Anatomy Practice #1 Flashcards
Which of the following can be used to differentiate Riedel lobe from hepatomegaly?
the left lobe is normal in size with Reidel lobe but enlarged with hepatomegaly
the Lig Venosum is not visible in cases of Riedel lobe but well seen in hepatomegaly
the right lobe is normal in size in Reidel lobe but enlarged with hepatomegaly
the Lig Venosum is not visible in cases of Riedel lobe but well seen in hepatomegaly
the left lobe is normal in size with Riedel lobe but enlarged with hepatomegaly
What structure/vessel is indicated by #6?
SMA
splenic vein
SMV
splenic artery
SMA
What structure/vessel is indicative by #4?
caudate lobe
right lobe
medial left lobe
lateral left lobe
medial left lobe
Which statement best describes the location of the Lig Venosum?
forms the anterior border of the caudate lobe
lies between the right and left lobes of the liver
forms the posterior border of the right lobe
on ultrasound, it appears as a thick, triangular, echogenic foci in the left lobe of the liver
forms the anterior border of the caudate lobe
All of the following are intrasegmental vessels of the liver, EXCEPT?
PVs
hepatic arteries
bile ducts
HVs
HVs
course between the liver segments (intersegmental)
The Lig Venosum travels between:
the RPV and IVC
the MPV and IVC
the LPV and IVC
caudate lobe and right lobe
the LPV and IVC
Which of the following statements correctly describes imaging of the dome of the liver?
intercostal scanning is the preferred scanning approach to evaluate the dome of the liver
the portal confluence should be used to locate the dome of the liver
because the dome is bordered superiorly by the diaphragm, lobe artifact commonly inhibits complete evaluation of this portion of the liver
deep inspiration is required to evaluate this portion of the liver
deep inspiration is required to evaluate this portion of the liver
(subcostal approach with deep inspiration)
Which of the following structures is labeled #6?
anterior right lobe
lateral left lobe
medial left lobe
posterior right lobe
medial left lobe
What structure/vessel is indicated by #7?
splenic vein
splenic artery
SMV
SMA
splenic vein
The pancreatic duct should normally be less than ____ in diameter in children and young adults.
0.5mm
1 mm
2mm
4mm
2mm
The ____ is located within the inferior margin of the falciform ligament.
Lig Teres
Lig Venosum
MHV
LHV
Lig Teres
During an abdominal ultrasound, a 4mm circular anechoic structure is identified at the posterior portion of the pancreas head. Color flow is not identified in the structure. What is it?
common hepatic duct
IMA
CBD
gastroduodenal artery
CBD
What structure is indicative by the purple circle?
Caroli disease
MPV
chledochal cyst
portal triad
portal triad
Which of the following structures is labeled #7?
medial left lobe
anterior right lobe
lateral left lobe
posterior right lobe
anterior right lobe
A normal portal vein will:
increase in diameter after exercise
increase in diameter by placing patient in the upright position
decrease in diameter after eating
increase in diameter by more than 20% with deep inspiration
increase in diameter by more than 20% with deep inspiration
The yellow arrow on the images represents which of the following structures?
medial left lobe
caudate lobe
Lig Teres
Lig Venosum
caudate lobe
The MLF:
separates the IVC and medial left lobe
separates the anterior and posterior right lobes
separates anterior right lobe and medial left lobe
separates the medial and lateral left lobes
separates the anterior right lobe and medial left lobe
The caudate lobe lies between what two structures?
MLF and GB
right and left PVs
IVC and medial left lobe
IVC and lateral left lobe
IVC and medial left lobe
The ___ can be identified anterior to the pancreas tail
stomach
SMA
hepatic flexure of the colon
left kidney
stomach
Which of the following hepatic ligaments separate the medial and lateral left lobes of the liver?
Lig Venosum
broad ligament
triangular ligament
falciform ligament
falciform ligament
Which waveform represents a normal IVC waveform?
A
Which of the following structures is labeled #1?
RHV
IVC
LHV
LPV
LHV
What structure prevents free fluid in Morison pouch from moving into subphrenic space?
Lig Teres
falciform ligament
right hepatoduodenal ligaments
right coronary ligament
right coronary ligament
Which structure is the MPV?
MPV = posterior vessel
hepatic artery = circular structure
dilated CBD = anterior vessel
Which of the following structures is labeled #2?
gastroduodenal artery
SMA
hepatic artery
CBD
gastroduodenal artery
The caudate lobe occupies much of the ___ surface of the liver
anterior superior
posterior superior
posterior inferior
anterior inferior
posterior superior
What structure/vessel is indicated by #2?
left lobe of the liver
stomach
head of pancreas
duodenum
head of pancreas
In the porta hepatis, what structure is anterior to the PV and lateral to the proper hepatic artery?
common hepatic duct
common hepatic artery
cystic duct
duct of wirsung
common hepatic duct
What liver vessel is indicated by the yellow arrow?
medial LPV
anterior RPV
posterior RPV
lateral LPV
anterior RPV
Which of the following is located between the transversalis fascia and the posterior parietal peritoneum?
pancreas
stomach
spleen
linea alba
pancreas
the retroperitoneal cavity is located between the transversalis fascia and posterior parietal peritoneum - pancreas is a retroperitoneal organ
What structure/vessel is indicated by #9?
air within the intestines
SMA
spine
AO
IVC
spine
Which of the following ligaments separates the medial and lateral left lobes of the liver?
Lig Teres
Lig Venosum
coronary ligament
broad ligament
Lig Teres
Which of the following blood vessels delivers the majority of oxygenated blood that enters the liver?
MPV
proper hepatic artery
HVs
common hepatic artery
MPV (80%)
A patient presents for an abdominal sonogram due to a history of hepatic congestion. What structure (s) should be closely evaluated for related findings?
RAs
portal system
LRV
celiac axis
portal system
A small rounded prominence on the anteroinferior aspect of the normal caudate lobe is called
Reidel lobe
distal papillary process
quadrate lobe
elongated left lobe
distal papillary process
What structure/vessel is indicated by #8?
Lig Teres
caudate lobe
Lig Venosum
medial left lobe
lateral left lobe
medial left lobe
Branches of which of the following vessels supply the pancreas with blood?
SMA and right gastric artery
proper hepatic artery and SMA
gastroduodenal artery and proper hepatic artery
SMA and gastroduodenal artery
SMA and gastroduodenal artery
____ merge to form the ampulla of Vater just prior to the duct entering the second portion of the duodenum
CBD and CHD
CBD and duct of Wirsung
CBD and cystic duct
CHD and cystic duct
CBD and duct of Wirsung
Which of the following structures is labeled #3?
LHV
IVC
MHV
LPV
IVC
Which of the following hormones is responsible for causing the GB to contract?
cholecystokinin
trypsin
insulin
lipase
cholecystokinin
Which portions of the GB and/or biliary tree are involved in the formation of a phrygian cap?
neck and cystic duct
body and fundus
cystic duct and CBD
neck and body
body and fundus
Hepatomegaly in a 5 year old is diagnosed using which of the following criteria?
divide the patient’s age in years by the number 2 to obtain the max normal liver length for the patient’s age
normal liver should not extend more than 1 cm below the costal margin
multiply the patient’s age in years by the number 2 to obtain the max normal liver length for the patient’s age
divide the patient’s height in inches by the number 10 to obtain the max normal liver length for the patient’s age
normal liver should not extend more than 1 cm below the costal margin
The right and left hepatic ducts come together to form the common hepatic duct:
deep within the liver parenchyma
at the level of the ampulla of vater
at the pancreas head
inside the liver, near the porta hepatis
inside the liver, near the porta hepatis
What structure is marked with the X on the image?
splenic vein
SMV
CBD
main pancreatic duct
main pancreatic duct
What structure/vessel is indicated by #6?
medial rigth lobe
caudate lobe
anterior right lobe
medial left lobe
lateral left lobe
caudate lobe
If a liver mass is located between the MHV and RPV, in what lobe of the liver is the mass located?
posterior right lobe
anterior right lobe
caudate lobe
medial left lobe
anterior right lobe
Sonographically, the ___ appears to connect the GB neck and junction of right and left portal veins
Lig Teres
Lig Venosum
intersegmental fissure
MLF
MLF
Which of the numbered vessels is a part of the portal system?
1
2
3
1 and 3
2
What liver vessel is indicated by the green arrow?
lateral LPV
anterior RPV
posterior RPV
medial LPV
posterior RPV
Which liver segment is located immediately lateral to the Lig Teres?
anterior right lobe
medial left lobe
caudate lobe
lateral left lobe
lateral left lobe
Which of the following correctly lists the structures found in an intrahepatic portal triad?
PV, HV, and bile duct
PV, proper hepatic artery, and bile duct
HV, proper hepatic artery, and bile duct
common hepatic artery, HV, and PV
PV, proper hepatic artery, and bile duct
What structure/vessel is indicated by #5?
caudate lobe
lateral left lobe
right lobe
medial left lobe
lateral left lobe
A patient presents with a history of choledocholithiasis. How will you assess the CBD for the presence of a stone?
locate the MPV and look for the CBD posterior to it
demonstrate a long axis GB image and look for the CBD superior to it
demonstrate a TV view of the pancreatic head and look for the CBD entering the anterior aspect
demonstrate a longitudinal view of the MPV and look for the CBD anterior to it
demonstrate a longitudinal view of the MPV and look for the CBD anterior to it
the CBD is formed by:
cystic duct + duct of Wirsung
CHD + cystic duct
varies per patient
rght and left hepatic ducts + cystic duct
CHD + cystic duct