ERG RS3 Flashcards
(205 cards)
1
Q
name what is indicated by the red arrow
A
left gastric artery
2
Q
name what is indicated by the red arrow
A
celiac trunk
3
Q
name what is indicated by the red arrow
A
common hepatic artery
4
Q
name what is indicated by the red arrow
A
gastroduodenal artery
5
Q
name what is indicated by the red arrow
A
hepatic proper artery
6
Q
name what is indicated by the red arrow
A
left hepatic artery
7
Q
name what is indicated by the red arrow
A
right heptatic artery
8
Q
name what is indicated by the red arrow
A
right gastroomental artery
9
Q
name what is indicated by the red arrow
A
left gastroomental artery
10
Q
name what is indicated by the red arrow
A
short gastric artery
11
Q
name what is indicated by the red arrow
A
splenic artery
12
Q
what are esophageal varicies
A
enlarged veins of the esophagus often due to obstructed portal vein
13
Q
what structures are supplied by the superior mesentaric artery
A
mid-duodenum- splenic flexure of colon including jejunum, ileum, and about 2/3 of the colon
14
Q
what would be the result of an embolism lodging in the superior mesenteric artery
A
ischemic stroke of the bowel which could be fatal
15
Q
name what is indicated by the red arrow
A
superior mesenterc artery
16
Q
name what is indicated by the red arrow
A
middle colic artery
17
Q
name what is indicated by the red arrow
A
right colic artery
18
Q
name what is indicated by the red arrow
A
ileocolic artery
19
Q
where does the ileocolic artery lead
A
ileocecal junction
20
Q
where is the veriform appendinx often found
A
posterior of cecum
21
Q
name what is indicated by the red arrow
A
left colic artery
22
Q
name what is indicated by the red arrow
A
inferior mesenteric artery
23
Q
name what is indicated by the red arrow
A
superior rectal artery
24
Q
name what is indicated by the red arrow
A
sigmoid arteries
25
what is the function of The Mesentary
connects the entire intestinal tract to the posterior body wall and ateries exit the aorta and course through it
26
where does the inferior mesenteris artery supply
from the splenic flexure to the sigmoid colon and rectum
27
name what is indicated by the red arrow
left colic artery
28
name what is indicated by the red arrow
sigmoid arteries
29
name what is indicated by the red arrow
superior rectal artery
30
name what is indicated by the red arrow
ileocolic artery
31
name what is indicated by the red arrow
right colic artery
32
name what is indicated by the red arrow
superior mesenteric artery
33
name what is indicated by the red arrow
middle colic artery
34
name what is indicated by the red arrow
inferior mesentaric artery
35
name what is indicated by the red arrow
aorta
36
name what is indicated by the red arrow
aortic constriction
37
name what is indicated by the red arrow
esophagus
38
name what is indicated by the red arrow
esophagus entering esophageal hiatus
39
name what is indicated by the red arrow
air bubble in fundus of stomach
40
name what is indicated by the red arrow
body of stomach
41
name what is indicated by the red arrow
angular notch
42
name what is indicated by the red arrow
pyloric canal
43
name what is indicated by the red arrow
duodenal cap/superior duodenum
44
name what is indicated by the red arrow
descending duodenum
45
name what is indicated by the red arrow
horizontal duodenum/inferior duodenum
46
name what is indicated by the red arrow
ascending duodenum
47
name what is indicated by the red arrow
splenic flexture
48
name what is indicated by the red arrow
transverse colon
49
name what is indicated by the red arrow
50
name what is indicated by the red arrow
haustra
51
name what is indicated by the red arrow
hepatic flexure
52
53
name what is indicated by the red arrow
ascending colon
54
name what is indicated by the red arrow
cecum
55
name what is indicated by the red arrow
ileum
56
name what is indicated by the red arrow
bladder
57
name what is indicated by the red arrow
sigmoid colon
58
name what is indicated by the red arrow
descending colon
59
name the green labeled structure
perietal peritoneum
60
name the red labeled structure
greater omentum
61
name the pink labeled structure
small intestine
62
name the blue labeled structure
stomach
63
name the two structures in the area labeled in purple
liver and gallbladder
64
name the yellow labeled structure
cecum
65
name the brown labeled structure
median, medial, lateral umbilical folds
66
name the black labeled structure
spermatic cord
67
how can the lesser sac of the peritoneal cavity be accessed
through the epiploic or omental foramen of winslow
68
what are messentaries
double layers of peritoneum which act as conduits for blood vessles
69
describe the greater omentum
extends from greater curvature of stomach made of fat and smooth muscle
it is able to move and walls of infections through adhesions
70
name two ligaments within the lesser omentum
hepatoduodenal ligament and hepatogastric ligament
71
name the blue structure
stomach
72
name the pink labeled structure
fat covering the duodenum
73
name the purple labeled structure
gall bladder
74
name the red labeled structure
liver
75
name the green labeled structure
liver
76
name the yellow labeled structure
greater omentum
77
name the red structure
epiploic foramen of winslow
78
name the pink labeled structure
lesser omentum
79
what is the greater sac of the peritoneum
everything except the lesser sac which is covered by the lesser omentum
80
what is the connection point between the greater and lesser sacs
epiploic foramen of winslow
81
what part of the stomach is labeled in green
pylorous of the stomach
82
name the area marked with the astrisk
1st part/cap of duodenum
83
what portion of the stomach is usually seen filled with are on an xray
fundus
84
what region of the stomach is the cardia
the portion that receives the esophagus
85
how do the duodenal cap and the second part of the duodenum differ in paritoneal covering
the second part of the duodenum is retroperitoneal while the cap is intraperitoneal
86
87
what is the strucure pointed to from the pink label
free margin of thhe lesser omentum
88
what is the structure pointed with the green label
epiploic foramen
89
what is the structure labeled in purple
gll bladder
90
what is the structure labeled in blue
liver
91
what would happen if a bleed occurred in the lesser sac
the blood may pass through the epiploic foramen and into the greater sac of the abdomen
92
name the three branches off the celiac trunk
common hepatic artery
left gastric artery
splenic artery
93
name 2 branches off of the common hepatic artery
proper hepatic and gastroduodenal artery
94
what artery forms an anastamoses with the left gastric artery
right gastric artery (branch of proper hepatic artery)
95
list the contents of the portal triad
hepatic artery proper
commone bile duct
portal vein
96
what artery supplies blood to the lobes of the liver
left and right hepatic arteries
97
what contributes to the common bile duct
cystic duct and common hepatic duct (made up of left and right hepatic ducts from liver)
98
what contributes to hepatopancreatic duct
common bile duct and pancreatic duct
99
what part of the duodenum does the ampulla of vator empty into the major papillae
2nd part of the duodenum
100
name each of the parts of the portal triad
blue: hepatic artery proper
green: portal vein
yellow: common bile duct
101
name the yellow labeled structure
stomach
102
103
name the orange labeled structure
duodenum cap
104
name the pink labeed structure
pancreas
105
name the blue labeled structure
splenic artery
106
name the green labeled structure
left gastric artery
107
name the purple labeled structure
celiac trunk
108
name the red labeled structure
gastroduodenal artery
109
name the brown labeled structure
hepatic artery (astriks are the left and right branches)
110
what are hostra
outpouchings only seen in the large intestine
111
what are omental appenedices
fat globlets hanging off of large intestine only
112
what is taenia coli
smooth muscle running longitudinal on large intestine only
has 3 layers
113
what is the ampulla of vater
the dilated end of the hepatopancreatic duct before it opens into the duodenum
114
name the green labeled structure
major duodenal papilla
115
name the green labeled structure
spleen
116
name the structure labeled blue
pancreas
117
name the blue structure
small intestine
118
name the red structures
epiploic appendages
119
name the green structure
ileocolic artery
120
name the purple structure
terminal ileum
121
name the pink labeled structure
ileocecal junction (under fat)
122
name the yellow labeled structure
cecum
123
finding the ileocolic artery is usely to locate what structure? where should one look for the ileocolic artery
superior mesenteric artery
can locate ileocolic artery by finding the ileocecal junction
124
what is the ileocecal valve
a structure located withint he ileocecal junction where contents pass into large intestine
125
with what does the inferior pancreaticduodenal artery anastomose with
pancreatic branches
126
what do the intestinal branches of superior mesenteric arteries supply
jejunum and ileum
127
what does the ileocolic artery supply
(it is a branch of SMA)
supplies the cecum and part of the ileum
128
what does the right colic artery supply
ascending colon
129
name the orange labeled structure
ileocolic artery
130
name the pink labeled structure
ileocolic artery
131
name the purple labeled structure
right colic artery
132
name the green labeled structure
middle colic artery
133
name the yellow labeled structure
superior mesenteric artery
134
name the red labeled structure
ileal and jejunal branches
135
name the yellow labeled structure
testicular vein
136
name the white labeled structure
testicular artery
137
name the brown labeled structure
ureter
138
name the red structure
common iliac arteries (aortic bifurcation)
139
name the gray labeled structure
inferior mesenteric artery
140
name the black labeled structure
aorta
141
name the orange labeled structure
left colic artery
142
143
name the blue labeled structure
sigmoidal artery
144
name the pink labeled structure
superior rectal artery
145
name the green labeled structure
sigmoid colon
146
name the purple labeled structure
descending colon embedded in fat
147
what does the hind gut include
distal 1/3 of transverse upper rectum
148
what are the branches of the inferior mesenteric artery and where does it branch off of the aorta
branches off aorta just above the bifurcation into the common iliacs
left colic and sigmoidal arteries
149
what does the left colic artery supply
transverse colon and left part of colon
150
what does the sigmoid artery supply and what are its branches
there are sometimes multiple of them which supply the sigmoid colon
its branch , the superior rectal artery enters pelvis to supply the upper part of the rectum
151
name all of the labeled structures in this image
yellow: left lobe
green: right lobe
pink: falciform ligament
blue: ligament teres hepatis
152
what is the ligamentum teres hepatis
aka the round ligament
obliterated umbilical vein
153
what ligaments surround the bare area of the liver
coronary ligament which thickens at the sides forming the triangular ligaments
154
155
156
where does the hepatic vein drain
into the IVC
157
what is the ligamentum venosum
obliterated ductus venosum
158
what are the contributaries to the hepatic portal vein
superior mesentaric vein, splenich vein, and inferior mesenteric vein
159
what are three anastamosous sights of the hepatic portal system with systemic circulation
esophagous: left gastric vein (P) and esophageal veins (S)
umbilicus sinus caput medusa: superficial epigastric veins (S) and paraumbilical veins (P)
between superior rectal vein (P) and inferior and middle rectal veins (S)
160
what can occur at each of the anastamosus sights between portal and systemic circulation in the case of portal hypertension
esophageal vericoses, caput madusa, hemmorhoids
161
what is the blood supply to the liver
hepatic artery and portal vein
162
blood supply of gall bladder
cystic artery from rigth hepatic artery
163
blood supply to spleen
splenic arteries from celiac trunk
164
blood supply to pancreas
pancreatic branch of splenich artery
head is supplied by superior pancreaticduodenal artery from the gastroduodenal (from celiac trunk) and inferior pancreaticduodenal artery from the superior mesentaric artery
165
stomach blood supply
lesser curvature suplied by left gastric artery from celiac trunk and right gastric artery from common hepatic artery
the greater curvature of the stomach is supplied by the left gastro-omental from the splenic artery and the right gastro-omental from the gastroduodenal artery
166
duodenum blood supply
proximal segment= gastroduodenal artery and its branches which include the superior pancreaticoduodenal artery
distal segment= superior mesenteric artery and the inferior pancreaticoduodenal artery
167
what does the portal venous system drain
the capillary beds of the GI track and the spleen
168
where is the portal triad in relation to the lesser omentum
the portal triad runs through the lesser omentum
169
describe the four parts of the duodenum
superior, descending, inferior and ascending
they for a C shape that wraps around the head of the pancreas
170
where is McBurneys point and why is it significant
it is 1/3 the distance from the anterior superior iliac spine to the umbilicus
it the point where the appendix is most commonly located
171
the white double headed arrow in the photograph is over which of the following structures
A. arcuate line
B. medial umbilical fold
C. median umbilical fold
D. lateral umbilica fold
E. spermatic cord vasculature
C. median umbilical fold
172
identify the vessel at the arrowhead
A. celiac trunk
B.. hepatic artery
C. left hepatic artery
D. right hepatic artery
E. cystic artery
C. left hepatic artery
173
identify
A. left gastric
B. right gastric
C. left gastroepiploic (gastro-omental)
D. rigth gastroepiploic (gastro-omental)
E. gastroduodenal
D. right gastroepiploic (gastro-omental)
174
if a large embolism were to lodge in the vessel at the arrowhead, which of the following might be compromised by ischemia
A. ileum
B. jejunum
C. ileocecal junctin
D. ascending colon
E. descending colon
C. ileocecal junction
175
what are the structures
A. colonic haustra
B. colonic taenia coli
C. colonic epiploic appendages
D. colonic flexures
E. colonic rugae
A. colonic haustra
176
identify the space ahead of the arrowhead
A. opening into the lesser sac of the abdomen
B. opening between the lesser and greater sacs of the abdomen
C. epiploic foramen
D. space covered by the free margin of the lesser omentum
E. all of the above
E. all of the above
177
identify the vessel at the arrowhead
A. testicular artery
B. superior epigastric artery
C. ovarian artery
D. inferior epigastric artery
E. internal pudendal artery
D. inferior epigastric artery
178
Identify the vessel
A. celiac trunk
B. hepatic artery
C. portal vein
D. cycstic artery
E. splenic artery
B. hepatic artery
179
identify the structure
A. duodenal cap
B. head of pancreas
C. greater duodenal papilla
D. splenic flexture
E. pylorus
A. duodenal cap
180
Identify the structure
A. hepatic artery proper
B. portal vein
C. inferior vena cava
D. common bile duct
E. ampulla of vater
B. portal vein
181
match each to a number on the photo
A. superior medentaric artery
B. jejunal/ileal arteries
C. ileocolic artery
D. middle colic artery
E. right colic artery
A. superior medentaric artery: 1
B. jejunal/ileal arteries :3
C. ileocolic artery: 5
D. middle colic artery :2
E. right colic artery: 4
182
match the numbers on photo with the following
A. inferior mesenteric artery
B. left colic artery
C. superior rectal artery
D. sigmoidal artery
E. right common iliac artery
A. inferior mesenteric artery: 1
B. left colic artery: 3
C. superior rectal artery: 5
D. sigmoidal artery: 2
E. right common iliac artery: 4
183
differentiate the roles of the following: paretal paritoneum, visceral peritoneum, mesentery, mesocolon
perietal peritoneum: lines abdominopelvic wall
visceral peritoneum: invests organs
mesentary: attaches organs to the wall and provides conduit for arteries and nerves
mesocolon: attaches colon to the wall
184
what ligaments are within the greater omentum
gastrophrenic, gastrosplenic, gastrocolic ligaments
185
list the retroperitoneal organs
SAD PUCKER
Suprarenal gland
Aorta/IVC
Duodenum (2nd-4th)
Pancreas
Ureters
Colon (ascending and descending)
Kindeys
Esophagus
Rectum
186
how can peritoneal cavity be used for dialysis patients
fill the peritoneal cavity with dialysis fluid and drain it which is an alternative than blood dialysis so preserves the kidney
187
what is rugae
folding within the stomach
188
where are ulcers most commonly found
in 1st part of duodenum
189
which part of the duodenum houses the papilla
descending duodenum
190
what is the function of the suspensory ligament of treitz
suppoerts the junction between the duodenoum and jejunum
it helps to tell whether blood is occuring above or below the duodenum
191
what about the pancreatic blood supply makes pancreatic cancer so difficult to treat
the pancreas tail receives the same blood supply as as spleen which requires a lot of blood
192
what is a cholecyctectomy
what does it have to do with the hepatocystic (Calot's) triangle
removal of a gall stone
hepatocystic (Calot's) triangle: formed by cystic duvt, hepatic duct and inferior border of the liver
must locate the cystic artery near cystic trucnk within the triangle
193
what effect does Chirosis have on the portal system
it increases the pressure within the portal system
194
describe transjugular intrhepatic portosystem shunt (TIPS)
as a treatment for portal hypertension, surgically bipasses the liver by connecting portal vein to hepatic vein
there is an increased risk of encephalopathy as there is less filtering so higher risk of toxins getting to the brain
195
how does jejunum vasculature differ from the ileum
the jejunum has longer vasarecta and shorter arterial arcades while the ileum has short vasa recta and longer arterial arcades within their mesentaries
196
where is pain refered if there is a tear in lesser curvature of stomach
shoulder and abdomen
gastric juices will irritate the diaphragm which is innervated by phrenic nerves from cervical nerves 3, 4, 5 which also contain nerves that innervate the shoulder (shoulder commonly receives referred pain from diaphragm)
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