Antomy 3

Question 1

collecting duct

Answer 1

Multicystic Dysplastic kidney

Question 2

ascent issue , kidney fuse IM entrapment

Answer 2

pelvic kidney/ horseshoe kidney (L3-5)

Question 3

allantois persists peeing with umbilicus

Answer 3

Urachal fistula or cyst-

Question 4

Thoracentsis

Liver Biopsy

Answer 4

10th intercostal space midaxillary or not

Question 5

Subphrenic abscesses

Answer 5

@ 12th common R

Question 6

Diaphram rupture-

Answer 6

95% on L bc of Liver on R

Question 7

elimate kidney stone w ultrasound?

Answer 7

lithotripisy

Question 8

posterior fornix pelvic abcess puch of douglas

Answer 8

Culdocentesis

Question 9

Caudal nerve block

Answer 9

S2-S4 pudedal, plus VA above and below pain line

Question 10

prepuce emergency

Answer 10

Paraphimosis-

Question 11

Hemrrohids

Answer 11

internal venous plexus vs external venous plexus painful clot

Question 12

perinial body

Answer 12

episitomy, pubcoccyegous, in middle of vagina and vesicle on female

Question 13

Coronary vesseles occlusion

Answer 13

1. LDA ( 40-50), 2. RCA (40-30) 3. Circumflex of RCA ( 20-15)
2. LCA 5. PDA

Question 14

What is the Venous drainage of the abdominal wall and node above,& below umbilicus and deeper? nn?

Answer 14

above umbilcals-> Thorepgvein, axillary nodes
below umbilic-> supferfic epig, –> superficial inguin
deep–’ external lilac,
N- T7-T11), (T12) , L1 ( SE/SA, VA/VE- Symp- post)

Question 15

What inn of abdominal muscles & fxn?

Answer 15

Rectus ab-  T5- T12 ( FAPD) 
 rest  olique ( T7-T12) RFF

Question 16

scrotum

Answer 16

Scrotum- ant/ post scrotal ( SE/SA/ VE/VA- symp post)
N- Ant- Iloinguinal (L1) & Gent. branch of genitol femoral (L1-2) Post- superp perineal branch of internal pud (S2-4) & Infer- perineal of the post femoral cut (S2-3)
B- ext/internal pudendal, Creamastric a,
L- superficial ingu

Question 17

testis

Answer 17

L- Lumbar

Question 18

Spermatic Chord?

Answer 18

test, duct, crem , nerves (gential, of genitofemoral) , lymp

Question 19

somatic Lumbar plexus?

Answer 19

(L1-L4) - L1 (illohypo ( ant. wall) /illoing ( spermatic chord & scrotum), L1 right below white line, L1-2 genitofemoral on psoas, lateral femoral cutanous (L 2-3) , Obturator nerve medial (L24), Femoral thick behind psoas ( L-2-4), Lumbarsacral (l4-5) deepest medalist

Question 20

Back muscles?

Answer 20

Quadratus lumborum  (T12-4)  EFF 
      illiacus & psoas major/ minor (L2-L4) -- FFF

Question 21

Kidney -

Answer 21

L- Lumbar ( kidney, ureter, suprarenal) 
     R Kidney ( L1-L4) vs L Kidney (T12-L3) 

-

Question 22

Diaphram

Answer 22

5th rib, nn: C3-C5,

B- Phrenic 4

Question 23

Hiatus

Answer 23

T8 (caval open) -T10 (esph hiatus) –12 (aorta hiatus)

R crus- (L3), R crus(L2)

Question 24

IVC drainage point?

Answer 24

(L Suparenal and L gonadal v dont drain)

Question 25

Foregut Midgut Hindgut

Answer 25

1. ) T59 great s, ant, celiac a /L 2. )T 9-12 less s, post, SMA a/L 3. ) Hindgut L 1-4 L sp, Pelvic S2-4, IMA a/L

Question 26

Levels for ? celia, SM, gonadal, IM, bifurcation

Answer 26

1. 12 2. 1 3. gonadal 2 4. IM 3 5. Bifurcation aorta L4 6. Bifurcation vein L5

Question 27

Esp Lymp? level? a

Answer 27

L gastric, celaic node C6-T11, L gastric & inf phrenic

Question 28

Stomach Lymph?

Answer 28

T11-L1 lesser- sup pyloric, gastric greater- inf pyloric, gastroomental

Question 29

Duod (1/2)

Answer 29

Ant or posterior lymphatics --> celiac L2, L2-3

Question 30

Duod ( 3/4)

Answer 30

Ant or posterior lymphatics --> celiac , L3, L3-2

Question 31

Ant. of duodenum Lymp?

Answer 31

Ant. lympahtics--> pancroduodenl or pyloric , celiac

Question 32

Pancreas head neck uncinate Lymph?

Answer 32

pyloric, celiac node L1/2

Question 33

body and tail of pancreas lump?

Answer 33

pancreaticosplenic , celiac L1/2

Question 34

Esp innervation?

Answer 34

esph plexus from T5-9, ant vagal trunk

Question 35

Hepatic proper splits into?

Answer 35

L/R hepatic & R gastric

Question 36

Celiac trunk splits into?

Answer 36

Splenhic, Common hepatic a, & L gastric

Question 37

SMA splits into?

Answer 37

Mid gut -Middle, Right, Illeocolic ( illegal, colic, ant/post cecal, apendicular) , 15-18 jejunum and illeum branches

Question 38

IMA splits into ?

Answer 38

L, sigmoid (3-4), sup rectal a

Question 39

Pancreaticoduodenal?

Answer 39

supply duodenum & pancrease from the SMA --> common pancreatic duodenal-->ant./post. inf pancreas From Celiac--> gastrodoudenal -->ant./post. sup. pancreas

Question 40

Median arcuate ligament?

Answer 40

Right Crus (L3) -- aorta hiatus

Question 41

lateral acurate ligament?

Answer 41

formed by fascia of Quadratus lumbordum ( T12-4)

Question 42

Liver GB

Answer 42

T7-23 4th rib hepatic celiac | L1 --> cystic, celiac

Question 43

Spleen

Answer 43

9-10 th rib , T 10- L1

Question 44

Splenhic artery provides?

Answer 44

dorsal/ great pancreas, L gastroomental, & short gastric

Question 45

compressing 3th duod

Answer 45

SMA syndrome

Question 46

Compressing L renal vein

Answer 46

Nutcracker syndrome

Question 47

places of collateral in GI w/ IVC obstruction or cirrhosis?

Answer 47

L gastric--> espoh sup rectal artery--> middle & inferior rectal artery paraumbilical --> epigastric colic--> retropenial

Question 48

Sacrotub ligament nn?

Answer 48

Coccygeal S4, S5 somatic called annococygeal nerve

Question 49

Internal illac arteries and ligaments associated | Internal illac-

Answer 49

Post 3- lateral sacral, Illolumbar, sup gluteal , Ant - OU"VIMII" ligament of bladder , umbilical a sup vesical cardinal ligament-- uterine artery ligament of rectumr- middle rectal a