Small And Large Intestine

Front 1

Extent of the small intestine

Back 1

From the pylorus of the stomach to the ileocecal junction

Front 2

The small intestine is divided into

Back 2

Duodenum, jejunum and ileum

Front 3

Average length of small intestine in adult male and female

Back 3

Male-6.9m

Female-7.1m

Front 4

Diameter of small intestine

Back 4

2.5-3 cm

Front 5

Difference BTW small intestine and large intestine

Back 5

Absence of tenia coli, haustrations and appendices epiploic

Front 6

Variation of small intestine

of small intestine

small intestine

Back 6

4.6 - 9.8 m

Front 7

Most fixed part of the small intestine is

Back 7

Duodenum

Front 8

Shortest and widest part of small intestine

Back 8

Duodenum

Front 9

Extent of duodenum

Back 9

Pyloric end of stomach to duodenojejunal flexure

Front 10

Length and shape of duodenum

Back 10

C- shaped and 25 cm

Front 11

The duodenum is composed of how many part

Back 11

4

Front 12

Length of the superior part of duodenum

Back 12

5cm long

Front 13

Length of descending part

Back 13

7.5 cm

Front 14

Length of horizontal part

Back 14

10 cm

Front 15

Length of ascending part

Back 15

2.5cm

Front 16

Relation of superior part of duodenum

Back 16

Anterolateral to the body of L1 vertebrae

Front 17

The most common site of duodenal ulcer

Back 17

Superior part of duodenum

Front 18

Ligament connecting duodenum to liver is called

Back 18

Hepatoduodenal ligament

Front 19

Duodenum lies retro peritoneal except at

Back 19

The two ends of the duodenum

Front 20

Peritoneal Relations of the superior part of duodenum

Back 20

Peritoneal relations

1.Proximal 2.5 cm is movable, it is attached to the lesser omentum above and to the greater omentum below

2. Distal 2.5cm is fixed and retro peritoneal and covered with peritoneum anteriorly only

Front 21

Visceral relations of superior part of duodenum

Back 21

Visceral relations1. Anteriorly: quadrate lobe of liver and gall bladder2. Posteriorly: gastroduodenal artery, bile duct, portal vein and inferior vena cava3. Superiorly: epiploic foramen4. Inferiorly: head and neck of pancreas

Front 22

Relation of the descending part of duodenum

Back 22

Along the right side of L1-L3 vertebrae

Front 23

Most fixed part of duodenum

Back 23

Descending part of duodenum

Front 24

Extent of the descending part of duodenum

Back 24

Superior duodenal flexure to inferior duodenal flexure

Front 25

Extent of horizontal part of duodenum

Back 25

Inferior duodenal flexure to anterior of abdominal aorta

Front 26

Anterior relation of the horizontal part of duodenum

Back 26

Superior mesenteric vessel

Front 27

Shortest part of duodenum

Back 27

Ascending part of duodenum

Front 28

Extent of ascending part of duodenum

Back 28

In front of duodenum to duodenojejunal flexure

Front 29

What is another name for suspensory muscle of ascending

Back 29

Ligament of Treitz

Front 30

What is the ligament of Treitz?

Back 30

It is a fiber of muscular band that extends from the Rights crus of diaphragm behind the pancreas to the duodeno jejunal flexure

Front 31

Reason for suspensory muscle of duodenum

Back 31

Contraction of this muscle widens the angle of the flexure and aids movement of intestinal contents into the jejunum.

Front 32

Most distinguishing feature of duodenum

Back 32

Brunner/ duodenal gland

Front 33

What is a mesentery

Back 33

Double layer of peritoneum

Front 34

Is Jejunum and ileum a retro peritoneal or intraperitoneal organ

Back 34

Intraperitoneal

Front 35

What marks the division BTW duodenum and jejunum

Back 35

Suspensory muscle of duodenum

Front 36

Length of jejunum

Back 36

2.5 m long

Front 37

Characteristic of jejunum

Back 37

Plicae circulated and leaf like villi which increases surface area

Front 38

Function of ileocecal valve

Back 38

Prevent reflux of material from cacum to ileum

Front 39

Length of ileum

Back 39

3m

Front 40

Longest section of small intestine

Back 40

Ileum

Front 41

Characteristic of ileum

Back 41

Fewer villi which are short and broad tipped (club like), relatively abundant goblet cells, absorbs mainly vitamin B12 and bile acid

Front 42

Blood supply of small intestine

Back 42

Proximal to major duodenal papilla - gastroduodenal artery branch of coeliac trunk

Distal to major duodenal papilla- inferior pancreaticoduodenal artery(SMA)

Front 43

Extent of the large intestine

Back 43

Ileocecal junction to anal orifice

Front 44

Length of large intestine

Back 44

1.5 meters

Front 45

Features of large intestine

Back 45

Taenia coli, haustrations, appendices epiploicae

Front 46

Length of appendix

Back 46

6-10 cm

Front 47

Description of appendix

Back 47

Blind end intestinal diverticulum that contain mass of lymphoid tissue, 5 mm in diameter, narrowest part of GI tract, longer in children than adult

Front 48

Description of appendix

Back 48

Blind end intestinal diverticulum that contain mass of lymphoid tissue, 5 mm in diameter, narrowest part of GI tract, longer in children than adult

Front 49

Surface marking of appendix

Back 49

Mc Burney's point

Front 50

Describe Mc Burney's point

Back 50

Lateral 1/3 and medial 2/3 of line joining the ASIS and umbilicus

Front 51

Position of appendix

Back 51

Right iliac fossa with the base fixed to caecum and tip pointing in different direction

Front 52

Position of appendix

Back 52

Retrocecal(12'0 clock) position: commonest

Splenic( 2'0 clock) position: could be preileal or post ileal

Horizontal (3'0 clock) towards sacral promontory

Pelvic (4'0clock) may lie close to right ovary or fallopian tube

Subcaecal/ inguinal ( 6'0 clock)

Para colic(11'0 clock) by the side of ascending colon

Front 53

Why is appendix called abdominal tonsil

Back 53

It contains excessive lymphoid tissue around the lumen

Front 54

Mesentery of appendix is called

Back 54

Mesoappendix

Front 55

Blood supply of appendix

Back 55

Appendicular artery ( branch of ileocolic artery)- end artery

Appendicular, ileocolic and superior mesenteric vein

Front 56

Innervation of appendix

Back 56

Sympathetic is via T9 and T10 through coeliac plexus

Parasympathetic is via vagus nerve

Front 57

Longest part of large intestine is

Back 57

Transverse colon

Front 58

Length of ascending colon

Back 58

12-20 cm

Front 59

Length of transverse colon

Back 59

40-50 cm

Front 60

Arterial supply of large intestine

Back 60

Marginal anastomosis of Drummond which is formed by branches of SMA and IMA

Front 61

What portion of large intestine does SMA supply

Back 61

Caecum, ascending colon and proximal 2/3 of transverse colon by ileocolic, right colic and middle colic

Front 62

What part of large intestine does IMA supply

Back 62

Distal 1/3 of transverse colon, descending colon, sigmoid Colon by left colic and sigmoid artery and superior rectal which supply rectum

Front 63

Sympathetic Innervation of large intestine

Back 63

Sympathetic nerve of midgut arises from coeliac and superior mesenteric ganglia distributed along SMA

Hind gut is via lumbar part of sympathetic trunk around IMA

Front 64

Parasympathetic innervation of large intestine

Back 64

Midgut- vagus

Hind gut- pelvic splanchnic nerve

Front 65

Auerbach plexus is found

Back 65

Submucous

Front 66

Myenteric plexus is found

Back 66

BTW circular and longitudinal muscular coat