Biliary Anatomy Flashcards
Which of the following is an example of an extrahepatic duct?
CBD
Left hepatic duct
all ducts
Right hepatic duct
CBD
How does the GB lie in relationship to the liver?
anterior/inferior
posterior/superior
posterior/anterior
posterior/inferior
posterior/inferior
If Courvoisier’s sign is found, then the kidney should be evaluated next.
True
False
False
the pancreas area should be evaluated with Courvoisier’s sign
Intrahepatic ducts are found where?
in the liver
outside of the liver
in the liver
The CBD lies how in relationship to the portal vein?
anterior and to the left
posterior and to the left
anterior and to the right
posterior and to the right
anterior and to the right
True or False: The GDA lies posterior and lateral in relationship to the pancreatic head?
True
False
False
The hepatic artery lies how to the MPV?
anterior and to the left
posterior and to the right
posterior and to the left
anterior and to the right
anterior and to the left
What 4 anatomic landmarks are used to locate the GB?
pancreas
duodenum
portal vein
right kidney
main lobar fissure
left kidney
duodenum
portal vein
right kidney
main lobar fissure
What are the 2 main or normal positions you will use when scanning a GB? (You put the patient in these positions)
RLD
supine
prone
LLD
supine
LLD
What are the 3 layers of the GB from outer to inner?
serosa, fibromuscular, mucosa
fibromuscular, serosa, mucosa
mucosa, fibromuscular, serosa
fibromuscular, mucosa, serosa
serosa, fibromuscular, mucosa
What are the Valves of Heister’s?
Folds in the cystic duct that control flow and support it
A way to turn the GB off and on
Where the bile is stored in the GB
Folds in the cystic duct that control flow and support it
Which ducts are in the right and left liver?
common bile ducts
cystic ducts
right and left hepatic ducts
right and left hepatic ducts
What ducts create the common hepatic duct?
Cystic and hepatic ducts
CBD and pancreatic duct
Rt and Lt hepatic ducts
Rt and Lt hepatic ducts
What is the “sign” for the portal triad?
Mickey Mouse sign
What is the function of cholecystokinin?
To make the GB produce bile
Does not pertain to the GB
To make the GB release bile
To make the GB store bile
To make the GB release bile
The gb fossa is an indentation in the liver where the gb lies.
True
False
True
The phrygian cap affects which part of the gallbladder?
corpus
neck
body
fundus
fundus
Which of the following is the prep for a GB scan?
NPO 6-8 hours prior to the test
start a liquid diet 6-8 hours prior to the test
eat a fatty meal 6-8 hours prior to the test
NPO 6-8 hours prior to the test
Complete failure of the gallbladder to form is:
agenesis
Phrygian cap
Hypoplasia
Junctional fold
agenesis
All of the following are clinical symptoms of GB disease except….
Chest Pain/Shoulder Pain
Migraine
Nausea
Diarrhea
Migraine
All of the following are true of the GB except…
Reservoir for bile
Has a fundus, body, and neck
The Fundus is where the GB is attached to the liver
Pear shaped sac in the RUQ
The Fundus is where the GB is attached to the liver
the neck is where the GB is attached to the liver
This normal variant of the gallbladder will give it an hourglass shape.
Bilobed
Double GB
Septated
Hypoplasia
Bilobed
Courvoisier’s Sign is what?
When the GB remains extremely large after a fatty meal
Pain when you push down on the patient’s RUQ
There is no such thing
When the GB contracts normally after a fatty meal
When the GB remains extremely large after a fatty meal
In this variation of the GB 2 are present and only one is functioning:
Duplicated
Bilobed
Doubled
Hypoplastic
Doubled
A gallbladder that is low in position in the abdomen is termed:
septated
hypoplasia
agenesis
floating gallbladder
floating gallbladder
True of False: The term ‘Hartman’s Pouch’ is a condition when the GB is diseased.
True
False
False
Normal CBD measurement can be all of the following EXCEPT….
10 mm in a person who has had a cholecystectomy
6 mm
7 mm in a person age 70
10 mm in a person age 30
10 mm in a person age 30
The Ampulla of Vater is which of the following?
where the Portal Vein enters the liver
Where the CBD and Pancreatic duct meet enter the duodenal wall
Where the CBD starts
Where the CBD and Pancreatic duct meet enter the duodenal wall
The CBD lies how in relationship to the pancreatic head?
posterior/lateral
anterior/lateral
anterior/medial
posterior/medial
posterior/lateral
The Common Bile Duct is formed from the uniting of which 2 ducts?
Cystic Duct and Right Hepatic Duct
Common Hepatic Duct and Cystic Duct
Right and Left Hepatic Ducts
Common Hepatic Duct and Cystic Duct
The Proper Hepatic Artery supplies what structures?
GB
Spleen
Liver
Pancreas
GB
Liver
The normal wall thickness of the GB is :
> 3 mm
< 6 mm
< 3 cm
< 3 mm
< 3 mm
What 3 things comprise the Portal Triad?
Hepatic Artery, Cystic Duct, Portal Vein
CBD, Hepatic Artery, Portal Vein
GB, CBD, Hepatic Artery
CBD, Hepatic Vein, Portal Vein
CBD, Hepatic Artery, Portal Vein
What is cholecystokinin?
A blood particle
A man made chemical
A hormone
A part of bile
A hormone
What is the name of the muscle that is at the level of the head of the pancreas in the region called the Ampulla of Vater?
sphincter of vater
Pyloric sphincter
Cystic sphincter
sphincter of Oddi
sphincter of Oddi
Which duct contains the Valves of Heister’s?
Hepatic Duct
Right Hepatic Duct
Cystic Duct
CBD
Cystic Duct
Which duct drains the liver bile into the CBD?
The Left Hepatic Duct
The Common Hepatic Duct
The Right Hepatic Duct
The Cystic Duct
The Common Hepatic Duct
Is the Gallbladder anechoic, echogenic, or hypoechoic normally on ultrasound?
hypoechoic
anechoic
echogenic
anechoic
The gallbladder may be hard to see regardless of technique most often due to?
all of the above
rarely agenesis
a contracted gallbladder
bowel gas shadowing
all of the above
Which of the following is a protein the liver produces?
ammonium
phospholipid
albumin
urea
albumin
The combination of Direct Bilirubin and Indirect Bilirubin on lab work = ______.
Correct Bilirubin
Main Bilirubin
Abnormal Bilirubin
Total Bilirubin
Total Bilirubin
The Ligamentum Teres is a remnant of the ______.
ductus arteriosis
ductus venosus
umbilical vein
foramen ovale
umbilical vein
Which regions does the liver lie in: CHECK ALL RIGHT ANSWERS!
Umbilicus
Rt hypochondrium
Lt hypochondrium
epigastriu
Rt hypochondrium
Lt hypochondrium
epigastrium
What structure is located between the portal vein and the gallbladder?
main lobar fissure
falciform ligament
ligamentum teres
ligamentum venosu
main lobar fissure
The liver is _____ to the IVC and Aorta
Anterior
Lateral
Posterior
Medial
Anterior
Which lobe is the smallest?
Left
Right
Caudate
Caudate
The liver is covered by a thin connective tissue layer called Glisson’s capsule.
True
False
True
