Anatomy

Question 1

Cryptorchidism - key layers to pull testicle through

Answer 1

1. Deep inguinal ring (transversalis fascia)

2. Superficial inguinal ring (external oblique muscle aponeurosis)

Question 2

Umbilical hernia syndromes

Answer 2

1. Down
2. Hypothyroidism
3. Beckwith-Wiedemann (big tongue, small head)

Question 3

Gastric varices vein anastomoses

Answer 3

Top: Left gastric/esophageal
Middle: Paraumbilical/epigastric
Bottom: Superior rectal/Middle and inferior rectal

Question 4

Microvesicular steatosis vs Macrovesicular steatosis

vs.

Hep B finding

Answer 4

Microvesicular - ASA Reye syndrome
Macrovesicular - Hep C

Abundant pink granules - Hep B

Question 5

Hirscsprung vs Meconium ileus

Answer 5

Both present w/bowel obstruction/bilious vomiting.

• Meconium ileus = normal rectal tone–> can die of pneumo (CF)
• Hirschsprung = increased rectal tone w/squirt sign–>can die of NEC (Down synd)

Question 6

Splenorenal ligament

Answer 6

Splenic artery/vein + tail of pancreas

Question 7

Gastrosplenic

Answer 7

Greater curvature

- Short gastrics, left gastroepiploic

Question 8

Greater omentum

Answer 8

Gastrocolic ligament - gastroepiploic

Question 9

Gastrohepatic

Answer 9

Liver to lesser curvature - can be cut to access lesser sac

- Gastric arteries

Question 10

Hepatoduodenal

Answer 10

Portal triad (hepatic artery, portal vein, common bile duct)

Question 11

Falciform

Answer 11

Ligamentum teres - fetal umbilical vein

Question 12

sublingual vs submandibular vs parotid glands - mucin secretion

Answer 12

Sublingual - mucin producing acini
submandibular - serous and mucin producing
parotid - serous producing