Advanced Surgical Anatomy Flashcards
7 cards from real CSFA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Advanced Surgical Anatomy flashcards as text
During a carotid endarterectomy, injury to which nerve results in hoarseness and difficulty swallowing?
Answer: Recurrent laryngeal nerve
The recurrent laryngeal nerve innervates the intrinsic laryngeal muscles, and injury causes ipsilateral vocal cord paralysis with hoarseness.
The arcuate line (linea semicircularis) of the rectus sheath is significant because below it:
Answer: The posterior wall of the rectus sheath is absent
Below the arcuate line, all aponeurotic layers pass anterior to the rectus abdominis, leaving the posterior wall formed only by transversalis fascia.
Which ligament of the knee contains the blood supply to the anterior cruciate ligament (ACL) and must be respected during arthroscopic ACL reconstruction?
Answer: Middle geniculate artery via the synovial sheath
The ACL receives its blood supply primarily from the middle geniculate artery through the synovial sheath surrounding it.
During open Roux-en-Y gastric bypass, the Roux limb must pass through which anatomical route to reach the gastric pouch?
Answer: Antecolic, antegastric route
The antecolic, antegastric route is preferred in most laparoscopic gastric bypass procedures as it avoids internal hernias through the mesocolon.
The pudendal nerve (S2-S4) exits the pelvis through the greater sciatic foramen and re-enters through the lesser sciatic foramen to travel in which canal?
Answer: Alcock's canal
The pudendal nerve travels through Alcock's canal (pudendal canal) along the lateral wall of the ischioanal fossa after re-entering through the lesser sciatic foramen.
During thoracoscopic sympathectomy for hyperhidrosis, the sympathetic chain is transected at T2-T4 level. Horner's syndrome results if the chain is disrupted at which level?
Answer: T1 or above
Horner's syndrome (ptosis, miosis, anhidrosis) results from disruption of sympathetic fibers at T1 or the stellate ganglion, which is above the intended T2-T4 level.
The coronary ligament of the liver marks the boundary between which two hepatic surfaces?
Answer: Diaphragmatic surface and the bare area
The coronary ligament reflects from the diaphragm to the liver, marking the boundary of the bare area (area nuda) on the diaphragmatic surface.