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Exam (elaborations)

CSFA Exam study guide|

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  • CSFA
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Hesselbacks Triangle -Answer- landmarks;medial rectus abdominas, lateral inferior epigastric vessels,and Inferior inguinal ligaments-Direct hernias occur here Transverse Fascia -Answer- defects in the transverse fascia can cause direct & indirect hernias hernia -Answer- rupture Pantaloon H...

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  • November 14, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CSFA
  • CSFA
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CSFA Exam study guide|2024-2025



CSFA Exam study guide|2024-2025
Hesselbacks Triangle -Answer- ✔landmarks;medial rectus abdominas, lateral inferior
epigastric vessels,and Inferior inguinal ligaments-Direct hernias occur here

Transverse Fascia -Answer- ✔defects in the transverse fascia can cause direct &
indirect hernias

hernia -Answer- ✔rupture

Pantaloon Hernia -Answer- ✔when a direct & indirect hernia are present

Umbilical Hernia -Answer- ✔due to developmental deficiencies congenital umbilical
hernia or weakness in linea alba in area of umbilicus

Inguinal Hernia -Answer- ✔hernia occuring in the groin area, more common in males
*landmarks inguinal ring, inferior epigastric vessels, and spermatic vessels

McVays Repair -Answer- ✔used to repair femoral hernias(transverse fascia &conjoined
tendon to cooper's lagament(pectenial ligament)

Ligament of Cooper's -Answer- ✔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 -Answer- ✔oblique RLQ incision appendix removal

Gerotas Fascia -Answer- ✔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 -Answer- ✔Wilm's tumor(commonly found in children)
cause obstruction of the vena cava, hepatic veins or renal veins

open gallbladder
laparoscopic -Answer- ✔dissected anti-grade
dissected retrograde

duodenum, jejunum, and ileum -Answer- ✔make up small intestines

duodenum -Answer- ✔first of small intestines where all food digestion is complete;
associated with Brunner's gland; connects the pylori of the stomach to the jejunum


CSFA Exam study guide|2024-2025

,CSFA Exam study guide|2024-2025



jejunum -Answer- ✔absorption of digested foods, vitamins,& electrolytes; thick wall with
larger lumen in diameter and more vascularity compared to ileum; color; deep red

ileum -Answer- ✔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 -Answer- ✔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 -Answer- ✔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 -Answer- ✔Iliocolic
artery, right colic artery, middle colic artery, left colic artery, and the superior rectal
artery

layers of the stomach and intestines -Answer- ✔serosa, mucosa, and submucosa

large intestines -Answer- ✔cecum, ascending colon, transverse colon, descending
colon, sigmoid, and rectum; water absorption back into the bloodstream, and eliminates
food wastes ;

ileocecal valve -Answer- ✔regulates discharge of small intestinal contents into large
intestines; permits movement of fecal matter and gas in either direction which helps
prevent obstructions

cecum -Answer- ✔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 -Answer- ✔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 -Answer- ✔right side of the abdomen from the cecum up to the
transverse coloncontracts rt. lobe of the liver; secondarily retroperitoneal


CSFA Exam study guide|2024-2025

, CSFA Exam study guide|2024-2025



transverse colon -Answer- ✔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 -Answer- ✔left colic flexure down from the transverse to the sigmoid;
secondarily retroperitoneal

sigmoid colon -Answer- ✔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 -Answer- ✔twisting of the bowel can cut off blood supply and lead to gangrene;
can be corrected by peristalsis

peristalis -Answer- ✔contraction of smooth muscle that keep digested food moving
downward

Triangle of Calot -Answer- ✔Margins: edge of the liver, hepatic duct and cystic duct;
cystic artery can be found here; nice of Lund is also found here

hepatoduodenal -Answer- ✔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 -Answer- ✔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

hartmans pouch -Answer- ✔gallbladder folds back on itself at neck, forms a pouch
Typical location for stones

Crohn's disease -Answer- ✔Is an auto immune disease
chronic inflammation of the intestinal tract characterized by ulcerations and formation of
scar tissue that may lead to intestional obstruction

diverticulum -Answer- ✔Zenker diverticulum (diagnosed by barium swallow)oat common
disease of the colon
an abnormal side pocket in the gastrointestinal tract; usually related to a lack of dietary
fiber;
bleeding occurs in descending colon ; ruptures in the sigmoid


CSFA Exam study guide|2024-2025

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