Anatomy of Liver & Extrehepatic Biliary Tree Flashcards by Bernadette Ocampo

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

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Which ligament is longer?

A. Right triangular ligament
B. Left triangular ligament

A. Right triangular ligament

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Which ligament separates the subphrenic and subhepatic space?

A. Right triangular ligament
B. Left triangular ligament
C. Coronary ligament

A. Right triangular ligament

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What separates the liver into left and right physiologic lobes?

A. Cantlie’s line
B. Semilunar line
C. Linea alba

A. Cantlie’s line

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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

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Where is anchovy paste-like pus found?
A. Amoebic liver abscess
B. Hydatid cyst of the liver

A. Amoebic liver abscess

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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

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What do you call the stones in the gallbladder?
A. Choledolithiasis
B. Cholelithiasis
C. Hepatolithiasis

B. Cholelithiasis

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What do you call the stones in the hepatic ducts?

A. Hepatolithiasis
B. Cholelithiasis
C. Choledolithiasis

A. Hepatolithiasis

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What do you call the stones in the common bile ducts?
A. Cholelithiasis
B. Choledolithiais
C. Hepatolithiasis

B. Choledolithiais

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Four parts of the common bile duct?

A. Supraduodenal, retroduodenal, infraduodenal, intraduodenal
B. Fundus, corpus, infundibulum, neck

A. Supraduodenal, retroduodenal, infraduodenal, intraduodenal

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Four parts of gallbladder?

A. Supraduodenal, retroduodenal, infraduodenal, intraduodenal
B. Fundus, corpus, infundibulum, neck

B. Fundus, corpus, infundibulum, neck

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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

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Production of silver stool is in ___ Sign?

A. Thomas sign
B. John Thomas sign

A. Thomas sign

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Charcot’s Triad and Reynold’s Pentad are signs of what?

A. Cholangitis
B. Hepatitis
C. Cystitis

A. Cholangitis

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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

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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

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Manual compression or clamping of the hepatoduodenal ligament during surgery is called?

A. Pringles maneuver
B. Heimlich maneuver

A. Pringles maneuver

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Which is the remnant of the obliterated umbilical vein?

A. Ligamentum venosum
B. Ligamentum teres hepatis

B. Ligamentum teres hepatis

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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