The Liver

Question 1

Adult polycystic kidney disease is also known as what?

Answer 1

autosomal dominant polycystic kidney disease

Question 2

What is the occlusion of the hepatic veins? What can it also occlude if progressed?

Answer 2

Budd Chiari syndrome

Can occlude IVC as well

Question 3

Dysentery is:

Answer 3

inflammation of the bowel which leads to diarrhea which may contain mucus or blood

Question 4

What is hemochromatosis?

Answer 4

An inherited disease which causes a disproportion of iron absorption

Question 5

Which 2 liver masses are associated with oral contraception use?

Answer 5

adenoma and FNH

Question 6

What’s the primary form of liver cancer?

Answer 6

Hepatocellular carcinoma

Question 7

Are hepatomas benign or malignant?

Answer 7

Malignant. Associated with HCC

Question 8

What are the macrophage cells called that engulf pathogens and damaged cells?

Answer 8

Kupffer

Question 9

What does sequela mean?

Answer 9

An illness resulting from another disease, trauma or injury

Question 10

What does TIPS stand for? What does it do?

Answer 10

Transjugular Intrahepatic Portosystemic Shunt

Creates a pathway between PV and HV’s.

Question 11

The quadrate lobe is ?

Answer 11

The medial left lobe

Question 12

The portal vein supplies the liver with how much blood?

Answer 12

70%

Question 13

What can cause fatty liver disease?

Answer 13

Alcohol abuse
Chemotherapy 
Diabetes
Obesity
Pregnancy
Glycogen Store Disease

Question 14

What can hepatitis lead to?

Answer 14

Cirrhosis, hypertension and HCC

Question 15

What is the most common hepatitis and how is it spread?

Answer 15

A + B
A- fecal oral route
B- contaminated body fluids

Question 16

GB wall can appear how with hepatitis?

Answer 16

thickened

Question 17

Is there a difference between cirrhosis caused by alcoholism or hepatitis?

Answer 17

Yes, alcoholism causes nodules <1cm and hepatitis causes macronodular development 1-5cm

Question 18

What’s the most common cause of hypertension?

Answer 18

Cirrhosis

Question 19

Where would you see abdominal varicosities with someone with portal hypertension?

Answer 19

splenic hilum, renal hilum and gastroesophageal junction

Question 20

What are the clinical findings of Budd Chiari syndrome?

Answer 20

ascites
elevated LFT's 
hepatomegaly
splenomegaly 
upper abdo pain

Question 21

Liver cysts are often associated with?

Answer 21

ADPKD

Question 22

“Water lily” sign or daughter cysts are an indicator of what?

Answer 22

Echinococcal cyst or hydatid cyst

Question 23

HCC aka

Answer 23

Hepatoma

Question 24

What organ does liver mets most often come from?

Answer 24

Lung

Question 25

What separates the left and right lobes of the liver?

Answer 25

MHV and MLF

Question 26

What separates the caudate lobe from the rest of the liver?

Answer 26

Ligamentum venosum

Question 27

What surrounds the liver?

Answer 27

Glisson’s capsule

Question 28

Acinus is what? (hint: nothing to do with lungs)

Answer 28

Terminal branches of the PV and their accompanying hepatic arterioles and bile ducts

Question 29

Can one survive with agenesis of the liver?

Answer 29

No – but can survive without one lobe

Question 30

Are hamartoma’s benign or malignant? What do they appear as?

Answer 30

Benign– typically small and hypoechoic and can be mistaken for metastatic nodules
Comet tail artifact

Question 31

What does acute hepatitis appear as on ultrasound?

Answer 31

Decreased echogenicity and accentuated brightness of portal triads
Hepatomegaly
Thickening of GB wall

Question 32

What’s the tumor marker for HCC?

Answer 32

AFP

Question 33

The main lobar fissure contains the:

Answer 33

MHV