Stomach

Question 1

What are the regions of the abdomen?

Answer 1

Right hypochondriac
Epigastric Region
Left hypochondriac

Right lumbar
Umbilical region
Left lumbar

Right iliac region
Hypogastrix
Left iliac region

Question 2

The stomach occupies which region of the abdomen?

Answer 2

Left hypochondriac, umbilical and epigastric

Question 3

The organic shape of the stomach describes?

Answer 3

A slightly oblique position

Question 4

Hypersthenic shape describes?

Answer 4

More oblique, more prone to duodenal ulcer

Question 5

Hypo/Asthenuc describes?

Answer 5

More vertical
Prone to gastric ulcers

Question 6

What are the two ends of the stomach

Answer 6

Cardiac end and pyloric end

Question 7

The pyloric end joins the?

Answer 7

Duodenum

Question 8

The cardiac end joins?

Answer 8

The lower end of the oesophagus

Question 9

The lesser curvature presents with an?

Answer 9

Angular notch

Question 10

The lesser curvature is attached to the?

Answer 10

Lesser omentum

Question 11

The greater curvature presents with a…at its upper end

Answer 11

Cardiac notch

Question 12

The greater curvature forms the attachment point for?

Answer 12

Greater omentum, gastro splenic ligament and gastro phrenic ligament

Question 13

The pyloric part of the stomach is divided into which parts?

Answer 13

Pyloric atrium, pyloric canal and pylorus

Question 14

The circular muscle of the stomach is the thickest at?

Answer 14

The pylorus

Question 15

The interior of the stomach consists of?

Answer 15

Gastric folds/rugae , gastric pits, gastric canals

Question 16

What are gastric folds?

Answer 16

These are longitudinal folds along the lesser curvature into which the muscosa of an emptying stomach is thrown into

Question 17

When does the rugae of the stomach disappear?

Answer 17

When the stomach is distended

Question 18

What are gastric pits?

Answer 18

Small depressions in the mucosa in which the gastric glands open

Question 19

Gastric canals are?

Answer 19

Longitudinal furrows within the longitudinal folds, this occurs temporarily during swallowing

Question 20

The lesser one time extends from the?

Answer 20

Lesser curvature to the liver

Question 21

The greater omentum extends from the ?

Answer 21

Lower 2/3rd of the Greater curvature to the transverse colon

Question 22

The gastro splenic ligament extends from the

Answer 22

Upper 2/3rd of the greater omentum to the hilum of the spleen

Question 23

The gastro phrenic ligament extends from the?

Answer 23

Cardiac end of the fundus to the left crux of the diaphragm

Question 24

What are the posterior relations od the stomach?

Answer 24

Left crux of the diagram
Gastric impressions of the spleen
Anterior surface of the kidney
Anterior surface of the transverse colon
Anterior surface of the pancreas
Tortuous splenic artery
Supra renal gland

Question 25

The gastric triangle is ?

Answer 25

The area of the stomach which has direct contact with the abdominal wall

Question 26

What is the traubes area?

Answer 26

If is the area overlying the fundus of the stomach tympanic on percussion

Question 27

Trained space may be obliterated in cases of?

Answer 27

Hepatomegaly, splenomegaly, and pleural effusion

Question 28

What arteries supplies the stomach?

Answer 28

Left gastric artery, right gastric artery, short gastric artery, left gastro-epiploic artery, right gastro epiploic artery, posterior gastric artery

Question 29

The left gastric artery supplies the?

Answer 29

Upper 2/3rd of the stomach

Question 30

The left gastric artery is a branch of

Answer 30

the coelic trunk

Question 31

The right gastric artery is a branch of the?

Answer 31

Common hepatic duct and the anastomosis of the left gastric artery

Question 32

Short gastric artery is a brain of the?

Answer 32

Splenic artery

Question 33

The fundus of the stomach is supplied by?

Answer 33

Short gastric artery

Question 34

The left gastro epiploic artery supplies the ?

Answer 34

Greater curvature

Question 35

What artery runs along the gastri splenic ligament and the greater omentum?

Answer 35

Left gastro epiploic artery

Question 37

The right gastro epiploic artery supplies?

Answer 37

The greater curvature within the stomach

Question 38

The right gastro epiploic artery branches from?

Answer 38

Gastri duodenal artery and the anastomosis of the left gastro epiploic artery

Question 39

The posterior surface of the fundus is supplied by the?

Answer 39

Posterior gastric artery which runs along the omental bursa

Question 40

The posterior gastric artery is a branch of the?

Answer 40

Splenic artery

Question 41

What veins of the stomach drain into the portal vein?

Answer 41

Left gastric and the right gastric artery

Question 42

The left gastro epiploic artery and the short gastric vein drains into?

Answer 42

Splenic vein who then drains into the superior mesenteric vein

Question 43

The right gastro epiploic artery drains into the

Answer 43

Superior mesenteric vein

Question 44

Area two of the stomach lymphatic drainage occurs in?

Answer 44

Right gastro epiploic lymph node

Question 45

Area 4 of the stomach lymphatic drain occurrs?

Answer 45

Right gastric lymph node and hepatic node

Question 46

The pancreaticosplenic and pancreatic lymph node drains which area of the stomach?

Answer 46

Area three

Question 47

The left gastro lymph node drains which area of the stomach?

Answer 47

Area one

Question 48

The lymph node of area one drains into the?

Answer 48

Coelic node

Question 49

The pyloric node drains the?

Answer 49

Rights gastro epiploic lymph node

Question 50

The pyloric node drains onto the

Answer 50

Hepatic node and then the cardiac node

Question 51

The lymph node of area one drains into the ?

Answer 51

Left gastric node which then drains into the coelic node

Question 53

The gastronomy tube also called a g tube is?

Answer 53

A tube that is inserted into the gastric area to bring nutrition directly into the stomach

Question 54

When is a gastronomy tube often used?

Answer 54

Tracheal esophageal fistula, dementia, stroke , esophageal atresia

Question 55

Gastric carcinoma mainly occurs in the?

Answer 55

Pyloric atrium along the greater curvature

Question 56

The gastric cancer spread through

Answer 56

The thoracic duct to the left supraclavicuar lymph node ( virchows node)

Question 57

What antigen are usually present in the case of stomach cancer?

Answer 57

CA-19,9 , CA125

Question 58

A vagotomy is often done to cure?

Answer 58

Chronic duodenal ulcer

Question 59

A truncal vagotomy is procedure that involves

Answer 59

The trunk of the gastric nerves are derived at the lower end of the oesophagus

Question 60

Selective vagotomy includes?

Answer 60

The hepatic and coelic branches are reserved but the main trunk of the gastric nerves and latarjet are cut

Question 61

Highly selective vagotomy includes?

Answer 61

The cutting of only the latarget to avoid affecting gastric emptying