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enerated on 2017-10-25
1. How does Gastrin How does Gastrin influence gastric acid 5. Which chromosomal Which chromosomal trisomy is associated
influence gastric acid secretion?? trisomy is associated with duodenal atresia?
secretion?? Increase with duodenal Trisomy 21
[...] atresia?
[...]
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11. How do Gastrin How do Gastrin levels change in 17. What is the most What is the most common type of Hiatal
levels change in Zollinger-Ellision Syndrome? common type of Hernia?
Zollinger-Ellision Increase Hiatal Hernia? Sliding Hiatal hernia
Syndrome? [...]
[...]
12. What is the site of What is the site of protrustion in an Indirect 18. [...] is a non-alpha, VIPoma is a non-alpha, non-beta islet cell
protrustion in an Inguinal Hernia? non-beta islet cell pancreatic tumour that secretes VIP,
Indirect Inguinal Internal Inguinal Ring pancreatic tumour thereby causing copious watery diarrhea,
Hernia? that secretes VIP, hypokalemia and achlorhydria.
[...] thereby causing
copious watery
Indirect = Internal diarrhea, WDHA Syndrome:
hypokalemia and - Watery Diarrhea
achlorhydria. - Hypokalemia
- Achlorhydria
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22. Which artery supplies Which artery supplies the rectum above 25. How does a How does a decrease in pH influence
the rectum above the pectinate line? decrease in pH pepsin activity?
the pectinate line? Superior Rectal artery (from the IMA) influence pepsin Increase
[...] activity?
[...]
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29. Which parts of the Which parts of the colon are 33. Where in the small Where in the small intestine are I-cells
colon are retroperitoneal? intestine are I-cells found?
retroperitoneal? Ascending and descending found? Duodenum; Jejunum
[...] [...]
34. Which cells of the GI Which cells of the GI tract secrete Gastrin?
tract secrete Gastrin? G cells
[...]
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40. Which portion of the Which portion of the esophagus is 44. The middle colic The middle colic artery anastamoses with
esophagus is retroperitoneal? artery anastamoses the left colic artery.
retroperitoneal? with the [...].
Lower 2/3
[...]
45. What is the venous What is the venous drainage of the rectum
drainage of the below the pectinate line?
rectum below the Inferior rectal vein to Internal pudendal
pectinate line? vein to Internal iliac vein to the IVC
[...]
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46. Which abdominal Which abdominal muscle gives rise to the 51. The [...] is a fascial The femoral sheath is a fascial tube found
muscle gives rise to external spermatic fascia? tube found 3-4 cm 3-4 cm below the inguinal ligament that
the external External oblique below the inguinal contains the femoral vein, artery and deep
spermatic fascia? ligament that inguinal lymph nodes.
[...] contains the femoral
vein, artery and deep
inguinal lymph
nodes.
49. What is the main What is the main artery that supplies
artery that supplies derivatives of the hindgut?
derivatives of the IMA
hindgut?
[...] Includes distal 1/3 of the transverse 53. Which embryological Which embryological structure gives rise to
colon to the upper portion of the structure gives rise to the pancreas?
rectum. the pancreas? Foregut
Splenic flexure is watershed region. [...]
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56. [...] is a GI disorder Achalasia is a GI disorder that involves an 62. Which embryological Which embryological tissue layer gives rise
that involves an increase in lower esophageal sphincter tissue layer gives rise to the spleen?
increase in lower (LES) resting tone due to loss of NO to the spleen? Mesoderm
esophageal secretion. [...]
sphincter (LES)
resting tone due to
loss of NO The spleen arises in the mesentary of the
secretion. stomach but it is supplied by the foregut
(i.e. the celiac artery).
58. Where in the GI tract Where in the GI tract are bile acids
are bile acids absorbed?
absorbed? Terminal ileum
[...]
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67. What are the 3 main What are the 3 main branches of the celiac 71. [...] is a type of Femoral hernia is a type of gastrointestinal
branches of the trunk? gastrointestinal hernia that protrudes below the inguinal
celiac trunk? Common hepatic artery; Splenic artery; hernia that protrudes ligament through the femoral canal and
[...] Left gastric artery below the inguinal below/lateral to the pubic tubercle.
ligament through
Notice the strong anastamoses between the femoral canal
the left and right gastric/gastroepiploic and below/lateral to
arteries. the pubic tubercle.
70. How does vagal How does vagal stimulation influence 74. What is the main What is the main artery that supplies
stimulation influence Somatostatin release? artery that supplies derivatives of the foregut?
Somatostatin Decrease derivatives of the Celiac artery
release? foregut?
[...] [...] Includes the pharynx and lower
esophagus to the proximal duodenum.
Remember, the PSNS generally increases
GI secretion. Somatostatin however works
to generally decrease GI secretion. Hence,
the PSNS inhibits somatostatin release.
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75. The [...] The superior rectal artery anastamoses 79. An [...] is a type of An diaphragmatic hernia is a type of
anastamoses with with the middle and inferior arteries. hernia that involves hernia that involves protrusion of
the middle and protrusion of abdominal structures into the thorax
inferior arteries. abdominal through the diaphragm.
structures into the
thorax through the
76. The superior rectal The superior rectal artery anastamoses
diaphragm. Occurs in infants as a result of defective
artery anastamoses with the middle and inferior arteries.
development of the pleuroperitoneal
with the [...].
membrane.
81. How does CCK How does CCK influence gastric emptying?
influence gastric Decrease
emptying?
[...]
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85. What are the What are the contents of the inguinal 89. [...] is a congenital GI Pyloric Stenosis is a congenital GI
contents of the (Hasselbach's) triangle? disorder due to disorder due to hypertrophy of the pylorus
inguinal Inferior epigastric vessels; Lateral hypertrophy of the that presents with nonbilious projectile
(Hasselbach's) border of the rectus abdominus; pylorus that presents vomit at ~2-6 weeks old.
triangle? Inguinal Ligament with nonbilious
[...] projectile vomit at
~2-6 weeks old. Occurs in 1/600 live births.
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94. Which type of Which type of hemorrhoids are found 98. Which receptor does Which receptor does Gastrin bind to at
hemorrhoids are above the pectinate line? Gastrin bind to at parietal cells to trigger gastric acid
found above the Internal hemorrhoids parietal cells to secretion?
pectinate line? trigger gastric acid CCKB
[...] secretion?
[...]
96. How does Nitric How does Nitric Oxide influence Lower
Oxide influence Esophageal Sphincter (LES) tone?
Lower Esophageal Decrease
Sphincter (LES)
tone?
101. Which surface of Which surface of hepatocytes faces the
[...]
hepatocytes faces bile canaliculi?
NO pretty much causes smooth muscle
the bile canaliculi? Apical surface
relaxation everywhere. LES included.
[...]
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102. What are the What are the contents of the Spermatic 108. How does Histamine How does Histamine influence gastric acid
contents of the Cord? influence gastric acid secretion?
Spermatic Cord? External spermatic fascia; Cremasteric secretion? Increase
[...] muscle and fascia; Internal spermatic [...]
fascia
103. Where is Where is Urobilinogen made? 109. Which section of the Which section of the small intestine is
Urobilinogen made? In the gut by normal flora
small intestine is associated with plicae circulares?
[...]
associated with Jejunum; Ileum
plicae circulares?
[...]
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113. Which type of Which type of inguinal hernia protrudes 117. What is the What is the parasympathetic innervation of
inguinal hernia through the inguinal (Hasselbach's) parasympathetic derivatives of the hindgut?
protrudes through triangle? innervation of Pelvic Nerve
the inguinal Direct inguinal hernia derivatives of the
(Hasselbach's) hindgut?
triangle? [...]
[...]
118. How does GIP How does GIP influence gastric acid
influence gastric acid secretion?
secretion? Decrease
[...]
115. How does ACh How does ACh influence gastric acid
influence gastric acid secretion?
secretion? Increase
[...]
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123. Which type of Which type of hemorrhoids are not painful 127. What is the vertebral What is the vertebral level of the
hemorrhoids are not as they receive visceral innervation from level of the bifurcation of the abdominal aorta?
painful as they above the pectinate line? bifurcation of the L4
receive visceral Internal hemorrhoids abdominal aorta?
innervation from [...]
above the pectinate
line? Bi-four-cation of the abdominal aorta.
[...]
124. During which week of During which week of gestation does the
gestation does the midgut return into the abdominal cavity
midgut return into and rotate around the superior mesenteric
the abdominal cavity artery (SMA)?
and rotate around 10th week
the superior
129. Which metabolite of Which metabolite of Urobilinogen gives
mesenteric artery
(SMA)? Urobilinogen gives feces its brown colour?
[...] feces its brown Stercobilin
colour?
[...]
125. What is the What is the frequency of basal electric
frequency of basal rhythm at the duodenum?
electric rhythm at the 12 waves/min
duodenum?
[...]
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130. Which zone of the Which zone of the liver is the site of 135. Where in the small Where in the small intestine are K cells
liver is the site of alcoholic hepatitis? intestine are K cells found?
alcoholic hepatitis? Zone 3/Centrilobular Zone found? Duodenum; Jejunum
[...] [...]
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140. Which type of Which type of inguinal hernia herniates 144. Which intracellular Which intracellular signalling cascade is
inguinal hernia medial to the Inferior Epigastric Artery? signalling cascade is associated with ACh (M3) and Gastrin
herniates medial to Direct inguinal hernia associated with ACh (CCKB) action at parietal cells?
the Inferior Epigastric (M3) and Gastrin Gq --> IP3/DAG --> increased Ca
Artery? (CCKB) action at
[...] parietal cells?
[...]
141. What structures are What structures are found in the 145. How does How does Somatostatin influence gastric
found in the Splenorenal ligament? Somatostatin acid and pepsinogen secretion?
Splenorenal Splenic artery; Splenic vein; Tail of the influence gastric acid Decrease
ligament? pancreas and pepsinogen
[...] secretion?
[...]
142. Which cells of the GI Which cells of the GI tract secrete Intrinsic 146. Which zone of the Which zone of the liver contains the
tract secrete Intrinsic Factor? liver contains the cytochrome P450 system?
Factor? Parietal cells of the stomach cytochrome P450 Zone 3/Centrilobular Zone
[...] system?
[...]
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148. Which receptor does Which receptor does Histamine bind to on 151. In which layer of the In which layer of the GI wall is the
Histamine bind to on parietal cells in order to trigger gastric acid GI wall is the Myenteric/Auerbach plexus found?
parietal cells in order secretion? Myenteric/Auerbach Muscularis externa
to trigger gastric acid H2 plexus found?
secretion? [...]
[...]
152. Where in the small Where in the small intestine are S cells
intestine are S cells located?
located? Duodenum
149. [...] are a feature of Caput medusae are a feature of portal
[...]
portal HTN that HTN that presents at the umbilicus due to
presents at the the portosystemic anastamoses between
umbilicus due to the the paraumbilical vein and the small
portosystemic epigastric veins of the anterior
anastamoses abdominal wall.
between the
paraumbilical vein
and the small
epigastric veins of
the anterior
abdominal wall.
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155. Trypsin, Trypsin, chymotrypsin, elastase and 160. Which type of Which type of inguinal hernia is typically
chymotrypsin, [...] carboxypeptidase are 4 pancreatic inguinal hernia is seen in older men?
and enzymes that function in protein typically seen in Direct
carboxypeptidase digestion and are secreted as older men?
are 4 pancreatic proenzymes in zymogen form. [...]
enzymes that
function in protein
digestion and are
secreted as
proenzymes in
zymogen form.
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163. What is the vertebral What is the vertebral level of the Superior 167. [...] is a type of Paraesophageal Hernia is a type of
level of the Superior Mesenteric Artery (SMA)? diaphragmatic hernia diaphragmatic hernia that involves
Mesenteric Artery L1 that involves protrustion of the fundus of the
(SMA)? protrustion of the stomach into the thorax with
[...] fundus of the preservation of the gastroesophageal
stomach into the junction.
thorax with
preservation of the
gastroesophageal
junction.
165. [...] is a Superior Mesenteric Arter (SMA) 170. Which Which immunoglobulin isotype is
cardiovascular Syndrome is a cardiovascular syndrome immunoglobulin transported across the epithelium into the
syndrome that that occurs when the transverse/third isotype is transported gut from Peyer patches in the lamina
occurs when the portion of the duodenum is entrapped across the epithelium propria to deal with intraluminal
transverse/third between the SMA and aorta, thereby into the gut from antigens?
portion of the causing intestinal obstruction. Peyer patches in the IgA
duodenum is lamina propria to
entrapped between deal with
the SMA and aorta, intraluminal
thereby causing antigens? i.e. secretory IgA
intestinal obstruction. [...]
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178. How does Gastrin How does Gastrin influence growth of the
influence growth of gastric mucosa?
the gastric mucosa? Increase
[...]
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185. [...] is a congenital GI Annular Pancreas is a congenital GI 188. [...] are a specialized M cells are a specialized cell found in
disorder that involves disorder that involves a ring of pancreatic cell found in peyer peyer patches that sample and present
a ring of pancreatic tissue around the duodenum due to patches that sample antigens to immune cells.
tissue around the abnormal development of the ventral and present
duodenum due to pancreatic bud. antigens to immune
abnormal cells.
development of the This can cause duodenal narrowing.
ventral pancreatic Normally, the ventral pancreatic bud goes
189. What structure is What structure is contained within the
bud. entirely one way around the duodenum to
contained within the Hepatoduodenal Ligament?
form the head of the pancreas. Sometimes
Hepatoduodenal Portal Triad
it can split, forming a ring.
Ligament?
[...]
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193. Which type of Which type of bilirubin is conjugated with 199. Which zone of the Which zone of the liver is affected first by
bilirubin is glucuronate? liver is affected first ischemia?
conjugated with Direct by ischemia? Zone 3/Centrilobular Zone
glucuronate? [...]
[...]
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203. What structures What structures make up the portal triad? 208. [...] is a surgical Pringle maneuver is a surgical maneuver
make up the portal Proper hepatic artery; Portal vein; maneuver that that involves compression of the
triad? Common bile duct involves hepatoduodenal ligament between the
[...] compression of the thumb and index finger to control
hepatoduodenal bleeding.
ligament between
the thumb and
index finger to
control bleeding.
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213. What is the vertebral What is the vertebral level of the celiac 218. Which zone of the Which zone of the liver is affected first by
level of the celiac trunk? liver is affected first ingested toxins?
trunk? T12 by ingested toxins? Zone 1/Periportal Zone
[...] [...]
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221. Which layer of the GI Which layer of the GI wall contains the 227. What are the What are the contents of the Femoral
wall contains the epithelium, lamina propria and contents of the Triangle?
epithelium, lamina muscularis mucosa? Femoral Triangle? Femoral nerve, artery and vein (from
propria and Mucosa [...] lateral the medial)
muscularis
mucosa?
[...]
224. What is the vertebral What is the vertebral level of the left renal
level of the left renal artery?
artery? L1
[...]
230. What artery supplies What artery supplies the rectum below the
225. The [...] The superior epigastric artery the rectum below pectinate line?
anastamoses with anastamoses with the inferior epigastric the pectinate line? Inferior Rectal Artery from the Internal
the inferior epigastric artery. [...] Pudendal Artery
artery.
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231. Which cells of the GI Which cells of the GI tract secrete 234. [...] are a type of External hemorrhoids are a type of
tract secrete Somatostatin? hemorrhoids that are hemorrhoids that are found below the
Somatostatin? D cells found below the pectinate line and are painful as they
[...] pectinate line and receive somatic innervation from the
are painful as they inferior rectal branch of the pudendal
receive somatic nerve.
innervation from the
inferior rectal branch
of the pudendal
nerve.
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236. What is the What is the parasympathetic innervation of 241. How does an How does an increase in fatty acids and
parasympathetic derivatives of the midgut? increase in fatty amino acids influence CCK release?
innervation of CN X (vagus) acids and amino Increase
derivatives of the acids influence CCK
midgut? release?
[...] [...]
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