the pertioneal cavity and liver homework questions Flashcards

1
Q

The falciform ligament divides the liver into ___ and ____ lobes

A

RIGHT
LEFT

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2
Q

The falciform ligament connects the liver ____ surface with ____ abdominal wall

A

Anterior
Anterior

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3
Q

The falciform ligament is only seen sonographically in the presence of the____

A

Ascites

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4
Q

The ____ ____ attaches the liver to the diaphragm and anterior wall

A

Falciform ligament

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5
Q

The smooth fibrous capsule that covers the surface of the liver is called ____ ____

A

Gilssons capsule

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6
Q

The ___ ___ vein separates the left lobe from the right lobe of the liver

A

Middle hepatic

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7
Q

The ____ _____ vein separates the right lobe of the liver Into two segments

A

Right hepatic

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8
Q

The ____ ____ separates the left liver lobe into medial and lateral segments

A

Ligamentum teres

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9
Q

The main lobar fissure is identified my the middle hepatic vein superiorly and echogenic line between _____ and ____ ____ vein inferiority

A

Gallbladder
Right portal v.

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10
Q

The left portal vein gives off 2 branches ____ and ____

A

Medial
Lateral

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11
Q

The right portal vein gives off 2 branches ____ and ____

A

Anterior
Posterior

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12
Q

The portal vein is hepato____ and the hepatic vein is hepato_____

A

HepatoPETAL
hepatoFUGAL

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13
Q

Asparate aminotransferase ( AST) indicates liver cell ____ if increase

A

Necrosis

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14
Q

Alanine aminotransferase (ALT) indicates liver cell necrosis if increased. are ____ present in a high tissue metabolic rate such as the liver. Elevated level can signify _____ diseases (cell Injury)

A

Enzymes
Hepeato-cellular

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15
Q

Accumulation of bilirubin can cause ____

A

Jaundice

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16
Q

Bilirubin is the breakdown product of ____ it is also an important substance that is detoxified in the liver

A

Hemoglobin

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17
Q

Prothrombin time (PT) is part of a blood clotting mechanism. Prolonged time signify liver cell ____ with a poor prognosis

A

Damage

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18
Q

Albumin and globulins are plasma proteins made by the liver . Decreased level signify liver ____ ____ (cirrhosis) . Their low levels are responsible for ____

A

Cell damage
Ascites

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19
Q

Alpha fetoprotein are enzymes found in liver, kidney , bone and placenta. It’s elevated in the presence of _____ carcinoma

A

Hepato-cellular

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20
Q

Gamma glutamyl transferase are enzymes found in the liver and an increased value indicates ____

A

Alcoholism

21
Q

If Carcinembryonic Antigen (CEA) is elevated this may indicate primary or secondary ___ ____ ____

A

Cancerous liver tumors

22
Q

The anterior border of the caudate lobe is the ligamentum ____

A

Venosum

23
Q

The MPV is formed by the junction of the ___ vein and the ___ just posterior to the pancreas neck

A

Splenic
SMV

24
Q

The portal veins enter the liver through the porta____

A

Hepatis

25
Q

Normal diameter measurement for the portal veins are___ mm

A

13mm

26
Q

Portal vein is hepato____

A

PETAL

27
Q

The portal vein carries nutrient rich blood from the ___ ___

A

GI tract

28
Q

Portal triad has three structures the ____ ____, ___ ____ and the ____ ____

A

Hepatic artery
Portal vein
Bile duct

29
Q

The portahepatis ( portal confluence ) consist of ____ ___ and ____ ____ enter liver and ___ ___ exists liver

A

Portal vein
Hepatic artery
Bile duct

30
Q

The ___ ____ is the only part of the liver not covered by peritoneum

A

Bare area

31
Q

The liver had a hepatic ___ function and a _____ function

A

Metabolic
Detoxification

32
Q

The ____ peritoneum lines the wall of the cavity and secrets 50ML of serous fluid which lubricated visceral surfaces which allow movement without friction

A

Parietal

33
Q

____ peritoneum enveloped organs, except at the hilum where blood vessels nerves and lymph enter and exit the organ (bare area )

A

Visceral

34
Q

The right posterior sub hepatic space is known as hepatorenal space (_____ _____)

A

Morrisons pouch

35
Q

Morison pouch is located between ____ right liver lobe and right kidney

A

Posterior

36
Q

The _____ _____ in the peritoneal cavity are left posterior subhepatic space, right subhepatic space ( Morrison pouch) and R and L para colic gutters soaces

A

Potential spaces

37
Q

____ ____ disease affects the hepatic cells and interferes with liver function

A

Diffuse hepatocellular

38
Q

____ ____ is the most common benign liver tumor. On ultrasound it appears as a well defined hypoechoic mass with smooth boarders

A

Cavernous hemangioma

39
Q

The second most common benign liver tumor is ___ ____ ______

A

Focal nodular hyperplasia

40
Q

Which benign liver tumor is made up of hepatocytes , Kupffer cells and fibrous connective tissue and bile duct element

A

Focal nodular hyperplasia

41
Q

A liver lipoma may be composed entirely of __ cells or it can be mixed

A

Fat

42
Q

To be able to confirm that a patient had liver lipoma a __ ___ can confirm

A

Ct scan

43
Q

The most common liver malignancy is ____

A

Metastases

44
Q

The more common sites for ____ cancer is the GI tract, breast and lung follows by the pancreas’s colorectal and ovaries

A

Metastatic

45
Q

___ is used to help define the extend of the disease as it will show lesions that cannot be seen so clearly on a grey scale image

A

CEUS

46
Q

For focal nodular hyperplasia _____ scaring is a clue word

A

Central

47
Q

A__ is very linked to hepatocellular carcinoma ( HCC)

A

AFP

48
Q

Acute hepatitis in ultrasound shows the ____ _____ sign

A

Starry sky

49
Q

Normal liver sonographic appearance is ___geneous, ___-echoic compared to the kidney ____

A

HOMOgeneous
HYPERechoic
Cortex