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80 Cards in this Set
- Front
- Back
what is an outpouching on the ileum or caecum called?
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meckrel's outpouching
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what rule can be applied to a meckrel's outpouching?
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rule of 2
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what cell types are present in a meckrel's diverticulum?
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gastric, pancreatic or colonic mucosa
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what is peritonitis and what causes it?
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inflammation of the peritoneum. caused by gastric tissue secreting HCL
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what is the function of the gall bladder?
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stores and concentrates bile
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what is the duct called that comes from the gall bladder?
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cystic duct
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what is bile?
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contains water,cholesterol, bile pigments, phospholipids and bicarbonate responsible for fat digestion
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what is a gall stone and what problems can they cause?
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crystalline bodies made of cholesterol or bilirubin and calcium salts
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what are the functional regions of the pancreas called?
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endocrine and exocrine
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what forms the bulk of the pancreas?
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exocrine
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what is the most common pathology to affect the pancreas?
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diabetes mellitus
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where does the blood in the hepatic portal vein arise from?
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gastrointestinal organs
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what is the blood supply for the pancreas and where do these arise from?
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superior and inerior pancreaticoduodenal arteries from gastroduodenal and superior mesenteric arteries
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what vessels unite to form the hepatic portal vein?
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superior mesenteric and splenic veins
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where do anastomoses (joining vessels) occur?
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oesophagus and stomach which can become enlarged in portal hypertension
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what is portal hypertension and why is it so dangerous?
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increase in pressure in the liver and can result in raised pressure in the oesophagus and gastric vessels which may rupture resulting in haematosis
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what divisions of the gut does the coeliac trunk supply?
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foregut
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what divisions of the gut does the superior mesenteric artery supply?
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mid-gut
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what are the lobes of the liver called?
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left and right caudate and quadrate
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what is the function of the liver?
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filter blood
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where does the bile produced in the liver open into the intestinal trunk?
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sphincter of oddi
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what is the arterial supply of the liver?
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hepatic artery
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where does the arterial supply of the liver arise from?
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coealic trunk
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what is the region called where all these structures enter the liver?
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porta hepatis
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what is the round ligament of the liver?
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remnant of the umbilical vein
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in foetal life what passed through a patent round ligament and what was the purpose of it?
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bypass the liver to allow nutrients to reach the foetus directly rather than being processed in the liver
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what comprises the pharyngeal plexus and what type of fibres are present in it?
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glossopharyngeal and vagus nerves comprising motor and sensory fibres primarily
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name the pharyngeal constrictors, how do they differ in their muscular arrangement compared to the rest of the gastrointestinal tract?
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superior, middle and inferior constrictors. they have inner longitudinal and outer circular arrangements of muscle
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what role do the pharyngeal constrictors perform and what would happen if their nerve supply was damaged? how might you test for this clinically?
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contraction of pharynx. inability for food to pass down sufficiently. ask the patient to say ahh as the same nerves also supply the uvula
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what type of epithelium is present in the oesophagus?
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stratified squamous (non-keratinised)
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what layer of the oesophagus are blood vessels found?
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lamina propria
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what are the anatomical regions of the stomach?
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cardia, fundus, body and pylorus
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what attatches onto the greater curvature of the stomach?
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greater omentum
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what is contained within the greater omentum?
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adipose tissue,lymphatics, blood vessels and nerves
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what is the role of the greater omentum?
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encases infection
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how do the types of muscle vary throughout the oesophagus's length?
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upper skeletal, middle mixed, lower smooth
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what forms the lower oesophageal sphincter?
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diaphragm
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whats the nerve supply of the diaphragm?
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phrenic (C345)
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what is the function of temporalis?
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elevation and retraction of mandible
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what is the nerve supply of temporalis?
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trigeminal nerve
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what is the function of the buccinators and the nerve supply?
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maintains food in th middle of the oral cavity. facial nerve
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what common pathology may result in buccinators not functioning and what are the functional consequences for the patient?
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stroke. drooling
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what are the proximal and distal attatchments of the masseter muscle?
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zygomatic arch and mandible
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what is the function of the masseter?
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elevation of mandible
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what is the nerve supply of the masseter?
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trigeminal nerve
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how would you clinically test the integrity of the masseter?
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get patient to clench teeth and feel muscle bulk and power
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how do the secretions the parotid gland produces enter the oral cavity?
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pass through buccinators to open opposite 2nd upper molar tooth
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what nerve pases through the parotid gland?
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facial nerve
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what type of secretion does the parotid gland produce?
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serous
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what are the 2 lower salivary glands called and what do the secrete?
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sublingual=mucous and submandibular= mixed
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identify the different components of the pharynx?
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nasopharynx, laryngeal, oral
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what are the anatomical boundaries of the nasopharynx?
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base of skull and soft palate
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what type of lymphoid tissues are closely related to the auditory tube?
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pharyngeal and tubular tonsils
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what does the auditory tube communicate with and why is it such a problem in children?
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middle ear. it is shorter and straighter allowing easier acces for infection
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what are the folds on the inner lining of the stomach called?
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rugae
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what are the differences in cell types in the various regions of the stomach called?
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cardie-mucous body-peretalcalls pylorus-mucous
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what is the material called when it is churned up in the stomach?
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chyme
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embryologically what are the divisions of the gut referred to as and what classification does the stomach come under?
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foregut, midgut and hindgut. foregut
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what cell types exist in the gastric lining and what are their functions?
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see lecture
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what type of muscle fibre is the diaphragm composed of?
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skeletal
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what nerve provides inervation to the disphragm?
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phrenic nerve
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what are the nerve roots of the phrenic nerve?
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cervical nerves 3-5
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why does the nerve supply of the diaphragm arise so far away from it?
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during folding of the embryo the diaphragm is caudal (lower end) to the heart at the level of the cervical vertebrae. during the further development the dorsal aspect of the embryo grows faster than the ventral pulling the diaphragm down with its nerve supply from the cervical region
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what comprises the thoracic cage?
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12 pairs of ribs, manubrium, sternum and xiphoid process
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what bone is the jugular notch found on and when is this landmark used clinically?
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superior border of the manubrium. used for palpitation of the trachea to assess its position
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what is the manubriosternal joint used to identify?
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2nd rib
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how many pairs of ribs are there?
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12
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what are the 3 classifications of ribs and how many are in each?
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1-7 true 8-10 false and 11 and 12 are floating
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what are the different components of the sternum?
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manubrium, sternum and xiphoid process
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what vessels are found lateral to the sternum?
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internal thoracic vessels
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what do the internal thoracic vessels supply and drain?
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intercostal muscles and skin overlying chest
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what clinical application do the arteries from the sternum site serve as an excellent donor for?
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coronary artery bypass grafting
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what is the mediastinum?
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group of structures in the thoracic cavity excluding the lungs
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the structures found in the mediastinum are loosely bound by connective tissue what is the clinical relevance of this?
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allows for cushioning, a small degree of movement and is clinically relevant in that infection and tumours can spread rapidly throughout this vast communicating area
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what are the subdivisions of the mediastinum?
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superior and inferior. inferior is subdivided into anterior, middle and posterior
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where does blood in the right atrium come from, what vessel brings this blood into the right Atrium?
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whole body vie superior and inferior venae cavae. deoxygenated
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where does blood in the left atrium come from? what vessel brings it?
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lungs, left and right pulmonary veins, oxygenated
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what embryological remnant can be seen in the right atrium?
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fossa ovalis
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what role did the fossa ovalis have in foetal circulation?
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allowed blood to pass from right to left atrium bypassing the lungs
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what vessels unite to form the superior vena cava?
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laft and righ brachiocephalic valve
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