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Abdomen and small parts > Liver > Flashcards

Liver Flashcards

1
Q

The prep for an abdominal ultrasound is:
A. No Drink for 6-8 hours prior to exam
C. No Prep
B. No Food for 6-8 hours prior to exam

Both A & B

A

Both A & B

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2
Q

Which of the following is a protein the liver produces?

albumin
ammonium
phospholipid
urea

A

albumin

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3
Q

Bile is composed of:

AST, ALT
Water, Bile Salts, and Bile Pigments
None of the above
Fat, Amino Acids, Sugars

A

Water, Bile Salts, and Bile Pigments

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4
Q

The liver converts _____, a toxic product of nitrogen metabolism, into nontoxic urea.

Alum
Aluminum
Bilirubin
Ammonium

A

Ammonium

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5
Q

The common hepatic artery is a branch of which of the following?

Celiac Axis (Aorta)
Portal Vein
Renal Artery
IVC

A

Celiac Axis (Aorta)

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6
Q

Hepatopedal could be which of the following?

D. Hepatic Vein flow
A. Blood flow traveling to the liver
No answer text provided.
B & D
B. Blood flow traveling away from the liver
A & C
C. Portal Vein flow

A

A & C

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7
Q

The hepatic veins are divided into three components:

Right, Middle, Left
Right, Medial, Lateral
One, two, three
Left, Anterior, Posterior

A

Right, Middle, Left

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8
Q

The hepatic veins are connected to what larger vascular structure?

Portal vein
SMA
IVC
aorta

A

IVC

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9
Q

Which of the following is located at the posterior border of the Caudate Lobe?

Falciform Ligament
Portal Vein
IVC
Ligamentum Venosum

A

IVC

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10
Q

The combination of Direct Bilirubin and Indirect Bilirubin on lab work = ______.

Main Bilirubin
Correct Bilirubin
Abnormal Bilirubin
Total Bilirubin

A

Total Bilirubin

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11
Q

The Ligamentum Teres is a remnant of the ______.

Umbilical vein
ductus arteriosis
ductus venosus
foramen ovale

A

Umbilical vein

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12
Q

The ligamentum venosum is a remnant of the _____.

Umbilical Vein
foramen ovale
Ductus arteriosis
Ductus Venosus

A

Ductus Venosus

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13
Q

Which cluster of labs are labs that would be used in a liver examination?

ALT, Insulin, BUN
AST, BUN, Creatinine
BUN, Glucose, Lactic Acid Dehydrogenase
ALT, AST, Lactic Acid Dehydrogenase

A

ALT, AST, Lactic Acid Dehydrogenase

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14
Q

The liver functions consist of :
Detoxification, Disease, Digestion, Storage

Metabolism, Digestion, Disease, Insulin Production
Storage, Metabolism, Digestion, Detoxification
Insulin Production, Immunization, Digestion, Storage

A

Storage, Metabolism, Digestion, Detoxification

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15
Q

Which regions does the liver lie in: CHECK ALL RIGHT ANSWERS!

Lt hypochondrium
umbilicus
epigastrium
Rt hypochondrium

A

Lt hypochondrium
epigastrium
Rt hypochondrium

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16
Q

Where does the liver lie in respect to the diaphragm?

superior
Posterior
Lateral
Inferior

A

Inferior

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17
Q

The liver should appear ________ to the Kidney?

heterogenous
hypoechoic
Isoechoic
greatly hyperechoic

A

Isoechoic

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18
Q

Is the liver Retroperitoneal or Peritoneal?

Retroperitoneal
Peritoneal

A

Peritoneal

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19
Q

What structure is located between the portal vein and the gallbladder?

main lobar fissure
falciform ligament
ligamentum venosum
ligamentum teres

A

main lobar fissure

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20
Q

The main portal vein divides into:

Anterior/Posterior
Medial/Lateral
Right/Middle/Left
Right/Left

A

Right/Left

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21
Q

The liver is largely covered by the peritoneum of the _____________?

Greater Sac
Anterior Sac
Lesser Sac
Posterior Sac

A

Greater Sac

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22
Q

The three components of the portal triad are?

Hepatic Artery, Common Bile Duct, Main Portal Vein
Right Portal Vein, Cystic Duct, Hepatic Artery
Main Portal Vein, Cystic Duct, Hepatic Artery

A

Hepatic Artery, Common Bile Duct
Main Portal Vein

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23
Q

The main portal vein enters the liver through the ______.

Porta hepatis
Glisson’s Capsule
Portal Vein Fissure
No answer text provided.
Main Lobar Fissure

A

Porta hepatis

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24
Q

Which of the following vessels makes up the portal splenic confluence? CHECK ALL THAT APPLY!!

Splenic Vein
Inferior mesentaric vein
superior mesentaric artery
Superior Mesenteric Vein

A

Splenic Vein
Inferior mesentaric vein
Superior Mesenteric Vein

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25
Q

Portal veins run ____within the liver.

Intersegmental
anterior
Intrasegmental
No answer text provided.

A

Intrasegmental

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26
Q

The right triangular ligament is an extension of which of the following:

ligamentum venosum
ligamentum teres
falciform ligament
coronary ligament

A

coronary ligament

27
Q

Which hepatic vein divides the right liver into anterior and posterior portions?

right
main
left
middle

28
Q

The liver is _____ to the IVC and Aorta

Posterior
Anterior
Medial
Lateral

29
Q

Which lobe is the smallest?

Right
Left
Caudate

30
Q

Which of the following structures lies in the right intersegmental fissure?

ligamentum teres
cantlie line
Main Lobar fissure
right hepatic vein
falciform ligament

A

right hepatic vein

31
Q

The left triangular ligament is an extension of what ligament?

coronary ligament
ligamentum venosum
main lobar fissure
falciform ligament

A

falciform ligament

32
Q

The portion of the liver not covered by peritoneum that rests on the diaphragm is called the blank space.

True
False

33
Q

The function of bile is to emulsify intestinal fat and remove waste products excreted by the gallbladder.

True
False

34
Q

__________________ is released when hemoglobin is broken down. The liver excretes it to the gut through the bile.

  1. albumin
  2. ammonium
  3. fats
  4. bilirubin
    Please enter only a number as your answer (1), don’t spell the number (one) or write the words.
35
Q

Another name for the main lobar fissure is:

A

Rex-Cantlie line

36
Q

In terms of Vasculature what is special about the caudate lobe?

  1. It has no vasculature
  2. It receives blood from both right and left portal veins
  3. It connects directly to the Aorta
  4. It receives blood by osmosis

Please enter only a number as your answer (1), don’t spell the number (one) or write the words.

37
Q

We have discussed Couinaud’s Liver Resection. What is the purpose of Couinaud’s or when would it be used?

38
Q

The liver rids the body of toxins through which of its physiological processes:
1. Metabolism
2. Digestion
3. Storage
4. Detoxification
Please enter only a number as your answer (1), don’t spell the number (one) or write the words.

39
Q

The caudate lobe is drained by small veins know as emissary veins.

True
False

40
Q

The____ligament lies in the left intersegmental fissure; the very end of it is called the ligamentum teres.

venosum
right
falciform

41
Q

The liver is covered by a thin connective tissue layer called Glenda’s capsule.

True
False

42
Q

When looking at a waveform of the hepatic artery, it should demonstrate a HIGH OR LOW resistance waveform?

43
Q

Hepatic Veins have flow going ___ the liver.

Towards
Away from
Please enter only a number as your answer (1), don’t spell the number (one) or write the words.

44
Q

The hepatic veins are _____, they course between the segments of the liver.

A

intersegmental
Interlobar

45
Q

The ___appears as a bright echogenic focus on the sonogram and is seen as the rounded termination of the falciform ligament.

A

Ligamentum teres

46
Q

What is the normal length by measuring it from tip to diaphragm?

15.5 cm
1.55 cm
15.5 mm

46
Q

The ______separates the left lobe of the liver from the caudate lobe.

Ligamentum Teres
Main lobar fissure
Ligamentum Venosum

A

Ligamentum Venosum

47
Q

The main lobar fissure divides the liver into what?

front and back
none of the above
Right and left Hemi-livers
top and bottom

A

Right and left Hemi-livers

48
Q

The main lobar fissure separates the right and left lobes of the liver at an _____ angle.

awkward
right
oblique

49
Q

The liver converts fats, proteins, and carbohydrates to forms of energy the body can use. This liver function is:
1. Metabolism
2. Digestion
3. Storage
4. Detoxification
Please enter only a number as your answer (1), don’t spell the number (one) or write the words.

50
Q

The portal triad demonstrates what “sign”?

A

Mickey mouse

51
Q

The area between the Right Kidney and the Liver is called:

  1. Space of Retzius
  2. Morison’s pouch
  3. Gallbladder fossa

Please enter only a number as your answer (1), don’t spell the number (one) or write the words.

52
Q

What does the Proper Hepatic Artery divide into?

  1. Right/Left Hepatic Arteries
  2. Right Gastric Artery
  3. Right renal Artery
  4. none of the above
    Please enter only a number as your answer (1), don’t spell the number (one) or write the words.
53
Q

What is the sonographic appearance of the ligaments and fissures?

  1. Echogenic
  2. Hypoechoic
  3. Anechoic
  4. Isoechoic
    Please enter only a number as your answer (1), don’t spell the number (one) or write the words.
54
Q

A congenital variant of the liver in which there is an inferior extension of the right lobe is termed Reidel’s Lobe.

True
False

55
Q

The Portal Vein Walls should demonstrate what type of sonographic appearance?

  1. hypoechoic
  2. anechoic
  3. echogenic
  4. isoechoic

Please enter only a number as your answer (1), don’t spell the number (one) or write the words.

56
Q

What is the name of the space between the liver and the diaphragm? (This is sometimes where abscesses form)
1. Subphrenic space
2. Morrison’s Pouch
3. Pouch of Douglas
Please enter only a number as your answer (1), don’t spell the number (one) or write the words.

57
Q

The Pancreas is located ____ to the Left lobe of the liver.

  1. Superior
  2. Medial
  3. Lateral
  4. Inferior
    Please enter only a number as your answer (1), don’t spell the number (one) or write the words.
58
Q

Is the normal echotexture of the liver heterogeneous or homogeneous?

A

homogeneous

59
Q

Which lobe of the liver is the largest?

60
Q

The right kidney lies _____/_____to the right liver.

A

Posterior/inferior

61
Q

The stomach lies _____ and _____to the left liver.

A

Posterior and lateral

62
Q

The portal vein flow is described as which of the following?

  1. Hepatopedal
  2. Hepatofugal
    Please enter only a number as your answer (1), don’t spell the number (one) or write the words.

Abdomen and small parts (7 decks)

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