Test Taking Tips
Stomach questions remain high yield, and core knowledge of basic physiology and anatomy is essential. Know the stomach’s blood supply, including common aberrations and variations. The acid production with function/products of different cells is a favorite of the boards.
The stomach, with its variety of benign and malignant conditions, is also a rich ground for clinical questions. Study the etiology plus treatment of upper gastrointestinal (UGI) bleeding, types of ulcers, and gastrointestinal stromal tumor (GIST) and lymphoma. Regarding cancer, have knowledge of basic staging and treatment modalities.
Where does the lesser curvature abruptly angle to the right and the body of the stomach ends and the antrum begins?
Term for where the fundus forms with the left margin of the esophagus:
What is the arterial blood supply to the stomach?
Approximate percentage that an aberrant left hepatic artery originates from the left gastric artery:
What is the largest artery to the stomach?
In general, what is the maximal number of arteries that can be ligated, provided that the arcades along the greater and lesser curvatures are intact, that will still supply enough blood flow for the stomach to survive?
Describe the venous drainage of the stomach:
Arterial blood supply to the stomach. a., artery; v., vein. (Reproduced with permission from Zuidema GD, Yeo CJ, Orringer MB, et al. Shackelford’s Surgery of the Alimentary Tract, 5th ed. Vol II. Philadelphia, PA: Saunders; 2002.)
What happens to the left vagus and right vagus at the gastroesophageal (GE) junction?
Where does the stomach receive its extrinsic parasympathetic and sympathetic innervation?
Where does the sympathetic nerve supply to the stomach originate from?