Worksheet 5 - The duodenum, pancreas and spleen

Question 1

which arteries supplying the pancreas branch from the gastroduodenal artery?

Answer 1

anterior + posterior superior pancreaticoduodenal arteries

inferior pancreatico-duodenal arteries

Question 2

which 2 arteries supplying the pancreas branch from the splenic artery? are these anterior or posterior to the pancreas?

Answer 2

dorsal pancreatic artery
greater pancreartic artery

posterior

Question 3

which 2 pancreatic veins drain into the hepatic portal vein

Answer 3

superior + inferior pancreatico-duodenal veins

Question 4

which part of the pancreas is drained by the pancreatic veins, and what vein does it drain into?

Answer 4

body/neck

splenic vein

Question 5

4 parts of the duodenum

Answer 5

superior, descending, horizontal, ascending

Question 6

which part of the duodenum is intraperitoneal

Answer 6

superior duodenum

Question 7

what is the only way to differentiate the duodenum fro the jejunum?

Answer 7

the duodenum is retroperitoneal, the jejunum has a mesentery

Question 8

which blood vessel supplies the upper duodenum? what is the origin?

Answer 8

superior pancreatico-duodenal = gastroduodenal

Question 9

which blood vessel supplies the lower duodenum? what is the origin?

Answer 9

inferior pancreatico-duodenal = SMA

Question 10

why is there dual supply to the duodenum?

Answer 10

the duodenum has 2 embryological origins

Question 11

where is the uncinate process?

Answer 11

posterior to SMA+V, but anterior to aorta as the head extends

Question 12

which vein is formed at the posterior neck of the pancreas?

Answer 12

hepatic portal vein

Question 13

what does the tail of the pancreas run through to reach the spleen?

Answer 13

lienorenal ligament

Question 14

what is the lienorenal ligament?

Answer 14

ligament from the spleen to the kidney

Question 15

in relation to the pancreas, where does the splenic artery run?

Answer 15

superior border

Question 16

which organ has both exocrine + endocrine function

Answer 16

pancreas

Question 17

is the pancreatic duct endocrine or exocrine?

Answer 17

exocrine

Question 18

what does the exocrine pancreas secrete?

Answer 18

digestive enzymes

Question 19

the pancreatic duct joins the common bile duct to form..

Answer 19

the hepatopancreatic ampulla of Vater

Question 20

where does the ampulla open into the duodenum?

Answer 20

major duodenal papilla

Question 21

what does the accessory pancreatic duct drain?

Answer 21

the uncinate process

Question 22

where does the accessory pancreatic duct drain into?

Answer 22

the duodenum

Question 23

what does the major duodenal papilla mark the boundary between?

Answer 23

duodenum - embryological change from foregut into midgut

Question 24

which abdominal area does the spleen lie in

Answer 24

left hypochondrium

Question 25

at what vertebreal level and plane does the spleen hilium lie?

Answer 25

L1 - transpyloric plane

Question 26

which ribs is the spleen in between?

Answer 26

9-11th

Question 27

what does the spleen hilum lie between?

Answer 27

left kidney and stomach

Question 28

branches of the splenic artery supply which organ?

Answer 28

pancreas

Question 29

from which vertebral levels does the abdominal aorta extend to and from?

Answer 29

T12-L4