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MRCS anatomy > PTM - 1 > Flashcards

PTM - 1 Flashcards

(50 cards)

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1
Q

Surface anatomy of pancreas

A

Neck lies at L1

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2
Q

Surface anatomy of spleen

A

9-12th rib

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3
Q

Liver surface anatomy

A

5th costal cartilage superiorly
Left midclavicular line to right midclavicular line
10th rib inferiorly

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4
Q

Gallbladder surface anatomy

A

9th costal cartilage to lateral edge of rectus abdominus

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5
Q

Surface anatomy of kidney

A

Superior pole at 12th rib
Left hilum at L1

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6
Q

What lies anterior to aorta at L1

A

Neck of pancreas
Second part of duedenum

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7
Q

Sites of intra-abdo collection

A

Hepatorenal pouch
Pelvis
Right and left subphrenic
Right and left paracolic gutters

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7
Q

Sites of intra-abdo collection

A

Hepatorenal pouch
Pelvis
Right and left subphrenic
Right and left paracolic gutters

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8
Q

What is meckels diverticulum

A

Remnant of vitello-intestinal duct
Connecting midgut to yolk sac through umbilicus

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9
Q

Rule of 2s for Meckels

A

2 % population
2inches long
Within 2 ft of ileo-caecal valve
Twice as likely in men

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10
Q

Hernia containing Meckles diverticulum name

A

Littles hernia

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11
Q

Potential complications of meckels diverticulum

A

Perforation
Obstruction
Intussuception
Herniation

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12
Q

Posterior relations of kidneys

A

Diaphragm
Psoas
Quadratus lumborum

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13
Q

Anterior relations of kidneys

A

Right:
- Liver
- Colon
- small intestine

Left:
- Stomach
- Pancreas
- small intestine

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13
Q

Anterior relations of kidneys

A

Right:
- Liver
- Colon
- small intestine

Left:
- Stomach
- Pancreas
- small intestine

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14
Q

Male bladder relations

A

Anterior to posterior

Pubic symphysis
Bladder
Retrovesical pouch
Rectum

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15
Q

Female bladder relations

A

Pubic symphysis
Bladder
Retrouterine pouch
Uterus
Pouch of douglas
Rectum

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16
Q

Vas deferens course

A

Starts from epididymis, through inguinal canal, to ejaculatory ducts

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17
Q

What glands form semen

A

Seminal vesicles
Prostate gland
Bulbourethral gland
Vas from ejaculatory ducts

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18
Q

Seminal vesicles role

A

produce seminal fluid for sperm
(outpocket in the ampulla of vas)

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19
Q

Role of vas

Study These Flashcards
A

transfers sperm from epididymous to urethra

20
Q

What is responsible for peau dorange appearance of breast skin

Study These Flashcards
A

Tumour causes of oedema by obstructing lymphatic drainage

Cooper ligament fibres pulling on s/c tissue to fascia

Gives it orange peel appearance

21
Q

Large bowel vs small bowel obstruction presentation

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A

Large:
- gradual
- vomiting less prominent
- abdo distension

Small:
- acute
- early vomiting
- constipation delayed

22
Q

Which organs does SMA go anterior to

Study These Flashcards
A

Uncinate process of pancreas
3rd part of duodenum

22
Which organs does SMA go anterior to
Uncinate process of pancreas 3rd part of duodenum
23
Most likely responsible artery for diverticular bleed
Sigmoidal branches of IMA
24
Sensation to rectum
PSN: nervi erigentes - sensation of fullness - contraction - relaxation of internal sphincter SNS: superior hypogastric plexus - contraction of internal sphincter - pain
24
Sensation to rectum
PSN: nervi erigentes - sensation of fullness - contraction - relaxation of internal sphincter SNS: superior hypogastric plexus - contraction of internal sphincter - pain
25
What is floor of ACF
Brachialis Supinator
26
How many compartments in forearm
3 - Mobile wad - anterior - posterior
27
Muscles in mobile wad compartment
Brachioradialis Extensor carpi radialis longus and brevis
28
Muscles in the posterior compartment of forearm
Superficial (2): anconeus and extensor carpi ulnaris Intermediate (2) : extensor digitorum communis and digiti minimi Deep (5): abductor pollicis longus, extensor pollicis longus and brevis, extensor indicis, supinator
29
Incisions for compartment syndrome in forearm
Anterior: along ulnar border Dorsal: lateral epicondyle to mid-wrist
29
Incisions for compartment syndrome in forearm
Anterior: along ulnar border Dorsal: lateral epicondyle to mid-wrist
30
Nerve supply to external oblique
Lower 6 intercostal nerves Subcostal nerve
30
Nerve supply to external oblique
Lower 6 intercostal nerves Subcostal nerve
31
Nerve supply to testes and its implications
T10 sympathetic nerve Ureters supplied by the same nerve: pain from renal calculus may be referred to testes Pain from testes may be referred to umbilicus (T10)
32
Surface marking of heart
Superior border: - 3rd costal cartilage on right to 2nd interccostal space left of the sternum Inferior border: - 6th costal cartilage on the right to 5th intercostal space left midclavicular line
32
Surface marking of heart
Superior border: - 3rd costal cartilage on right to 2nd interccostal space left of the sternum Inferior border: - 6th costal cartilage on the right to 5th intercostal space left midclavicular line
33
Where is sinoatrial node found
Crista terminalis of right atrium
34
Blood supply to SA node
RCA (in 60% of people) LCA (in 40% of people)
35
Venous drainage of heart
2/3 Coronary sinus (Great, middle and small cardiac veins, posterior vein, oblique vein) 1/3 Directly into chambers via cordis minimae
35
Venous drainage of heart
2/3 Coronary sinus (Great, middle and small cardiac veins, posterior vein, oblique vein) 1/3 Directly into chambers via cordis minimae
36
Where does coronary sinus terminate
Inferior aspect of Right atrium between IVC and tricuspid
37
Blood supply of knee joint
Medial, lateral superior genicular -> femoral condyle Medial, lateral inferior genicular -> tibial condyles Middle gennicualr -> ACL/PCL
38
What is iliotibial band
Thickening of fascia lata Extends from iliac tubercle to lateral tibial condyle
39
Boas sign
Hypersensitivity (hyperaesthesia) of skin inferior to the right scapula
39
Boas sign
Hypersensitivity (hyperaesthesia) of skin inferior to the right scapula
40
Kehr's sign
Pain in the shoulder tip in presence of peritoneal irritants such as blood when raising the foot of the bed (caused by splenic rupture or biliary/hepatic pathology, causing irritation of phrenic nerve -> same roots (C3,4,5) as supraclavicular nerve supplying the skin over scapula)
41
Surface marking of lung/pleura
Parietal pleura: 2.5 cm above clavicle Midclavicular: 8th rib Midaxillary: 10th rib Posterior: 12th rib Lung: Midclavicular: 6th rib Midaxillary: 8th rib Posterior: 10th rib

MRCS anatomy (27 decks)

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