Exam 3: Remaining Material

Question 1

2 interlinked venous systems

Answer 1

Portal venous system

Caval venous system

Question 2

Portal venous system drains

Answer 2

GI tract, spleen, pancreas and gallbladder

Question 3

Caval venous system drains

Answer 3

Everything else

Question 4

These organs exclusively drain into caval system

Answer 4

Kidney and suprarenal gland

Question 5

MC organ outside intestinal tract for colon cancer to metastasize to

Answer 5

Liver

Question 6

All nutrients except for ___ pass thru portal vein to liver

Answer 6

Fats

Question 7

Fats are picked up by ____

Answer 7

Lymphatic vessels called lacteals

Question 8

Fats enter liver via

Answer 8

Hepatic artery proper

Question 9

Blood flow in portal venous system

Answer 9

Ab organs — tributaries of portal v — portal v (R and L) — liver sinusoids — inferior vena cava via hepatic v

Question 10

Blood flow in caval venous system

Answer 10

Body wall and organs — tributaries of superior and inferior vena cava — superior and inferior vena cava

Question 11

Portal vein formed by union of

Answer 11

Splenic and superior mesenteric vein

Question 12

Tributaries of portal vein

Answer 12

Splenic
Superior mesenteric
Left gastric
Paraumbilical

Question 13

Paraumbilical veins accompany

Answer 13

Ligamentum teres to umbilicus

Question 14

Portal caval anastomosis in distal esophagus

Answer 14

Esophageal v
Left gastric v
Esophageal varices

Question 15

Portal caval anastomosis around umbilicus

Answer 15

Superficial v
Paraumbilical v
Caput medusae

Question 16

Portal caval anastomosis in rectum and anal canal

Answer 16

Middle/inferior rectal
Superior rectal
Hemorrhoids

Question 17

Liver is the largest

Answer 17

Visceral organ and gland

Question 18

Functions of liver

Answer 18

Bile secretion
Metabolism of protein, fat, carbs
Storage of glycogen, vitamins, iron
Detoxification

Question 19

Diaphragmatic surface of liver is

Answer 19

Superior and convex

Question 20

Visceral surface of liver is

Answer 20

Inferior and concave

Question 21

Diaphragmatic and visceral surfaces liver separated by

Answer 21

Sharp, inferior border

Question 22

Porta hepatis is the ___ of the liver

Answer 22

Hilum

Question 23

Porta hepatis contains

Answer 23

Common hepatic duct
Hepatic artery proper
Portal vein

Question 24

Bile duct becomes _____ prior to passing through porta hepatis

Answer 24

Common hepatic duct

Question 25

Largest lobe of the liver

Answer 25

Right lobe

Question 26

Gallbladder lies in a fossa in this lobe

Answer 26

Right lobe

Question 27

______ lies posterior to gallbladder

Answer 27

Inferior vena cava

Question 28

Quadrate lobe is between ____ and _____ to porta hepatis

Answer 28

Right and left lobes; anterior

Question 29

Quadrate is anterior to

Answer 29

Porta hepatis

Question 30

Caudate lobe lies between _____ and _____ to porta hepatis

Answer 30

Right and left lobes; posterior

Question 31

Left lobe of the liver is to the left of

Answer 31

Falciform ligament

Question 32

Functional division of liver is made

Answer 32

Right of falciform lig | Forward from inferior vena cava

Question 33

Left functional half contains hepatic segments

Answer 33

I-IV

Question 34

Right functional half contains hepatic segments

Answer 34

V-VIII

Question 35

Structures distribute to L and R functional halves

Answer 35

Hepatic artery Portal vein Common hepatic duct Hepatic veins

Question 36

Bare area of liver

Answer 36

No visceral peritoneum Posterior aspect Contact w/ diaphragm

Question 37

_______ lies within bare area

Answer 37

Inferior vena cava

Question 38

Falciform ligament connects

Answer 38

Liver to diaphragm and anterior ab wall

Question 39

Coronary ligament

Answer 39

Splitting of falciform ligament posteriorly

Question 40

Coronary ligament forms borders of

Answer 40

Bare area

Question 41

Coronary ligament parts

Answer 41

Superior and inferior

Question 42

Right and left triangular ligaments

Answer 42

Junction of superior and inferior layers of coronary ligament

Question 43

Ligamentum teres forms

Answer 43

Free edge of falciform ligament

Question 44

Ligamentum teres if the remnant of

Answer 44

Obliterated umbilical vein

Question 45

Ligamentum venosum location

Answer 45

Between L and caudate lobes

Question 46

Ligamentum venosum is the remnant of

Answer 46

Ductus venosus

Question 47

Ligament of inferior vena cava

Answer 47

Covers Inferior vena cava

Question 48

Fissure for ligamentum teres

Answer 48

Between left quadrate lobes

Question 49

Fissure for ligamentum venosum

Answer 49

Between left and caudate lobes

Question 50

Fossa for gallbladder

Answer 50

Between right and quadrate lobes

Question 51

Fissure for inferior vena cava

Answer 51

Between right and caudate lobe

Question 52

Porta hepatis

Answer 52

Forms crossbar of H made by all of the fissures

Question 53

Liver blood supply

Answer 53

Portal vein | Hepatic artery

Question 54

Innervation of liver

Answer 54

Hepatic plexus — extension of celiac plexus

Question 55

3 parts of gallbladder

Answer 55

Fundus Body Neck

Question 56

Gallbladder drains into

Answer 56

Cystic duct

Question 57

Gallbladder stores and concentrates

Answer 57

Bile

Question 58

Gallbladder contracts to expel bile when

Answer 58

Food arrives; CCK initiates contraction

Question 59

Blood supply to gallbladder

Answer 59

Cystic artery (form R hepatic artery)

Question 60

Innervation of gallbladder

Answer 60

Celiac plexus

Question 61

Hepatic ducts (R and L) drain

Answer 61

Functional halves of liver

Question 62

Common hepatic duct

Answer 62

Union of R and L hepatic ducts

Question 63

Cystic duct

Answer 63

Drains gallbladder

Question 64

Bile duct

Answer 64

Union of common hepatic and cystic duct

Question 65

Hepatopancreatic ampulla

Answer 65

Union of bile duct and pancreatic duct

Question 66

Hepatopancreatic ampulla empties into

Answer 66

2nd part of duodenum

Question 67

Sphincter of ampulla surrounds

Answer 67

Hepatopancreatic ampulla

Question 68

Narrowest point in duct system

Answer 68

Sphincter of ampulla

Question 69

Sphincter of bile duct surrounds

Answer 69

Inferior terminus of bile duct

Question 70

Sphincter of pancreatic duct surrounds

Answer 70

Terminal part of pancreatic duct

Question 71

Spiral folds located within

Answer 71

Cystic duct — keep it open

Question 72

Sphincter of pancreatic duct is

Answer 72

Weak — does not resist pressure well

Question 73

Pancreas is both

Answer 73

Exocrine and endocrine gland

Question 74

Exocrine function of pancreas

Answer 74

Secrete digestive enzymes

Question 75

Endocrine function of pancreas

Answer 75

Secrete insulin and glucagon

Question 76

5 parts of pancreas

Answer 76

``` Head Neck Body Tail Uncinate process ```

Question 77

Uncinate process of pancreas is

Answer 77

Projection of head | Behind superior mesenteric vessels

Question 78

Pancreas lies posterior to stomach in what regions

Answer 78

Epigastric and L hypochondrium

Question 79

Pancreas is a _______ ogran

Answer 79

Retroperitoneal Except for tip of tail

Question 80

Head of pancreas lies within

Answer 80

Concavity of duodenum

Question 81

Splenic artery runs along ________ while splenic vein runs along

Answer 81

Superior surface of pancreas; posterior surface

Question 82

Pancreas is drained by

Answer 82

Pancreatic and accessory pancreatic ducts

Question 83

Pancreatic ducts drains

Answer 83

Neck, body, tail

Question 84

Pancreatic duct joins _____ to form ______

Answer 84

Bile duct; hepatopancreatic ampulla

Question 85

Pancreatic duct empties into

Answer 85

Major duodenal papilla (2nd part of duodenum)

Question 86

Accessory pancreatic duct drains

Answer 86

Head and uncinate process

Question 87

Accessory pancreatic duct empties into

Answer 87

Minor duodenal papilla (2nd part duodenum)

Question 88

Blood supply to pancreas

Answer 88

Pancreatic branches of splenic | Superior and inferior pancreaticoduodenal artery

Question 89

Innervation of pancreas

Answer 89

Celiac plexus

Question 90

Spleen is a large

Answer 90

Lymphatic organ

Question 91

Functions of spleen

Answer 91

Produce lymphocytes in newborn Removes worn out RBC and cellular debris Stores RBCs

Question 92

Spleen consists of ______ tissue that is ______

Answer 92

Soft, easily injured; highly vascularized

Question 93

Spleen lies against

Answer 93

Diaphragm and ribs 9-11

Question 94

Spleen lies within

Answer 94

L hypochondrium

Question 95

Diaphragmatic surface of spleen

Answer 95

Convex, against diaphragm

Question 96

Visceral surface of spleen

Answer 96

Concave, against abdominal viscera

Question 97

3 subdivisions of visceral surface of spleen

Answer 97

Gastric Colic Renal

Question 98

Gastric surface of spleen

Answer 98

Against stomach

Question 99

Colic surface of spleen

Answer 99

Against L colic flexure

Question 100

Renal surface of spleen

Answer 100

Against L kidney

Question 101

Splenic hilum transmits

Answer 101

Nerves and vessels

Question 102

Gastrosplenic ligament

Answer 102

Attaches stomach to spleen

Question 103

Splenorenal ligament

Answer 103

Attaches spleen to L kidney

Question 104

Spleen is

Answer 104

Intraperitoneal

Question 105

Blood supply to spleen

Answer 105

Splenic artery | Splenic vein

Question 106

Innervation of spleen

Answer 106

Celiac plexus

Question 107

Most frequently injured abdominal organ

Answer 107

Spleen