Midterm Abdominal Flashcards

1
Q

The portal veins carry blood from the_________ to the liver.

A

intestinal tract

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2
Q

the arterial supply to the gallbladder is via the :

A

cystic artery

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3
Q

the portal venous system receives blood from…

A
  1. gastrointestinal tract
  2. lower end of the esophagus to the upper end of the anal canal
  3. pancreas
  4. gallbladder
  5. bile ducts
  6. spleen
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4
Q

what vessel passes anterior to 3rd part of duodenum and posterior to neck of pancreas?

A

SMV

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5
Q

The duodenum and parts of the stomach are supplied by….

A

gastroduodenal artery

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6
Q

Which vessel passes anterior to the uncinate process of the pancreas?

A

SMA

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7
Q

SMA supplies blood to…

A

prox half of colon and small intestines

prox half of colon= cecum, ascending colon, and transverse colon

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8
Q

splenic vein begins at hilum of spleen and is joined by

A

short gastric and left gastroepiploic veins

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9
Q
  1. The portal vein enters…….
  2. The PV drains blood out of…….
  3. The PV has an anastomosis with….
A
  1. The portal vein enters…….lesser omentum
  2. The PV drains blood out of…….gastrointestinal tract
  3. The PV has an anastomosis with….esophageal veins,
    rectal venous plexus, and superficial abdominal veins
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10
Q

The main portal vein id formed __________to pancreas.

A

posterior

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11
Q

SMV joins_______to form the main portal vein.

A

splenic vein

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12
Q

normal diameter of aorta

A

less than23mm

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13
Q

aorta tapers________.

A

10-15mm

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14
Q

Demonstrates thrombosis of hepatic veins.

A

Budd-Chiari syndrome

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15
Q

30% of patients with Budd-Chiari syndrome are_____.

A

idiopathic

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16
Q

IMA distributes blood to…..

A

left transverse colon, descending colon, sigmoid, and rectum

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17
Q

How many branches does IMA have?

A

3

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18
Q

The right renal artery passes_______to IVC.

A

posterior

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19
Q

Which vascular structure courses between aorta and SMA.

A

Left renal vein

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20
Q

The IVC courses anteriorly to enter the__________.

A

right atrium

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21
Q

Landmark to find celiac trunk

A

SMA

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22
Q

Which vascular structure relates to the medial and posterior borders or to the pancreatic body and tail?

A

splenic vein

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23
Q

gastroduodenal artery is a branch of the……..

A

common hepatic artery

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24
Q

most common cause of an abdominal aneurysm?

A

arteriosclerosis

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25
Patients with lower trunk and leg edema and dilated IVC, an _______________should be suspected.
atrioventricular fistula | eddy hit me with his fist
26
Most common tumor to fill IVC.
renal cell carcinoma
27
``` leg edema low back pain gastrointestinal complaints liver problems renal problems ``` means what?
IVC thrombosis
28
Which plane passes through the hilum of the kidneys and neck of pancreas?
transpyloric plane
29
Linea alba is in the abdominal wall and stretches from...
xiphoid to pubic symphysis
30
central anterior attachment for muscle layers of the abdomen
linea alba
31
material that covers an organ
visceral peritoneum
32
epiploic foramen is an opening between....
greater and lesser sac (I have an epic sack)
33
Fluid and infection may accumulate in the.....
peritoneal recesses
34
muscles that make up the "sling" | in inferior boundary of true pelvis
coccygeus and levator ani muscles levator ani muscles= pubococcygeus, puborectalis, iliococcygeus muscles)
35
vital signs (medical measurements)
1. temperature 2. blood pressure 3. pulse and breathing movements
36
divides the pelvic peritoneal space into the anterior and posterior pouches
uterus
37
oblique passageway through the lower part of the anterior abdominal wall is termed the:
inguinal canal
38
the hernial sac is a diverticulum of the
peritoneum
39
test used to evaluate the effects of heparin, aspirin, and antihistamines on the blood-clotting process
PTT (partial thromboplastin time)
40
a higher percentage of positive cells is observed in the _______of a thyroid mass.
small calcifications
41
in a renal transplant procedure, which part of the kidney is typically biopsied?
upper pole
42
the international normalization ratio (INR) was | developed because of the variable results of ________among laboratories
PT
43
What needle gauge is typically used in a fine-needle aspiration?
20-25 gauge | best with a cutting tip, such as Franseen needle
44
biopsy that uses an automatic spring-loaded device to provide tissue for analysis
core biopsy
45
role of cytopathology
1. make sure enough diagnostic tissue is obtained 2. increase amount of successful biopsies 3. minimize # of core samples
46
stop aspirin ________days before biopsy
5-7 days
47
a preprocedural image should document the patient's name and the:
time, date, and needle path
48
most common organ biopsied
liver
49
renal parenchymal biopsies are requested for patients with:
nephrotic syndrome proteinuria renal failure (My nephew's produces rental cars...NPR)
50
Which part of a kidney is biopsied for a renal parenchymal biopsy?
lower pole
51
storage diseases (3)
1. amyloidosis 2. Gaucher's disease 3. Niemann-Pick
52
complication with renal biopsy and with spleen
hematoma | hemorrhage
53
which test could indicate liver lease
AFP
54
where is the spleen located?
inf to diaphragm | posterior to hypochondrium
55
lymph nodes emerge from the splenic hilum and coarse along...
splenic artery
56
splenomegaly from...
1. trauma 2. congestion 3. collagen vascular disease
57
abnormal decrease in platelets may be the result of an...
internal hemorrhage
58
abnormal decease in platelets, may be the result of internal bleeding, what is this called
thrombocytopenia
59
normal sonographic appearance of splenic parenchyma
homogeneous, similar to liver
60
in early sickle cell the spleen looks...
large w/ congestion of the red pulp
61
progressive sickle cell, what happens
progressive infarction and fibrosis, size decreases
62
location of spleen
left kidney inferior and medial to spleen
63
function of spleen
1. destruction of WBC 2. makes plasma cells 3. makes lymphocytes and kills abnormal ones
64
what causes splenic infarction
cardiac embolism which occludes splenic artery and/or branches
65
orange segment, tetrahedral, triangular
shape of spleen
66
where are accessory spleens
hilum of spleen
67
splenic vein courses along
posterior border of panc
68
the spleen has two components joined at hilum
superomedial and inferolateral componenst