LIVER Flashcards

1
Q

The additional anatomic lobe is called

A

Quadrate lobe

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2
Q

3 hepatic lobes are

A

right, left, caudate

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3
Q

The right lobe can be divided into ___ and ___ segments by the ___ hepatic vein

A

anterior, posterior. Right.

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4
Q

The left lobe can be divided into __ and __ segments by the __hepatic vein

A

Medial, lateral. Left (ligamentum teres and falciform ligament)

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5
Q

The right lobe is separated from the left lobe by the

A

Middle hepatic vein (main lobar fissure) gb fossa

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6
Q

Smallest hepatic lobe

A

Caudate lobe

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7
Q

Caudate lobe is separated by the left lobe by the

A

ligamentum venosum

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8
Q

The medial segment of the left lobe may be referred to as the

A

Quadrate lobe

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9
Q

The normal MPV measures less than

A

13 mm (1.3 cm) AP

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10
Q

Enlargement of the portal vein is

A

portal hypertension

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11
Q

Normal flow within the mpv

A

Hepatopetal, monophasic

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12
Q

The main portal vein and hepatic artery supply

A

oxygenated blood to the liver.

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13
Q

Enlargement of the hepatic veins and ivc is seen with __ heart failure

A

right sided

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13
Q

Hepatic veins have __ blood flow

A

triphasic

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14
Q

Occlusion or narrowing of the hepatic veins is

A

Budd-Chiari syndrome.

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15
Q

The porta hepatis includes :

A

MPV, CBD, and hepatic artery

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16
Q

What sign indicated the porta hepatis

A

Mickey sign

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17
Q

After birth, the ductus venosus collapses and becomes the

A

ligamentum venosum

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18
Q

Tongue-like projection of the rt hepatic lobe

A

Riedel lobe

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19
Q

Hepatomegaly is often suspected if the liver measures above

A

15.5 cm

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20
Q

An increase in conjungated (direct) bilirubin tends to be associated with

A

gallstones/ pancreatic mass

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21
Q

Unconjugated (indirect) bilirubin tends to increase in the presence of

A

Hepatocellular disease (hepatitis, cirrhosis)

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22
Q

Fatty liver disease is aka

A

Hepatic steatosis

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23
Q

Inflammation of the liver that can lead to cirrhosis, portal hypertension, and HCC

A

Hepatitis

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24
Hepatitis types and most common
A,B,C,D,E,G (A,B)
25
What sign is associated with hepatitis
Starry sky sign
26
Increase in echogenicity of the walls of the portal triads
Periportal cuffing
27
The most common cause of cirrhosis is
alcoholism
28
Pathway of liver disease
alcoholism -> hepatic steatosis (fatty liver) -> steatohepatitis -? cirrhosis -> portal hypertension -> PV thrombosis -> hepatocellular carcinoma
29
The most common cause of portal hypertension is
cirrhosis
30
normal flow towards the liver
hepatopetal flow
31
Elevation of BP within the portal venous system
Portal hypertension
32
The most common cause of portal hypertension is
Cirrhosis
33
Most common sonographically indentifiable collaterals in portal hypertension is
recanalization of the paraumbilical vein (patent umbilical vein)
34
With portal hypertension , the mpv will measure above
13 mm .. 1.3 cm.
35
If cirrhosis is suspected, analyze the ___ for evidence of ___
left portal vein, recanalization of paraumbilical vein
36
Occlusion of the hepatic veins
Budd-chiari syndrome
37
Hepatic cysts are associated with
autosomal dominant polycystic kidney disease
38
a cyst within a cyst
mother / daughter cyst
39
The most common BENIGN liver tumor
Cavernous hemangioma
40
Cavernous hemangiomas are most commonly found
in women in the right lobe
41
Cavernous hemangiomas look
hyperechoic
42
The SECOND most common BENIGN liver tumor
Focal nodular hyperplasia (FNH)
43
Rare hyperechoic liver lesions
Lipomas
44
Rare benign liver tumor associated with oral contraceptive use
Hepatocellular adenoma
45
Consequence of trauma/surgery
Hepatic hematoma
46
The most common primary form of liver cancer
Hepatocellular carcinoma
47
The tumor marker for hepatocellular carcinoma is
AFP - alphafeta protein - elevated
48
Mass with a hypoechoic halo and central echogenic portion (target , bulls eye)
HCC
49
Not caused by oral contraceptive use, but it is estrogen dependent and can grow as a result of contraceptive use
FNH
50
The most common form of liver cancer
hepatic metastasis
51
The most common primary form of liver cancer which means it develops in the liver
HCC
52
The most common cancer discovered in the liver is ___ from some other primary location
metastasis
53
The malignant cells from other sites enter the liver through the
portal veins
54
The second most common benign liver tumor
Focal Nodular Hyperplasia
55
FNH has been referred to as __ lesion because it is difficult see see on u/s
stealth lesion
56
TIPS is located between the
rt PV, and rt HV
57
Most common benign liver childhood tumor
infantile hemangioendothelioma
58
Most common malignant tumor for children
hepatoblastoma
59
Most common disease requiring a liver transplant
HEP c
60
The liver attached end to end to the native PV and HA is termed
anastomosis
61
HCC is AKA
Hepatoma
62
63
Most common cancer discovered in the liver
Metastasis
64
What liver mass is isoechoic and contains a central scar
FNH
65
Labs:: an increase in ___ is associated with fatty liver
AST - aspartate aminotransferase
66
Labs :: an increase of __ is associated with hepatitis
ALP
67
Labs :: decreased ___ and increased ___ is associated with cirrhosis
Albumin , ALP & AST & LDH
69
Which of the following benign labor masses is typically isoechoic and contains a central star A- hepatoblastoma B- cavernous hemangioma C- hepatoma D- focal nodular hyperplasia
D
70
The covering of the liver is referred to as A- Glisson capsule B- gerota fascia C- Morrison pouch D- hepatic fascia
A
71
The left lobe of liver can be separated from the right lobe by A- right hep vein B- middle hepatic vein C- left hep vein D- falciform ligament
B
72
The right lobe of liver is divided into segments by the A middle lobar fissure B middle hepatic vein C right hepatic vein D left hip vein
C
73
The right intersegmental fissure contains the A right hepatic vein B middle hepatic vein C left portal vein D right portal vein
A
74
The mpv divides into
Left and right branches
75
76
Which of the following hepatic lesions may occur following a recent bout of appendicitis diverticulitis or cholecystitis A fnh B pyogenic hepatic abscess C echinoccocal abscess D amebic liver abscess
B
77
Cavernous transformation of the portal vein is found in the presence of A portal Venus gas B portal vein thrombosis C dominant, polycystic liver disease D multiple hydatid liver cysts
B
78
Wilson disease will present, sonographic, similar to what disorder A hepatitis B portal, hypertension C budd chiari syndrome D focal fatty infiltration
A
79
What inherited disease is linked with the development of cysts in the liver and other organs A von gierke disease B Wilson disease C e Epstein-Barr disease D von hippel lindau disease
D
80
Which of the following is an inherited disease characterized by disproportionate absorption of dietary iron? A Wilson disease B hemochromatosis C von gierke syndrome D Von hippel lindau disease
B
81
What liver pathology is associated with Periportal cuffing A candidiasis B amebic hepatic abscess C steatosis D hepatitis
D
82
Which of the following are the cells of the liver responsible for engulfing pathogens and damaging cells? A kupffer B Morrison C hepatocytes D Epstein
A
83
Which of the following lab findings would be most likely associated with a decrease in albumin A hepatic steatosis B hepatic steatohepatitis C cirrhosis D hepatitis
C
84
Which of the following is associated with E granulosus A candidiasis B amebic liver abscess C Hyatid luver cyst D hcc
C
85
The childhood syndrome beckwith wiedemann is associated with an increased for developing A hepatoblastoma B cirrhosis C portal hypertension D hepatitis
A
86
All the following are clinical findings of HCC except A reduction of AFP B weight loss C fever D cirrhosis
A
87
Which of the following is considered the most common benign childhood hepatic mass A hepatoblastoma B hepatoma C hematoma D hemangioendothelioma
D
88
Intraperitoneal organs are
gallbladder, liver, ovaries, spleen, stomach, some bowel (GLOSSS)
89
Most common diffuse liver disease
hepatic steatosis / fatty infiltration
90
If TIPPS is successful, flow will be ___ at proximal anastomosis (RPV) and ____ at distal anastomosis (RHV)
Hepatopetal, hepatofugal
91
inferior to liver
subhepatic
92
Right posterior subhepatic
Morison’s pouch
93
inferior to diaphragm. Between diaphragm/liver and diaphragm/spleen
subphrenic