Midterm Stickies

Question 1

Radial N. innervates

Answer 1

Brachioradialis & ECRL

Question 2

Deep Radial N. innervates

Answer 2

ECRB & Supinator

Question 3

Posterior Interosseous innervates

Answer 3

ED, EDM, ECU, APL, EPL, EPB, EI

Question 4

Bile duct relationship with intestine

Answer 4

bile duct over 2nd part of duodenum

Question 5

Lumbrical 1 & 2 innervation

Answer 5

median n.

Question 6

FDP clinical significance?

Answer 6

Damage leads to inability to make circle

Question 7

Subscapularis M.

Answer 7

I: Subscapular N. (upper & lower)
Action: Medial rotation & prevents anterior displacement of humerus

Question 8

Pringle manoeuvre

Answer 8

Clamp hepatic A. & Portal V,

Question 9

Most common female inguinal hernia

Answer 9

Indirect

Question 10

SMA relationship with pancreas

Answer 10

SMA posterior to uncinate process

Question 11

Gall stones most common obstructive location?

Answer 11

Common bile duct

Question 12

Deep branch of ulnar innervates?

Answer 12

All intrinsic muscles, 3rd & 4th lumbrical, adductor pollicis

Question 13

2 types of Meckel’s diverticulum

Answer 13

1. Gastric mucosa 2. Pancreatic

Question 14

Where does ascites fluid collect in a Pt lying supine?

Answer 14

Pouch of Morrison, a.k.a. hepataorenal recess

Question 15

Biceps brachii reflex tests which nerve roots?

Answer 15

C5 & C6

Question 16

Triceps reflex tests which nerve roots?

Answer 16

C7

Question 17

Brachioradialis reflex tests which nerve roots?

Answer 17

C6

Question 18

Depuytren’s contracture?

Answer 18

thickening of & contracture of palmar aponeurosis which may cause flexion of digits & make extension difficult

Question 19

Swan-neck deformity?

Answer 19

Slight flexion of MCP joints; hyperextension of PIP joints & slight flexion of DIP joints

Question 20

Positive Psoas Sign

Answer 20

Parietal peritoneum in iliac fossa irritated when psoas stretched; produces somatic pain from peritoneum

Question 21

SMA

Answer 21

compression of 3rd part of duodenum; congenital: short suspensory ligament of duodenum; L. Renal V.

Question 22

Klippel-Feil syndrome

Answer 22

Short neck, cervical vertebral bodies fused, Sx.: scoliosis, spina bifidia

Question 23

Lymph node over scapula spine?

Answer 23

Subscapular//Posterior

Question 24

External Intercostal M. deficient where

Answer 24

anteriorily

Question 25

Internal Intercostal M. deficient where

Answer 25

posteriorily

Question 26

Innermost Intercostal M. deficient where

Answer 26

anteriorily & posteriorily

Question 27

Parietal pleura A & I

Answer 27

A: Intercostal, internal thoracic, & musculophrenic I: pain receptor -> intercostal n

Question 28

Mediastinal pleura & diaphragm

Answer 28

I: phrenic n.

Question 29

Intercostal V, A, N b/w?

Answer 29

Internal intercostal and innermost intercostal m.

Question 30

Where to palpate radial pulse?

Answer 30

Anterior forearm, lateral to FCR

Question 31

Ulnar n. pathway?

Answer 31

Canal of Guyon -> hypothenar

Question 32

Fracture of humerus on shaft near epicondyle damages which nerve?

Answer 32

Median N.

Question 33

Retroperitoneal structures

Answer 33

``` Suprarenal (1) Aorta (1) Duodenum (2) Pancreas (2) Ureters (1) Colon (2) Kidney (1) Esophagus (1) Rectum (1) ```

Question 34

Axillary A. branches

Answer 34

``` Superior Thoracoacromial a. Lateral thoracic a.. Subscapular a. Anterior humeral circumflex Posterior humeral circumflex ```

Question 35

Somatic plexus consists of?

Answer 35

Ventral rami of spinal n.

Question 36

S. Epigastric A. branch of?

Answer 36

Internal thoracic a.

Question 37

Conjoint tendon formed by?

Answer 37

Lower part of transverse abdominus | Internal oblique M.

Question 38

Spermatic Cord contents?

Answer 38

3 arteries: testicular, ductus deferens, cremasteric 3 nerves: genital branch of genitofemoral, cremasteric, autonomics 3 others: ductus deferens, pampilliform plexus, lymphatics

Question 39

Describe Lesser Sac (Omental Bursa)?

Answer 39

Extension of peritoneal cavity posterior to stomach * Stomach perforations fills this space * Splenic vessels at risk

Question 40

Describe Omental foramen?

Answer 40

Opening into lesser sac from greater sac aka Foramen of Winslow near IVC

Question 41

Branches of Proper Hepatic A.?

Answer 41

L. Hepatic & R. Hepatic -> Cystic A.

Question 42

which layer of tissue is found immediately deep to the rectus abdominus muscle?

Answer 42

Transversalis Fascia

Question 43

Which layer of the abdominal wall gives rise to the cremasteric muscle?

Answer 43

Internal oblique muscles

Question 44

A male neonate was born with a large swelling of the proximal end of its umbilical cord. Examination of the swelling revealed coils of small bowel in the proximal part of the cord. Surgery was scheduled to place the bowel back in the abdominal cavity and repair the defect of the anterior abdominal wall. What is this condition?

Answer 44

Umbilical hernia

Question 45

What passes through the triangular interval?

Answer 45

Radial n. & Profundus Brachial a. Inferiror: Teres major Lateral: Long head of triceps

Question 46

What passes through the quadrangular space?

Answer 46

Axillary N. & Post circumflex humeral a. above/superior: the subscapularis and teres minor. below/inferior: the teres major medially: the long head of the triceps brachii laterally: the surgical neck of the humerus

Question 47

What passes through the triangular space?

Answer 47

Scapular circumflex vessels Inferiror: Teres major Lateral: Long head of triceps

Question 48

Blood supply to Ureter

Answer 48

Uteric branches of: 1. Renal a. 2. Ovarian a. 3. Common Iliac 4. S. Vesical a.

Question 49

Innervations of Ureter

Answer 49

1. Renal plexus 2. Aortic plexus 3. S. & I. Hypogastric

Question 50

Renal plexus consists of?

Answer 50

1. Sympathetics: T12 to L1 <- Least 2. Parasympathetics: Vagus 3. Visceral pain: T11 & T12

Question 51

Blood supply to Suprarenal?

Answer 51

1. Superior: Inferior Phrenic a. 2. Middle: Aorta 3. Inferior: Renal a.

Question 52

Spermatic cord layers?

Answer 52

1. Transversalis fascia -> Internal spermatic fascia 2. Internal oblique m. -> Cremasteric fascia 3. External oblique m. -> External spermatic fascia

Question 53

Sympathetics in Ab Viscera

Answer 53

1. Greater (T5-T9) -> Coeliac -> Coeliac & Vagus _. Foregut 2. Lesser (T10-T11) -> S. Mesenteric -> S. Mesenteric & Vagus -> Midgut 3. Least (T12) -> Aorticorenal -> Renal & Vagus -> Urogenital & Suprarenal 4. Lumbar (L1-L2) -> I. Mesenteric -> I. Mesenteric & S2-4 -> Hindgut

Question 54

Which vessel does not drain into the coronary sinus?

Answer 54

Anterior cardiac vein