Qs Flashcards
(161 cards)
1
Q
What does femoral nerve do?
A
Hip flexion
2
Q
All of the following cause visceral pain EXCEPT
A
heat
3
Q
Which of the following does NOT have somatic motor innervation?
A
lateral femoral cutaneous nerve
4
Q
What does lateral femoral cutaneous not have?
A
Somatic motor
is ONLY sensory
5
Q
What does obturator not have?
A
Parasympathetic
6
Q
All of the following nerves imerge from the psoas major EXCEPT?
A
obturator
(iliogastric, femoral, and ilio-inguinal do)
7
Q
All of the following relationships are correct except
A
stomach and mesentery
stomach does have a mesentery, but it is not refered to as just mesentery (this is found with the intestines)
8
Q
What is the ligament teres is a remnant of?
A
umbilical vein
9
Q
How many rings does indirect inguinal hernia go through?
A
3
10
Q
What is in normally fucntioning adult that is left over from embryonic development?
A
Lateral umbilical ligament
11
Q
(T/F) Superior epigastric run on superior portion of rectus abdominus
A
false
12
Q
Layers of skin to DEEP
A
13
Q
what is not result from parasympathetic?
A
retention of urine and feces
14
Q
Which don’t have mesentery?
A
Kidney
15
Q
Which is not 2 ̊ retroperitoneal
A
Aorta
16
Q
Gas bubble in standing adult?
A
Fundus
17
Q
Which not branch of celiac?
A
Inferior pancreaticoduodenal
comes from superior mesenteric
18
Q
The celiac trunk supplies all of the following EXCEPT
A
appendix
suppiles liver pancreas and gallbladder
19
Q
(T/F)Right renal vein crosses anterior to aorta
A
false
20
Q
Which don’t drain into IVC?
A
Portal Vein
goes into the liver
21
Q
The superior mesenteric vein and which of the following join to form the portal vein?
A
splenic vein
22
Q
All of the following relationships are correct except (#2)
A
falciform ligament: obliterated umbilical vein
23
Q
What point visceral pain axons slit forms sympathetic motor nerves?
A
juction of ventral and dorsal root
24
Q
Sympathetics inhibit internal urinary sphincter
A
false
para inhibts!!!! (cause it to relax)
25
Preferred method of entry into lesser sac?
Epiploic foramen
26
Caldocentesis takes sample from?
Rectouterine pouch
27
Tail of pancreas-
in linorenal ligament
| is a mesentery
28
McBurney’s point
where you can find appendix
29
Which ligament does short gastric artery run through?
Gastrosplenic (ligament)
| between stomach and spleen
30
What is lateral arcuate ligament associated with?
Quadratus lumborum
| ligament is an arch near aorta hiatus (is the outer most)
31
Which isn’t in portal hepatis?
| within hepatoduodenal
Hepatic vein
| takes blood from liver to IVC (portal is entering liver)
32
All of the following are in the spermatic cord except
a. internal spermatic fascia
b.ductus deferens
c. external spermatic fascia
**d. parietal peritoneum**
33
Referred pain of appendix?
| spinal cord
T10
34
Femoral nerve associated with?
| section of spinal cord
L2-L4
35
Sympathetics for hindgut?
| spinal cord
T12-L2
36
Where does bile enter GI tract?
2nd segment at duodenum
37
Which part of the duodenum has the major and minor duodenal papilla?
2
38
Which not in spermatic cord?
Transversus abdominus
39
what lies posterior to the rectus abdominus?
transversalis fascia
40
What is posterior (deep) to the Rectus sheath?
Transversalis fascia
41
Where is ligamentum venosum?
Left sagittal fissure
| on liver
42
all of the following have an insertion formed by the ending of their respective aponeurosis on the line alba except
rectus abdominus
| insertion on xiphoiod (goes up and down)
is what forms Abs
43
Which is 2 ̊ retroperitoneal?
* Pancreas (head, neck, & body)
* Duodenum (2nd & 3rd)
* Ascending Colon
* Descending Colon
* Upper Recutum
| anwser was not listed but these are the only ones that are
44
Renal pelvis is most posterior in
kidney
| there may be more to this question this was all that was listed
45
Where does the gastroepiploic artery run?
| also know as right gastoomental artery
Gastrocolic (liagment)
| located on the bottom of the stomach
46
What doesn't empty into the IVC?
the gut
47
Where does the right gastrohepatic ligament lie?
Between liver and stomach
| it is apart of the lesser omentum which is a mescentary
48
Where is the referred pain of the appendix?
Skin surrounding umbilicus
49
What part of the stomach is visible in an xray?
fundis
50
Arrangement of the portal hepatis?
| within the hepatoduodenal ligament
Portal Vein (Posterior) Hepatic artery (anterior-left) Common bile duct (anterior-right)
51
Which part of the pancreas is mesenteric?
tail
(not retroperitoneal)
52
Psoas shadow is a good landmark to estimate what organ?
kidney
53
obturator nerve has what function on leg?
Adduction of leg (L2-L4 obturator nerve supplies adductor muscles of the thigh)
54
What nerve do anterior compartment of thigh (leg)?
Femoral nerve
55
Where does lymph in skin around xiphoid process drain?
Axillary nodes
56
What nerves/axons would you cut through if you sliced the mesentery of SI several inches before the body wall?
| (SMA)
Post-synaptic sympathetic, presynaptic parasympathetic
57
Which of these is primarily retroperitoneal?
Suprarenal gland
| never had a mesentery
58
Which organ is entirely mesenteric?
Stomach
59
In late pregnancy which nerve is compressed between the anterior superior iliac and the inguinal ligament?
Lateral femoral cutaneous
60
the lower border of the aponeurosis of which of the following forms the inguinal ligament?
external oblique
61
A person standing up, what is most easily seen in a radiograph?
Fundus
62
What is the most common position of the appendix?
retrocecal
63
In who is indirect inguinal hernia most commonly found?
Infant male
64
Which type of hernia is shown in picture?
direct
exits superfical ring
| medial to epigastric vessel exits at the superficial
65
Consider the lesser sac as if it was a 4-sided room with ceiling being the liver, which side is the omental foramen located?
right
66
Which organs PP is sensitive to temperature and cutting?
Pancreas
67
Which organ has a rich dual blood supply?
pancreas
68
Iliohypogastric is the ventral rami of what segment?
L1
69
Where do the hepatopancreatic secretions mix before entering the duodenum?
Ampulla of Vater
70
(T/F)Left Renal vein passes behind the aorta
false
71
The Inferior Mesenteric vein drains into what?
Splenic Vein
72
Which of these do not drain into the internal inguinal lymph nodes?
testes
| Paraaortic lymph nodes drian gonads ( because they travel down)
73
In adults which of these contains function vessels?
Lateral umbilical vein
74
WHich of the following does not develop as apart of the GI system?
spleen
75
WHich of the following does not contain any vessels?
Gastrophrenic Ligament
| near top of stomach
76
If a male urethra is injured and ruptures, between what anterior abdominal body wall layers does blood and urine accumulate?
Between Scarpia’s fascia and External Abdominal wall
77
Which layer does not contribute to the spermatic cord?
Transversus Abdominus
78
Where is the Ductus Deferens located?
Within internal spermatic fascia and posterior to process vaginalis
79
What gives cremaster motor innervation?
Genitofemoral
| males only have motor in this
80
What ligament is around the uterine tube?
Mesosalpinx
81
Which of the following fill not be affected by the loss of somatic innervation to the anterior abdominal wall?
inhalation
82
If the lesser sac were a room with ceiling, two walls and a floor, where would the hilum of the spleen be loacted?
left wall
83
What organ has a mesenteric attachment to the anterior body wall?
liver
| only organ that does
84
The internal iliac artery supplies all the following except?
ovary
85
Which is not an autonomic ganglion?
dorsal root
| somatic sensory
86
The round ligment in females is a remnant of
Gubernaculum
87
Which of the following structures remians in the inguinal canal in women?
* (b)genito branch of genitofemoral nerve
* (d)remnant of Gubernaculum
| answer is (e. b and d)
88
The attachment of the Gubernaculum in the scrotum is homologous with what in females?
Labia majora
89
Which segment of the duodenum retains its mesenteries?
1st
90
Where would the anastomoses of the celiac artery and the superior mesenteric artery occur in the duodenum?
Between the 2nd and 3rd
91
All are part of the greater omentum except?
hepatodunodenal
| is apart of the lesser omentum
92
Which of these organs is attached to the anterior body wall through the mesenteric ligament?
liver
93
Behind the pancreas the splenic vein runs
inferior to the splenic artery
94
When going through the path of lesser splanchnic you will not encounter which of the following?
grey Communicans
95
In the great splanchnic nerve you find?
Sympathetic and visceral pain
96
Increase parasympathetic stimulation of the bladder causes?
detruser muscle to contract, and internal urinary sphincter to relax to eliminate urine
97
List the renal structures anterior to posterior
Renal vein, renal artery, renal plexus
| VAP
98
at what level does the esophagus pierce the diaphragm?
T10
99
In the esophageal varices, the azygous has anastomoses with which branch of the portal vein?
Left gastric vein
100
Which of these aortic branches passes by the c-shape lesser curvature of the duodenum?
Superior mesenteric Artery
101
in terms of bile drainage and arterial blood supply, the caudate lobe is part of which functional side?
left side
102
The gallbladder lies where in relation to the saggittal fissures of the liver?
Anterior part of right sag. Fissure
103
When the common hepatic artery branches off celiac artery and goes what direction?
right
104
The deep inguinal ring is located?
Lateral to inferior epigastric vessels
105
The obturator nerve does what action?
adduct
106
The appendicular artery branches off of what?
ileocolic
107
Which of the following gets its parasympathetic innervation from the pelvic splanchnic nerves?
Descending
| the division is at the 2/3 transverse colon
108
Where is the anastomoses b/t Inferior Mesenteric Artery and Superior Mesenteric Artery?
2/3 Transverse Colon or Left colic flexure
| (mesocolon)
109
Pelvic splanchnic nerves may contain all of the following except:
Sympathetics
110
the Pelvic splanchnic nerve provides what type of intervention to the hindgut?
parasympathetic
111
Preganglionic sympathetics reach the celiac ganglion primarily via the:
Greater splanchnic nerve
112
(T/F)Transversalis fascia always lies superficial to the rectus abdominus
false
| it lies below it
113
Which of the following lists the correct sequence of visceral pain from the jejunum to the CNS?
superior mesenteric plexus, lesser splanchnic nerve, white ramus, spinal nerve, dorsal root
| is in midgut (VP follows symp back)
114
What best describes what kinds of nerve fibers surround the Superior Mesenteric Artery?
postganglionic sympathetics and preganglionic parasympathetics
115
The cremaster muscle is an extension of
internal abdominal obliques
116
(T/F) structures that are mesenteric also contain a parietal peritoneum
false
| would be covered in viseral peritoneum
117
The splenic artery is a direct branch of:
Celiac Artery
118
(T/F)the ilioinguinal nerve innervates the cremaster muscle
false
| genitofemoral nerve innervates (only males have motor)
119
The major duodenal papilla are located in:
2nd segment of the duodenum
120
Which of the following vessels passes anterior to the fourth segment of the duodenum?
superior mesenteric artery
121
Which of the following will maintain the normal direction of blood flow in a severe case of portal hypertension?
inferior vena cava
122
(T/F) the lesser sac lies anterior to the stomach
false
123
Which artery lies within the transverse mesocolon?
Middle colic
124
Which of the following structures is primarily retroperitoneal?
Ureters
125
The superior rectal artery is a branch of:
inferior mesenteric artery
126
If a sample is to be taken from the uterorectal pouch a needle is passed through:
the vagina
127
Trace the path of urine from the renal pyramids to the outside world:
renal pyramids – papillae – minor calyces – major calyces – renal pelvis – ureter – bladder – urethra
128
The gastroepiploic arteries:
run in the greater omentum
129
from what spinal nerve segment does the genitofemoral nerve arise?
L1 and L2
130
Which muscle is pierced by the genitofemoral nerve?
Psoas major
131
The correct pathway for semen from the testis to the outside is:
testis → epididymis → ductus deferens → ejaculatory duct → prostatic urethra → membranous urethra → penile urethra → external urethral orifice
132
(T/F)the prostate is superior to the urinary bladder
false
133
Which is not transmitted by the hepatoduodenal ligament?
main pancreatic duct
| is within the pancreas
134
Which of the following types of innervation causes the muscles of the anterior abdominal wall to contract?
somatic motor
135
Which of the following structures is suspended by “The Mesentery”?
Ileum
136
Which of these are secondarily retroperitoneal?
pancreas
| everything but the tail
137
What will receive primary blood supply from the inferior mesenteric artery
descending colon
138
The coronary ligament separates:
The bare area of the liver and peritoneal cavity
139
Which of the following is not a site of anastomosis in the case of severe portal hypertension?
splenic flexure of the colon
| These are places you would have them Esophagus (Esophageal varices),
Umb
140
Which organ receives its preganglionic sympathetic innervation primarily via the lesser splanchnic nerve?
ascending colon
| midgut
141
On which side of the portal-canal system does the blood flow reverse?
Portal Vein
142
What is primary retroperitoneal?
* Kindey
* Adernal Glands
* Ureters
* Aorta
* Rectum (lower)
* IVC
* Anal Canal
| never had a mesentery
## Footnote
UR 3A IK
143
Along what pathway would visceral pain from the rectum travel?
pelvic splanchinic
144
What does primary retroperitoneal mean?
it never had a mesentery
145
what does secondary retroperitoneal mean?
had a mesentery but lost it during development
146
What does intraperitoneal mean?
suspend in a mesentery
147
The superior mesentreric vein drains all of the following except
spleen
| (drains transvese colon, small intestine and cecum)
148
the inferior mesenteric artery supplies all of the following except
ascending colon
| supplies descending colon, sigmoid colon, and rectum
149
What are structures are intraperitoneal?
* Stomach
* Liver and Gallbladder
* Duodenum (1st)
* Pancreas (TAIL)
* Spleen
* Appendix
* Ileum, Jeunum, Transverse Colon, Sigmoid colon
| all of GI tube but the ascending and descending and DUO 2 and 3
150
Which of the following structures receieves parasympathetic innervation from. the pelvic splanchnic?
sigmoid colon
151
Parasympathetics Rectum
-Relaxtion of interal sphincter(inhibit)
-Increased Peristalsis of rectum
152
Sympathetics Rectum
-Tightening of interal sphincter
-Decreased Peristalsis of rectum
153
Sympathtics Foregut
greater splan --- > (celiac)---->
| T5-T9
## Footnote
post gang follows artery same name as the (prevertral ganglion)
154
Sympathetics Midgut
lesser splan ----> (superior mesenteric)---->
| T9- T12
## Footnote
post gang follows artery same name as the (prevertral ganglion)
155
Sympathetics Hindgut
least splan -----> (inferior mesenteric)---->
| T12- L2
## Footnote
post gang follows artery same name as the (prevertral ganglion)
156
Funciton of left Liver (bile)
left
quadrate
caudate
157
Funciton of RIght Liver (bile)
Right
158
Funciton of left Liver (arteral blood)
left
quadrate
caudate
159
Funciton of right Liver (arteral blood)
right
quadrate
160
Which vessel gives rise to the right gastroomental artery
gastroduodenal artery
161
Where is the location of the splenic vein?
posterior to pancreas and inferior to splenic artery
