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URR 11 Flashcards

1
Q

An image of the extrahepatic portal triad contains:

A

main portal vein
proper hepatic artery
common bile duct

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2
Q

An image of the portal triad within the hilum contains:

A

main portal vein
proper hepatic artery
common hepatic duct

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3
Q

The gallbladder fossa forms the right boundary for the:

A

caudate lobe

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4
Q

Shallow bare area that contains the gallbladder

A

gallbladder fossa

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5
Q

Normal length of liver

A

13.5-15.5 cm

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6
Q

The superior-inferior length measurement of the liver is obtained in the sagittal view at the:

A

midclavicular line

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7
Q

If the right lobe of the liver extends past the ______, hepatomegaly should be considered

A

lower pole of right kidney

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8
Q

In pediatric patients, the normal liver should not extend more than 1 cm below the:

A

costal margin

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9
Q

The right lobe of the liver is __X the size of the left lobe

A

6

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10
Q

The right lobe is anterior to ____, ____, ____, _____, and the _____

A

hepatic flexure of colon
right kidney
right adrenal gland
descending portion of duodenum
diaphragm

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11
Q

The right lobe of the liver lies between the ___ and ___ ribs

A

6th
10th

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12
Q

The right lobe of the liver is inferior to the:

A

diaphragm

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13
Q

The right lobe of the liver is superior to the:

A

right kidney

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14
Q

The ____ separates the right and left lobes of the liver

A

main lobar fissue

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15
Q

The right hepatic vein courses within the ______ which divides the right lobe into ___ and ____ segments.

A

right segmental fissure
anterior
posterior

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16
Q

The ____ branches into anterior and posterior vessels that enter the center of the anterior and posterior lobes of the liver

A

right portal vein

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17
Q

The lateral left lobe of the liver occupies the ____ region

A

epigastric

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18
Q

The lateral left lobe is anterior to the ____, ____, ____, _____, _____, ____, and ____

A

stomach
EG junction
aorta
celiac axis
SMA
pancreas body and tail
caudate lobe

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19
Q

The lateral left lobe is posterior to the _____

A

xiphoid process

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20
Q

The left hepatic vein courses within the _____ which divides the left lobe into ____ and ___ segments

A

left segmental fissure
medial
lateral

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21
Q

The lateral left lobe is located between the _____ and the ____

A

ligamentum teres
spleen

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22
Q

The medial left lobe was formerly called the:

A

quadrate lobe

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23
Q

The medial left lobe is divided into ____ and ___ segments

A

superior
inferior

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24
Q

The medial left lobe is adjacent to the ____ and ____

A

right lobe
left lateral lobe

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25
The medial left lobe is anterior to the ____ and ____
transverse colon porta hepatis
26
The medial left lobe is superior to the ____ and ____
right kidney right adrenal gland
27
The medial left lobe is medial to the ____
gallbladder fossa
28
The medial left lobe is bordered medially by the ____ and laterally by the ____ and ____
middle hepatic vein falciform ligament ligamentum teres
29
The caudate lobe is located between the ____ and ____
IVC medial left lobe
30
The caudate lobe occupies the _____ surface of the liver
posterior superior
31
The caudate lobe is anteriorly bordered by the ____
ligamentum venosum
32
The caudate lobe is posteriorly bordered by the ___
IVC
33
The caudate lobe is inferiorly bordered by the ____
main portal vein
34
The caudate lobe receives blood from the _______ veins and _____ arteries
right and left portal veins right and left hepatic arteries
35
The ____ veins provide venous drainage from the caudate lobe into the IVC
emissary
36
The caudate lobe can be enlarged with ____ and _____ and can cause _____
cirrhosis Budd Chiari Syndrome IVC compression
37
rounded prominence of the anteroinferior aspect of the caudate lobe
distal papillary process
38
attaches the superior liver to the diaphragm
triangular ligament
39
located at the medial and lateral edges of the bare area of the liver
triangular ligament
40
Suspends the posterior superior surface of liver from the diaphragm
coronary ligament
41
The lateral margins of the ____ form the triangular ligaments.
coronary ligaments
42
The coronary ligament connects to the _____ anteriorly
falciform ligament
43
Forms anterior and posterior margins of the bare area of the liver
coronary ligament
44
The coronary ligament prevents free fluid from moving from ____ to ____
Morison pouch subphrenic space
45
attaches anterior surface to the abdominal wall from the diaphragm to the umbilicus
falciform ligament
46
The falciform ligament formed from the mid-portion of the _____
coronary ligament
47
courses within the left intersegmental fissure from the umbilicus to the left portal vein
falciform ligament
48
The inferior margin of the falciform ligament contains the:
ligamentum teres
49
separates the medial and lateral left lobes
ligamentum teres
50
The ligamentum teres is a remnant of the ____
umbilical vein
51
also known at the round ligament
ligamentum teres
52
The ligamentum teres runs from the ____ to the ____
umbilicus inferior surface of left lobe of liver
53
circular echogenic structure in the left lobe
ligamentum teres
54
The umbilical vein has the potential to recanalize with ____
portal hypertension
55
The ligamentum venosum is a remnant of the _____ from fetal circulation
ductus venosus
56
allows the majority of oxygenated maternal blood to bypass the fetal liver and enter the IVC to be distributed to the fetus
ductus venosus
57
Fetal circulation (liver)
umbilical vein to left portal vein to ductus venosus to IVC to right atrium
58
thin echogenic line anterior to the caudate lobe
ligamentum venosum
59
separates the caudate lobe from the left lobe medial segment
ligamentum venosum
60
The ligamentum venosum travels from the _____ to the ____
left portal vein IVC
61
peritoneal folds at the porta hepatis that surround the portal vein, bile duct, and hepatic artery
hepatoduodenal ligament
62
contains the main portal vein, proper hepatic artery, and common bile duct
hepatoduodenal ligament
63
divides the right anterior lobe and medial left lobe
main lobar fissue
64
contains the middle hepatic vein
main lobar fissure
65
connects the GB and IVC fossa
main lobar fissure
66
echogenic line between the gallbladder and right portal vein
main lobar fissure
67
divides the right lobe into anterior and posterior segments
right intersegmental fissure
68
contains the right hepatic vein
right intersegmental fissure
69
divides the left lobe into medial and lateral segments
left intersegmental fissure
70
contains left hepatic vein, falciform ligament, and ligamentum teres
left intersegmental fissure
71
method for liver lesion localization and surgical planning
couinaud liver segments
72
The couinaud method divides the liver into ___ functional segments
8
73
Each of the segments of the Couinaud segments has its own segment of:
portal vein hepatic vein hepatic artery bile duct
74
3 main lobes of liver
right left caudate
75
The liver is divided into 4 segments by the longitudinal course of the ____
hepatic veins
76
The liver is further divided in the transverse plane by the branching of the ____
portal vessels
77
Right and left lobes separated by an imaginary line (_____) from the GB fossa to the IVC
Rex-Cantlie line
78
Right and left lobes are divided by branches of the ____
main portal vein
79
Couinauds Right lobe is segmented into:
2 anterior and 2 posterior lobes
80
Couinauds Left lobe is segmented into:
2 medial and 2 lateral segments
81
The Couinaud method allows for:
liver resection/surgery without negatively affecting other segments
82
Hepatic veins divide the liver longitudinally into segments __ ___ ___ and ___
2 4 7 8
83
Couinauds Segment 1 is separated from segment 2 by the:
ligamentum venosum
84
Couinauds Segment 1 is separated from segment 4 by the ____ and ____
left portal vein middle hepatic vein
85
Couinauds Segment 2 and 3 are to the left of the:
ligamentum venosum
86
Couinauds Segment 3 is separated from segment 4 by the:
falciform ligament
87
Couinauds Segment 4 is separated from segment 5 and 8 by the:
main lobar fissure
88
Couinauds Segments 5 and 8 are separated from segments 6 and 7 by the:
right hepatic vein
89
Couinauds segment 1
caudate
90
Couinauds segment 2
left lateral superior segment
91
Couinauds segment 3
left lateral inferior segment
92
Couinauds segment 4a
left medial superior segment
93
Couinauds segment 4b
left medial inferior segment
94
Couinauds segment 5
right anterior inferior segment
95
Couinauds segment 6
right posterior inferior segment
96
Couinauds segment 7
right posterior superior segment
97
Couinauds segment 8
right anterior superior segment
98
right branch of celiac axis
common hepatic artery
99
The common hepatic artery can sometimes originate directly from the ____ (2.5% of patients)
SMA
100
The common hepatic artery supplies:
liver gallbladder stomach

ARDMS (55 decks)

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