Extrahepatic Biliary

Question 1

right and left hepatic duct

-drains from the right and left (structural or functional?) lobe of the liver

Answer 1

Functional

Question 2

right and left hepatic duct

-emerges at the _____

Answer 2

porta hepatis

Question 3

common hepatic duct

• _______ and ______ combine to become common hepatic duct near (right or left?) end of porta hepatis
• approximately __cm

Answer 3

left and right hepatic duct

Right

3

Question 4

gall bladder

• located at _____________ region
• ____peritoneal
• ____cmlong ;____cm wide ;vol= ____ml

Answer 4

right hypochondriac

intra

7-10; 3-4; 30-50

Question 5

Gall bladder

• ____shaped sac
• lies in a fossa formed by the inferior aspects of the ______ and _____ lobes of the liver
• divided into 3 portions: ____,____,____

Answer 5

pear

right and quadrate

fundus, body, neck

Question 6

Gall bladder

fundus is the ______ that faces the abdominal walls and the neck

• neck is continuous with _____
• body is (anterior or Posterior?) to 1st part of duodenum

Answer 6

rounded base

cystic duct

Anterior

Question 7

Walls of the gall bladder

• anterior and superior:______ border of ____ and anterior abdominal wall
• posterior: ____ colon and _____
• inferior: _____ and remaining parts of _______

Answer 7

inferior; liver

transverse; proximal duodenum

biliary tree; duodenum

Question 8

Cystic duct is supplied by ____ artery (branch of ______ artery)

And drained by _____ vein

Answer 8

cystic; hepatic

portal

Question 9

LYMPHatic drainage of gall bladder

_____ group of nodes pass to the ____ lymph nodes

Answer 9

Cystic

coeliac

Question 10

NERVES of gall bladder

• _____ plexus(sympa, pain afferent fibers)
• sensory, and para nerves
• _________ nerve(somatic afferent fibers) may carry pain caused by gallbladder inflammation

Answer 10

coeliac

right phrenic

Question 11

CYSTIC DUCT

• _____cm
• from ____ of gall bladder to join _____ duct to become ______ duct
• its mucous lining has about _____ number of ______ folds
• these folds are called _______

Answer 11

3-4

neck

common hepatic

common bile

5-12; crescentic

valve of heister

Question 12

Function of valves of heister

Answer 12

they help to keep the cystic duct open

Question 13

common bile duct

• formed in the ______ of _____
• __cm long ,____ wide

Answer 13

free edge

lesser omentum

8; 6mm

Question 14

Common bile duct

divided into 4 four parts based on its course 
-\_\_\_\_duodenal 
 \_\_\_\_\_ duodenal 
 \_\_\_\_ duodenal(aka \_\_\_ pancreatic)
 \_\_\_\_ duodenal (\_\_\_\_mural)

Answer 14

Supra

Retro

Infra; retro

Intra; intra

Question 15

CHOLEDOCHUS

• a sphincter for _______
• thickened ____ muscle( sphincters boiden)

ODDI- a sphincter for __________

Answer 15

bile duct

circular

both bile and pancreatic juice

Question 16

ARTERIES supplying common bile duct

_____ artery = proximal
______ artery = middle
_______ and ____= distal

Answer 16

Cystic

Right Hepatic

Posterior superior pancreaticoduodenal and gastroduodenal

Question 17

VEINS draining bile duct

Proximal part of bile duct and hepatic duct drain into the _____
Distal part of bile duct is drained by the ____ vein into ____ vein or one of its tributaries

Lymph
_____; ____; omental foramen

Answer 17

liver directly

PSPD; portal

Cystic; hepatic

Question 18

APPLIED ANATOMY
(1)hepatocystic triangle :
-aka _____ or ___ triangle
Located at ______
(Bigger or smaller?) than calot’s triangle
Covers where the hepatic ducts and other neurovascular structures enter and exit the liver
-superior border is formed by the ________

Answer 18

cystohepatic

biliary tree

porta hepatis

Bigger

inferior border of the liver

Question 19

calot’s triangle

-superior border is formed by the ______

Answer 19

cystic artery

Question 20

Hartman’s pouch:

When the ___ of the gall bladder is ____ due to its contents like ______

Answer 20

neck

distended

bile stones

Question 21

Murphy’s sign: it’s positive if pain is felt when the gall bladder comes in contact with the examiner’s hand during palpating of the ________area during inflammation of the gall bladder (________)

Answer 21

right subcoastal

cholecystitis

Question 22

BILIARY dyskinesia:

When the ________decides to misbehave

Answer 22

sphincter of oddi

Question 23

Calot’s triangle

The borders are as follows:

Medial –________.
Inferior –_____
Superior –______

Answer 23

common hepatic duct

cystic duct.

inferior surface of the liver.

Question 24

The contents of the Calot’s triangle include:

________ artery
_______ artery
Lymph node of ____
______

Answer 24

Right hepatic

Cystic

Lund

Lymphatics