Lesson 3B (Part 4)

Question 1

What makes up the left arm of the H? (2)

Answer 1

1. Fissure or the ligamentum venosum

2. Ligamentum teres

Question 2

What is on the left side of the left arm of the H?

Answer 2

The left lobe

Question 3

What is on the right side of the left arm of the H? (2)

Answer 3

1. Caudate lobe

2. Quadrate lobe

Question 4

What makes up the right arm of the H? (2)

Answer 4

1. IVC

2. Gallbladder

Question 5

What is on the left side of the right arm of the H? (2)

Answer 5

1. Caudate lobe

2. Quadrate lobe

Question 6

What is on the right side of the right arm of the H?

Answer 6

Right lobe

Question 7

What makes up the cross bar on the H?

Answer 7

Porta hepatis

Question 8

What makes up the porta hepatis?

Answer 8

1. Portal vein
2. Hepatic artery
3. Hepatic duct

Question 9

What is posterior (above) to the cross bar of the H?

Answer 9

The caudate lobe

Question 10

What is anterior (below) the cross bar of the H?

Answer 10

Quadrate lobe

Question 11

Where is the H located?

Answer 11

On the visceral side of the liver

Question 12

Where is the porta hepatis enclosed?

Answer 12

In the free margin (or unattached edge) of the lesser omentum

Question 13

Where is the main portal vein in the porta hepatis?

Answer 13

Most posterior and courses obliquely toward the liver

- behind the neck of the pancreas (confluence)

Question 14

Where is the hepatic duct in the porta hepatis?

Answer 14

Most anterior

Question 15

Where is the hepatic artery in the porta hepatis?

Answer 15

In between the portal vein and the hepatic duct

Question 16

What does the gallbladder do?

Answer 16

Stores bile

Question 17

What is the capacity of gallbladder?

Answer 17

30-50ml

Question 18

Where is the gallbladder usually?

Answer 18

On the inferior and medial aspect of right lobe and lateral to the quadrate lobe

Question 19

Does the gallbladder change position?

Answer 19

Yes

- depends on how the patient is orientated

Question 20

What are the 3 divisions of the gallbladder?

Answer 20

1. Fundus
2. Body
3. Neck

Question 21

What controls the flow of bile from the gallbladder into the duodenum?

Answer 21

A hormonal feedback system

Question 22

Where is the fundus of the gallbladder located?

Answer 22

It is the inferior aspect of the sac

- protrudes from the inferior margin of the liver

Question 23

What does the fundus of the gallbladder contact? (3)

Answer 23

1. Anterior abdominal wall
2. Duodenum
3. Transverse colon

Question 24

What is the largest part of the gallbladder?

Answer 24

The body

Question 25

Where does the body of the gallbladder extend?

Answer 25

Upwards

Question 26

What is the body of the gallbladder in contact with?

Answer 26

Visceral surface of the liver

Question 27

What is the narrow constricted portion of the gallbladder?

Answer 27

The neck

Question 28

What is the neck of the gallbladder directed towards?

Answer 28

The porta hepatis of the liver

Question 29

What is the neck of the gallbladder continuous with?

Answer 29

Cystic duct

Question 30

What is the only portion of the gallbladder that is fixed?

Answer 30

The neck

Question 31

Where does all the bile sit in the gallbladder?

Answer 31

Top part of the fundus

- due to gravity

Question 32

What prevents back flow of bile?

Answer 32

Pressure difference

Question 33

What is another word for hartmann’s pouch?

Answer 33

The infundibulum

Question 34

What is the hartmann’s pouch?

Answer 34

A mucosal fold or slight outpouching located in the area of the neck of the gallbladder

Question 35

What is the infundibulum a common space for?

Answer 35

Gallstones to become lodged

Question 36

Where is the hartmann’s pouch located?

Answer 36

On the neck of the gallbladder