Liver

Question 1

The prep for an abdominal ultrasound is:
A. No Drink for 6-8 hours prior to exam
C. No Prep
B. No Food for 6-8 hours prior to exam

Both A & B

Answer 1

Both A & B

Question 2

Which of the following is a protein the liver produces?

albumin
ammonium
phospholipid
urea

Answer 2

albumin

Question 3

Bile is composed of:

AST, ALT
Water, Bile Salts, and Bile Pigments
None of the above
Fat, Amino Acids, Sugars

Answer 3

Water, Bile Salts, and Bile Pigments

Question 4

The liver converts _____, a toxic product of nitrogen metabolism, into nontoxic urea.

Alum
Aluminum
Bilirubin
Ammonium

Answer 4

Ammonium

Question 5

The common hepatic artery is a branch of which of the following?

Celiac Axis (Aorta)
Portal Vein
Renal Artery
IVC

Answer 5

Celiac Axis (Aorta)

Question 6

Hepatopedal could be which of the following?

D. Hepatic Vein flow
A. Blood flow traveling to the liver
No answer text provided.
B & D
B. Blood flow traveling away from the liver
A & C
C. Portal Vein flow

Answer 6

A & C

Question 7

The hepatic veins are divided into three components:

Right, Middle, Left
Right, Medial, Lateral
One, two, three
Left, Anterior, Posterior

Answer 7

Right, Middle, Left

Question 8

The hepatic veins are connected to what larger vascular structure?

Portal vein
SMA
IVC
aorta

Answer 8

IVC

Question 9

Which of the following is located at the posterior border of the Caudate Lobe?

Falciform Ligament
Portal Vein
IVC
Ligamentum Venosum

Answer 9

IVC

Question 10

The combination of Direct Bilirubin and Indirect Bilirubin on lab work = ______.

Main Bilirubin
Correct Bilirubin
Abnormal Bilirubin
Total Bilirubin

Answer 10

Total Bilirubin

Question 11

The Ligamentum Teres is a remnant of the ______.

Umbilical vein
ductus arteriosis
ductus venosus
foramen ovale

Answer 11

Umbilical vein

Question 12

The ligamentum venosum is a remnant of the _____.

Umbilical Vein
foramen ovale
Ductus arteriosis
Ductus Venosus

Answer 12

Ductus Venosus

Question 13

Which cluster of labs are labs that would be used in a liver examination?

ALT, Insulin, BUN
AST, BUN, Creatinine
BUN, Glucose, Lactic Acid Dehydrogenase
ALT, AST, Lactic Acid Dehydrogenase

Answer 13

ALT, AST, Lactic Acid Dehydrogenase

Question 14

The liver functions consist of :
Detoxification, Disease, Digestion, Storage

Metabolism, Digestion, Disease, Insulin Production
Storage, Metabolism, Digestion, Detoxification
Insulin Production, Immunization, Digestion, Storage

Answer 14

Storage, Metabolism, Digestion, Detoxification

Question 15

Which regions does the liver lie in: CHECK ALL RIGHT ANSWERS!

Lt hypochondrium
umbilicus
epigastrium
Rt hypochondrium

Answer 15

Lt hypochondrium
epigastrium
Rt hypochondrium

Question 16

Where does the liver lie in respect to the diaphragm?

superior
Posterior
Lateral
Inferior

Answer 16

Inferior

Question 17

The liver should appear ________ to the Kidney?

heterogenous
hypoechoic
Isoechoic
greatly hyperechoic

Answer 17

Isoechoic

Question 18

Is the liver Retroperitoneal or Peritoneal?

Retroperitoneal
Peritoneal

Answer 18

Peritoneal

Question 19

What structure is located between the portal vein and the gallbladder?

main lobar fissure
falciform ligament
ligamentum venosum
ligamentum teres

Answer 19

main lobar fissure

Question 20

The main portal vein divides into:

Anterior/Posterior
Medial/Lateral
Right/Middle/Left
Right/Left

Answer 20

Right/Left

Question 21

The liver is largely covered by the peritoneum of the _____________?

Greater Sac
Anterior Sac
Lesser Sac
Posterior Sac

Answer 21

Greater Sac

Question 22

The three components of the portal triad are?

Hepatic Artery, Common Bile Duct, Main Portal Vein
Right Portal Vein, Cystic Duct, Hepatic Artery
Main Portal Vein, Cystic Duct, Hepatic Artery

Answer 22

Hepatic Artery, Common Bile Duct
Main Portal Vein

Question 23

The main portal vein enters the liver through the ______.

Porta hepatis
Glisson’s Capsule
Portal Vein Fissure
No answer text provided.
Main Lobar Fissure

Answer 23

Porta hepatis

Question 24

Which of the following vessels makes up the portal splenic confluence? CHECK ALL THAT APPLY!!

Splenic Vein
Inferior mesentaric vein
superior mesentaric artery
Superior Mesenteric Vein

Answer 24

Splenic Vein
Inferior mesentaric vein
Superior Mesenteric Vein

Question 25

Portal veins run ____within the liver. Intersegmental anterior Intrasegmental No answer text provided.

Answer 25

Intrasegmental

Question 26

The right triangular ligament is an extension of which of the following: ligamentum venosum ligamentum teres falciform ligament coronary ligament

Answer 26

coronary ligament

Question 27

Which hepatic vein divides the right liver into anterior and posterior portions? right main left middle

Answer 27

right

Question 28

The liver is _____ to the IVC and Aorta Posterior Anterior Medial Lateral

Answer 28

Anterior

Question 29

Which lobe is the smallest? Right Left Caudate

Answer 29

Caudate

Question 30

Which of the following structures lies in the right intersegmental fissure? ligamentum teres cantlie line Main Lobar fissure right hepatic vein falciform ligament

Answer 30

right hepatic vein

Question 31

The left triangular ligament is an extension of what ligament? coronary ligament ligamentum venosum main lobar fissure falciform ligament

Answer 31

falciform ligament

Question 32

The portion of the liver not covered by peritoneum that rests on the diaphragm is called the blank space. True False

Answer 32

False

Question 33

The function of bile is to emulsify intestinal fat and remove waste products excreted by the gallbladder. True False

Answer 33

False

Question 34

__________________ is released when hemoglobin is broken down. The liver excretes it to the gut through the bile. 1. albumin 2. ammonium 3. fats 4. bilirubin Please enter only a number as your answer (1), don't spell the number (one) or write the words.

Answer 34

4

Question 35

Another name for the main lobar fissure is:

Answer 35

Rex-Cantlie line

Question 36

In terms of Vasculature what is special about the caudate lobe? 1. It has no vasculature 2. It receives blood from both right and left portal veins 3. It connects directly to the Aorta 4. It receives blood by osmosis Please enter only a number as your answer (1), don't spell the number (one) or write the words.

Answer 36

2

Question 37

We have discussed Couinaud's Liver Resection. What is the purpose of Couinaud's or when would it be used?

Answer 37

Surgery

Question 38

The liver rids the body of toxins through which of its physiological processes: 1. Metabolism 2. Digestion 3. Storage 4. Detoxification Please enter only a number as your answer (1), don't spell the number (one) or write the words.

Answer 38

4

Question 39

The caudate lobe is drained by small veins know as emissary veins. True False

Answer 39

True

Question 40

The____ligament lies in the left intersegmental fissure; the very end of it is called the ligamentum teres. venosum right falciform

Answer 40

falciform

Question 41

The liver is covered by a thin connective tissue layer called Glenda's capsule. True False

Answer 41

False

Question 42

When looking at a waveform of the hepatic artery, it should demonstrate a HIGH OR LOW resistance waveform?

Answer 42

low

Question 43

Hepatic Veins have flow going ___ the liver. Towards Away from Please enter only a number as your answer (1), don't spell the number (one) or write the words.

Answer 43

2

Question 44

The hepatic veins are _____, they course between the segments of the liver.

Answer 44

intersegmental Interlobar

Question 45

The ___appears as a bright echogenic focus on the sonogram and is seen as the rounded termination of the falciform ligament.

Answer 45

Ligamentum teres

Question 46

What is the normal length by measuring it from tip to diaphragm? 15.5 cm 1.55 cm 15.5 mm

Answer 46

15.5 cm

Question 46

The ______separates the left lobe of the liver from the caudate lobe. Ligamentum Teres Main lobar fissure Ligamentum Venosum

Answer 46

Ligamentum Venosum

Question 47

The main lobar fissure divides the liver into what? front and back none of the above Right and left Hemi-livers top and bottom

Answer 47

Right and left Hemi-livers

Question 48

The main lobar fissure separates the right and left lobes of the liver at an _____ angle. awkward right oblique

Answer 48

oblique

Question 49

The liver converts fats, proteins, and carbohydrates to forms of energy the body can use. This liver function is: 1. Metabolism 2. Digestion 3. Storage 4. Detoxification Please enter only a number as your answer (1), don't spell the number (one) or write the words.

Answer 49

1

Question 50

The portal triad demonstrates what "sign"?

Answer 50

Mickey mouse

Question 51

The area between the Right Kidney and the Liver is called: 1. Space of Retzius 2. Morison's pouch 3. Gallbladder fossa Please enter only a number as your answer (1), don't spell the number (one) or write the words.

Answer 51

2

Question 52

What does the Proper Hepatic Artery divide into? 1. Right/Left Hepatic Arteries 2. Right Gastric Artery 3. Right renal Artery 4. none of the above Please enter only a number as your answer (1), don't spell the number (one) or write the words.

Answer 52

1

Question 53

What is the sonographic appearance of the ligaments and fissures? 1. Echogenic 2. Hypoechoic 3. Anechoic 4. Isoechoic Please enter only a number as your answer (1), don't spell the number (one) or write the words.

Answer 53

1

Question 54

A congenital variant of the liver in which there is an inferior extension of the right lobe is termed Reidel's Lobe. True False

Answer 54

True

Question 55

The Portal Vein Walls should demonstrate what type of sonographic appearance? 1. hypoechoic 2. anechoic 3. echogenic 4. isoechoic Please enter only a number as your answer (1), don't spell the number (one) or write the words.

Answer 55

3

Question 56

What is the name of the space between the liver and the diaphragm? (This is sometimes where abscesses form) 1. Subphrenic space 2. Morrison's Pouch 3. Pouch of Douglas Please enter only a number as your answer (1), don't spell the number (one) or write the words.

Answer 56

1

Question 57

The Pancreas is located ____ to the Left lobe of the liver. 1. Superior 2. Medial 3. Lateral 4. Inferior Please enter only a number as your answer (1), don't spell the number (one) or write the words.

Answer 57

4

Question 58

Is the normal echotexture of the liver heterogeneous or homogeneous?

Answer 58

homogeneous

Question 59

Which lobe of the liver is the largest?

Answer 59

Right

Question 60

The right kidney lies _____/_____to the right liver.

Answer 60

Posterior/inferior

Question 61

The stomach lies _____ and _____to the left liver.

Answer 61

Posterior and lateral

Question 62

The portal vein flow is described as which of the following? 1. Hepatopedal 2. Hepatofugal Please enter only a number as your answer (1), don't spell the number (one) or write the words.

Answer 62

1