bifurcation of AA

53
Q

Level of IVC

A

L5

54
Q

Drains to left renal vein

A

Left suprarenal

Left gonadal

55
Q

Forms portal vein

A

Union of splenic and SMV

56
Q

Tributaries of portal vein

A 
Smv
Imv
Splenic vein
Left gastric v
Paraumbilical v
57
Q

Collateral circulation that bypass liver

A

Left gastric and azygous veins

58
Q

Block in esophageal branch of left gastric blocks esophageal of azygous causes

A

Esophageal varices

59
Q

Block in superior rectal that blocks middle and inferior rectal veins causes

A

Internal hemorrhoids

60
Q

Block in paraumbilical veins bloacks superficial veins of ant abdominal wall
Causes

A

Caput medusae

61
Q

Block in collic veins block retroperitoneal veins causes

A

Internal hemorrhage

62
Q

Drains directly to IVC

A

Right and left hepatic veins

Right suprarenal and right gonadal veins

ANA 2020 (16 decks)

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