ANATOMY
50
Abdomen & Pelvis - Organs
15.
Which is true of the Spleen?
a.
notch is located….. (?post/sup/…..)
b.
it has T12 – L2 innnervation and pain is referred to the
lower chest and upper flank
16.
Which is not true of the stomach
a.
completely invested by peritoneum
T
b.
cardia situated at T12
F - T11 accord to moore p 259
c.
pyloric opening at L1
T
d.
aorta to the left of lesser curve
F - to the R
e.
supplied by branches of the coeliac trunk
T
17.
What runs through the panniculus adiposis
a.
veins and cutaneous nerves
T - from blitz et al
b.
hepatic artery
F
c.
portal vessels
F
18.
Regarding the appendix, which is incorrect lasts p 249, NM 273
a.
The position of its base is fixed in relation to the caecum
T
b.
It opens onto the caecum 2cm below the ileocaecal valve T - posterior wall 2cm below (lasts…)
c.
The appendicular artery is usually a branch of the
ileocolic artery
T
d.
It may be 6-28cm long
F - 6-10cm
e.
It has a mesentery
T - the mesoappendix
f.
usually lies retrocaecal in health
F - ileocaecal in health accord to Lasts
g.
drains to inguinal nodes
F – ileocolic to superior mesenteric nodes
h.
has no mesentry
F - it has a mesoappendix
i.
has a tip constant in relation to the caecum
F - it is the base which is constant
j.
opens into the caecum 2 cm below the ileocaecal valve
T - (answer derived from Lasts not moore)
k.
The tip is in constant relation to McBurney’s point
F
l.
Enters the anterior wall of the caecum
F - posteromedial 2cm below ileocaecal junction
m.
Usually retrocaecal in health
F - Depends. Lasts says retroileal. Moore says retrocaecal
19.
Where does the appendix lie in health
a.
Retroileal p 249 Lasts
T
20.
Which is true of colon
a.
ascending is longer than descending Lasts p250, NM p279 F - Asc 15cm, TV 45cm, Desc 30cm, Sigmoid <45cm long
b.
only part suspended on mesentry is transverse colon
F - 25% have short mesentry accord to adam
c.
marginal artery is weakest at hepatic flexure
F - No at the left colic flexure aka splenic flexure (marginal artery are
the anastomotic branches near the inner margin of the whole colon)
d.
lymphatic drainage is via superior and inferior
mesenteric LN
T
21.
The internal anal sphincter p447
a.
is skeletal muscle
F - I think they mean striated; no it is not
b.
has longitudinal fibres
F - circular layer
c.
has no bony attachment
T
