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CSFA Exam study guide Questions & answers
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CSFA Exam study guideHesselbacks Triangle - ANS-landmarks;medial rectus abdominas, lateral inferior
epigastric vessels,and Inferior inguinal ligaments-Direct hernias occur here
Transverse Fascia - ANS-defects in the transverse fascia can cause direct & indirect
hernias
hernia - ANS-rupture
Pantaloon Hernia - ANS-when a direct & indirect hernia are present
Umbilical Hernia - ANS-due to developmental deficiencies congenital umbilical hernia or
weakness in linea alba in area of umbilicus
Inguinal Hernia - ANS-hernia occuring in the groin area, more common in males
*landmarks inguinal ring, inferior epigastric vessels, and spermatic vessels
McVays Repair - ANS-used to repair femoral hernias(transverse fascia &conjoined
tendon to cooper's lagament(pectenial ligament)
Ligament of Cooper's - ANS-lateral extension of lucuner ligament, surrounds spermatic
cord & testies. Cremaster muscle forms a ring around spermatic cord, continuation of
internal oblique, Genito femoral intervals cremaster muscle & over middle surface of the
thigh
McBurneys Incision - ANS-oblique RLQ incision appendix removal
Gerotas Fascia - ANS-a fibrous capsule that encircles the kidney to aid in keeping the
kidney in the correct anatomical position and to cushion it from injury
kidneys live retroperitoneal with the ureters
nephroblastomas - ANS-Wilm's tumor(commonly found in children)
cause obstruction of the vena cava, hepatic veins or renal veins
open gallbladder
laparoscopic - ANS-dissected anti-grade
dissected retrograde
,duodenum, jejunum, and ileum - ANS-make up small intestines
duodenum - ANS-first of small intestines where all food digestion is complete;
associated with Brunner's gland; connects the pylori of the stomach to the jejunum
jejunum - ANS-absorption of digested foods, vitamins,& electrolytes; thick wall with
larger lumen in diameter and more vascularity compared to ileum; color; deep red
ileum - ANS-final portion of small intestines,connects to the cecum; absorbs nutrients
the jejunum doesn't ; Meckel's Diverticulum found here color;pale pink Peyer's patches
Superior Mesenteric Artery
SMA - ANS-blood supply to the distal pancreas,duodenum, cecum, and the ascending
and right transverse colon;
what are some medical conditions that may mimic anorexia?
What is the most common vessel blocked with intestinal ischemia?
The inferior pancreaticoduodenal artery branches off which artery?
Inferior Mesenteric Artery
IMA - ANS-oirgin: abdominal aorta; Supplies the left half of the transverse colon, the
descending/iliac/and sigmoid colon, and part of the rectum; often sacrificed during AAA
REPAIR, COLONIC ISHEMIA CAN OCCUR
5 MAJOR ARTERIES THAT SUPPLY THE LARGE INTESTINES - ANS-Iliocolic artery,
right colic artery, middle colic artery, left colic artery, and the superior rectal artery
layers of the stomach and intestines - ANS-serosa, mucosa, and submucosa
large intestines - ANS-cecum, ascending colon, transverse colon, descending colon,
sigmoid, and rectum; water absorption back into the bloodstream, and eliminates food
wastes ;
ileocecal valve - ANS-regulates discharge of small intestinal contents into large
intestines; permits movement of fecal matter and gas in either direction which helps
prevent obstructions
cecum - ANS-widest and smallest part of the colon; first part of the large intestines;
appendix is attached ;where the distal ilium enters and forms the ileocecal valve;
intraperitoneal covered by mesocecum
, appendix - ANS-mass of lymphatic tissue that helps contribute to immunity; connects to
the cecum;possible cause of appendictis in adults-fecal matter blocking the lumen;
appendisitis in youth- hyperplasia of lyphatic follicles in appendix occludes the lumen
ascending colon - ANS-right side of the abdomen from the cecum up to the transverse
coloncontracts rt. lobe of the liver; secondarily retroperitoneal
transverse colon - ANS-part of the colon that extends across the abdomen, blood
supply from the SMA and IMA; vitamin K is produced here; most movable part of lg.
intestines; intraperotoneal
*structures that hold transverse colon are transverse mesocolic,hepatic flexure, and
splenic flexure
descending colon - ANS-left colic flexure down from the transverse to the sigmoid;
secondarily retroperitoneal
sigmoid colon - ANS-most common site for diverticula; S shaped part of the colon
between the ascending and rectum;suseptible to volvulus because greatest range of
motion, easy to twist on itself
volvulus - ANS-twisting of the bowel can cut off blood supply and lead to gangrene; can
be corrected by peristalsis
peristalis - ANS-contraction of smooth muscle that keep digested food moving
downward
Triangle of Calot - ANS-Margins: edge of the liver, hepatic duct and cystic duct; cystic
artery can be found here; nice of Lund is also found here
hepatoduodenal - ANS-During a lap whole it is important to identify;
this is a thicker region of the lesser omentum extending between the liver and the
duodenum the right edge is free and contains the portal triad:common bile duct, proper
hepatic artery and the portal vein
ligament of trietz - ANS-when surgically running the bowel, you would start here;
connects from the diaphragm to the duodenal jejeunal flexure and helps mark the
transition from duodenum to jejunum
divides upper and lower GI
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