[LEC] UNIT 1 LIVER FUNCTION Flashcards
T or F: The left lobe is 6x larger than the right lobe
F
The right lobe is 6x larger than the left
What is the liver’s weight in kg?
1.2-1.5 kg
What is the color of the liver?
reddish-brown
Structure that divides the left and right lobes of the liver
Falciform ligament
Bile storage for the degradation of fats
Gallbladder
T or F: The liver is a highly vascular organ
T
The liver supplies ___ L or _____ mL of blood per minute
1.5 L or 1500 mL
The Portal Triad
HaPvBd
Hepatic Artery
Portal Vein
Bile Duct
Major blood vessels of the liver
Hepatic Artery
Portal Vein
Blood vessel that carries deoxygenated and nutrient-rich blood
Portal Vein
Blood vessel that carries oxygenated blood
Hepatic Artery
Vascular spaces within the liver
Sinusoids
Functional units responsible for all metabolic and excretory functions performed by the liver
Lobules
Each lobule is roughly a ___-sided structure
six
Each lobule has a _____ _____ at the center and _____ ______ at each corner
central vein ; portal triad
Liver cells
Hepatocytes
Kupffer cells
System responsible for metabolic reactions and macromolecular synthesis
Hepatocyte system
System responsible for metabolism of bilirubin and bile salts
Biliary system
System responsible for immunity and production of heme and globin metabolites
Reticuloendothelial system
T or F: The liver performs the key roles in body energy metabolism
T
Breakdown of glucose to ATP is called _______, and it occurs in _______
Glycolysis ; all cells (not just the liver)
T or F: The liver plays a crucial role in
synthesizing various proteins essential for blood clotting and immune system function.
T
4 Major Functions of the Liver
MEDS
Metabolism
Excretion/Secretion
Detoxification
Storage
The liver metabolizes many biological compounds including
Carbohydrates
Lipids
Proteins
Liver function tests performed to assess protein content
Total Protein
Albumin
A/G
Major protein synthesized and secreted by the liver
Albumin
T or F: The liver is a gatekeeper between substances absorbed by the gastrointestinal tract and those released into the systemic circulation.
T
Every substance absorbed in the gastrointestinal tract must pass through the liver before reaching the rest of the body. This phenomenon is termed as ______ _____.
First pass
2 methods of detoxification
Inactivation
Modification
Alcohol becomes an aldehyde, which then turns into acetic acids to be able to be excreted. This method of detoxification is under: modification or inactivation?
Modification
T or F: Paracetamol is an over-the-counter drug because it does not have harmful effects on the liver
F
It is OTC because the liver can modify excess Paracetamol.
NH3 is converted to _____ by the liver
Urea
The liver acts as the storage of
GLAV
Glycogen
Lipids
Amino acids and proteins
Vitamins
The excretory system’s pathway in order
Bile canaliculi
Intrahepatic ducts
R&L Hepatic ducts
Cystic duct (and common hepatic duct)
Common bile duct
The common bile duct connect to which part of the small intestine?
Duodenum
T or F: Only exogenous substances are excreted by the liver into the bile or urine.
F
both endogenous and exogenous substances
T or F: The liver is the only organ that has the capacity to rid the body of heme waste products.
T
____ L of bile is produced per day
3 L
____ L of bile is excreted per day
1
Bilirubin
Principal pigment in bile
T or F: Bilirubin is derived from iron-containing heme such as RBCs and proteins
T
T or F: Although the liver has the ability to regenerate new cells when damaged, the effects of cirrhosis are irreversible.
T
Precursor of bile acids
Cholesterol
T or F: Bacteria in the liver dehydrate bile salts into secondary bile acids
F
in the colon
Principal pigment in bile
Bilirubin
Bilirubin is derived from
80% RBCs
20% Proteins (Myoglobin, Catalase, Cytochrome)
Heme, when broken down, releases _______ and __________
Porphyrin and Iron
______ goes back to the amino acid pool
Globin
Porphyrin is acted upon by this enzyme to form Biliverdin
Heme oxygenase
Biliverdin is acted upon by this enzyme to form unconjugated bilirubin
Biliverdin reductase
Binds to B1 until it reaches the liver
Albumin
B2 enters the bile canaliculi and exits through a __________________
Common Bile Duct
T or F: B1 is insoluble in water and alcohol
F
Water only
Proteins that come with ligandin
protein Y and Z
Gives color to the stool
Stercolobilin
T or F: Only the liver can rid the body of heme and waste products
F
Where does the ligandin bring B1?
Smooth Endoplasmic Reticulum