Hepatobiliary System Flashcards
The major lobes of the liver are the ______ lobe and a smaller ____ lobe as viewed from the front surface. The two are separated by the falciform ligament.
right; left
left; right
quadrate; caudate
caudate; quadrate
right; left
The liver has a dual supply of blood. One-third of the liver’s blood supply comes from the hepatic artery. Where does the remaining two-thirds come from?
superior vena cava
aorta
portal vein
superior mesenteric artery
portal vein
What modality is preferred for imaging of the gallbladder?
abdominal radiography
computed tomography
MRI
sonography
sonography
What modality is preferred for imaging the liver and biliary malignancies due to it’s quick scan time, spatial and contrast resolution and post processing capabilities?
abdominal radiography
fluoroscopy
computed tomography
MRI
computed tomography
Magnetic resonance _____ is an imaging procedure that uses MRI to visualize the gallbladder, biliary system, and pancreas.
cholecystocholangiography
cholangiopancreatography
choledocholithiasis
cholecystectomy
cholangiopancreatography
Cholecystocholangiogram - Study of both the gallbladder and the biliary ducts
Choledocholithiasis- Presence of gallstones in the common bile duct
Cholecystectomy- Surgical removal of the gallbladder
Match the statement with the procedure:
A method of visualizing the biliary system using a puncture through the wall of the abdomen to insert a needle directly into the biliary tree.
abdominal radiograph
percutaneous transhepatic cholangiography
endoscopic retrograde cholangiopancreatography
operative cholangiography
percutaneous transhepatic cholangiography
Match the statement with the procedure:
Only about 10% to 30% of gallstones are radiopaque and able to be visualized.
abdominal radiograph
percutaneous transhepatic cholangiography
endoscopic retrograde cholangiopancreatography
operative cholangiography
abdominal radiograph
Match the statement with the procedure:
Performed during surgery at the time of a cholecystectomy to detect biliary calculi and explore the common bile duct.
abdominal radiograph
percutaneous transhepatic cholangiography
endoscopic retrograde cholangiopancreatography
operative cholangiography
operative cholangiography
Match the statement with the procedure:
Usually performed by a gastroenterologist; a means of visualizing the biliary system and main pancreatic duct, combining fluoroscopy and endoscopy techniques.
abdominal radiograph
percutaneous transhepatic cholangiography
endoscopic retrograde cholangiopancreatography
operative cholangiography
endoscopic retrograde cholangiopancreatography
What conditions are associated with alcohol-inducted liver disease?
- fatty liver
- hepatitis
- cirrhosis
- hepatocellular carcinoma
2 and 3 only
1, 3 and 4 only
3 only
1, 2, 3 and 4
1, 2, 3 and 4
fatty liver- an excess of fatty acids within the liver
hepatitis- inflammation of the liver
cirrhosis- the liver tissues are destroyed and replaced by fibrous tissue and regenerative nodules due to chronic liver damage as the liver attempts to repair hepatocytic damage
hepatocellular carcinoma- Most common primary tumor of the liver
This condition results from an excess of fatty acids within the liver, which leads to fatty infiltration of the liver.
pancreatitis
viral hepatitis
hepatolithiasis
hepatic steatosis
hepatic steatosis
aka Fatty Liver Disease
An end-stage liver condition in which the liver tissues are destroyed and replaced by fibrous tissue and regenerative nodules due to chronic liver damage.
hepatic metastases
ascites
cirrhosis
hepatitis
cirrhosis
The accumulation of fluid within the peritoneal cavity.
varices
ascites
portal hypertension
dyspnea
ascites
varices- enlarged blood vessels that can occur in the esophagus, stomach, and rectum
portal hypertension- high blood pressure in the portal vein
dyspnea- shortness of breath or difficult breathing
Hepatitis A is usually mild and many individuals recover without complications; whereas people with hepatitis types B, C, D and G generally go on to develop chronic hepatitis. In some, the disease may progress to liver failure.
True or False
True
This technique allows a less traumatic entry, excision, and removal of the gallbladder, resulting in shortened hospitalization and reduced costs.
open cholecystectomy
laparoscopic cholecystectomy
paracentesis
thoracentesis
laparoscopic cholecystectomy
A fluid collection in the pancreas with a defined fibrous capsule that typically develops 4 to 6 weeks after the onset of acute pancreatitis.
diabetes
ascites
pancreatic pseudocyst
pancreatic cancer
pancreatic pseudocyst
The accumulation of excess bile pigments (i.e., bilirubin) in the body tissues “stains” the skin and eyes a yellowish color.
jaundice
hemolytic disease
pancreatitis
hepatitis
jaundice
Which of following focal liver lesions is malignant?
hepatocellular carcinoma
hemangioma
hepatitis
hepatic cyst
hepatocellular carcinoma
A benign neoplasm composed of newly formed blood vessels. These neoplasms may form in other places within the body. A port wine stain on the face is an example. In the liver these neoplasms are well-circumscribed (confined to a limited area) and can be either solitary or multiple.
hepatitis
simple cyst
hemangioma
hepatocellular adenoma
hemangioma
A benign tumor of the liver associated with use of steroids and oral contraceptives, often having a pseudocapsule and contains fat.
hemangioma
hepatocellular adenoma
hepatocellular carcinoma
hepatoma
hepatocellular adenoma
Also called hepatoma, this is the most common primary malignant neoplasm of the liver strongly associated with cirrhosis due to hepatitis B and C infections and/or alcoholism.
hepatocellular adenoma
hemangioma
metastatic liver lesion
hepatocellular carcinoma
hepatocellular carcinoma
A risk factor associated with adenocarcinoma of the gallbladder resulting from chronic cholesystitis where the chronically inflamed gallbladder wall gradually calcifies.
priceless gallbladder
procelain gallbladder
prophylactic cholecystectomy
squamous cell cancer
procelain gallbladder
The diagnostic and potentially theraputic procedure of choice for cholangiocarcinoma.
computed tomography
upper gastrointestional fluoroscopy
modified barium swallow
endoscopic retrograde cholangiopancreatogram
endoscopic retrograde cholangiopancreatogram
Cigarette smoking has been clearly associated with a risk of developing pancreatic cancer.
True or False
True
A clear-cut association with cigarette smoking has been demonstrated, and other risk factors include alcoholism, chronic pancreatitis, diabetes mellitus, and a family history of adenocarcinoma, the most common malignant pancreatic neoplasm.
