the pertioneal cavity and liver homework questions

Question 1

The falciform ligament divides the liver into ___ and ____ lobes

Answer 1

RIGHT
LEFT

Question 2

The falciform ligament connects the liver ____ surface with ____ abdominal wall

Answer 2

Anterior
Anterior

Question 3

The falciform ligament is only seen sonographically in the presence of the____

Answer 3

Ascites

Question 4

The ____ ____ attaches the liver to the diaphragm and anterior wall

Answer 4

Falciform ligament

Question 5

The smooth fibrous capsule that covers the surface of the liver is called ____ ____

Answer 5

Gilssons capsule

Question 6

The ___ ___ vein separates the left lobe from the right lobe of the liver

Answer 6

Middle hepatic

Question 7

The ____ _____ vein separates the right lobe of the liver Into two segments

Answer 7

Right hepatic

Question 8

The ____ ____ separates the left liver lobe into medial and lateral segments

Answer 8

Ligamentum teres

Question 9

The main lobar fissure is identified my the middle hepatic vein superiorly and echogenic line between _____ and ____ ____ vein inferiority

Answer 9

Gallbladder
Right portal v.

Question 10

The left portal vein gives off 2 branches ____ and ____

Answer 10

Medial
Lateral

Question 11

The right portal vein gives off 2 branches ____ and ____

Answer 11

Anterior
Posterior

Question 12

The portal vein is hepato____ and the hepatic vein is hepato_____

Answer 12

HepatoPETAL
hepatoFUGAL

Question 13

Asparate aminotransferase ( AST) indicates liver cell ____ if increase

Answer 13

Necrosis

Question 14

Alanine aminotransferase (ALT) indicates liver cell necrosis if increased. are ____ present in a high tissue metabolic rate such as the liver. Elevated level can signify _____ diseases (cell Injury)

Answer 14

Enzymes
Hepeato-cellular

Question 15

Accumulation of bilirubin can cause ____

Answer 15

Jaundice

Question 16

Bilirubin is the breakdown product of ____ it is also an important substance that is detoxified in the liver

Answer 16

Hemoglobin

Question 17

Prothrombin time (PT) is part of a blood clotting mechanism. Prolonged time signify liver cell ____ with a poor prognosis

Answer 17

Damage

Question 18

Albumin and globulins are plasma proteins made by the liver . Decreased level signify liver ____ ____ (cirrhosis) . Their low levels are responsible for ____

Answer 18

Cell damage
Ascites

Question 19

Alpha fetoprotein are enzymes found in liver, kidney , bone and placenta. It’s elevated in the presence of _____ carcinoma

Answer 19

Hepato-cellular

Question 20

Gamma glutamyl transferase are enzymes found in the liver and an increased value indicates ____

Answer 20

Alcoholism

Question 21

If Carcinembryonic Antigen (CEA) is elevated this may indicate primary or secondary ___ ____ ____

Answer 21

Cancerous liver tumors

Question 22

The anterior border of the caudate lobe is the ligamentum ____

Answer 22

Venosum

Question 23

The MPV is formed by the junction of the ___ vein and the ___ just posterior to the pancreas neck

Answer 23

Splenic
SMV

Question 24

The portal veins enter the liver through the porta____

Answer 24

Hepatis

Question 25

Normal diameter measurement for the portal veins are___ mm

Answer 25

13mm

Question 26

Portal vein is hepato____

Answer 26

PETAL

Question 27

The portal vein carries nutrient rich blood from the ___ ___

Answer 27

GI tract

Question 28

Portal triad has three structures the ____ ____, ___ ____ and the ____ ____

Answer 28

Hepatic artery Portal vein Bile duct

Question 29

The portahepatis ( portal confluence ) consist of ____ ___ and ____ ____ enter liver and ___ ___ exists liver

Answer 29

Portal vein Hepatic artery Bile duct

Question 30

The ___ ____ is the only part of the liver not covered by peritoneum

Answer 30

Bare area

Question 31

The liver had a hepatic ___ function and a _____ function

Answer 31

Metabolic Detoxification

Question 32

The ____ peritoneum lines the wall of the cavity and secrets 50ML of serous fluid which lubricated visceral surfaces which allow movement without friction

Answer 32

Parietal

Question 33

____ peritoneum enveloped organs, except at the hilum where blood vessels nerves and lymph enter and exit the organ (bare area )

Answer 33

Visceral

Question 34

The right posterior sub hepatic space is known as hepatorenal space (_____ _____)

Answer 34

Morrisons pouch

Question 35

Morison pouch is located between ____ right liver lobe and right kidney

Answer 35

Posterior

Question 36

The _____ _____ in the peritoneal cavity are left posterior subhepatic space, right subhepatic space ( Morrison pouch) and R and L para colic gutters soaces

Answer 36

Potential spaces

Question 37

____ ____ disease affects the hepatic cells and interferes with liver function

Answer 37

Diffuse hepatocellular

Question 38

____ ____ is the most common benign liver tumor. On ultrasound it appears as a well defined hypoechoic mass with smooth boarders

Answer 38

Cavernous hemangioma

Question 39

The second most common benign liver tumor is ___ ____ ______

Answer 39

Focal nodular hyperplasia

Question 40

Which benign liver tumor is made up of hepatocytes , Kupffer cells and fibrous connective tissue and bile duct element

Answer 40

Focal nodular hyperplasia

Question 41

A liver lipoma may be composed entirely of __ cells or it can be mixed

Answer 41

Fat

Question 42

To be able to confirm that a patient had liver lipoma a __ ___ can confirm

Answer 42

Ct scan

Question 43

The most common liver malignancy is ____

Answer 43

Metastases

Question 44

The more common sites for ____ cancer is the GI tract, breast and lung follows by the pancreas’s colorectal and ovaries

Answer 44

Metastatic

Question 45

___ is used to help define the extend of the disease as it will show lesions that cannot be seen so clearly on a grey scale image

Answer 45

CEUS

Question 46

For focal nodular hyperplasia _____ scaring is a clue word

Answer 46

Central

Question 47

A__ is very linked to hepatocellular carcinoma ( HCC)

Answer 47

AFP

Question 48

Acute hepatitis in ultrasound shows the ____ _____ sign

Answer 48

Starry sky

Question 49

Normal liver sonographic appearance is ___geneous, ___-echoic compared to the kidney ____

Answer 49

HOMOgeneous HYPERechoic Cortex