Anatomy: Liver, GB, Pancreas

Question 1

The liver is divided in the transverse plane by the

Answer 1

branching of the portal veins

Question 2

The ligamentum venosum travels between

Answer 2

the left portal vein and the IVC

Question 3

What hepatic ligament separates the medial and lateral left lobes of the liver

Answer 3

falciform ligament

Question 4

A reidel lobe is a normal liver variant defined as

Answer 4

tongue-like extension of right lobe

Question 5

The ______ is located within the inferior margin of the falciform ligament

Answer 5

ligamentum teres

Question 6

The caudate lobe occupies much of the _____ surface of the liver

Answer 6

posterior superior

Question 7

The pancreas is found in what retroperitoneal space

Answer 7

anterior pararenal

Question 8

Which of the following produces insulin

Answer 8

islets of langerhans

Question 9

Describe the location of the right hepatic vein

Answer 9

courses superiorly through the right intersegmental fissure

Question 10

The cystic artery originates at the _______ and the cystic vein empties into the ______

Answer 10

right hepatic artery, right portal vein

Question 11

Which of the following blood vessels delivers the majority of oxygenated blood that enters the liver

Answer 11

main portal vein

Question 12

In the normal liver, which of the following correctly describes the changes in flow in the hepatic artery after eating

Answer 12

increased RI

Question 13

While discussing the medical history with a patient, he tells you that the doctor recommended that he increase his intake of vitamin k due to some recent abnormal lab results. What lab value was abnormal

Answer 13

prothrombin time

Question 14

What vessels drain the blood from the caudate lobe

Answer 14

emissary veins

Question 15

Normal hepatic venous flow will demonstrate

Answer 15

two large antegrade diastolic and systolic waves followed by a small retrograde component that corresponds with the atrial contraction

Question 16

What happens to the ducts of luschka

Answer 16

bile thickening occurs within them

Question 17

The right and left hepatic ducts come together to form the common hepatic duct

Answer 17

inside the liver, near the porta hepatis

Question 18

In a normal adult patient, the common hepatic duct lumen measures less than or equal to

Answer 18

4mm

Question 19

What is an aquired abnormality of the biliary system

Answer 19

sclerosing cholangitis

Question 20

Normal flow in the portal vein

Answer 20

continuous

Question 21

The caudate lobe lies between what two structures

Answer 21

IVC and medial left lobe

Question 22

Frist branch of the common hepatic artery is the

Answer 22

gastroduodenal artery

Question 23

An ERCP is commonly performed to evaluate

Answer 23

the ampulla of vater

Question 24

In the porta hepatis, what structure is anterior to the portal vein and medial to the common hepatic duct

Answer 24

proper hepatic artery

Question 25

Which portions of the gallbladder and/or biliary tree are involved in the formation of the phrygian cap

Answer 25

body and fundus

Question 26

What is located between the transversalis fascia and the posterior parietal peritoneum

Answer 26

pancreas

Question 27

A small rounded prominence on the anteroinferior aspect of the normal caudate lobe is called

Answer 27

distal papillary process

Question 28

The hepatoduodenal ligament contains which of the following structures

Answer 28

main portal vein, proper hepatic artery and CBD

Question 29

The _______ can be identified anterior to the pancreas tail

Answer 29

stomach

Question 30

The normal gallbladder is usually less than _____ in transverse diameter

Answer 30

5cm

Question 31

What causes the hepatic vein flow to have a triphasic waveform

Answer 31

right atrial contraction and relaxation

Question 32

The CBD is formed by

Answer 32

common hepatic duct + the cystic duct

Question 33

Branches of which of the following vessels supply the pancreas with blood

Answer 33

SMA and gastroduodenal artery

Question 34

What structure prevents free fluid in Morison pouch from moving into the subhepatic space

Answer 34

right coronary ligament

Question 35

The main lobar fissure separates the

Answer 35

anterior right lobe and medial left lobe