Liver So Creative Review Flashcards
What is the posterior landmark for the caudate lobe?
IVC
With couinaud’s anatomy, the liver is divided into how many segments?
Eight
Which structure divides the left lobe into medial and lateral segments?
Left intersegmental fissure
Using the functional method, which structure divides the liver into right and left lobes?
Main lobar fissure (middle hepatic vein is the U/S landmark)
What is the relationship of the main portal vein to the caudate lobe?
Inferior
Which vessel travels within the main lobar fissure?
Middle hepatic vein
What is the upper limit of normal for the diameter of the main portal vein?
13 mm
Which enzyme is a strong indicator of hepatocellular damage?
ALT
Which term refers to the water soluble form of bilirubin?
Conjugated
Which of the following is not an enzyme?
A. ALP
B. GGT
C. Albumin
D. AST
Albumin (it is a protein)
all the abbreviated words end with -ase therefore is a enzyme
Through which ligament does the MPV travel?
Hepatoduodenal
What is the first anterior branch of the abdominal aorta?
Celiac axis
Which vessel is NOT a tributary of the IVC?
IMV
The IMV is part of the portal venous system, which drains into the liver then into the IVC
Which portion of the liver receives both right and left vein branches?
Caudate Lobe
What is the relationship of the pancreatic head to the IVC?
Anterior
What is the relationship of the splenic vein to the pancreas?
Posterior
What is the inferior boundary of the caudate?
Main portal vein
What is the relationship of the crus of the diaphragm to the celiac axis?
Superior
Couinaud’s segment 6 refers to which area of the liver?
Right inferior posterior segment
What is another term for cause of disease?
Etiology
Which couinaud’s segment is represented by the red dot?
7
Which of the following terms best describes the echogenicity of the liver in this image?
- Normal
- Heterogeneous
- Homogenous
- Coarse
Normal
echogenicity refer to the echo texture
What is the functional unit of the liver?
Lobule
Hepatocytes are included in the lobule
A portal triad consists of all the following except?
- Portal vein
- Hepatic vein
- Hepatic artery
- Bile duct
Hepatic vein
Which of the following is indicated by the red dot? What part of c. Classification?
2
Caudate lobe is between the aorta and the left portal vein
Which of he following lab tests is sensitive to the effects of alcohol in the liver?
GGT
A patient presents to the department for a liver biopsy. While review the chart you note an NIR of 1.3. What is your next step?
- Prepare the patient for the procedure?
- Bring the lab test to the attention of the radiologist
- Rebook the procedure for another day
- Give the case to your coworker
- Bring the lab test to the attention of the radiologist
We need it to be below 1.2 for a biopsy
Which of the following statements regarding bilirubin is false?
- It is a bile pigment
- The conjure the form is water soluble
- It is the product of RBC breakdown
- The indirect form is non-toxic
The indirect form is non-toxic
Which of the following is not demonstrated in the image?
- Segment 3 of the liver
- Ligamentum teres
- A hyperechoic liver mass
- The pancreatic tail
A hyperechoic liver mass
Which of the following is NOT a function of the liver?
- Produces 75% of the body’s lymph fluid
- Produces heat from chemical reactions
- Detoxifies the blood
- Stores up to 400 mls of blood
Produces 75% of the body lymph fluid
Liver produces about 1/3 of the body’s lymph fluid
