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86 Cards in this Set

  • Front
  • Back

Vagina m rectified abdominis is formed by the aponuerosis of the external oblique muscle

Yes

The spleen is located in the infra colic region

No in the superior colic region next to liver

The fluid in the peritoneal cavity lubricated surfaces and facilitates the movement of vicera

Yes

All the extra peritoneal vicera are surrounded by visceral peritoneum

No they have thier own serous membrane

The peritoneal cavity is a slit like internal between the visceral and parietal peritonieum

Yes

There is supra and infracllic due to the transverse colon

Yes

Omental foreman opens into left part

No right part

Omental bursa is a peritoneal space in the sipracolic compartment

Yes

Nerve supply of the anterolateral abdominal wall is ensured only by lower intercoastal nerves

No - throcoabdominal nerves

Portal vein lies in front of hepatic artery

Nope


Bile duct


Artery - on top of


Portal vein

Common bile duck is posterior to the portal vein

Nope - lateral

The portal vein ascends in the greater omentum

Yes of course

The liver lies mainly in the right hypochondrium

Yes

The lesser kmentjm is attached to the fissue for ligimentum venosum

No

The liver is divided functionally into 8 segments

Yes

The left hepatic duct drains the left lobe

Yes

The right hepatic duct drains the quadrate lobe

No caudate lobe

Where is the omental bursa

Supracolic compartment

What is the peritonieum

Double layered serous membrane

The inferior border of the erectus sheath inferiority is called

Arcuate line

Caesarean section


Transverse suprapubic incision


All abdominal layers will be encountered except

Posterior rectus sheath

Internal thoracic artery cut near causal end of sternum.


Maintainence if adequate blood flow to rectus abdominis may be dependant on increased flow by which artery??????

Inferior epigastric

Incision parallel to and 5cm above inguinal ligament, one would find the inferior epigenetic vessels between which layers of abdominal wall

Transverse abdominal muscle and peritonieum

Direct inguinal hernia


Viewed from abdominal side


Hernial sac found in which region

Medicsl inguinal fossa

Which structure passed through the deep inguinal ring

Round ligament of uterus

Inguinal region dissection


Indicate position of deep inguinal ring to be

Above midpoint of inguinal ligament

Venous and lymphatic drainage of superficial tissue of anterior abdominal wall is around a horizontal plane.


Above that plane the drainage is in a


Cranial direction


Below the plane drainage is causal direction


Reference plane corresponds to:

Level of umbilicus

Boundary of inguinal triangle includes all except:

Arcuate line


Boundaries are:


Lateral margin of rectus sheath


Inferior epigastic vessels


Injngunal ligament

The superficial inguinal ring is an opening in which structure?

External abdominal oblique aponeurosis

If hernia enters scrotum, it's most likely an

Indirect hernia

Which nerve passes through the superficial inguinal ring and may therefore be endanger during inguinal hernia repair

Ilioinguinal

Visceral pain


Apendicisits felt around umbilicus


Appendix receives sympathetic from what spinal cord segment

T10

Spleen doesn't decend to coastal margin


Pushes down and medically when psychologically enlarged


What structure limits vertical downward movement

Left colic flexure

What characteristic would identify a large bowl specifically?

C and D


Epipolic appendages and tenia

2 month infant


History of intermittent gastrointestinal pain and vomiting


Cause lack of stomach emptying so spasmodic contraction of which part of stomach

Pylorus

Vagotomy


Reduce secretion of acid to by stomach


Gastric branches of vague need to be cut


Where would you look for these branches in relation to stomach

Along lesser curvature

Splenectomy


Presence tail of pancreas,


Which is found where?

Splenorenal ligament

20 year hold SUV


Low blood pressure and tenderness on left mid axillary line


Protrustions downward medically below left coastal margin


9th and 10th rib fractured near thier angle on left side


Organ damaged is?

Spleen

Removal of supra renal gland


Mobilizes the descending colon by cutting along it's lateral attachment to the wall and dissecting medialward in the fusion fascia.


Failed to cut mesenteric attachment between the left colic flexure and another organ.


Which organ tore?

Spleen

Swollen spleen protrudes medically towards umbilicus.


Vertical downward expansion resisted by?

Left colic flexure

Spleen contacts all organs except

Jejunum

What is not a boundary of omental foreman?

aorta


Borders are:


Superior - caudate ligament


Anterior - hepatoduadonal ligament


Inferior - first part of duodenum


Posterior - peritonium


Which of the following is not kn contact with spleen?

Duodenum

The celiac trunk supplies oxygenated blood to the following

Liver


But also


Stomach


Spleen

The fundus of the stomach receives it's arterial supply from the

Splenic

Which of the following are superficial abdominal regions?

Region umbilicalis


Region ingunalis


Region hypochondriaca

The transverse abdominis muscle

Forms part if the anterior layer of the rectus sheath above pubis



Contracts on deep expiration

The external oblique muscle

Forms inguinal ligament



Contracts on coughing

The inguinal canal

Has the fascia transversalis along the whole length of its posterior wall



Has the lucnar ligament in the medial part if its floor



Has the inferior epigastric artery medial to its deep ring

The internal oblique muscle

Forms part of the posterior wall of the inguinal canal



Is continuous with the cremasteric fascia



In the right side rotates the trunk st the vertebral column to the right

The inguinal ligament

Is inferior to the deep inguinal ring



Is the lower border of the aponeurosis of the external oblique muscle



Forms floor of inguinal canal

The muscle of the anterior abdominal wall

Can increase intra abdominal pressure



Are contracted in deep expiration



Control extension of the trunk in the upright position

The superficial inguinal ring

Is an opening in rye external oblique aponeurosis



Has the iliojnguinal nerve passing through it

The rectus abdominis muscle

Is innervates by the lower five intercoastal nerves



Is a flexor of vertebral column



Is anterior to the epigastric arteries

The deep inguinal ring

Is an opening in the fascia transversalis



Lies above the middle of the inguinal ligament

Muscles of the antero-lateral abdominal wall are

M transversus abdominis



M obliques extends abdominis



M rectus abdominis

The lesser omentum

Lies between liver, stomach and duodenum



Forms part if the anterior wall of the lesser sac



Contains portal vein

Which of the following doesn't belong to the jnfracllic compartments?

Gastrocolic ligament



Lesser omentum



Gastrophrenic ligament

The greater omentum

Is the most noticable part of peritoneum



Contains a large amount of fat



Has been called the abdominal policeman because it prevents the spread of infection

Vv paraumbilicales

Accompany the remnant of the umbilical vein



Accompany the ligamentum trees hepatis



End in the left portal vein


Are part of portacaval anestamosis

Which of the following peritoneal structures are found in the supracolic compartment

Omentum minus



Falciform ligament



Gadtrocolic ligament

Omentum majus

Part of supracolic compartment



Part of infracolic compartment



Begins from greater curvature of stomach

Rectus abdominis muscle

Has multiple bellies



Has 3 to 4 intersections



Located in aponeurotic vagina

Descending part if duodenum

Has the opening of the accessory pancreatic duct....



Anterior to the right renal vessel



Lateral to the second lumbar vertebra

The common bile duct

Opens into posueromedical wall of the descending part of duodenum



Lies behind head of pancreas



Lies to the right of hepatic artery



Anterior to epipolic foreman

The first superior part of duodenum

Forms lower boundary of the omental foreman



Anterior to bile duct



Posterior to gall bladder

The cecum

Has blood supply from superior mesenteric artery



Usually surrounded by peritonieum



Lies in right iliac fossa

The portal vein

Formed by union of splenic and superior mesenteric vein



Lies posterior to the hepatic artery

The ceoloc trunk

Indirectly supplies gallbladder



Indirectly supplies lower end of oesophagus

Common hepatic artery

Lies anterior to hepatic artery



Gives branches directly or indirectly to both the lesser and the greater curvature of the stomach

Portal vein

Anastamoses with the system of superior vena cava



Collects blood from impaired abdominal viscera



Part of it Is in the lesser omentum


Part of it runs posterior to the head if pancreas

List the mesogadtric regions

Right lateral


Umbilicus


Left lateral

List the epigastric regions

Right hypochondriac


Epigastric


Left hypochondriac

List the hypogastric regions

Right inguinal


Pubic


Left inguinal

Anterior abdominal wall is divided into 3 main regions

Epigastric


Mesogastric


Hyogastric

Peritoneal cavity subdivided into the following compartments

Supracolic


Infracolic


Pubic

Peritoneal structures in the supracolic compartment attached to the disaphramatic surface of the lives includes

Falciform ligament


Coronarum hepatis ligament


Triangulares ligament

With your finger in the omental foreman work out the structures in it's boundaries

Anterior - hepato- duodenal ligament


Posterior- IVC


superior - caudate lobe


Inferior margin - duodenum superior part

Muscles if anteriorlaterl wall are

External oblique


Internal oblique


Transverse obliques

List 5 ligaments in supracolic compartment

Round lig of liver


Falciform


Coronary


Lesser omentum


Gastrosolenic


Phenicosplenic

List the terms for the 2 layered structures which pass from the gut tube to the abdominal wall

Transverse mesocolon


Mesenteriium


Sigmoid mesocolon

The msin tributaries if portal vein

Superior mesenteric vein


Inferior mesenteric vein


Splenic vein


Gastric vein

3 branches if Celtic trunk

Common hepatic


Left gastric


Splenic

3 branches if portal vein

Splenic


Superior mesenteric


Inferior mesenteric

List 3 portocaval anastomosis

Superior epigastric vein


Esophageal vein


Middle rectal vein

List the cava Caval anastomosis

Superior epigastric vein


Azygos vein


Spinal vein