Liver

Question 1

What is the liver responsible for?

Answer 1

Metabolism, storage, detoxification and blood volume

Question 2

What is Glissons capsule?

Answer 2

Fibrous capsule that encloses the liver

Question 3

Liver is positioned __________ to the diaphragm.

Answer 3

Inferior

Question 4

What are the 4 lobes of the liver?

Answer 4

Right lobe, left lobe, caudate lobe, quadrate lobe

Question 5

Which liver lobe is the largest?

Answer 5

Right lobe

Question 6

What ligaments are found in the left liver lobe?

Answer 6

Falciform ligament and ligamentum teres

Question 7

What is the smallest lobe of the liver?

Answer 7

Caudate lobe

Question 8

Where is the caudate lobe located?

Answer 8

Posterior superior surface of the liver

Question 9

What separates the caudate lobe from the left liver lobe?

Answer 9

Ligamentum venosum

Question 10

What view is the caudate lobe best seen in?

Answer 10

Sagital view of left liver lobe

Question 11

What is another name for the quadrate lobe?

Answer 11

Medial left lobe

Question 12

What can you see in the porta hepatis? Name the vessels.

Answer 12

Portal triad: main portal vein, common bile duct and the hepatic artery

Question 13

What is the porta hepatis?

Answer 13

The location where vasculature and hepatic ducts enter/exit

Question 14

What is the bare area?

Answer 14

A small portion of the liver that is not covered by Glissons capsule

Question 15

What portion of the liver is in direct contact with diaphragm?

Answer 15

Bare area

Question 16

The caudate lobe is separated from the left hepatic lobe by what?

Answer 16

Left hepatic vein and ligamentum venosum

Question 17

What lobe is located anterior to the stomach, body of the pancreas, splenic vein, and splenic artery?

Answer 17

Left liver lobe

Question 18

What helps separate and drain the anterior and posterior segments of the right lobe?

Answer 18

Right hepatic vein

Question 19

What separates and drains the right and medial left liver lobes?

Answer 19

Middle hepatic veins

Question 20

Based on Couinauds liver segmentation, segment 1 shows what liver portion?

Answer 20

Caudate liver

Question 21

What is used to identify the caudate liver?

Answer 21

Posterior IVC and anterior the left portal vein

Question 22

Some categorizations do not consider this a lobe, which lobe are they referring to?

Answer 22

Quadrate lobe

Question 23

Left liver lobe frequently lies anterior to which organ?

Answer 23

Body of the pancreas

Question 24

What supplies the liver with blood?

Answer 24

Common hepatic artery

Question 25

What is another name for the round ligament?

Answer 25

Ligamentum Teres

Question 26

What is Reidel's lobe?

Answer 26

a tongue-like extension of the right lobe

Question 27

What are normal variants of the liver?

Answer 27

Reidel's lobe, Distal papillary process of the caudate lobe, and elongated left lobe.

Question 28

When scanning the left liver you should have the patient take a _______________ and hold it.

Answer 28

Deep Breath

Question 29

Which Couinaud segment is closest to the kidneys?

Answer 29

Segment V

Question 30

Which ligament can open back up to allow for blood flow in the case of portal hypertension?

Answer 30

Ligamentum Teres

Question 31

Which labs are considered part of the LFT's?

Answer 31

AST, ALT, ALP, and GGTP

Question 32

Which veins course intersegmentally?

Answer 32

The hepatic veins (ones coming from superior)

Question 33

Which veins course intrasegmentally?

Answer 33

The Portal Veins (ones coming from inferior)

Question 34

AST elevated alone without elevated ALT indicates?

Answer 34

non hepatic disorder

Question 35

Where is the main lobar fissure located?

Answer 35

Middle portion of the liver

Question 36

What does the main lobar fissure do?

Answer 36

Divides the liver into right and left lobes

Question 37

What is another name for the main lobar fissure?

Answer 37

Middle intersegmental fissure

Question 38

What does the middle intersegmental fissure appear as sonographically?

Answer 38

As an echogenic linear structure adjacent to gallbladder

Question 39

When gallbladder is surgically absent what landmark should you look for?

Answer 39

Main lobar fissure

Question 40

What ligament attaches the anterior surface of the liver to the abdominal wall?

Answer 40

Falciform ligament

Question 41

What ligament forms the Falciform ligament?

Answer 41

Coronary ligament

Question 42

What ligament is a remnant of the umbilical vein?

Answer 42

Ligamentum teres

Question 43

What ligament separates medial and lateral left lobe of the liver?

Answer 43

Ligamentum teres

Question 44

What is the hepatoduodenal ligament?

Answer 44

Folds of peritoneum that surround the portal triad