L8 “Liver”

Question 1

The largest gland in the body :

Answer 1

Liver

Question 2

It is exocrine secrete:

Answer 2

bile

Question 3

It is endocrine secrete:

Answer 3

Albumen

prothrombin

fibrinogen

Question 4

Function of the liver :

Answer 4

• Secretion of bile & bile salt

• Metabolism of carbohydrate, fat and protein

• Formation of heparin & anticoagulant substances

• Detoxication

• Storage of glycogen

Question 5

Location of Liver :

Answer 5

• Right hypochondrium
• Epigastrium
• Extends to left hypochondrium

Question 6

Surfaces of the liver :

Answer 6

• Visceral surface (Postero -inferior surface)

• Diaphragmatic surface (Superior surface )

• Anterior surface

• Posterior surface

• Right surface

Question 7

Relations of visceral surface of the liver :

Answer 7

• stomach

• Esophagus

• lesser omentum

• gallbladder

• right colic flexure

• right kidney and right suprarenal gland

Question 8

Lobes of the liver :

Answer 8

• Right Lobe

• Left lobe

• Quadrate lobe

• Caudate lobe

Question 9

Right Lobe :

Answer 9

• Largest lobe

• Occupies the” right hypochondrium”

• Divided into anterior and posterior ections by the right hepatic vein

Question 10

Left Lobe :

Answer 10

• Lies in the epigastric and left hypochondriac regions

• Divided into lateral and medial segments by the left hepatic vein

Question 11

Right & Left lobe separated by :

Answer 11

• Falciform ligament

• ligamentum venosum

• Ligamentum teres

Question 12

Caudate Lobe it’s present in the :

Answer 12

• Posterior surface from the Rt. Lobe

Question 13

Processes Caudate Lobe :

Answer 13

1- Caudate process “down to the right ”

2- Papillary process “down to the left ”

Question 14

Relations of caudate lobe :

Answer 14

• Inf . —> Porta hepatis

• The right —> Inferior vena cava

• The left —> fossa for the lig.venosum.

Question 15

Quadrate lobe it’s present on the :

Answer 15

• inferior surface from the Rt. Lobe

Question 16

Relation of Quadrate lobe :

Answer 16

• Ant. —> anterior margin of the liver

• sup. —> porta hepatis

• Rt. —> fossa for the gallbladder

• Lt. —> by the fossa for lig.teres

Question 17

What is the hilum of the liver ?

Answer 17

Porta hepatis

Question 18

Porta hepatis lies between the………. and……….

Answer 18

caudate and quadrate lobes

Question 19

between Lesser curvature and porta hepatis :

Answer 19

Lesser omentum

Question 19

What is attach to the margin of porta hepatis?

Answer 19

Lesser omentum

Question 20

Contents of Porta hepatis :

Answer 20

• Bile duct anteriorly

• Hepatic artery in the middle.

• Portal vein posteriorly .

Question 21

Above the porta hepatis :

Answer 21

Posterior surface

Question 22

Below the porta hepatis :

Answer 22

Inferior surface

Question 23

The liver is covered by ……….. Except at……… .

Answer 23

peritoneum (intraperitoneal organ) , bare area (it is origin from septum transversum)

Question 24

The bare area of the liver is clinically important because of the

Answer 24

Porto-systemic anastomosis

Question 25

Inferior surface covered with peritoneum of ………. Except ……. , ………… , ……..

Answer 25

greater sac , porta hepatis, G.B & fissure For Lig.teres

Question 26

The ligaments of the liver :

Answer 26

1- The Falciform ligament of liver 2- The Ligamentum teres hepatis 3- The coronary ligament 4- The right triangular ligament 5- The left triangular ligament 6- The Hepatogastric ligament 7- The hepatoduonedenal ligament 8- The Ligamentum venosum

Question 27

The cord-like ligament found within the falciform ligament is :

Answer 27

Ligamentum teres

Question 28

The Falciform ligament Consists of:

Answer 28

double peritoneal layer

Question 29

Shape of Falciform ligament :

Answer 29

Sickle shape

Question 30

The Falciform ligament Extends from :

Answer 30

anterior abdominal wall (umbilicus) to liver

Question 31

Free border of the Falciform ligament contains :

Answer 31

Ligamentum teres (obliterated umbilical vein)

Question 32

The area between upper and lower layer of the coronary ligament is the ………..of liver which contact with the …………

Answer 32

bare area , diaphragm

Question 33

Left and Right extremity of coronary ligament form:

Answer 33

Left and right triangular ligaments

Question 34

Hepatogastric ligament between……… and ……..

Answer 34

Liver , stomach

Question 35

Hepatoduodenal ligament between……… , ……….

Answer 35

Liver , duodenal

Question 36

Hepatogastric ligament , Hepatoduodenal ligament part of :

Answer 36

Lesser omentum

Question 37

ligamentum venosum is ……… band that is the remains of the ………….

Answer 37

Fibrous , ductus venosus

Question 38

ligamentum venosum Is attached to the :

Answer 38

left branch of the portal vein and ascends

Question 39

The ligamentum venosum serves primarily as a ……. and source of controlling the.……..during …….

Answer 39

landmark , left hepatic vein , dissections

Question 40

Blood supply of the liver :

Answer 40

• Proper hepatic artery —> The right and left hepatic arteries enter the porta hepatis. • The right hepatic artery usually gives off the cystic artery, which runs to the neck of the gallbladder.

Question 41

The cystic artery branch of ……..

Answer 41

Right hepatic artery

Question 42

Right hepatic artery branch of

Answer 42

common hepatic artery and the common hepatic artery is branch of celiac artery

Question 43

during a cholecystectomy what is ligated ?

Answer 43

The cystic artery

Question 44

The left branch of portal vein connected with ………..(during embryo)by ………….

Answer 44

inferior vena cava , ligamentum venosum

Question 45

The portal vein divides into right and left terminal branches that enter the ………

Answer 45

porta hepatis behind the arteries

Question 46

The hepatic veins (three or more) drain into the :

Answer 46

inferior vena cava

Question 47

Lymph leave the liver and enters several lymph nod in porta hepatis efferent vessels pass to ………

Answer 47

celiac nods

Question 48

A few vessels pass from the bare area of the liver through the diaphragm to the …………..

Answer 48

posterior Mediastinal lymph nodes

Question 49

The bare area is clinically important:

Answer 49

Site of poto-systemic anastomosis IVC coronary ligament Right triangular ligament “ The bare area direct contact with: Liver “

Question 50

Inflammation of liver:

Answer 50

Hepatitis

Question 51

What is the disease In case of the Liver is replaced by fibrous tissue and shrinks in size ?

Answer 51

Cirrhosis