GI amatomy Flashcards

(45 cards)

1
Q

which nerve innervates the tongue muscles

A

all of the tongue muscles are innerated by CNXII (hypoglossal), except the palatoglossus which is innervated by CNX (vagus

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2
Q

what is the bile duct

A

where bile travels through from the gall bladder

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3
Q

what is the common hepatic duct

A

where bile travels through from the liver

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4
Q

where do ischioanal fossae lie

A

fossae lie on either side of the anal canal.

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5
Q

where is the appendices oriface located

A

on the posteromedial wall of the caecum, 1/3rd of the way between right ASIS, and the umbilicus

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6
Q

where does the abdominal aorta bifurcate into the common iliacs

A

L4 level

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7
Q

what is the main arterial anastomosis in the large intestine

A

the marginal artery of Drummond.

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8
Q

what supplies blood to the rectum and anal canal

A

Hindgut part – superior rectal artery from IMA.
Somatic part (below the pectinate line) – middle and inferior rectal arteries from the internal iliac artery.

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9
Q

where are the three main sites of portal anastomoses

A

Distal end of oesophagus.
Skin around the umbilicus.
Rectum/anal canal

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10
Q

what muscle is the pelvic floor

A

Levator ani muscle is the pelvic floor

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11
Q

where does the sigmoid colon become the rectum

A

rectosigmoid junction, anterior to S3.

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12
Q

where does the rectum become the anal canal

A

anterior to the tip of the coccyx

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13
Q

what muscles are associated with the levator ani

A

iliococcygeus, pubococcygeus, puborectalis.

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14
Q

what is the nerve supply of the levator ani

A

Nerve to levator ani (a branch of the sacral plexus, S3, S4).
Pudendal nerve (S2, S3, S4).

“S 2, 3, 4 keeps the pelvis off the floor”

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15
Q

what stimulated contraction of the external anal sphincter

A

pudenal nerve

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16
Q

what does the gallbladder do

A

the gall bladder stores AND concentrates bile.

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17
Q

what is the first branch of the abdominal aorta

A

coeliac trunk is the first branch of the abdominal aorta, at T12 level

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18
Q

what is the blood supply of the organs of the foregut

A

coeliac trunk

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19
Q

which ribs protect the spleen

A

Ribs 9-11 protect the spleen.

20
Q

what is the blood supply and drainage of the midgut

A

superior mesenteric artery
portal venous system

21
Q

what is the blood supply and drainage of the hindgut

A

inferior mesenteric artery
superior rectal vein

22
Q

what is the blood supply and drainage of the foregut

A

coeliac artery
coeliac vein

23
Q

what is the blood supply to the stomach

A

Right (from hepatic artery) and left (from coeliac trunk) gastric arteries.
Right (from gastro-duodenal branch of hepatic artery) and left (from splenic artery) gastro-omental arteries

24
Q

what ribs does the liver lie deep to

25
what is the blood supply of the gall bladder
cystic artery
26
what does the portal triad consist of
hepatic portal vein, hepatic artery, and common bile duct.
27
what happens when the bile duct joins with the pancreatic duct
form the ampulla of vater/hepatopancreatic ampulla
28
what is the blood supply to the pancreas
Mainly from pancreatic branches of splenic artery. And superior (from gastroduodenal branch of hepatic artery) + inferior (from SMA) pancreaticoduodenal arteries.
29
which section of the duodenum in intraparitoneal
First part of the duodenum is intraperitoneal. The other 3 parts are retroperitoneal.
30
what are the visceral afferent nerve fibres of the hindgut
T10-12
31
what are the visceral afferent nerve fibres of the midgut
T8-12
32
what are the visceral afferent nerve fibres of the foregut
T6-9
33
where do sympathetic nerves synapse
directly onto cells of the adrenal gland
34
what is the parasympathetic innervation of the gut
Vagus nerve – up to the distal end of the transverse colon. Pelvic splanchnic nerves (S2, S3, S4) – from the descending colon to the anal canal.
35
what kind of organ is the liver
The liver is an intraperitoneal organ.
36
what is the pain associated with appendicitis
it starts as a dull ache around the umbilicus, then moves to become a localised sharp pain in the RIF do to irritation of the parietal peritoneum
37
what are the inner longitudinal muscles of the pharynx are innervated by
CN IX and X
38
what is the only muscle innervated by CN IX
stylopharyngeus
39
what is the innervation of the gag reflex
Sensory limb – CNIX. Motor limb – CNIX + CNX.
40
what is the innervation of the anterior 2/3 of the tongue
General sensory – CNV3. Special sensory (taste) – CNVII.
41
what is the innervation of the posterior 1/3 of the tongue
General and special sensory – CNIX.
42
what is the innervation of the jaw opening and closing
by CNV3 – the mandibular division of the trigeminal nerve.
43
what are the muscles of the jaw closing
masseter, temporalis, medial pterygoid
44
what are the muscles of the jaw opening
lateral pterygoid
45
what are pterygoid plates
part of the sphenoid bone