Liver Part 1

Question 1

Liver produces _________ needed by the body

Answer 1

Protein

Question 2

Liver produces energy by

Answer 2

Breaking down nutrients

Question 3

The liver stores

Answer 3

Vitamins, minerals and sugar

Question 4

Bile is needed to break down (5)

Answer 4

Fats and vit A, D, E, and K

Question 5

Liver produces most of the substances that regulate

Answer 5

Blood clotting

Question 6

Bile is produced within

Answer 6

The hepatocyte

Question 7

the ___________ drains old blood in the liver back to the hepatic veins

Answer 7

Central vein

Question 8

Which structure seperates the medial and lateral left lobe

Answer 8

Left intersegmental fissure

Question 9

Which structures lie within the left inter segmental fissure

Cranially =
Middle =
Caudally=

Answer 9

Cranially - LHV
Middle — Ascending LPV
Caudally- ligamentum teres

Question 10

What does the middle hepatic vein separate

Answer 10

Anterior RL and medial LL

Question 11

What is the name of the capsule

Answer 11

Glissons capsule

Question 12

Right lobe measuremtn

Answer 12

13-17 cm

Question 13

Hepatic veins in what directions

Answer 13

Hepatofugal

Question 14

MPV should not exceed ____ mm in AP diameter

Answer 14

13mm

Question 15

Diaphragmatic slips are the cause of _______ on liver sonography

Answer 15

Pseudomass

Question 16

Diaphragmatic slips are associated with

Answer 16

Diaphragmatic muscle bundles that attach the central tendon to the thoracic cage

Question 17

Mirror image artifact is caused by

Answer 17

Diaphragm

Question 18

Is alpha fetoprotein (AFP) seen under normal circumstances

Answer 18

No

Question 19

Alpha fetoprotein (AFP) is a ________ normally synthesized by ____(3)

Answer 19

Protein

Liver, yolk sac, and GI tract of fetus

Question 20

Alpha fetoprotein (AFP) is a _________ marker for _________

Answer 20

Nonspecific marker for malignancy

Question 21

Alkaline phosphatase (ALP) is a __________ produced primarly by ____(3)

Answer 21

Enzyme

Liver, bone and placenta

Question 22

Alkaline phosphatase (ALP) is excreted through

Answer 22

The bile ducts

Question 23

Alkaline phosphatase (ALP) marked elevation is associated with

Answer 23

Obstructive jaundice

Question 24

Alanine aminotransferase (ALT) is a _______ found in high concentrations in _________ and low concentrations in ____(3)

Answer 24

Enzyme

High: in the liver

Low: heart, muscle and kidneys

Question 25

Alanine aminotransferase (ALT) remains longer than

Answer 25

Aspartate aminotransferase - AST

Question 26

Alanine aminotransferase (ALT) is used to assess

Answer 26

Jaundice

Question 27

Alanine aminotransferase (ALT) elevation is assosiated with (3)

Answer 27

Cirrhosis, hepatitis and biliary obstruction

Question 28

Mild elevation of Alanine aminotransferase (ALT) associated with

Answer 28

Liver metastases

Question 29

Aspartate aminotransferase - AST is an ________ present in many kinds of tissue that is released when ________

Answer 29

Enzyme Cells are injured or damaged

Question 30

Aspartate aminotransferase - AST levels are proportional to the (2)

Answer 30

Amount of damage and | the time between cell injury and testing

Question 31

Aspartate aminotransferase - AST test is used to diagnose

Answer 31

Liver disease before jaundice occurs

Question 32

Aspartate aminotransferase - AST elevation is associated with (3)

Answer 32

Cirrhosis, hepatitis and mononucleosis

Question 33

Prothrombin time test is an _______ produced by _______

Answer 33

Enzyme prod by liver

Question 34

Normal clotting time is

Answer 34

10-15 seconds

Question 35

Prothrombin time depends on the amount of

Answer 35

Vitamin K

Question 36

Elevation of prothrombin time is associated with (4)

Answer 36

Cirrhosis, malignancy, malabsorption of vitamin K and clotting failure

Question 37

Prothrombin time decreases with (5)

Answer 37

subacute or acute cholecystitis, internal biliary fistula, carcinoma of the GB, biliary duct injury and prolonged extrahepatic biliary obstruction

Question 38

Leukocytosis is

Answer 38

A white blood cell count above the normal range

Question 39

Leukocytosis is a sign of

Answer 39

Inflammatory or infection response

Question 40

Leukocytosis is not a disease but a

Answer 40

Labratory finding

Question 41

Serum albumin decrease suggests

Answer 41

A decrease in protein synthesis

Question 42

Normal total bilirubin is ____ to ____d/L

Answer 42

0.3-1.1

Question 43

Normal direct bilirubin is ___ to ___ d/L

Answer 43

0.1-0.4

Question 44

Bilirubin is a product of the

Answer 44

Breakdown of hemoglobin in old blood cells

Question 45

Elevation of direct or conjugated bilirubin is associated with (4)

Answer 45

Obstruction, hepatitis, cirrhosis and liver metastases