Ach Lab 4-Liver, Gallbladder, Pancreas, Spleen

Question 1

Ligament of Treitz

Answer 1

suspensory ligament for the duodenojejunal flexure

Question 2

Which part of the pancreas is NOT retroperitoneal?

Answer 2

Tail

Question 3

Tumor growth in the head of the pancreas can obstruct what?

Answer 3

The bile or pancreatic ducts

Question 4

What drains at the minor duodenal papilla?

Answer 4

Accessory pancreatic duct (if it is present)

Question 5

What comes together behind the major duodenal papilla?

Answer 5

The hepatopancreatic ampulla where the bile duct and pancreatic ducts come together

Question 6

What surrounds the hepatopancreatic ampulla to control combined opening of the ducts?

Answer 6

Shpincter papillae (sphincter of Oddi)

Question 7

What arteries anastomose in the lesser curvature of the stomach?

Answer 7

L and R gastric arteries

Question 8

What 3 vessels come off the celiac trunk?

Answer 8

Left gastric artery
Splenic artery
Common Hepatic Artery

Question 9

What does the common hepatic artery branch into?

Answer 9

The Hepatic artery proper and the Gastroduodenal artery

Question 10

What artery usually branches off the R hepatic artery?

Answer 10

Cystic artery

Question 11

What forms the Cystohepatic Triangle?

Answer 11

Left & R Hepatic Arteries and the bottom of the liver (the cystic artery is found within this triangle)

Question 12

What do the pancreaticoduodenal arteries branch from?

Answer 12

Gastroduodenal artery

Question 13

What forms the Common hepatic duct?

Answer 13

R and L hepatic duct

Question 14

What forms the Common Bile duct?

Answer 14

Common Hepatic duct and cystic duct

Question 15

What smooth muscle folds keep the cystic duct open at all times so bile can flow easily into and out of the gall bladder?

Answer 15

Spiral folds

Question 16

What is Biliary colic?

Answer 16

An intense spasmodic pain felt in the epigastric region or the RUQ.

Question 17

What forms the cross limb on the H that separates the caudate and quadrate lobes of the liver?

Answer 17

Porta Hepatis

Question 18

What does the umbilical vein form?

Answer 18

Ligamentum teres

Question 19

The caudate and quadrate lobes are anatomically part of which lobe?

Answer 19

Right

Question 20

What are anatomical lobes based upon the position of?

Answer 20

Falciform ligament

Question 21

What are the caudate and quadrate lobes functionally a part of?

Answer 21

Left lobe (and all 3 are served by the Left hepatic artery)

Question 22

Do the right and left hepatic arteries and ducts communicate?

Answer 22

NO

Question 23

Where is the blood from that enters the portal vein?

Answer 23

GI tract

Question 24

What is a liver lobule?

Answer 24

hepatocytes arranged irregularly around a central vein

Question 25

What does blood pass through the liver in?

Answer 25

sinusoids

Question 26

What forms the portal triad?

Answer 26

Bile duct Hepatic Artery Proper Portal Vein

Question 27

Where are the coronary and R triangular ligaments?

Answer 27

on the R posterior side of the liver

Question 28

What do the hepatic veins drain into?

Answer 28

IVC

Question 29

Pancreatic cancer patients may require placement of a stent to prevent jaundice. Where would the stent be placed?

Answer 29

Common bile duct

Question 30

In resecting a tumor in the quadrate lobe of the liver, which artery must be clamped to control bleeding without injury to other organs?

Answer 30

Left Hepatic Artery

Question 31

Blood supply to the spleen is carried in the: ?

Answer 31

Lienorenal ligament

Question 32

A patient is admitted with syptoms of an upper GI blockage. CT confirms the 3rd part of the duodenum and was compressed by a large vessel. The most likely vessel is the: ?

Answer 32

Superior Mesenteric Artery