Spleen

Question 1

Where is the spleen located?

Answer 1

Between the fundus of the stomach and the diaphragm

Question 2

When the colic impression is present on the spleen it presents with what shapes, and when it’s not present its presents with?

Answer 2

With colic impression- tetrahedral
Without- orange peg

Question 3

The spleen occupies the?

Answer 3

Left hypochondriac and part of the epigastric region

Question 4

The medial end of the spleen is situated at?

Answer 4

The 10th thoracic spine

Question 5

The lateral end is directed to?

Answer 5

The left colic flexure

Question 6

The superior border of the spleen has how many notches close to its lateral end?

Answer 6

One or two

Question 7

The inferior border separates

Answer 7

The renal impression from the diaphragmatic surface

Question 8

The anterior basal angle lies at

Answer 8

T9

Question 9

In what condition is the anterior basal angle palpable

Answer 9

In spleenomegaly

Question 10

The posterior basal angle is the junction between

Answer 10

The inferior border and the lateral border

Question 11

What are the ligaments of the spleen

Answer 11

Gastrosplenic ligament
Leino renal ligament
Phrenico splenic ligament
Phrenico colic ligament

Question 12

Where is the connection of the gastrospleenic ligament?

Answer 12

The fundus of spleen to the lip of him of spleen

Question 13

The gastrosplenic ligament houses the

Answer 13

Left gastro epiploic
Short gastric

Question 14

The leino renal ligament extends from

Answer 14

The anterior surface of left kidney to the posterior lip of spleen

Question 15

What is often referred to as suspensory ligament of spleen and why?

Answer 15

The Phrenico splenic ligament
Because it is an upward continuation of the leinorenal ligament it connects the medial end of bilingual to spleen of diaphragm

Question 16

The Phrenico colic ligament’s job is to

Answer 16

Connect the left colic flexure to the diaphragm opposite the 10th or 11th ribs

Question 17

Why is the Phrenico colic ligament called the sustenaculum lienis

Answer 17

It passes below the lateral end of spleen and supports from below

Question 18

The spleen is supplied by

Answer 18

The splenic artery which is a back of coeliac trunk and is tortuous

Question 19

Venous drainage

Answer 19

Smaller veins converge at the hilum of the spleen and forms 5 large veins which then joins to form the splenic vein

The vein pass frl left to right along groove on the posterior surface of the pancreas and drains into the portal vein

Question 20

Lymphatic drainage

Answer 20

Pancreatico spleenic nodes

Question 21

The spleen arises from?

Answer 21

The mesoderm of the dorsal mesogastrium in 5th week

Question 22

What often causes spleenomegaly

Answer 22

Viral infections- mononucleosis, hiv
Bacterial infections- endocarditis , tuberculosis
Parasites infection- malaria, toxoplasmosis

Question 23

What are the triads of spleenic rupture

Answer 23

Anemia
Shock
Abdominal distention

Question 24

Symptoms of a penis tincture are?

Answer 24

Pain in the upper left abdomen, left side of chest or shoulder
Dizziness, light headedness
Mental confusion
Blurred vision
Paleness, fainting
Nausea
Bp drop

Question 25

Splenic abscess is often caused by

Answer 25

Infective endocarditis Also by fungi bacteria or parasites

Question 26

Abcess is due to

Answer 26

The white blood cells fighting the infection of the affected area and in some cases some nearby tissue dies and creates a hole which then fills with pus

Question 27

What is leukocytosis

Answer 27

Is when the white blood cells count is greater than 20,0000

Question 28

What organisms can cause splenic abscesses

Answer 28

Staphylococci streptococci, salmonella Escherichia coli

Question 29

Lymphoma is

Answer 29

Cancer is the lymphatic system Affect the blood

Question 30

When are people at a higher risk od getting lymphoma

Answer 30

People with hiv Those on immunosuppressants Over 60 Chemical exposures to benzene pesticides herbicides Farmers,fire fighters, any type of chemical manufacturer

Question 31

Hodgkins lymphoma include the presence of

Answer 31

Reed sternberg cells

Question 32

Abdominal aorta extends and terminates at

Answer 32

T12- L4

Question 33

What artery does the abdominal aorta terminates into which arteries

Answer 33

Right and left common iliac artery

Question 34

The central branches of the abdominal aorta are

Answer 34

Coelic trunk T12 Superior mesenteric L1 Inferior mesenteric - L3

Question 35

The ceramic trunk divided into

Answer 35

Left gastric common hepatic and splenic artery

Question 36

The common hepatic gives rise to

Answer 36

Right gastric artery and gastro duodenal artery

Question 37

Gastro duodenal gives

Answer 37

Sup pancreatico duodenal artery Right gastro epiploic artery

Question 38

The coelic trunk is sandwiched between which organs

Answer 38

The pancreas and the liver

Question 39

Bran he’s if the spleenic artery is

Answer 39

Pancreatic Short gastric Left gastric epiploic