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DMST 254 Abd. and Superficial structures 1 > Liver So Creative Review > Flashcards

Liver So Creative Review Flashcards

1
Q

What is the posterior landmark for the caudate lobe?

A

IVC

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2
Q

With couinaud’s anatomy, the liver is divided into how many segments?

A

Eight

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3
Q

Which structure divides the left lobe into medial and lateral segments?

A

Left intersegmental fissure

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4
Q

Using the functional method, which structure divides the liver into right and left lobes?

A

Main lobar fissure (middle hepatic vein is the U/S landmark)

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5
Q

What is the relationship of the main portal vein to the caudate lobe?

A

Inferior

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6
Q

Which vessel travels within the main lobar fissure?

A

Middle hepatic vein

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7
Q

What is the upper limit of normal for the diameter of the main portal vein?

A

13 mm

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8
Q

Which enzyme is a strong indicator of hepatocellular damage?

A

ALT

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9
Q

Which term refers to the water soluble form of bilirubin?

A

Conjugated

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10
Q

Which of the following is not an enzyme?

A. ALP
B. GGT
C. Albumin
D. AST

A

Albumin (it is a protein)
all the abbreviated words end with -ase therefore is a enzyme

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11
Q

Through which ligament does the MPV travel?

A

Hepatoduodenal

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12
Q

What is the first anterior branch of the abdominal aorta?

A

Celiac axis

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13
Q

Which vessel is NOT a tributary of the IVC?

A

IMV

The IMV is part of the portal venous system, which drains into the liver then into the IVC

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14
Q

Which portion of the liver receives both right and left vein branches?

A

Caudate Lobe

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15
Q

What is the relationship of the pancreatic head to the IVC?

A

Anterior

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16
Q

What is the relationship of the splenic vein to the pancreas?

A

Posterior

17
Q

What is the inferior boundary of the caudate?

A

Main portal vein

18
Q

What is the relationship of the crus of the diaphragm to the celiac axis?

A

Superior

19
Q

Couinaud’s segment 6 refers to which area of the liver?

A

Right inferior posterior segment

20
Q

What is another term for cause of disease?

A

Etiology

21
Q

Which couinaud’s segment is represented by the red dot?

A

7

22
Q

Which of the following terms best describes the echogenicity of the liver in this image?

  1. Normal
  2. Heterogeneous
  3. Homogenous
  4. Coarse
A

Normal

echogenicity refer to the echo texture

23
Q

What is the functional unit of the liver?

A

Lobule

Hepatocytes are included in the lobule

24
Q

A portal triad consists of all the following except?

  1. Portal vein
  2. Hepatic vein
  3. Hepatic artery
  4. Bile duct
A

Hepatic vein

25
Q

Which of the following is indicated by the red dot? What part of c. Classification?

A

2

Caudate lobe is between the aorta and the left portal vein

26
Q

Which of he following lab tests is sensitive to the effects of alcohol in the liver?

A

GGT

27
Q

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?

  1. Prepare the patient for the procedure?
  2. Bring the lab test to the attention of the radiologist
  3. Rebook the procedure for another day
  4. Give the case to your coworker
A
  1. Bring the lab test to the attention of the radiologist

We need it to be below 1.2 for a biopsy

28
Q

Which of the following statements regarding bilirubin is false?

  1. It is a bile pigment
  2. The conjure the form is water soluble
  3. It is the product of RBC breakdown
  4. The indirect form is non-toxic
A

The indirect form is non-toxic

29
Q

Which of the following is not demonstrated in the image?

  1. Segment 3 of the liver
  2. Ligamentum teres
  3. A hyperechoic liver mass
  4. The pancreatic tail
A

A hyperechoic liver mass

30
Q

Which of the following is NOT a function of the liver?

  1. Produces 75% of the body’s lymph fluid
  2. Produces heat from chemical reactions
  3. Detoxifies the blood
  4. Stores up to 400 mls of blood
A

Produces 75% of the body lymph fluid

Liver produces about 1/3 of the body’s lymph fluid

DMST 254 Abd. and Superficial structures 1 (26 decks)

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