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ANATOMY KAPLAN FOR THE USMLE > abdomen > Flashcards

Flashcards in abdomen Deck (28):
1

The transpyloric plane passes through ?

The L1 vertebra.
Pylorus, gallblader, neck and body of the pancreas, kidneys, duodenum

2

The linea Alba goes from to where ?

From the xiphoid to the pubis

3

The layers of the abdominal wall from superficial ?

1) Skin
2)Superficial fascia (Camber and scarpa)
3)External oblique
4) internal oblique
5) traversus abdominis
6) fascia transversalis
7) Extraperitoneal fat
8) Peritoneeum

4

The scarpa fascia is continuous in the perineum with ?

Dartos fascia
Colles fascia

5

Estructures that give rise the External oblique ?

1) Inguinal ligament with the lacunar ligament
2) Superficial inguinal ring
3) External spermatic fascia
4) Rectus sheath: external aponeurosis

6

The internal oblique gives rise to which important structures ?

1) conjoint tendon or falx inguinalis
2) rectus sheath
3) Cremasteric muscle and fascia

7

The conjoint tendon is formed by the combination of ?

Fibers of the internal oblique and the transversus abdominis , posterior to the superficial ring

8

the transversus abdominis gives rise to the espermatic fascias
TRUE OR FALSE

False

9

The fascia trasversalis gives rise to ?

* Deep inguinal ring

* INternal spermatic fascia

* Femoral sheath

* rectus sheath : posterior layer

10

What important structures are located in the extraperitoneal fat ?

The gonads, kidneys

11

Innervation of the abdominal wall ?

Skin and musculature: lower 6 thoracic spinal nerves and the iliohypogastric and ilioinguinal from the L1

12

Blood to the abdominal wall is mainly supplied by ?

superior epigastric artery (branch of the thoracic artery)

13

How many cm the inguinal canal measures?

4 cm

14

What structures are inside the female inguinal canal ?

1. The round ligament

2. Ilioinguinal nerve (L1)

15

What structures compose the inguinal canal of the male ?

1) Ilioinguinal nerve (L1)
2) the spermatic cord

16

Which structures compose the spermatic cord ?

1. testicular artery

2. pampiniform plexus

3. vas deferens

4. autonomic nerves

5. lymphatics

17

in which nodes the testicles drain ?

In the lumbar (aortic) nodes

18

Patient which presents swelling of the testicles that increases while being on feet should think in ?

Varicocele

19

Metastasis from scrotum or penis cancers drain to ?

Superficial inguinal nodes

20

Which nerve is the responsible of the Cremasteric reflex?

Sensory: ilioinguinal nerve
Motor: genitofemoral nerve

21

The walls of the inguinal canal ?

Anterior: Aponeurosis of the external oblique and internal oblique
Roof: Fibers of the internal oblique and transversus abdominis
Floor: Inguinal ligament
Posteriior: Medially by transversalis fascia and lateral by the cojoin tendond

22

Which structure is responsible of guiding the testicles during their descendent ?

The gobernaculum

23

A congenital indirect inguinal hernia may be caused by ?

Persistent process vaginalis

24

Direct hernia are found lateral to the inferior epigastric vessels
True OR False

False, Are found medial

25

Which type of hernia is covered by three layers of spermatic fascia ?

Indirect hernias

26

Limits of the hesselbach triangles ?

Lateral: Epigastric vessels
Medial: Rectus
inferior: Inguinal ligament

27

Femoral hernia diferentiate because their relationship with the inguinal ligament whic is ?

Superior to them

28

If a hernia protrudes and with the fingers the pulse feels in the lateral side of the finger the hernia would most probably be?

Direct hernia