Liver, Gall Bladder and Pancreas

Question 1

What are the 4 functions of the liver?

Answer 1

1) Glycogen storage
2) Detoxification of blood
3) Synthesis of Bile
4) Production of Proteins and Cholesterol

Question 2

Which mesentery does liver develop in and where is it a derivative of?

Answer 2

1) Ventral mesentery

2) Foregut

Question 3

Describe diaphragmatic surface of liver

Answer 3

Smooth and convex (Anterosuperior)

Question 4

Describe visceral surface of liver?

Answer 4

Moulded by shape of surrounding organs so irregular

Posterior inferior

Question 5

What are the 3 liver ligaments?

Answer 5

1) Falciform Ligament
2) R and L Coronary Ligaments
3) R and L triangular ligaments

Question 6

Role of falciform ligament and what is at free edge?

Answer 6

1) Attach liver to AAW

Ligamentum teres

Question 7

What are the 4 lobes of the liver?

Answer 7

1) Right
2) Left
3) Caudate
4) Quadrate

Question 8

Function of other 2 ligaments?

Answer 8

Attach superior surface of diaphragm to the liver

Question 9

Location and structures bound to Caudate lobe?

Answer 9

1) Upper aspect of RL on visceral

2) IVC and fossa from Ligamentum venosum

Question 10

Location and structures bound to Quadrate lobe?

Answer 10

1) Lower aspect of RL on visceral

2) Gall bladder and fossa from LT

Question 11

How is liver supplied with deoxygenated blood? And Oxygenated?

Answer 11

HPV

Hepatic Artery Proper

Question 12

Function and capacity of Gall bladder?

Answer 12

1) Temporary Bile Storage

2) 30-50mls

Question 13

3 divisions of GB?

Answer 13

Fundus, Body and Neck

Tapers to become continuous with CD

Question 14

Name for where CBD and PD meet?

Answer 14

Ampulla of Vater

Question 15

Describe the Biliary Tree

Answer 15

L + R HD –> CHD
CHD + CD –> CBD
CBD + PD –> Hepatopancreatic AoV

Question 16

Where does bile empty into the duodenum? (Regulator)

Answer 16

Through major duodenal papilla

Sphincter of Oddi

Question 17

How is blood supplied to gall bladder?

Answer 17

Cystic Artery (Branch of RHA, HAP, CHA, CT)

Question 18

What innervation results in secretion of bladder and contraction of gall bladder?

Answer 18

Parasympathetic

Question 19

Arrangement of Portal Triad at porta hepatic (Anterior to Post)?

Answer 19

D,A,V

CBD, HA, HPV

Question 20

What is the surface marking for the gall bladder?

Answer 20

The tip of the 9th costal cartilage. Where the lateral rectus sheath joins the costal margin.

Question 21

Where do the HV’s drain?

Answer 21

Into the IVC

Question 22

3 main branches of Coeliac trunk?

Answer 22

Left gastric, splenic and common hepatic

Question 23

Name the 2 branches of the Gastroduodenal artery.

Answer 23

1. Right gastroepiploic artery (supplies greater curvature of the stomach).
2. Superior pancreaticoduodenal artery (supplies head of pancreas).

Question 24

Is Pancreas retro or intra peritoneal?

Answer 24

Tail is intraperitoneal, rest is retro

Question 25

Name the 5 parts of Pancreas?

Answer 25

1) Head
2) Uncinate Process
3) Neck
4) Body
5) Tail

Question 26

Blood supply to head of pancreas?

Answer 26

Superior and Inferior Pancreaticoduodenal arteries

Question 27

What is each Pancreaticoduodenal arteries branch of?

Answer 27

S: Gastroduodenal artery
I: SMA

Question 28

Blood supply to rest of pancreas?

Answer 28

Pancreatic branches of splenic artery

Question 29

What is the venous drainage of the pancreas?

Answer 29

1) Head: Drains into SMV into HPV

2) PV drain rest of pancreas into Spl Vein

Question 30

Why can diseases of pancreas spread to adjacent tisses?

Answer 30

Not contained within a capsule