ANATOMY
48
Abdomen & Pelvis – Circulation
7.
With regard to the abdominal aorta, what is correct? P340NM
a.
It is palpable above the transpyloric line in line with
the intertrochanteric line
F - Intertrochanteric line is lateral so not right. The surface markings are
the 2.5cm above the transpyloric plane in the midline to a point 1-2cm
below and to the L of the umbilicus
b.
It has the sympathetic chain adjacent to it on the right
F - on the L
c.
the splenic vein lies under the SMA
F - the SMA lies under the splenic vein... who the fuck cares!? P266 Lasts
d.
Renal arteries originate at T12
F - L1 (New Moore p 339, other books say L2…). can’t be t12 because
it STARTS at T12 (ends at L4)
e.
The surface marking is from just above the transpyloric
plane to a point just below and to the left of the umbilicus
T - 2.5cm above the transpyloric plane (L1) in the midline to a point 1-2 cm
below and to the left of the umbilicus p340NM, Lasts p268
f.
The splenic vein crosses the aorta just below the origin of
the superior mesenteric artery
F - it lies superior to the SMA (fig 5.42 Lasts)
g.
surface markings are from the transpyloric plane to just
left of the mid point between ASICs
T - pretty much. From 2.5cm above the TP plane (ie at T12) to a point
inferior and slightly to the left of the umbilicus (ie L4) which corresponds
to the highest point of the iliac crests.
8.
Branches of the abdominal aorta include all of the following
EXCEPT
a.
the deep circumflex iliac artery
T
b.
the suprarenal artery
F
c.
the inferior mesenteric artery
F
d.
the inferior phrenic arteries
F
e.
the lumbar arteries
F – Pneumonic: I Can’t Stop My Randy Goat Licking It’s Massive C…
9.
The highest branch of the abdominal aorta is the
a.
xright suprarenal artery
F - L1 . It is above the L suprarenal but below the celiac trunk p339 NM
b.
coeliac trunk
T - at T12!!!! P339NM
c.
left renal artery
F - L1
d.
left gonadal artery
F - L2
e.
superior mesenteric artery
F - L1
10.
All of the below are tributaries of the portal vein EXCEPT
a.
right gastroepiploc v
F - to the superior mesenteric vein which drains to portal...
b.
left gastro epiploic v
F - to splenic which drains to portal...
11.
The main vessel supplying the body of the pancreas is the
p287 NM
a.
superior pancreaticoduodenal artery
F – head of pancreas
b.
splenic artery
T - p286 NM lasts p 262
c.
left gastric
F
d.
left gastroepiploic
F
e.
inferior pancreaticoduodenal
F – head of pancreas
12.
Superior pancreaticoduodenal vein drains into
a.
left gastric vein
F
b.
portal vein
T - p238 Lasts, Inferior pancrduo joins SMV
c.
splenic vein
F
d.
superior mesenteric vein
F
e.
IVC
F
13.
All the following are veins which drain the stomach EXCEPT
a.
Gastroepiploic
F
b.
Gastroduodenal
T - This one
c.
right gastric
F
d.
left gastric
F
e.
short gastric
F
