Peritoneal Anatomy Quiz

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Questions and Answers

What is the structure that goes through the inguinal canal in men?

  • Gubernaculum
  • Spermatic cord (correct)
  • Mesentery
  • Ligament of Treitz

What is the fibrous cord that attaches the gonad to the future scrotum or labia?

  • Gubernaculum (correct)
  • Ligament of Treitz
  • Mesentery
  • Indirect inguinal hernia

What type of hernia goes directly through the abdominal wall?

  • Indirect inguinal hernia
  • Gubernaculum
  • Direct inguinal hernia (correct)
  • Portal caval system

Which peritoneal structure covers the blood supply of an organ and can move around?

<p>Mesentery (B)</p> Signup and view all the answers

What anatomical feature divides the duodenum and jejunum and prevents reflux?

<p>Ligament of Treitz (B)</p> Signup and view all the answers

Which muscle runs inferomedially (down and in) in the abdominal wall?

<p>External oblique (A)</p> Signup and view all the answers

Which muscle runs superomedially (up and in) in the abdominal wall?

<p>Internal oblique (A)</p> Signup and view all the answers

Which muscle runs horizontally and in (fans out) in the abdominal wall?

<p>Transverse abdominis (D)</p> Signup and view all the answers

Which muscle runs vertically in the abdominal wall?

<p>Rectus abdominis (C)</p> Signup and view all the answers

Where does a Spigelian hernia occur?

<p>Between rectus abdominis and semilunar line (B)</p> Signup and view all the answers

In which type of hernia does the peritoneal sac enter the inguinal canal through the deep inguinal ring?

<p>Indirect inguinal hernia (A)</p> Signup and view all the answers

Which is the least common type of hernia?

<p>Femoral hernia (D)</p> Signup and view all the answers

Where does a femoral hernia protrude through in the abdomen?

<p>Below the inguinal ligament (B)</p> Signup and view all the answers

What does a Direct inguinal hernia protrude through above the inguinal ligament?

<p>Through the external inguinal ring (C)</p> Signup and view all the answers

Where is a femoral hernia located with respect to the inguinal ligament?

<p>Below it, not entering the scrotum (C)</p> Signup and view all the answers

Where is the pouch of Douglas located?

<p>Anterior to the rectum (C)</p> Signup and view all the answers

What is the major blood supply to the stomach?

<p>Superior mesenteric artery (A)</p> Signup and view all the answers

What type of peritoneum surrounds mesentery?

<p>Visceral peritoneum (D)</p> Signup and view all the answers

What happens when intraperitoneal contents twist?

<p>Volvulus (D)</p> Signup and view all the answers

What lies in the left hypochondriac region of the abdomen?

<p>Spleen, Stomach, Pancreas (D)</p> Signup and view all the answers

Where does inflammation spread from visceral peritoneum to parietal peritoneum?

<p>Through lymphatic vessels (A)</p> Signup and view all the answers

What is the dermatome/location of the umbilicus?

<p>$T10$ (D)</p> Signup and view all the answers

What occurs when there is hypertension of the caval system?

<p>Esophageal varices (D)</p> Signup and view all the answers

Where is McBurney's point located?

<p>$Right upper quadrant$ (A)</p> Signup and view all the answers

Where do the left and right common iliac arteries divide into?

<p>Internal and external iliac arteries (at the umbilicus) (A)</p> Signup and view all the answers

What do the portal vein, common bile duct, and hepatic artery form at the hiatus of the liver?

<p>Portal triad (C)</p> Signup and view all the answers

What sphincter prevents the papilla Vater from draining all the time?

<p>Sphincter of Oddi (D)</p> Signup and view all the answers

What is a function of the Greater Omentum?

<p>Fat storage, immune functions, padding (D)</p> Signup and view all the answers

How can you differentiate between the jejunum and ileum based on blood supply?

<p>Jejunum has direct rays from the superior mesenteric artery (D)</p> Signup and view all the answers

What connects at the marginal artery of Drummond?

<p>Right and left colic arteries (A)</p> Signup and view all the answers

Where does excess abdominal fluid accumulate?

<p>Ascites (D)</p> Signup and view all the answers

"Rugae" refers to what in the stomach?

<p>Foldings that increase surface area (B)</p> Signup and view all the answers

"Pancreatic divisum" occurs when what drainage channels do not join together?

<p>Major pancreatic duct and duct of Santorini (B)</p> Signup and view all the answers

Flashcards

Spermatic cord structure

Fibrous cord containing blood vessels, nerves, and the vas deferens, passing through the inguinal canal in males.

Gubernaculum function

Fibrous cord attaching the gonad to the future scrotum or labia, aiding in the descent of the testicles.

Direct inguinal hernia

Hernia directly through the abdominal wall, often weakness in the posterior inguinal ring.

Mesentery definition

Double-layered peritoneum enveloping blood vessels and nerves supplying an organ. It's mobile.

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Ligament of Treitz

Connective tissue separating the duodenum and jejunum, preventing reflux.

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External oblique muscle

Abdominal muscle running inferomedially (down and in).

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Internal oblique muscle

Abdominal muscle running superomedially (up and in).

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Transverse abdominis muscle

Abdominal muscle running horizontally and in (fans out).

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Rectus abdominis muscle

Abdominal muscle running vertically.

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Spigelian hernia location

Hernia between the rectus abdominis muscle and the semilunar line.

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Indirect inguinal hernia path

Hernia where the peritoneal sac goes through the deep inguinal ring into the inguinal canal.

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Femoral hernia positioning

Hernia below the inguinal ligament, not going towards the scrotum.

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Femoral hernia location

Hernia below the inguinal ligament.

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Direct inguinal hernia path

Hernia through the external inguinal ring above the inguinal ligament.

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Pouch of Douglas location

Posterior to the uterus and anterior to the rectum.

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Superior mesenteric artery

Major blood supply to the stomach.

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Visceral peritoneum

Type of peritoneum surrounding the mesentery.

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Volvulus

Intraperitoneal contents twisting.

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Left hypochondriac region

Area of abdomen containing the spleen, stomach, and part of the pancreas.

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Lymphatic spread of inflammation

Inflammation spreading from visceral to parietal peritoneum through lymphatic vessels.

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Umbilicus dermatome

Dermatome associated with the umbilicus ($T10$).

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Esophageal varices

Result of caval system hypertension.

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McBurney's point location

Location on the right lower quadrant of the abdomen.

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Common iliac artery branching

Common Iliac arteries divide into internal and external iliac arteries at the umbilicus

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Portal triad components

Portal vein, common bile duct, and hepatic artery at the liver hiatus.

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Sphincter of Oddi function

Prevents the papilla Vater from draining constantly.

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Greater Omentum function

Fat storage, immune functions, and padding for abdominal organs.

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Jejunum vs Ileum (Blood supply)

Jejunum has direct branches from the superior mesenteric artery, differentiating it from the ileum.

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Marginal artery of Drummond

Connects the right and left colic arteries.

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Ascites accumulation

Excess abdominal fluid accumulates in the abdominal cavity.

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Stomach rugae

Foldings in the stomach wall that increase the surface area.

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Pancreatic divisum cause

Failure of the major pancreatic duct and duct of Santorini to merge, causing multiple outflow locations.

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