Anatomy 9 Liver; Spleen; Pancreas V 1.5

Front 1

Pancreas is "what kind of orgran"?

Back 1

secondarily Retroperitoneal organ

Front 2

Pancreas Lies posterior to?

Back 2

the stomach between the duodenum on the right and the spleen on the left

Front 3

The transverse mesocolon attaches where on Pancreas?

Back 3

to its anterior margin

Front 4

Parts of Pancreas?

Back 4

Head,Neck,Body,Tail

Front 5

The neck of the Pancreas overlies which vertebrae at which plane?

Back 5

the 1st and 2nd lumbar vertebrae in the transpyloric plane

Front 6

The head of the Pancreas is to right and inferior to which plane?

Back 6

the transpyloricbplane

Front 7

Pancreatic juice enter the duodenum through?

Back 7

the main and accessory pancreatic ducts

Front 8

the head of Pancreas Firmly attaches to?

Back 8

the medial aspect of the descending and horizontal part of duodenum

Front 9

Pancreas‐ Uncinate process is a Projection from?

Back 9

the inferior part of the head

Front 10

Pancreas‐ Uncinate process Extends where?

Back 10

medially to the left and posterior to the superior mesenteric artery

Front 11

Pancreas‐ the neck Overlies?

Back 11

the superior mesenteric vessels, which forms a groove on its posterior aspect

Front 12

Pancreas‐ the neck Posteriorly - which veins join up?

Back 12

The superior mesenteric vein joins with the splenic vein to form the portal vein

Front 13

Pancreas‐ the body Lies to the left of?

Back 13

the superior mesenteric vessels

Front 14

Pancreas‐ the body Passing over?

Back 14

the aorta and L2 vertebra

Front 15

Pancreas‐ the body - Anterior surface is Covered with?

Back 15

peritoneum (forms part of the stomach bed, omental bursa)

Front 16

Pancreas‐ the body - Posterior surface In contact with?

Back 16

aorta,
superior mesenteric artery,
left suprarenal gland,
left kidney and left renal vessels

Front 17

Pancreas‐ the tail Lies anterior to?

Back 17

the left kidney

Front 18

Pancreas‐ the tail is Closely related to?

Back 18

the hilum of the spleen and to the left colic (splenic) flexure

Front 19

Pancreas‐ the tail Passes between?

Back 19

the layers of the splenorenal ligament

Front 20

The main pancreatic duct Unites with the bile duct to form?

Back 20

the hepatopancreatic ampulla

Front 21

10 branches of which artery supply pancreas body and tail?

Back 21

the splenic artery

Front 22

pancreaticoduodenal arteries are branches of?

Back 22

the gastroduodenal artery.

Front 23

which artery supply pancreas head?

Back 23

inferior pancreaticoduodenal artery (anterior and posterior branch)

Front 24

The veins of the pancreas are?

Back 24

Tributaries of the splenic and superior mesenteric veins to the portal vein

Front 25

Most of Tributaries of the pancreas drain into?

Back 25

the splenic vein

Front 26

Liver The largest gland in the body Weights apporox.?

Back 26

1500 g and accounts for approx. 1/14 of adult body weight

Front 27

Liver Lies inferior to?

Back 27

the diaphragm, which separates it from the pleura, lungs, pericardium and heart

Front 28

The liver Lies mainly in the right upper quadrant in these regions:

Back 28

Right hypochondriac region,
Epigastric,
Left hypochondriac

Front 29

liver Lies deep to which ribs?

Back 29

7 through 11 on the right side

Front 30

The surfaces of the liver:

Back 30

Diaphragmatic surface (Anterior, superior and some posterior) -
Visceral surface (Posteroinferior)

Front 31

The surfaces of the liver is Separated where and how?

Back 31

anteriorly by sharp inferior border

Front 32

liver is Covered by the?

Back 32

subperitoneal fibrous capsule (Glissons`s capsule)

Front 33

liver - The diaphragmatic surface is?

Back 33

Smooth and dome shape

Front 34

liver - The diaphragmatic surface is Separated from the diaphragm by the?
Its a part of?

Back 34

subphrenic recesses between the anterior part of liver and the diaphragm
Its a superior extension of the peritoneal cavity

Front 35

liver - The diaphragmatic surface is Covered with?
except where?

Back 35

visceral peritoneum except in the bare area of the liver posterior.

Front 36

Liver is "what kind of organ"

Back 36

intraperitoneal organ. - The bare area of the liver is not intraperiotenael

Front 37

The hepatorenal recess (Morison`s pouch) is Between the?

Back 37

liver, the kidney and the suprarenal gland

Front 38

Fluid from the omental bursa flows into?

Back 38

hepatorenal recess (Morison`s pouch)

Front 39

liver - The visceral surface is Covered with?
except where?

Back 39

visceral peritoneum except at the bed of the gallbladder and the porta hepatis

Front 40

liver - The visceral surface i Related to the?

Back 40

right side of the stomach,
superior part of duodenum,
lesser omentum,
gallbladder,
right colic flexure and the right transverse colon,
right kidney and suprarenal gland.

Front 41

The segmentation of the liver is based on?

Back 41

the principal divisions of the hepatic artery proper and portal vein and accompanying hepatic ducts.

Front 42

Anatomical lobes of the liver:

Back 42

Right loe,Left lobe,Quadrate lobe,Caudate lobe

Front 43

The left lobe is Separated from the caudate and quadrate lobes on the visceral surface by?

Back 43

the fissure for the round ligament of liver and the fissure for the ligamentum venosum (These two fissures forms the left sagittal fissure)

Front 44

left sagittal fissure is made up by?

Back 44

the fissure for the round ligament of liver and the fissure for the ligamentum venosum

Front 45

The left lobe is Separated on the diaphragmatic surface by?

Back 45

the attachment of the falciform ligament of liver (“ventral mesentery”)

Front 46

falciform ligament of liver contents?

Back 46

lig. teres hepatis

Front 47

lesser omentum contains?

Back 47

proper hepatic a., hepatic portal v., common hepatic duct - lig. venosum (remnet of ductus venosus)

Front 48

The round ligament of the liver (ligamentum teres) is what?

Back 48

The fibrous remnant of the umbilical veins that carried well‐oxygenated and nutrient rich blood from the placenta to the fetus.

Front 49

The ligamentum venosum is what?

Back 49

The fibrous remnant of the fetal ductus venosus that shunted blood from the umbilical vein to the inferior vena cava, short circuiting the liver

Front 50

liver Receives blood from two sources:

Back 50

The portal vein(70%) and The proper hepatic artery (Branch of common hepatic artery from celiac trunk)

Front 51

Portal vein Drains venous blood from?

Back 51

the gastrointestinal tract, spleen, pancreas, and gallbladder to the sinusoids of the liver

Front 52

the Portal vein is Formed by the union of?

Back 52

the superior mesenteric and splenic veins posterior to the neck of the pancreas

Front 53

the Portal vein Collects what "kind of blood"

Back 53

poorly oxygenated but nutrient rich blood from the abdominal part of gastrointestinal tract

Front 54

The hepatic artery Carries?

Back 54

well‐oxygenated blood from the aorta

Front 55

The porta hepatis (hepatic portal) Give passage to the:

Back 55

Portal vein (most posterior structure in the porta hepatis)
-Hepatic artery proper (between the vein and ducts) - Hepatic nerve plexus (not visible)
- Hepatic ducts (most anterior structure in the porta hepatis)
- Common hepatic duct(Right hepatic duct Left hepatic duct),
Lymphatic vessels (not visible)

Front 56

The lesser omentum Passes from the liver to:

Back 56

the lesser curvature of the stomach and the first 2 cm of the superior part of the duodenum

Front 57

portal triad is what?

Back 57

portal vein, bile duct, hepatic artery proper

Front 58

The hepatoduodenal ligament encloses the:

Back 58

portal triad, a few lymph nodes, lymphatic vessels and the hepatic plexus of nerves

Front 59

The hepatogastric ligament extends between:

Back 59

the groove for the ligamentum venousm of the liver and the lesser curvature of the stomach

Front 60

Bile duct The length varies form:

Back 60

5 to 15 cm, depending on where the cystic duct joins the common hepatic duct

Front 61

Bile duct Lies in a groove on:

Back 61

the posterior surface of the head of the pancreas

Front 62

The hepatopancreatic ampulla Formed by:

Back 62

the union of the main pancreatic duct and bile duct

Front 63

Spleen is the:

Back 63

The largest, secondary lymphatic organ

Front 64

Spleen is Approx. ? long and wide

Back 64

12 cm long and 7 cm wide

Front 65

Spleen is what "what kind of organ"

Back 65

Intraperitoneal

Front 66

Spleen Entirely surrounded by peritoneum except at:

Back 66

the hilum

Front 67

Spleen Normally does not descend inferior to:

Back 67

the left costal (rib) margin

Front 68

Spleen Rests on:

Back 68

the left colic flexure

Front 69

Spleen Lies superficially in the left hypochondriac region between: (+ ribs)

Back 69

the 9th through 11th ribs and is separated from them by the diaphragm and costodiaphragmatic recess

Front 70

The hilum of the spleen Constitutes some boundary?

Back 70

the left boundary of the omental bursa

Front 71

The relations of the spleen

Back 71

Anteriorly - The stomach,
Posteriorly - The left part of the diaphragm,
Inferiorly - Left colic (splenic) flexure and Phrenicocolic ligament to the diaphragm,
Medially - The left kidney

Front 72

ligament that connects the spleen and the greater curvature of the stomach - name?

Back 72

gastrosplenic ligament

Front 73

ligament connects the spleen and the left kidney - name?

Back 73

The splenorenal ligament

Front 74

The splenic artery Follows a tortuous course posterior to:

Back 74

the omental bursa, anterior to the left kidney and along the superior border of the pancreas

Front 75

The splenic artery divides into five or more branches - where?

Back 75

Between layers of the splenorenal ligament

Front 76

The splenic vein is Joined by: (Before SMV)

Back 76

the inferior mesenteric vein and runs posterior to the body and tail of the pancreas throughout most of its course

Front 77

The splenic vein Unites with:

Back 77

the superior mesenteric vein posterior to the neck of the pancreas to form the portal vein.

Front 78

Gallbladder Lies in whcih fossa where?

Back 78

gallbladder fossa on the visceral surface of the liver

Front 79

Gallbladder capacity:

Back 79

up to 50 ml of bile

Front 80

Gallbladder Has three parts:

Back 80

The fundus, The body, The neck

Front 81

Gallbladder - Peritoneum completely surrounds which parts + function?

Back 81

the fundus and binds its body and neck to the liver

Front 82

The fundus is Located at: (rib + line)

Back 82

the tip of the right 9th costal cartilage in the right midclavicular line

Front 83

The body of the gallbladder Contacts the visceral surface of the:

Back 83

liver,
the transverse colon,
the superior part of duodenum

Front 84

The neck of the gallbladder Joins:

Back 84

the cystic duct

Front 85

Cystic duct Connects:

Back 85

the neck of the gallbladder to the common hepatic duct

Front 86

Cystic duct Passes between:

Back 86

the layers of the lesser omentum

Front 87

Cystic duct is Usually parallel to:

Back 87

the common hepatic duct, which joins to form the bile duct.

Front 88

umbilical v. becomes what after birth?

Back 88

lig. teres hepatis

Front 89

ductus venosus becomes what after birth?

Back 89

lig. venosum

Front 90

foramen ovale becomes what after birth?

Back 90

fossa ovalis

Front 91

ductus arteriosus becomes what after birth?

Back 91

lig. arteriosum

Front 92

What "creates" the triangular ligaments?

Back 92

The anterior and posterior layers of the coronary ligaments as they meet up.

Front 93

There are two layers of the coronary ligaments - which one are above and below the liver?

Back 93

The anterior layer is above the liver, the posterior is below the liver

Front 94

There are remnants of left lobe of liver- name?

Back 94

Fibrous appendix of liver

Front 95

Which ligament should end with "of liver"?

Back 95

Round lig and falciform lig. - of liver

Front 96

The 3 parts of liver according to blood supply?

Back 96

Left part (Left lobe and quadrate lobe)
right part (right lobe)
Posterior part (Caudate lobe)

Front 97

Posterior part of liver is supplyed by which vessels?

Back 97

Both left and right branches of both arteries and veins

Front 98

Parts of common bile duct? 4

Back 98

supraduodenal
retroduodenal
pancreatic
intramural - part

Front 99

cystohepatic triangle is made up by:

Back 99

Liver, cystic duct and common haptic duct

Front 100

Cystic A comes from?

Back 100

Right branch of propper hapatic a.

Front 101

Openings for pancreatic duct into the duodenum - name?

Back 101

major and minor duodenal papilla

Front 102

Posterior part of gallbladder lies superior to?

Back 102

superior part of duodenum and above transverse colon

Front 103

Common bile ducts joins?

Back 103

Main and accessory pancreatic duct

Front 104

Spleen borders:

Back 104

Superior and inferior border,
anterior and posterior end

Front 105

Surfaces of spleen:

Back 105

Gastric diaphragmatic,renal and colic

Front 106

General topographical position of body of pancreas

Back 106

L2 vertebra

Front 107

2 Structures found posterior to neck of pancreas

Back 107

SMV,SMA

Front 108

Structure found anterior to body of pancreas

Back 108

omental bursa (the space behind the stomach)

Front 109

Hepatic triad is made up by:

Back 109

bile duct,
hepatic portal v.,
proper hepatic a.

Front 110

Which veins drains into Hepatic portal vein?

Back 110

superior mesenteric v.,
splenic v.( <-inferior mesenteric v.)

Front 111

Processes of head of pancreas?

Back 111

uncinate process

Front 112

rib level of liver at left MCL?
(superior border)

Back 112

Left 5th rib

Front 113

rib level of liver at right MCL?
(inferior border)

Back 113

between right rib 9-10

Front 114

hepatopancreatic ampulla location?,

Back 114

major duodenal papilla - halfway along the second part of the duodenum

Front 115

Antoher name for hepatopancreatic ampulla?,

Back 115

ampulla of Vater

Front 116

Name the two Colic flexure

Back 116

Hepatic flexure ("right")
Splenic flexure ("left")

Front 117

Hepatic flexure ("right") is the sharp bend between :

Back 117

the ascending and the transverse colon.

Front 118

Splenic flexure ("left") is a sharp bend between

Back 118

the transverse and the descending colon in the left upper quadrant of humans.

Front 119

Splenorenal ligament do what?

Back 119

conveying splenic vessls to the spleen

Front 120

Gastrosplenic lagament do what?,

Back 120

conveying the short gastric and left gastro-omental vessles to the stomach

Front 121

Head of pancreas rests posteriorly on?,

Back 121

IVC, right renal A and V and left renal V

Front 122

Right sagittal fissure is made from?,

Back 122

Groove fromed by gallbalder and groov for IVC

Front 123

Which recesses are between the diaphragm and the superior and anterior parts of the diaphragmatic surfaces of liver?,

Back 123

Subphrenic recesses - left and right seperateded by falcifrom lig.

Front 124

Main pancreatic duct begins where?,

Back 124

In the tail of pancreas and runs towards the head.

Front 125

spleen location/region

Back 125

left hypochondrium

Front 126

Has the posterior side of body of pancreas peritoneum? Is in Contact with?,

Back 126

No peritoneum, in Contact with :
aorta, SMA left suprarenal gland, left kidney, and reanal vessles

Front 127

Tail of pancreas is closly related to?,

Back 127

Splenic hilum and left colic flexure

Front 128

List the porta hepatis vessels and ducts" post->ant.
(3)

Back 128

Portal vein (most posterior structure + between the duct and artery.
Hepatic artery proper - anterior and to the left
Hepatic ducts (most anterior structure + to the right)

Front 129

Pancreas - topography - head (5)

Back 129

-uncinate process
-duodenum, bile duct
-root of mesocolon transverse
-IVC and renal vessels

Front 130

Pancreas - topography - neck (3)

Back 130

pyloric part of stomach
-superior mesenteric vein, hepatic portal vein

Front 131

Pancreas - topography - body (9)

Back 131

-root of mesocolon transverse
-lesser sac, stomach
-jejunum
-L2 vertebra, abdominal aorta, SMA, left suprarenal gland
-splenic vein