Final Ab q3

Question 1

The liver is suspended from the diaphragm and anterior abdominal wall by the

Answer 1

Falciform ligament

Question 2

Fatty infiltration may be observed in all patients except those with

Answer 2

Hepatoportal fistula

Question 3

Budd-Chiari syndrome is a rare disorder caused by obstruction of the

Answer 3

Hepatic veins

Question 4

Echinococcal cysts have the highest incidence in countries in which

Answer 4

Sheep herding is common

Question 5

The most common benign tumor of the liver is

Answer 5

Cavernous hemangioma

Question 6

What benign liver tumor has been found in patients with type 1 glycogen storage disease?

Answer 6

Adenoma

Question 7

Patients who have hepatocellular carcinoma are more likely to have had

Answer 7

Cirrhosis

Question 8

Diminished vascular structures within the liver parenchyma most likely represent

Answer 8

Cirrhosis

Question 9

The falciform ligament extends from the umbilicus to the diaphragm in a parasagittal plane containing the

Answer 9

Ligamentum teres

Question 10

Elevation of serum bilirubin results in

Answer 10

Jaundice

Question 11

Typical symptoms a patient may have with an abscess formation include

Answer 11

Fever, pain, leukocytosis

Question 12

A sheep farmer arrives at the hospital with RUQ pain, fever, elevated WBC. Sonogram shows an irregular mass showing low-level echoes. What is your differential diagnosis?

Answer 12

Echinococcal cyst

Question 13

Tumor consisting of large blood-filled spaces

Answer 13

Cavernous hemangioma

Question 14

The amebic abscess may reach the liver through the

Answer 14

Portal vein

Question 15

Venous drainage of the caudate lobe is through the

Answer 15

Emissary veins

Question 16

Following the direction of fetal circulation, which comes next?

Umbilical vein—>left portal vein—> ductus venous—> ______

Answer 16

IVC

Question 17

Supplies the liver with 25% of its blood supply

Answer 17

Proper hepatic artery

Question 18

Divides the medial and lateral segments of the left lobe

Answer 18

Left intersegmental fissure and left hepatic vein

Question 19

This type of hepatitis is acquired through fecal/oral route of transmission

Answer 19

Hepatitis A

Question 20

Occurs almost exclusively in immigrants or travelers

Answer 20

Amebic abscess

Question 21

Appears as “wheel within wheel” pattern

Answer 21

Candidiasis

Question 22

The casoni skin test is used to evaluate this liver condition

Answer 22

Echinococcal cyst

Question 23

Which disease is due to excessive copper deposits in the body?

Answer 23

Wilson’s disease

Question 24

1 cause of cirrhosis

Answer 24

Hepatitis C

Question 25

Portal vein diameter exceeding _____ suggests portal hypertension

Answer 25

13mm

Question 26

Physical signs of collateral circulation

Answer 26

Hemorrhoids, caput Medusa, ascites

Question 27

What is a “stealth lesion”

Answer 27

FNH

Question 28

Which of the following lab values decreases with liver disease?

Answer 28

Serum Albumin

Question 29

The right and left hepatic ducts unite to form which duct?

Answer 29

Common hepatic duct

Question 30

Normal CBD should not exceed

Answer 30

6-7mm

Question 31

Normal variant in which the fundus folds over itself is called

Answer 31

Phrygian cap

Question 32

Located at the neck; helps prevent kinking of the duct in the gallbladder

Answer 32

Heister valves

Question 33

The most common cause of acute cholecystitis is

Answer 33

Cholelithiasis

Question 34

Gas forming bacteria in the wall of the gallbladder

Answer 34

Emphysematous cholecystitis

Question 35

Rare, calcium deposits in the gallbladder wall

Answer 35

Porcelain gallbladder

Question 36

Also known as strawberry gallbladder.

Answer 36

Cholesterolosis

Question 37

Causes ring down artifact to appear at the anterior gallbladder wall

Answer 37

Adenomyomatosis

Question 38

Polyp size indicative of malignancy

Answer 38

11mm

Question 39

Hyperplastic changes in the gallbladder wall causing formation of diverticula is associated

Answer 39

Adenomyomatosis

Question 40

The common bile duct passes _____ to the pancreatic head, joining the duct of ________ at the ampulla of Vater

Answer 40

Posterior, wirsung

Question 41

The portal triad consists of

Answer 41

Portal vein, proper hepatic artery, common hepatic duct

Question 42

Blood supply to the gallbladder is from the

Answer 42

Cystic artery

Question 43

Sludge may be thick and mimic an intraluminal gallbladder mass, this is called

Answer 43

Tumefactive sludge

Question 44

Also known as hydrops of the gallbladder

Answer 44

Mucocele

Question 45

The dilated hepatic duct adjacent to the portal vein indicates the

Answer 45

Shotgun sign

Question 46

If the obstruction is located at the junction of the right and left hepatic ducts, what will dilate?

Answer 46

Intrahepatic ducts only

Question 47

If the obstruction is located at the distal CBD, what dilates?

Answer 47

Intrahepatic ducts, cystic duct, gallbladder

Question 48

compression of the common hepatic duct as a result of an impacted stone in the cystic duct?

Answer 48

Mirizzi Syndrome

Question 49

A congenital anomaly of the biliary tract characterized by multifocal segmental dilation of the intrahepatic bile ducts is

Answer 49

Caroli disease

Question 50

The ______ refers to the dilation of the CBD and duct of wirsung

Answer 50

Double duct sign