Saturday, March 24, 2012

ALL ABOUT BIOLOGICAL BUFFERS




    In all multicellular organisms, the fluid within the cell and the fluids surrounding the cells have a characteristic and nearly constant pH. This pH is maintained in a number of ways, and one of the most important is through buffer systems. Two important biological buffer systems are the dihydrogen phosphate system and the carbonic acid system.

 The condition called respiratory acidosis occurs when blood pH falls as a result of decreased respiration. When respiration is restricted, the concentration of dissolved carbon dioxide in the blood increases, making the blood too acidic. Such a condition can be produced by asthma, pneumonia, emphysema, or inhaling smoke.
     Metabolic acidosis is the decrease in blood pH that results when excessive amounts of acidic substances are released into the blood. This can happen through prolonged physical exertion, by diabetes, or restricted food intake. The normal body response to this condition is increases breathing to reduce the amount of dissolved carbon dioxide in the blood. This is why we breathe more heavily after climbing several flights of stairs.
     Respiratory alkalosis results from excessive breathing that produces an increase in blood pH. Hyperventilation causes too much dissolved carbon dioxide to be removed from the blood, which decreases the carbonic acid concentration, which raises the blood pH. Often, the body of a hyperventilating person will react by fainting, which slows the breathing.
     Metabolic alkalosis is an increase in blood pH resulting from the release of alkaline materials into the blood. This can result from the ingestion of alkaline materials, and through overuse of diuretics. Again, the body usually responds to this condition by slowing breathing, possibly through fainting.
     The carbonic acid-hydrogen carbonate ion buffer works throughout the body to maintain the pH of blood plasma close to 7.40. The body maintains the buffer by eliminating either the acid (carbonic acid) or the base (hydrogen carbonate ions). Changes in carbonic acid concentration can be effected within seconds through increased or decreased respiration. Changes in hydrogen carbonate ion concentration, 



The phosphate buffer system operates in the internal fluid of all cells. This buffer system consists of dihydrogen phosphate ions (H2PO4-) as hydrogen-ion donor (acid) and hydrogen phosphate ions (HPO42-) as hydrogen-ion acceptor (base). These two ions are in equilibrium with each other as indicated by the chemical equation below.
H2PO4-(aq) H+(aq) + HPO42-(aq)
If additional hydrogen ions enter the cellular fluid, they are consumed in the reaction with HPO42-, and the equilibrium shifts to the left. If additional hydroxide ions enter the cellular fluid, they react with H2PO4-, producing HPO42-, and shifting the equilibrium to the right.
The value of Ka for this equilibrium is 6.23 × 10-8 at 25°C. From this equation, the relationship between the hydrogen-ion concentration and the concentrations of the acid and base can be derived.
Thus, when the concentrations of H2PO4- and HPO42- are the same, the value of the molar concentration of hydrogen ions is equal to the value of the equilibrium constant, and the pH is equal to the pKa (-log Ka), namely 7.21. Buffer solutions are most effective at maintaining a pH near the value of the pKa. In mammals, cellular fluid has a pH in the range 6.9 to 7.4, and the phosphate buffer is effective in maintaining this pH range.
     Another biological fluid in which a buffer plays an important role in maintaining pH is blood plasma. In blood plasma, the carbonic acid and hydrogen carbonate ion equilibrium buffers the pH. In this buffer, carbonic acid (H2CO3) is the hydrogen-ion donor (acid) and hydrogen carbonate ion (HCO3-) is the hydrogen-ion acceptor (base).
H2CO3(aq) H+(aq) + HCO3-(aq)
This buffer functions in exactly the same way as the phosphate buffer. Additional H+ is consumed by HCO3- and additional OH- is consumed by H2CO3. The value of Ka for this equilibrium is 7.9 × 10-7, and the pKa is 6.1 at body temperature. In blood plasma, the concentration of hydrogen carbonate ion is about twenty times the concentration of carbonic acid. The pH of arterial blood plasma is 7.40. If the pH falls below this normal value, a condition called acidosis is produced. If the pH rises above the normal value, the condition is called alkalosis.
     The concentrations of hydrogen carbonate ions and of carbonic acid are controlled by two independent physiological systems. Carbonic acid concentration is controlled by respiration, that is through the lungs. Carbonic acid is in equilibrium with dissolved carbon dioxide gas.
H2CO3(aq) CO2(aq) + H2O(l)
An enzyme called carbonic anhydrase catalyzes the conversion of carbonic acid to dissolved carbon dioxide. In the lungs, excess dissolved carbon dioxide is exhaled as carbon dioxide gas.
CO2(aq) CO2(g)
The concentration of hydrogen carbonate ions is controlled through the kidneys. Excess hydrogen carbonate ions are excreted in the urine.
     The much higher concentration of hydrogen carbonate ion over that of carbonic acid in blood plasma allows the buffer to respond effectively to the most common materials that are released into the blood. Normal metabolism releases mainly acidic materials: carboxylic acids such as lactic acid (HLac). These acids react with hydrogen carbonate ion and form carbonic acid.
HLac(aq) + HCO3-(aq) Lac-(aq) + H2CO3(aq)
The carbonic acid is converted through the action of the enzyme carbonic anhydrase into aqueous carbon dioxide.
H2CO3(aq) CO2(aq) + H2O(l)
An increase in CO2(aq) concentration stimulates increased breathing, and the excess carbon dioxide is released into the air in the lungs.


EXAM FOCUS MCQ ON ABDOMEN-GIT(gallbladder)#4

GALL BLADDER(GROSS)
51. which is not the contents of calot’striangle
a. liver
b. cystic duct
c. bile duct
d. hepatic duct
                  ANSWER: C
NOTE: calot’s triangle is an autonomictriangle bordered by liver, cystic duct and hepatic duct.

52. The three parts of gallbladderare:
a. fundus , body and antrum
b. fundus, neck and antrum
c. fundus, pyloric and antrum
d. fundus, body and neck
                                       ANSWER:D
NOTE: The gallbladder has three parts Which are fundus, bodyand neck.

53. Which of the following is not arelation of fundus of gall bladder:
a. anteriorly-anterior abdominal wall
b. anteriorly-diaphragm
c. posterorly-1st part ofdeudenum
                       ANSWER: B
NOTE: Fundus: the wide blunt endthat usually projects from the inferior border of the liver at the tip of theright 9th costal cartilage in the MCL.
54. Which of the following is not arelation of BODY and NECK of gall bladder:
a. upper surface-related to fossa for gallbladder
b. upper surface not covered by peritoneum
c. lower surface-related to 2ndpart of deudenum and transverse colon
d. lower surface not covered by peritoneum
                         ANSWER: D
NOTE: Lower surface is covered byperitoneum which is related to 2nd part of duodenum and transversecolon.

55. the cystic artery supplies:
a. gall bladder
b. cystic duct
c. common hepatic duct
d. All of the above
                        ANSWER: D
NOTE: The cystic artery commonlyarises from the right hepatic artery in the trianglebetween the common hepatic duct, cystic duct, and visceral surface of theliver, the cystohepatic triangle.

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Thursday, March 22, 2012

EXAM FOCUS MCQ ON ABDOMEN-GIT(Liver)#3


LIVER(GROSS)
31. Thediaphragmatic surface of the liver is made of:
a.base, superior and inferior surface
b.base, superior and anterior surface
c.base, superior and posterior surface
d.All of the above
                           ANSWER: B
NOTE:The liver has a convex diaphragmatic surface(anterior, superior, and some posterior).



32.The concave visceral surface of theliver is made of:
a.anterosuperior surface
b.anteroinferior surface
c.posterosuperior surface
d.posteroinferior surface
                       ANSWER: D
NOTE:the visceral surface of the liver is directed inferiorly, posteriorly, and tothe left.

33. Subphrenic recesses IS:
a. inferior extensions of peritoneal cavity
b. superior extentions of peritoneal cavity
c. anterior extentions of peritoneal cavity
d. posterior extentions of peritoneal cavity
                           ANSWER: B
NOTE: Subphrenic recesses—superior extensions of theperitoneal cavity (greater sac)—exist between diaphragm and the anterior andsuperior aspects of the diaphragmatic surface of the liver.

34.The subphrenic recesses are separated into right and left recesses by the :
a.coronary ligament
b.ligamentum teres
c.falciform ligament
d.ligamentum venosum
                                   ANSWER:  C
NOTE:The subphrenic recesses are separated into right and left recesses by the falciform ligament, which extends between the liver and theanterior abdominal wall.

35.The hepatorenal recess is the:
a.  posterosuperiorextension of the subhepatic space
b.posteroinferior extension of the subhepatic space
c.anterosuperior extension of the subhepatic space
d.anteroinferior extension of the subhepatic space
                                   ANSWER: A
NOTE:it lies between the right part of the visceral surface of the liver and theright kidney and suprarenal gland, The portion of the supracolic compartment ofthe peritoneal cavity immediately inferior to the liver is the subhepatic space.

36. the falciform ligament anteriorly is attached to:
a. diaphragm and infraumblical anterior abdominal wall
b. diaphragm and supraumblical posterior abdominal wall
c.diaphragm and supraumblical anterior abdominal wall
d. diaphragm and infraumblical posterior abdominal wall
                      ANSWER: C
NOTE: The falciform ligament is the ventral part of the ventralabdominal wall

37. which is not correct about falciform ligament:
a. the apex is attached to the umbilicus
b. the attached margin is attached to the anterior abdominal wall
c. the free margin is attached to posterior abdominal wall
d. the base is attached to the anterosuperior surface
                                      ANSWER: C
NOTE: The free margin has a paraumblical vein as content


38. which ligament passed to the left extremity of the portalhepatis and fuses with the left branch of the portal vein:
a. coronary ligament
b. round ligament
c. right triangular ligament
d. left triangular ligament
                      ANSWER: B
NOTE: The round ligament passes from the free edge of the falciformligament into a fissure on the posteroinferior surface of the liver.

39. which is not the contents of free margin of falciform ligament;
a. anterior abdominal wall
b. ligamentum teres
c. paraumblical vein
                             ANSWER: A
NOTE: Posterosuperiorly, the falciform ligament forms the anteriormargin of bare area. The ligamentum teres represents the left umbilical vein ofthe embryo, The round ligament and small paraumbilicalveins course in the free edge of the falciform ligament.

40. the diaphragm separates the liver from:
a. pericardium
b. lung
c. right pleural cavity
d. All of the above
                             ANSWER: D
NOTE: the right lobe of the liver is separated from the costodiaphragmaticrecess of the pleura by the diaphragm.


41. the bile canaliculi join to form:
a. the bile ductules
b. the hepatic duct
c. the cystic duct
d. All of the above
                         ANSWER: A
NOTE: The bile canaliculi joins to form bile ductules which, inturnform interlobular ducts.

42. interlobular ducts emerge from portal hepatis as:
a. cystic duct
b. right and left hepatic duct
c. common hepatic duct
d. none of the above
                      ANSWER:B
NOTE: The right and left hepatic duct join to form common hepaticduct, the common hepatic duct is directly continuous with the bile duct, wherethe cystic duct from the gall bladder joins it.

43. which is not the contents of portal triad:
a. right and left common hepatic ducts
b. right and left hepatic vessels
c. lymphatics and autonomic fibres
d. NOne of the above
                             ANSWER: D
NOTE:  The portal triadenters liver at the portal hepatis. The bare area of the liver is bounded bysuperior and inferior coronary ligament and right triangular ligament.


44. folds of peritoneum related to the liver are:
a. ligaments of liver
b. lesser omentum
c. All of the above
                ANSWER: C
NOTE: The lesser omentun arises from the fissures of theporta-hepatis and ligamentum venosum and passes as a sheet to be attached toalong the lesser curvature of the stomach.

45. Which of the following is a visceral relation of The inferior surface of the liver:
a. gastric impression
b. tuber omentale
c. fissure for ligamentum teres containing it
d. quadrate lobe
e. porta-hepatis and its contents
f. fossa for gallbladder
g. duodenal impression
h. renal impression
i. colic impression
j. All of the above
                        ANSWER: J
NOTE: The round ligament of the liver(Lligamentum teres hepatis) isthe fibrous remnant of the umbilical vein, whichcarried well-oxygenated and nutrient-rich blood from the placenta to the fetus.


46. Which of the following is a visceralrelation of The SUPerior surface of the liver:
a. diaphragm
b. pericardium
c. left and right pleura containing lungs
d. All of the above
                     ANSWER: D
NOTE: The visceral surface of the liver is covered with peritoneum,except at the fossa for the gallbladder and the porta hepatis—a transversefissure where the vessels (hepatic portal vein, hepatic artery, and lymphaticvessels), the hepatic nerve plexus, and hepatic ducts that supply and drain theliver enter and leave it. In contrast to the smooth diaphragmatic surface, thevisceral surface bears multiple fissures and impressions from contact withother organs.

47. Which of the following is NOT a visceral relation of The ANTerior surface of the liver:
a. anterior abdominal wall
b. posterior abdominal wall
c. diaphragm
           ANSWER: B
NOTE: Two sagittally orientedfissures, linked centrally by the transverse porta hepatis,form the letter H on the visceral surface. The right sagittal fissure is the continuous groove formedanteriorly by the fossa for the gallbladder and posteriorly by the groove forthe vena cava. The left sagittal fissure is thecontinuous groove formed anteriorly by the fissure for theround ligament and posteriorly by the fissure for theligamentum venosum.

48. Which of the following is a visceralrelation of The POSTerior surface of the liver:
a. oesophageal impression
b. fissure for ligamentum venosumcontaining it
c. caudate lobe
d. fossa for imperior vena cava
e. bare area of liver
f. All of the above
                             ANSWER: F
NOTE: The ligamentumvenosum is the fibrous remnant of the fetal ductusvenosus, which shunted blood from the umbilical vein to the IVC,short-circuiting the liver

49. Which of the following is not avisceral relation of The Right-lateral surface of theliver:
a. diaphragm
b. ribs-5,6,7,8,and 9th
c. right pleura and lungs
d. anterior abdominal all
                             ANSWER: D
NOTE: The thick, free edge of thelesser omentum extends between the porta hepatis and the duodenum (the hepatoduodenal ligament) and encloses the structures thatpass through the porta hepatis. The sheet-like remainder of the lesser omentum,the hepatogastric ligament, extends between the groovefor the ligamentum venosum and the lesser curvature of the stomach.

50. The following statements concerning the LIVER arecorrect EXCEPT which
a. portal vein gives 70-80% of blood to the liver
b. hepatic artery gives 20-30% of  blood to the liver
c. hepatic vein drains into IVC
d. the liver has five anatomical lobes
                                         ANSWER: D
NOTE:  the liver isdivided into two anatomical lobes and two accessory lobes by the reflections ofperitoneum from its surface, the fissures formed in relation to thosereflections and the vessels serving the liver and the gallbladder.

                                                      copyright@medicalgroupz

Wednesday, March 21, 2012

EXAM FOCUS MCQ ON ABDOMEN-GIT(Pancreas)#2


PANCREAS(GROSS)

13. Pancreas is:
a. retroperitoneum
b.intraperitoneum
c.interperitoneum
d.All of the above
ANSWER: A
NOTE: Pancreas lies in posterior abdominal wall roughly in the transpyloric plane, Also the posterior surface of pancreas is not covered by peritoneum.

14. pancreas lies posterior to the stomach between:
a. the duodenum on the right and the spleen on the right
b. the duodenum on the right and the spleen on the left
c. the duodenum on the left and the spleen on the left
d. the duodenum on the left and the spleen on the right
ANSWER: B
NOTE: Its transversely crossing the bodies of the L1 and L2 vertebra.

15. The transverse mesocolon attaches to:
a.posterior margin of pancreas
b. superior margin of pancreas
c. Anterior margin of pancreas
d. All of the above
ANSWER: C
NOTE: The head of pancreas is covered anteriorly by the peritoneum of the greater sac except where its related to transvers colon. The neck and body is covered anteriorly by the peritoneum of lesser sac.

16. The head of the pancreas is the expanded part of the gland that is embraced by:
a. the C-shaped curve of the duodenum
b. horizontal part of the duodenum
c. body of stomach
d. hilum of the spleen
ANSWER: A
NOTE: The head of the pancreas is the expanded part of the gland that is embraced by the C-shaped curve of the duodenum to the right of the superior mesenteric vessels just inferior to the transpyloric plane.

17. Which of the following is not a relation of The Anterior surface of the head of pancreas:
a. pylorus of stomach
b. transverse colon
c. transverse mesocolon
ANSWER: A
NOTE: The pancreatic head rests anteriorly on the tranverse colon and mesocolon.

18. Which of the following is a relation of The Anterior surface of the neck of pancreas:
a. pylorus of stomach
b. transverse colon
c. transverse mesocolon
ANSWER: A
NOTE: The anterior surface of the neck, covered with peritoneum, is adjacent to the pylorus of the stomach.

19. Which of the following is a relation of The Anterior surface of the Body of pancreas:
a. pylorus of stomach
b. Body of stomach
c. transverse mesocolon
ANSWER: B
NOTE: The anterior surface of the body of the pancreas is covered with peritoneum and lies in the floor of the omental bursa and forms part of the stomach bed.

20. Which of the following is not a relation of The Posterior surface of the head of pancreas:
a.IVC
b. Right renal vessels
c. left renal vessels
d. common bile duct
ANSWER: C
NOTE: The pancreatic head rests posteriorly on the IVC, right renal artery and vein, and left renal vein. On its way to opening into the descending part of the duodenum, the bile duct lies in a groove on the posterosuperior surface of the head or is embedded in its substance.

21. Which of the following is a relation of The Posterior surface of the NECK of pancreas:
a.IVC
b. Right renal vessels
c. portal vein
d. common bile duct
ANSWER: C
NOTE: it overlies the superior mesenteric vessels, which form a groove in its posterior aspect.

22. Which of the following is not a relation of The Posterior surface of the body of pancreas:
a. Abdominal aorta
b. splenic vein
c. superior mesenteric vessels
d. left kidney
e. left crus of diaphragm
f. left supra renal gland
e. none of the above
ANSWER: E
NOTE: The posterior surface of the body is devoid of peritoneum and is in contact with the aorta, SMA, left suprarenal gland, left kidney, and renal vessels.

23. The tail of the pancreas lies anterior to:
A. Right kidney
b. left kidney
c. spleen
d. left supra renal gland
ANSWER: B
NOTE: it is closely related to the splenic hilum and the left colic flexure. The tail is relatively mobile and passes between the layers of the splenorenal ligament with the splenic vessels. It also lies against the hilum of the spleen.

24. what is the uncinate process
a. A hook-shaped projection from the lower aspect of the head of the pancreas that extend superiorly to the left and lies between the inferior mesenteric vessels and the aorta
b. A hook-shaped projection from the lower aspect of the head of the pancreas that extend superiorly to the left and lies between the inferior mesenteric vessels and the celiac trunk
c. A hook-shaped projection from the lower aspect of the head of the pancreas that extend superiorly to the left and lies between the superior mesenteric vessels and the celiac trunk
d. A hook-shaped projection from the lower aspect of the head of the pancreas that extend superiorly to the left and lies between the superior mesenteric vessels and the aorta
ANSWER: D
NOTE: The uncinate process, a projection from the inferior part of the pancreatic head, extends medially to the left, posterior to the SMA.

25. Which major vessels course along the pancreas:
a. splenic artery
b. SMV
c. IMV
d. none of the above
ANSWER: A
NOTE: As many as 10 branches may pass from the splenic artery to the body and tail of the pancreas.

26. Which of the following arteries/artery do not supply the head of pancreas:
a. The anterior and posterior superior pancreaticoduodenal arteries, branches of the gastroduodenal artery
b. the anterior and posterior inferior pancreaticoduodenal arteries, branches of the SMA
c. splenic artery
ANSWER: C
NOTE: Multiple pancreatic arteries form several arcades with pancreatic branches of the gastroduodenal and superior mesenteric arteries.


27. Which of the following arteries/artery do not supply the body and tail of pancreas:
a. splenic artery
b. the anterior and posterior inferior pancreaticoduodenal arteries, branches of the SMA
c. dorsal pancreatic artery
d. great pancreatic artery
ANSWER: B
NOTE: As many as 10 branches may pass from the splenic artery to the body and tail of the pancreas.

28. Which of the following structures is embraced between the neck and uncinate process of the pancreas:
a. Superior mesentric vein
b. Inferior mesentric vein
c. Portal vein
d. Bile duct
ANSWER: A
NOTE: The neck of the pancreas is short (1.5-2 cm) and overlies the superior mesenteric vessels, which form a groove in its posterior aspect.

29. The following statements concerning the pancreas are correct EXCEPT which:
a. The pancreas recieves part of its arterial supply from splenic artery
b. The main pancreatic duct opens into the third part of the duodenum
c. The uncinate process of the pancreas projects from the head of the pancreas
d. The common bile duct lies posterior to the head of the pancreas
e. The transverse mesocolon is attached to the anterior border of the pancreas
ANSWER: B
NOTE: The main pancreatic duct and bile duct usually unite to form the short, dilated hepatopancreatic ampulla (of Vater), which opens into the descending part of the duodenum at the summit of the major duodenal papilla.

30. The pancreas is a soft, lobulated exocrine/endocrine organ containing all of the following parts EXCEPT:
a) Head
b) Neck
c) Back
d) Body
e) Tail
ANSWER: C
NOTE: the pancreas is divided into four parts: head, neck, body, and tail

Monday, March 19, 2012

EXAM FOCUS MCQ ON ABDOMEN-GIT(spleen)#1


SPLEEN(GROSS)

1.Lienorenal Ligament Extends from:
a. posterior surface to the right kidney of the hilum of the spleen
b. posterior surface to the left kidney of the hilum of the spleen
c. Anterior surface to the left kidney of the hilum of the spleen
d. Anterior surface to the right kidney of the hilum of the spleen.
ANSWER: C.
NOTE: The splenorenal Ligament is also known as Lienorenal Ligament

2. Which of the following is not a Contents of splenorenal Ligament:
a. splenic vessels
b.short gastric vessels
c.Tail of pancreas
d.hepatic portal vein
ANSWER: Both B. and D are correct
NOTE: The splenic hilum is often in contact with the tail of the pancreas and constitutes the left boundary of the omental bursa.

3.Spleen is normally:
a. palpable
b. partially palpable
c. not palpable
d. none of the above
ANSWER: C
NOTE: Normally, the spleen does not extend inferior to the left costal margin; thus it is seldom palpable through the anterolateral abdominal wall unless it is enlarged.

4. The long axis of the spleen lies in the:
a. 12th rib
b. 8th rib
c.9th rib
d. 10th rib
ANSWER: D
NOTE: (its long axis is roughly parallel to the 10th rib) and separated from them by the diaphragm and the costodiaphragmatic recess—the cleftlike extension of the pleural cavity between the diaphragm and the lower part of the thoracic cage.

5. Spleen is:
a. retroperitoneum
b.intraperitoneum
c.interperitoneum
d.All of the above
ANSWER: B
NOTE: It is covered with a layer of visceral peritoneum that entirely surrounds the spleen except at the splenic hilum, where the splenic branches of the splenic artery and vein enter and leave.

6. Gastrosplenic Ligament Extends from:
a. the fundus of stomach to the hilum of the of spleen
b. the pyloric of stomach to the hilum of the spleen
c. the body of stomach to the hillum of the spleen
d. the antrum of stomach to the hilum of the spleen
ANSWER: A
NOTE: The spleen contacts the posterior wall of the stomach and is connected to its greater curvature by the gastrosplenic ligament.
7. Which of the following is not a Contents of gastrosplenic ligament:
a. splenic vessels
b.short gastric vessels
c.Tail of pancreas
d. left gastroepiploic vessels
ANSWER: Both A and C are correct
NOTE: These ligaments, containing splenic vessels, are attached to the hilum of the spleen on its medial aspect.

8. What is the name of the ligament extending from the left colic flexure to the diaphragm:
a.colicphrenic
b.coliccolic
c.phrenicocolic
d.phreniccolon
ANSWER: C
NOTE: these special ligament keeps the spleen in position.

9. Which of the following is not a relation of The diaphragmatic surface of the spleen:
a. 9th, 10th, and 11th ribs of the left side
b. right diaphragm
c. left diaphragm
d. left lung and left pleura above the diaphragm
ANJSWER: B
NOTE: The diaphragmatic surface of the spleen is convexly curved to fit the concavity of the diaphragm and curved bodies of the adjacent ribs.

10. Which of the following is not a relation of The Visceral surface of the spleen:
a. Anteriorly- gastric impressions above and anterior to hilum
b. Medially- renal impression below and posterior to hilum
c. inferiorly- colic impression near the lateral or anterior end
d. All of the above
ANSWER: D
NOTE: The viscerea are all separated by the greater sac except the tail of pancrease which lies in the lienolenal ligament.

11. The arterial supply of the spleen is from:
a. deudenal artery
b. superior mesenteric vessels
c. Inferior mesenteric vessels
d. splenic artery
ANSWER: D
NOTE: Slenic artery is the largest branch of the celiac trunk. It follows a tortuous course posterior to the omental bursa, anterior to the left kidney, and along the superior border of the pancreas. Between the layers of the splenorenal ligament, the splenic artery divides into five or more branches that enter the hilum.

12. The splenic vein unites with the SMV posterior to:
a. the body of pancrease to form the hepatic portal vein
b. the tail of pancrease to form the hepatic portal vein
c. the neck of the pancrease to form the hepatic portal vein
d. the uncinate process of the pancrease to form the hepatic portal vein
ANSWER: C
NOTE: The splenic vein unites with the SMV posterior to the neck of the pancreas to form the hepatic portal vein.

1.Lienorenal Ligament Extends from:
a. posterior surface to the right kidney of the hilum of the spleen
b. posterior surface to the left kidney of the hilum of the spleen
c. Anterior surface to the left kidney of the hilum of the spleen
d. Anterior surface to the right kidney of the hilum of the spleen.
ANSWER: C.
NOTE: The splenorenal Ligament is also known as Lienorenal Ligament

2. Which of the following is not a Contents of splenorenal Ligament:
a. splenic vessels
b.short gastric vessels
c.Tail of pancreas
d.hepatic portal vein
ANSWER: Both B. and D are correct
NOTE: The splenic hilum is often in contact with the tail of the pancreas and constitutes the left boundary of the omental bursa.

3.Spleen is normally:
a. palpable
b. partially palpable
c. not palpable
d. none of the above
ANSWER: C
NOTE: Normally, the spleen does not extend inferior to the left costal margin; thus it is seldom palpable through the anterolateral abdominal wall unless it is enlarged.

4. The long axis of the spleen lies in the:
a. 12th rib
b. 8th rib
c.9th rib
d. 10th rib
ANSWER: D
NOTE: (its long axis is roughly parallel to the 10th rib) and separated from them by the diaphragm and the costodiaphragmatic recess—the cleftlike extension of the pleural cavity between the diaphragm and the lower part of the thoracic cage.

5. Spleen is:
a. retroperitoneum
b.intraperitoneum
c.interperitoneum
d.All of the above
ANSWER: B
NOTE: It is covered with a layer of visceral peritoneum that entirely surrounds the spleen except at the splenic hilum, where the splenic branches of the splenic artery and vein enter and leave.

6. Gastrosplenic Ligament Extends from:
a. the fundus of stomach to the hilum of the of spleen
b. the pyloric of stomach to the hilum of the spleen
c. the body of stomach to the hillum of the spleen
d. the antrum of stomach to the hilum of the spleen
ANSWER: A
NOTE: The spleen contacts the posterior wall of the stomach and is connected to its greater curvature by the gastrosplenic ligament.
7. Which of the following is not a Contents of gastrosplenic ligament:
a. splenic vessels
b.short gastric vessels
c.Tail of pancreas
d. left gastroepiploic vessels
ANSWER: Both A and C are correct
NOTE: These ligaments, containing splenic vessels, are attached to the hilum of the spleen on its medial aspect.

8. What is the name of the ligament extending from the left colic flexure to the diaphragm:
a.colicphrenic
b.coliccolic
c.phrenicocolic
d.phreniccolon
ANSWER: C
NOTE: these special ligament keeps the spleen in position.

9. Which of the following is not a relation of The diaphragmatic surface of the spleen:
a. 9th, 10th, and 11th ribs of the left side
b. right diaphragm
c. left diaphragm
d. left lung and left pleura above the diaphragm
ANJSWER: B
NOTE: The diaphragmatic surface of the spleen is convexly curved to fit the concavity of the diaphragm and curved bodies of the adjacent ribs.

10. Which of the following is not a relation of The Visceral surface of the spleen:
a. Anteriorly- gastric impressions above and anterior to hilum
b. Medially- renal impression below and posterior to hilum
c. inferiorly- colic impression near the lateral or anterior end
d. All of the above
ANSWER: D
NOTE: The viscerea are all separated by the greater sac except the tail of pancrease which lies in the lienolenal ligament.

11. The arterial supply of the spleen is from:
a. deudenal artery
b. superior mesenteric vessels
c. Inferior mesenteric vessels
d. splenic artery
ANSWER: D
NOTE: Slenic artery is the largest branch of the celiac trunk. It follows a tortuous course posterior to the omental bursa, anterior to the left kidney, and along the superior border of the pancreas. Between the layers of the splenorenal ligament, the splenic artery divides into five or more branches that enter the hilum.

12. The splenic vein unites with the SMV posterior to:
a. the body of pancrease to form the hepatic portal vein
b. the tail of pancrease to form the hepatic portal vein
c. the neck of the pancrease to form the hepatic portal vein
d. the uncinate process of the pancrease to form the hepatic portal vein
ANSWER: C
NOTE: The splenic vein unites with the SMV posterior to the neck of the pancreas to form the hepatic portal vein.

Sunday, March 18, 2012

Health tips: The benefits of Grapes




Grapes plays an extremely important role when it comes to preventing numerous health disorders.
Study shows that grape mimic the shape of Human respiratory unit(respiratory unit includes structures inside respiratory tract which are respiratory bronchoiles, alveolar ducts, antrum, alveolar sacs and alveoli).
Thus, grapes are very therapeutic for diseases like restrictive respiratory diseaese(such as pleural effusion, polio, myasthenia gravis etc) and obstructive respiratory disease(such as asthma, emphysema, cystic fibrosis), they have(graves) high assimilating power and increase the amount of moist in the respiratory membrane of the Lungs.
Grapes also is one of the natural source of very powerful antioxidants such as vitamin C, vitamin A, vitamin B1 and B6 which significantly lower disorder like fatigue, alzheimers diseases, cancer, and kidney disorder.
Also found to reduce the risk of breast cancer, lab experiment done with rats, given grape juice over a period of time shows a reduction in mammary tumor masses.
                                                            ©medicalgroupz.com

HEAD AND NECK: Anatomical Terms and direction#2


                                                                           Neck region
n  Larynx
n  Trachea
n  Cervical


Splenectomy and Splenomegaly(The difference)

splenectomy (removal of the spleen), total removal of the spleen usually does not produce serious effects, especially in adults, because most of its functions are assumed by other reticuloendothelial organs (e.g., liver and bone marrow), but there is a greater susceptibility to certain bacterial infections.

Splenomegaly (enlarge spleen), it may enlarge to 10 or more times its normal size and weight Spleen engorgement sometimes accompanies hypertension (high blood pressure).

HEAD AND NECK: Anatomical Terms and direction#1


                                                                    Head  Region
n  Parietal
n  Frontal                                  
n  Occipital                                                       
n  Temporal
n  Auricular
n  Buccal
n  Orbital
n  Mastoid
n  Nasal
n  Mental
n  Submental
n  Maxillary
n  Mandibular
n  Zygomatic



IMPORTANT DESCRIPTIVE TERMS AND REGION#3

DIRECTIONAL terms for beginners:

Appendicitis(causes and position)

The Acute inflammation of theappendix,  Is known as appendicitis,usually is a common cause of severe abdominal pain arising over theMcBurney point registers maximum abdominal tenderness.
   Causes:
Appendicitis in older people is usually caused by the obstructionresults from a fecalith , a concretion that formsaround a center of fecal matter.
 in young people is usuallycaused by hyperplasia of lymphatic follicles in the appendix that occludes thelumen.
When secretions from the appendix cannot escape, theappendix swells, stretching the visceral peritoneum.  Acute infection of the appendix may result inischemia, gangrene (death of tissue), and perforation of an inflamed appendix.
Position of Appendix:
The anatomical position of the appendix determines the symptoms and thesite of muscular spasm and tenderness when the appendix is inflamed. The baseof the appendix lies deep to a point that is one third of the way along theoblique line joining the right ASIS to the umbilicus.

IMPORTANT DESCRIPTIVE TERMS AND REGION#2

Descriptive REGIONS for beginners:

Volar - palm of the hand.


Vaso – vessels


Thoracic- chest.


Tarsal - ankle.


Popliteal - back of the knee.


Pollex - thumb.


Plantar - sole of the foot.


Peroneal - area of the fibula.


Pectoral - anterior chest.


Nuchae -Back of the neck.


Metatarsal - Foot.


Metacarpal - Hand.


Lumbar - Small of the back.


Hallux - Great toe.


Femoral -Thigh.


Cubital - Elbow.


Cervical -Neck.


Carpal - Wrist.


Calcaneal -Heel.


Brachial - Shoulder to elbow.


Axilla - Armpit.


Antibrachial - Forearm.

IMPORTANT DESCRIPTIVE TERMS AND REGION#1

Descriptive terms for beginners:

Vaso - refers to vessels

Uro - refers to the urinary system

Reno - refers to the kidneys

Pneumo - refers to the lungs.

Osseo - refers to bone.

Neuro - refers to nerves.

Myo - refers to muscle.

Hepato - refers to the liver.

Gastro - refers to the stomach

Chrondo -refers to cartilage.

Encephalon -refers to the brain

Cardio - refers to the heart.

Cephalo - refers to the head.