jueves, 13 de octubre de 2016

Abdominal anatomy exam

1. With regard to the peritoneum and peritoneal cavity false point:
The omental bursa is a diverticulum of the peritoneal cavity located behind the stomach
The previous limit of omental foramen is hepatic pedicle
The high sensitivity of the parietal peritoneum is due to its somatic innervation
Visceral pain is located at the point where the visceral peritoneum is stimulated
His only truly intraperitoneal organ is the ovary
2. With respect to inframesocolic floor of the peritoneal cavity false point:
Its content is supplied by both mesenteric arteries
Its content receives parasympathetic innervation of vagal origin and spinal sacral
It is in part infer both the head of the pancreas as the descending part of the duodenum
His secondarily retroperitoneal organs are the cecum and appendix
It is inferiorly limited by the reflection of the peritoneum of the pelvic viscera
4. With respect to the transverse colon point false
With the transverse mesocolon separates the floors above and inframesocolicos
It presents the omental, mesocolic and free tapeworms
For the most part it is territory of the superior mesenteric artery
His colic flexures are always attached to the diaphragm by ligaments frenicocolicos
His parasympathetic innervation comes from the superior hypogastric plexus
5. With regard to liver false point:
The segmentation is based on the distribution of the branches of the portal vein
The hepatic arteries follow a different distribution pattern of the branches of the portal vein
The lateral segment corresponds to the wolf to the left of the falciform ligament
The bare area is related to the right adrenal gland
Subphrenic recesses are located on each side of the falciform ligament
6. With respect to the common bile duct false point:
It is located behind hepatic portal vein
It is contained within the ligament hepatoduodenal
Coursing behind the upper duodenum
With the liver is the main bile duct
If your gauge increases colecistectomia
7. With regard to the point pancreas FALSE:
Ahead of the body and behind the uncinate process pass the superior mesenteric vessels
Your lymphatic drainage is done to the floors above and inframesocolicos
It can be addressed through the transverse mesocolon
It is part of the posterior wall of the omental bursa
His parasympathetic innervation comes from the superior hypogastric plexus
8. Furthermore spleen, occluding the splenic artery or lienal originally likely compromise irrigation:
Jejunum
Head of the pancreas
lesser curvature of the stomach
Fund stomach
Duodenum
9. Enter 30 year old patient with a history of 12 hours of onset of pain in the right iliac fossa associated with fever. You should think about:
Appendicitis
Psoas abscess
TOA
Typhlitis (Inflammation of the Blind)
All of the above
10. Enter a patient with history of hematemesis, endoscopy is carried and is an ulcer in the posterior wall of the upper duodenum or duodenal bulb. The most likely artery is committed:
right gastric
Left gastric
right gastro
Gastro or left gastroepiploica
gastroduodenal
11. Enter a 30 year old patient withhistory of jaundice 15 days of evolution, without other symptoms. An ultrasound of liver and bile duct that showed gallstones was taken. The most likely cause of the ic
Pancreatic cancer
choledocholithiasis
cholangitis
Hepatitis
pancreatitis
12. Enter a patient to outpatient with pain mesogastrico a year of evolution. On physical examination there supraumbilidal protrusion reduced. You think of a hernia:
Inguinal
epigastric
Mesogastrica
Umbilical
Pramediana
13. Obstruction of the hepatic portal venous drainage produces the following EXCEPT:
Esophageal varices
splenomegaly
internal hemorrhoids
dilated veins of the abdominal wall
hepatomegaly

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