Anatomy of Liver & Extrehepatic Biliary Tree Flashcards
What ligament separates the liver into left lateral and left medial segments?
A. Coronary ligament
B. Right triangular ligament
C. Falciform ligament
C. Falciform ligament
Which ligament is longer?
A. Right triangular ligament
B. Left triangular ligament
A. Right triangular ligament
Which ligament separates the subphrenic and subhepatic space?
A. Right triangular ligament
B. Left triangular ligament
C. Coronary ligament
A. Right triangular ligament
What separates the liver into left and right physiologic lobes?
A. Cantlie’s line
B. Semilunar line
C. Linea alba
A. Cantlie’s line
What segment is on the right posterior inferior lobe of the liver?
A. Segment 5
B. Segment 6
C. Segment 7
D. Segment 8
B. Segment 6
Where is anchovy paste-like pus found?
A. Amoebic liver abscess
B. Hydatid cyst of the liver
A. Amoebic liver abscess
Make endoscopic cannulation and catheterization of the cystic duct extremely difficult.
A. Spiral valves of heister
B. Spiral folds of cystic duct
C. Spiral folds of Cina
D. Amussat valve
E. Cina valve
F. All of the above
F. All of the above
What do you call the stones in the gallbladder?
A. Choledolithiasis
B. Cholelithiasis
C. Hepatolithiasis
B. Cholelithiasis
What do you call the stones in the hepatic ducts?
A. Hepatolithiasis
B. Cholelithiasis
C. Choledolithiasis
A. Hepatolithiasis
What do you call the stones in the common bile ducts?
A. Cholelithiasis
B. Choledolithiais
C. Hepatolithiasis
B. Choledolithiais
Four parts of the common bile duct?
A. Supraduodenal, retroduodenal, infraduodenal, intraduodenal
B. Fundus, corpus, infundibulum, neck
A. Supraduodenal, retroduodenal, infraduodenal, intraduodenal
Four parts of gallbladder?
A. Supraduodenal, retroduodenal, infraduodenal, intraduodenal
B. Fundus, corpus, infundibulum, neck
B. Fundus, corpus, infundibulum, neck
Obstruction of bile ducts caused by severe pericholecystic inflammation secondary to the impaction of a stone in the infundibulum (Hartmann’s pouch) of the gallbladder.
A. Choledolithiasis
B. Mirizzi syndrome
C. Hydatid Disease
B. Mirizzi syndrome
Production of silver stool is in ___ Sign?
A. Thomas sign
B. John Thomas sign
A. Thomas sign
Charcot’s Triad and Reynold’s Pentad are signs of what?
A. Cholangitis
B. Hepatitis
C. Cystitis
A. Cholangitis
Which of the following are the peritoneal ligaments?
A. Lesser omentum (hepatogtasric and hepatoduodenal ligament), coronary, left and right triangular, and falciform ligaments
B. Ligamentum teres hepatis, ligamentum venosum
A. Lesser omentum (hepatogtasric and hepatoduodenal ligament), coronary, left and right triangular, and falciform ligaments
Which of the following are considered true ligaments (remnants of fetal structures)?
A. coronary, left and right triangular, and
falciform ligaments
B. Ligamentum teres hepatis, ligamentum venosum
B. Ligamentum teres hepatis, ligamentum venosum
Manual compression or clamping of the hepatoduodenal ligament during surgery is called?
A. Pringles maneuver
B. Heimlich maneuver
A. Pringles maneuver
Which is the remnant of the obliterated umbilical vein?
A. Ligamentum venosum
B. Ligamentum teres hepatis
B. Ligamentum teres hepatis
Ligamentum venosum’s anlage and other name.
A. Obliterated Umbilical vein, round ligament of liver
B. Obliterated Ductus venosus, arantius ligament
C. Obliterated Umbilical vein, , arantius ligament
B. Obliterated Ductus venosus, arantius ligament
Left triangular ligament is shorter than right triangular ligament
T or F
True
Hepatogastric ligament connects liver to the ___ of the stomach
A. Greater curvature
B. Lesser curvature
B. Lesser curvature
This ligament anchors the liver to the anterior abdominal wall.
A. Coronary
B. Falciform
C. Left and Right Triangular ligaments
B. Falciform
This ligament holds the liver to the inferior surface of the diaphragm
A. Coronary ligament
B. Round ligament of liver
C. Falciform ligament
A. Coronary ligament
These peritoneal suspensory ligaments secure and attach the liver to the lateral segments of the diaphragm
A. Hepatogastric and hepatoduodenal
B. Right and left triangular
B. Right and left triangular
This potential space is in between the diaphragm and the diaphragmatic surface of the liver and it is separated into right and left by the falciform ligament.
A. Subhepatic space
B. Subphrenic recess
C. Hepatorenal recess
B. Subphrenic recess
It is the Posterosuperior extension of the subhepatic space lying between the visceral surface of the liver and the right kidney
A. Subhepatic space
B. Subphrenic recess
C. Morrison’s pouch
C. Morrison’s pouch
____ is located below the liver and above the colon (supracolic compartment of peritoneum)
A. Subphrenic recess
B. Subhepatic space
C. Morisson’s pouch
B. Subhepatic space
Most of the liver is covered by __ peritoneum.
A. Parietal peritoneum
B. Visceral peritoneum
B. Visceral peritoneum
What is the weight of the liver at birth?
A. 170 grams
B. 160 grams
C. 150 grams
C. 150 grams
Sharp inferior border of liver crosses the midline at the level of the transpyloric plane (at level of __ vertebrae)
A. L3
B. L4
C. L1
C. L1
Liver is covered with visceral peritoneum except in ___ area of liver where
it lies in direct contact with diaphragm
A. Bare
B. Portal
C. Renal
A. Bare
Fossa of the GB, Porta hepatis, Groove for ligamentum venosum, Groove for IVC are structures that are ___ by peritoneum in the ___ surface of liver.
A. covered, visceral
B. not covered, visceral
C. covered, diaphragmatic
B. not covered, visceral
Which is the quadrate lobe?
A. IV-B
B. IV-A
A. IV-B
25% of the liver’s blood supply comes from the __.
A. Hepatic artery
B. Portal vein
A. Hepatic artery
___ is the main channel of the portal venous
system.
A. Hepatic artery
B. Hepatic Portal vein
C. Bile duct
B. Hepatic Portal vein
Sympathetic fibers are derived from ___ plexus.
A. Celiac
B. Brachial
A. Celiac
Parasympathetic fibers are derived from the hepatic branch of anterior __ trunk.
A. Celiac
B. Vagal
B. Vagal
Right and left hepatic ducts emerge at the ___ and carry bile from the right and left liver lobes respectively.
A. Porta hepatis
B. Cystic duct
C. Common hepatic duct
A. Porta hepatis
__ hepatic duct is longer than the ___ hepatic duct.
A. Right, left
B. Left, right
B. Left, right
___ part of the bile ducts and hepatic ducts can drain into the liver directly.
A. Distal
B. Proximal
B. Proximal
__ part of the bile ducts can drain into the posterior superior pancreaticoduodenal vein.
A. Distal
B. Proximal
A. Distal
The presence of portal hypertension makes the pressure elevate and it cannot enter the portal circulation and hence will pass through the systemic circulation, thus there is vein dilatation → ____.
A. Hemorrhoids
B. Varices
B. Varices
___ lobe is found between groove for IVC and fissure for ligamentum venosum.
A. Caudate
B. Quadrate
A. Caudate
___ lobe between the fossa for gallbladder and fissure for ligamentum teres below porta hepatis.
A. Caudate
B. Quadrate
B. Quadrate
___ artery supplies the proximal part of common bile duct.
A. Cystic
B. Right hepatic
C. Posterior superior pancreaticoduodenal artery and gastroduodenal artery
A. Cystic
__ supplies middle part of the bile duct.
A. Cystic
B. Right hepatic
C. Posterior superior pancreaticoduodenal artery and gastroduodenal artery
B. Right hepatic
__ supplies retroduodenal part of the bile duct.
A. Cystic
B. Right hepatic
C. Posterior superior pancreaticoduodenal artery and gastroduodenal artery
C. Posterior superior pancreaticoduodenal artery and gastroduodenal artery