Anatomy - Hepato-biliary and Hepatic Portal system Flashcards

1
Q

where is the top RHS of the liver found

a.right 5th ICS in midclavicular line
b.right 10th rib in midclavicular line
c.left 5th ICS in midclavicular line
d.right 5th ICS in midsternal rib

A

a.right 5th ICS in midclavicular line

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2
Q

where is the bottom RHS corner of the liver found

a.right 5th ICS in midclavicular line
b.right 10th rib in midclavicular line
c.left 5th ICS in midclavicular line
d.right 5th ICS in midsternal rib

A

b.right 10th rib in midclavicular line

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3
Q

where is the LHS corner of the liver found

a.right 5th ICS in midclavicular line
b.right 10th rib in midclavicular line
c.left 5th ICS in midclavicular line
d.right 5th ICS in midsternal rib

A

c.left 5th ICS in midclavicular line

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4
Q

which recess is found between the diaphrgmatic surface of the liver and the diaphragm

a,subphrenic
b.hepatorenal
c.diaphragmatic
d.visceral

A

a,subphrenic

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5
Q

which recess is found between the visceral surface of the liver and the kidney

a,subphrenic
b.hepatorenal
c.diaphragmatic
d.visceral

A

b.hepatorenal

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6
Q

which ligament runs between the two lobes of the liver

a.falciform
b.round
b.coronary

A

a.falciform

round runs within falciform

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7
Q

which ligament is the remains of the umbilical vein

a.falciform
b.round
b.coronary

A

b.round

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8
Q

which area of the liver does not have a peritoneum

a.right lobe
b.left lobe
c.bare area

A

c.bare area

feels rough as compared to smooth rest of liver

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9
Q

which ligaments are only visible from the superior view of the liver

a.triangular
b.coronary
c.falciform
d.round

A

a.triangular

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10
Q

which lobe is on the lower posterior left of the liver adjacent to the gall bladder

a.quadrate lobe
b.left lobe
c.right lobe
d.caudate lobe

A

a.quadrate lobe

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11
Q

which lobe is on the upper posterior left of the liver

a.quadrate lobe
b.left lobe
c.right lobe
d.caudate lobe

A

d.caudate lobe

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12
Q

the hepatic portal vein, heoatic artery proper and bile duct are found within which structure in the liver?

a.porta hepatis
b.portal triad
c.quadrate lobe
d.caudate lobe

A

a.porta hepatis

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13
Q

how many hepatic veins drain into the inferior vena cava

a.1
b.2
c.3
d.4

A

c.3

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14
Q

what shape is the gall bladder

a.round
b.pear
c.cylinder

A

b.pear

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15
Q

what is the function of the gall bladder

a.produce bile
b.store bile

A

b.store bile

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16
Q

what is the uppermost region of the gall bladder

a,neck
b.body
c.fundus

A

a,neck

17
Q

what is the lowerrmost region of the gall bladder

a,neck
b.body
c.fundus

A

c.fundus

18
Q

the drainage channel directly out of the gall bladder is the

a.cystic duct
b.bile duct
c.pancreatic duct
d.common hepatic duct
e.left and right common hepatic duct

A

a.cystic duct

left and right common hepatic
common hepatic
gall bladders cystic duct joins
bile duct
joins with pancreatic duct
opens into second part of duodenum

19
Q

what does the bile duct join with just before opening into the second part of the duodenum

a. cystic duct
b.pancreatic duct
c.common hepatic duct

A

c.common hepatic duct

20
Q

where is the fundus of the gall bladder located

a.right 5th ICS in midclavicular line
b.right 10th rib in midclavicular line
c.left 5th ICS in midclavicular line
d.tip of the 9th costal cartilage

A

d.tip of the 9th costal cartilage

21
Q

which part of the duodenum to pancreatic and bile duct join and enter at

a.1st
b.2nd
c.3rd

A

b.2nd

22
Q

what structure do the main pancreatic duct and bile duct open into

a.hepatopancreatic ampulla
b.sphincter of oddi
c.minor pancreatic duct
d.dueodenum

A

a.hepatopancreatic ampulla

in second part of duodenum

23
Q

what surrounds the terminal regions of the bile duct and pancreatic duct

a.hepatopancreatic ampulla
b.sphincter of oddi
c.minor pancreatic duct
d.dueodenum

A

b.sphincter of oddi
controls release of enzymes and bile into duodenum

24
Q

the minor duodenal papilla (superior) and major duodenal papilla (inferior) lie in which part of the deuodenum

a.first
b.second
c.third

A

b.second

25
Q

The hepatic portal system carries nutrient rich blood to the liver from what organs

a,coronary
b.GI
c.abdominal

A

b.GI

26
Q

which veins unite posterior to the neck of the pancreas to form the hepatic portal vein

a.superior mesentric and splenic vein
b.inferior mesentric and splenic vein
c.superior mesentric and sphlancnic

A

a.superior mesentric and splenic vein

27
Q

the superior mesentric and splenic vein unite …….. to the neck of the pancreas to form the hepatic portal vein

a.anterior
b.posterior
c.adjacent

A

b.posterior

28
Q

porto systemic anastamoses

A

connecting channels between portal system and systemic venous system

29
Q

in healthy individuals all portal venlus blood is recovered by hepatic veins following nutrient absoprtion in which state can this not occur

a.portal hypotension
b.portal hypertension

A

b.portal hypertension

30
Q

portal hypertension

A

elevation of pressure within the hepatic portal vein

not all portal venous blood recovered by hepatic veins

alternative route to systemic circulation

collateral channels open up

enlarged veins at sites of portosystemic anastamoses
(ant abdominal wall, gastro oesophageal, ano rectal)

31
Q

the anastomosis of the gastric vein (PV) with the azygous veins (SV) is known as..

a.gastro oesophageal junction
b.anterior abdominal wall
c.ano rectal junction

A

a.gastro oesophageal junction

32
Q

the anastomosis of the para umbilical veins (PV) with the anterior abdominal wall veins veins (SV) is known as..

a.gastro oesophageal junction
b.anterior abdominal wall
c.ano rectal junction

A

b.anterior abdominal wall

33
Q

the anastomosis of the superior rectal vein (PV) with the inferior and middle rectal veins (SV) is known as..

a.gastro oesophageal junction
b.anterior abdominal wall
c.ano rectal junction

A

c.ano rectal junction

34
Q

osophageal varices occue at which porto systemic anastamoses

a.gastro osophageal
b.anterior abdominal wall
c.ano rectal

A

a.gastro osophageal

azygous veins and gastric veins hypertension

35
Q

caput medusae around umbilicus occurs at which porto systemic anastamoses

a.gastro osophageal
b.anterior abdominal wall
c.ano rectal

A

b.anterior abdominal wall

hypertension in paraumbilical and anterior abdominal wall veins

36
Q

varices and passing of blood occurs at which porto systemic anastamoses

a.gastro osophageal
b.anterior abdominal wall
c.ano rectal

A

c.ano rectal

hypertension in superior middle and inferior rectal veins