Liver

Question 1

Hepatic veins are _____segmental

Answer 1

INTERsegmental

Question 2

Portal veins are ____segmental

Answer 2

INTRAsegmental

Question 3

Main lobar fissure separates ____ & _____ lobes

Answer 3

Right and left lobes

Question 4

Falciform ligament/ligamentum teres divide

Answer 4

Medial and lateral left lobes

Question 5

Caudate lobe occupies the ______ surface of the liver

Answer 5

Posterior superior

Question 6

Caudate lobe is drained by ____ veins

Answer 6

Emissary veins

Question 7

Enlargement of the caudate lobe can happen with

Answer 7

Cirrhosis and Budd Chiari

Question 8

Remnant of fetal umbilical vein

Answer 8

Ligamentum teres

Question 9

Direction of fetal circulation

Answer 9

1. Umbilical vein
2. LPV
3. Ductus venosus
4. IVC

Question 10

Hepatic vein waveforms

Answer 10

Triphasic

Question 11

• caused by histoplasmosis or tuberculosis
• calcifications in liver and/or spleen
• Small collections of macrophages

Answer 11

Granulomas

Question 12

“Starry night”

Answer 12

Acute hepatitis

Question 13

Round hypoechoic/complex mass typically in the right lobe

- TRAVELERS/IMMIGRANTS

Answer 13

Amebic abscess

Question 14

Most common source for pyogenic liver abscess

Answer 14

Biliary tract disease

Question 15

Aka round ligament

Answer 15

Ligamentum teres

Question 16

“Wheel within a wheel”

Answer 16

Candidiasis/fungal

Question 17

Abscess more common in IMMUNOCOMPROMISED patients

Answer 17

Candidiasis

Question 18

Multiple cysts that DONT communicate with biliary tree

Answer 18

Polycystic liver disease

Question 19

AKA steatosis

Answer 19

Fatty infiltration

Question 20

Most common glycogen storage disease

Answer 20

Von gierke (type 1)

Question 21

Abnormal iron deposits in organs

Answer 21

Hemochromatosis

Question 22

Hemochromatosis is best evaluated with

Answer 22

MRI

Question 23

Disorder of copper metabolism that can lead to cirrhosis

Answer 23

Wilson’s disease

Question 24

1 cause of cirrhosis

Answer 24

Hep C

Question 25

#2 cause of cirrhosis

Answer 25

Alcohol

Question 26

Cirrhosis has an increased risk for developing

Answer 26

HCC

Question 27

“Hydatid disease”

Answer 27

Echinococcal cyst

Question 28

Common in sheep herding countries

Answer 28

Echinococcal/hydatid

Question 29

Water lily sign | “Daughter cysts”

Answer 29

Echinococcal/hydatid

Question 30

Early stages of echinococcal/hydatid cyst may contain cysts with debris called

Answer 30

Hydatid sand

Question 31

Tests for echinococcal/hydatid disease

Answer 31

- ELISA | - Casoni skin test

Question 32

Parasite that causes portal hypertension

Answer 32

Schistosomiasis

Question 33

Major cause of portal hypertension

Answer 33

Cirrhosis

Question 34

TIPS is placed between

Answer 34

RPV & RHV

Question 35

Hepatic vein and IVC obstruction

Answer 35

Budd chiari

Question 36

Most common benign tumor of liver

Answer 36

Cavernous hemangioma

Question 37

Most common benign vascular tumor in infancy

Answer 37

Infantile hemangioendothelioma

Question 38

#2 most common benign liver mass

Answer 38

Focal Nodular Hyperplasia

Question 39

“Stealth lesion”

Answer 39

FNH

Question 40

Central fibrous scar

Answer 40

FNH

Question 41

Occur mostly in women of childbearing age and are strongly associated with oral contraceptive pills

Answer 41

Adenoma

Question 42

Artifact that is produced by lipomas

Answer 42

Propagation speed artifact

Question 43

Most common primary malignancy of liver

Answer 43

HCC

Question 44

HCC labs:

Answer 44

AFP

Question 45

Hepatic adenoma is also associated with this disease:

Answer 45

Glycogen storage disease

Question 46

#1 pediatric primary liver malignancy

Answer 46

Hepatoblastoma

Question 47

Strong sonographic sign of malignancy in liver

Answer 47

Halo sign

Question 48

Hypoechoic metastases comes from:

Answer 48

Lymphoma

Question 49

Hyperechoic metastases comes from:

Answer 49

GI tract

Question 50

Bulls eye or target metastases comes from:

Answer 50

Lung

Question 51

Calcified metastases comes from:

Answer 51

Mucinous adenocarcinoma of colon

Question 52

Cystic metastases comes from

Answer 52

Leiomyosarcoma

Question 53

Hepatoblastoma is associated with this genetic condition

Answer 53

Beckwith Wiedemann

Question 54

Hepatoblastoma labs:

Answer 54

AFP