The Liver

Question 1

What courses through the main lobar fissure?

Answer 1

The middle hepatic vein.

Question 2

What are the landmarks for the caudate lobe?

Answer 2

Posterior: IVC
Anterior: ligamentum venosum
Inferior: MPV

Question 3

What is the echogenic line between the gallbladder and RPV?

Answer 3

Main lobar fissure

Question 4

Connective tissue surrounding the liver

Answer 4

Glisson’s capsule

Question 5

This fold of lesser omentum contains the MPV, hepatic artery and CBD

Answer 5

Hepatoduodenal ligament

Question 6

What ligament conducts the umbilical vein in the fetus and extends from the umbilicus to the liver?

Answer 6

Falciform ligament

Question 7

Also called the “round ligament”, it is the atrophied umbilical vein

Answer 7

Ligamentum teres

Question 8

Remnant of the fetal ductus venosum

Answer 8

Ligamentum venosum

Question 9

These ligaments define the bare area of the liver

Answer 9

Coronary ligaments

Question 10

What is the functional unit of the liver?

Answer 10

Lobule

Question 11

What type of cell makes up most of the liver parenchyma?

Answer 11

Hepatocytes

Question 12

Which cell exhibits phagocytosis?

Answer 12

Kupffer cells

Question 13

What is the smallest division of the biliary tract?

Answer 13

Bile canuliculi

Question 14

What structures make up the portal triad?

Answer 14

Bile duct, portal vein and hepatic artery

Question 15

What are the 2 types of bilirubin? Briefly describe

Answer 15

1. Unconjugated- fat soluble, toxic to tissues
2. Conjugated- water soluble, non-toxic

Question 16

This LFT is specific to hepatocellular damage

Answer 16

ALT

Question 17

This LFT increases if there is biliary obstruction

Answer 17

APL or ALK PHOS

Question 18

This LFT is a sensitive indicator of alcholism

Answer 18

GGT

Question 19

What does an INR >1.2 indicate?

Answer 19

Do not do a liver biopsy