Professional Documents
Culture Documents
Abdomen SEQ
Abdomen SEQ
Abdomen SEQ
1.
2.
2.1 Describe the structure of the spermatic cord and its coverings.(80)
3.Spermatic cord
Coverings (out to inwards)
External spermatic fascia
Cremasteric fascia
Internal spermatic fascia
Contents
3 arteries
Testicular artery - from abdominal aorta
Cremasteric artery - from inferior epigastric
Artery of vas - from inferior vesical
3 veins
Pampiniform plexus drain as testicular vein
Right side to IVC
Left side to left renal vein
Cremasteric vein
Vein of ductus deference
3 nerves
Genital branch of grenitofemaoral
Sympathetics T 10,11
Ilioingunal nerve not inside the cord but on the cord
3 other structures
Ductus deference
Lymphatics
Patent processes vaginalis (pathological )
Explain how the arrangement of the blood vessels in the spermatic cord assists in
spermatogenesis.(20)
(AL2002 main)
3.
4.
5.
Discuss the anatomy of the anterior abdominal wall below umbilicus and how they
contribute to their clinical importance.(100)
7.
8.
Clinical
1. It has dual blood supply
Cystic artery
From liver bed
So gangrene is rare
Calots triangle
-cystic duct
-common hepatic duct
-inferior surface of liver
Bile duct
diameter-6mm
relations
Spraduodenal part
Anterior-liver
Posterior-portal vein,epiploic foramen
Left-hepatic artery
Retro duodenal part
Anterior-1st part of duodenum
Posterior-IVC, left gastroduodenal artery
Infraduodenal part
Anterior-head of pancrease
Posterior-IVC
10.
15. 15.1 Name the structures that pass through the umbilicus during fetal life.
Describe the congenital anomalies that may arise in this region.
16.
17.
(AL2002 rep)
18.
Write notes on
a) Prostatic urethra.
b) Vagina
(35)
(35)
(AL2002 rep)
19.
19.1 Describe the relations of the second part of the duodenum and the microscopic
structure of its mucosa.(50)
19.2 Describe the anatomy of the Ampulla of Vater and add a note on its
development.(50)
(AL2003 main)
20.
21.
23.1 A 40 year old female was admitted to the surgical casualty with severe epigastric
pain and a diagnosis of a biliary colic (pain due to stones in the gallbladder) was
made.
a. Name the region of the anterior abdominal wall ahere the gall bladder is located.
(10)
b. Why was the pain felt in epigastrium?(20)
23.2 The surgeon recommends that she should have her gallbladder removed. During
the operation an incision is made in the anterior abdominal wall over the
gallbladder.
a. List the layers of the abdominal wall which are incised.(20)
b. Draw a labeled diagram f the extra hepatic biliary system.(20)
c. Give the relations of the gallbladder to the different parts of the intestines.(20)
23.3 Following the removal of the gallbladder the specimen is sent for histology and the
report indicates a normal gallbladder wall.
Name the cells in the mucosa of the gallbladder.
(10)
(AL2004 main)
24. A 65 year old woman complained of pain in the right side of her abdomen.On
examination the attending doctor found a mass (lump) in the right iliac fossa.
Investigation revealed a cancer in the caecum.
lie between posterior rectus sheath and rectus abdominis muscle to supply it
and anastomose around umbilicus and
o superficial epigastric is between anterior rectus sheath and rectus abdominis
muscle.
28.2 Add a note on the origin and course of the inferior epigastric artery.(40)
(AL2003 CAT2)
29. 29.1 Describe the 2nd part (descending part) of the duodenum.(60)
29.2 State briefly the development of the pancreas.(40)
(AL2003 CAT2)
30. 30.1 Describe the course and relations of the left ureter.(50)
30.1 Describe the microscopy of the ureter and indicate the functional adaptations.(50)
(AL2003 CAT2)
31. 31.1 Describe the root of the mesentery of the small intestine and the arrangement of
the structures of the mesentery. (50)
31.2 Give the histological differences in the mucosa of the small intestine and the large
intestine.(30)
(AL98/99 main)
37. 37.1 Describe the contents and relations of the spermatic cord below the superficial
inguinal ring.(70)
37.2 Name the structures that pass through the umbilicus in fetal life and indicate what
they form in the adults.(30)
(AL1998 CAT2)
38. 38.1 Describe the nerve supply of the transverse colon, including the arrangement of the
nerves in its wall.(60)
38.2 Describe the blood supply of t6he appendix.(40)
(AL1998 CAT2)
39. 39.1 Describe the structures that maintain the uterus in its normal position.(50)
39.2 Describe the embryological basis of an abnormal external urethral orifice in the
male.(50)
(AL1998 CAT2)
40. 40.1 Describe the arrangement of the extrahepatic biliary system.(50)
40.2 Discuss the blood flow in a liver lobule.(35)
40.3 What are the embryological components of the liver?(15)
(AL2000 CAT2)
41. 41.1 Describe the posterior relations of the left kidney.(50)
41.2 Discuss how the microscopic structure of the ureter is adapted to its function.(35)
41.3 List the adult structures derived from the intermediate mesoderm.(15)
(AL2000 CAT2)
42. 42.1 Describe the attachment ,relations and contents of the pelvic (sigmoid) mesocolon.
(40)
42.2 State the distribution of the superior rectal artery.(40)
42.3 Discuss how the distribution of the superior rectal vessel determine the position of
haemorrhidal masses in the anal canal.(20)
(AL2000 CAT2)
43. 43.1 Describe the attachment and contents of the lesser omentum.(60)
43.2 State briefly its development.(40)
(AL2001 CAT2)
44. 44.1 Describe the relations of the left kidney.(50)
44.2 Discuss the structure of renal corpuscle in relation to its function.(50)
(AL2001 CAT2)
45. 45.1 Give an account of the origin and cause of the uterine artery.(40)
45.2 Describe the microscopic structure of the uterine cervix.(40)
45.3 State briefly the development of the vagina.(20)
(AL2001 CAT2)
46. 46.1 Describe the position and relations of the duodenum.(50)
46.2 Describe the microscopic arrangement of the duodenal mucosa.(40)
46.3 List the functional adaptations of the above microscopic arrangement.(10)
47. 47.1 Describe the course and relations of the left renal vein.(50)
47.2 In a 40 year old man ultrasound scan shows multiple cysts in both kidneys.
47.2.1 Name the condition he is suffering from.(05)
47.2.2 Briefly describe the development of the excretory and collecting units of the
kidney.(25)
47.2.3 Name a similar condition affecting the kidney(05)
47.2.4 Give 5 differences (embryological & clinical) between the conditions that you
have named in 1 & 3.(15)