Penny Chapter 2: Liver REVIEW QUESTIONS

The TIPS shunt is placed: a.) between the main hepatic artery and hepatic vein b.) between a portal vein and hepatic vein c.) between the common hepatic duct and common bile duct d.) between portal vein and hepatic artery

b.) between a portal vein and hepatic vein

The right lobe of the liver can be divided into: a.) medial and lateral segments b.) medial and posterior segments c.) anterior and medial segments d.) anterior and posterior segments

d.) anterior and posterior segments

What form of hepatic abnormality are immunocompromised patients more prone to develop? a.) hepatic adenoma b.) amebic abscess c.) hydatid liver abscess d.) candidiasis

d.) candidiasis

Which of the following is the most common reason for a liver transplant? a.) hepatocellular carcinoma b.) hepatitis C c.) hepatitis B d.) hepatic metastasis

b.) hepatits C

The main portal vein divides into: a.) middle, left, and right branches b.) left and right branches c.) anterior and posterior branches d.) medial and lateral branches

b.) left and right branches

The main lobar fissure contains the: a.) right hepatic vein b.) middle hepatic vein c.) main portal vein d.) right portal vein

b.) middle hepatic vein

Sonographically, when the liver is difficult to penetrate and diffusely echogenic, this is indicative of: a.) portal vein thrombosis b.) metastatic liver disease c.) primary liver carcinoma d.) fatty liver disease

d.) fatty liver disease

The covering of the liver is referred to as: a.) glisson capsule b.) gerota fascia c.) Morison pouch d.) hepatic fascia

a.) glisson capsule

Which hepatic mass is closed associated with oral contraceptive use? a.) hepatic adenoma b.) hepatic hypernephroma c.) hepatic hamartoma d.) hepatic hemangioma

a.) hepatic adenoma

The childhood syndrome Beckwith-Weidemann is associated with an increased risk for: a.) hepatoblastoma b.) cirrhosis c.) portal hypertension d.) hepatitis

a.) hepatoblastoma

Normal flow towards the liver in the portal veins is termed: a.) hepatopetal b.) hepatofugal

a.) hepatopetal

The left lobe of the liver can be divided into: a.) medial and lateral segments b.) medial and posterior segments c.) anterior and medial segments d.) anterior and posterior segments

a.) medial and lateral segments

The ligamentum teres can be used to separate the: a.) medial and lateral segments of the left lobe b.) medial and posterior segments of the right lobe c.) anterior and medial segments of the left lobe d.) anterior and posterior segments of the right lobe

a.) medial and lateral segments of the left lobe

The inferior extension of the caudate lobe is referred to as: a.) papillary process b.) focal hepatomegaly c.) Riedel process d.) Morison lobe

a.) papillary process

All of the following are clinical findings of HCC except: a.) reduction in AFP b.) unexplained weight loss c.) fever d.) cirrhosis

a.) reduction in AFP

The right intersegmental fissure contains the: a.) right hepatic vein b.) middle hepatic vein c.) left portal vein d.) right portal vein

a.) right hepatic vein

Right-sided heart failure often leads to the enlargement of the: a.) abdominal aorta b.) IVC and hepatic veins c.) IVC and portal veins d.) portal veins and spleen

b.) IVC and hepatic veins

All of the following are sequela of cirrhosis except: a.) portal vein thrombosis b.) hepatic artery contraction c.) portal hypertension d.) splenomegaly

b.) hepatic artery contraction

Normal flow within the hepatic artery should demonstrate a: a.) high-resistance wave form pattern, with a slow upstroke, and gradual deceleration with diastole b.) low-resistance wave form patter, with a quick upstroke, and gradual deceleration with diastole c.) low-resistance wave form pattern, with a slow upstroke, and gradual acceleration with diastole d.) high-resistance wave form pattern, with a quick upstroke, and a gradual deceleration with diastole

b.) low-resistance wave form patter, with a quick upstroke, and gradual deceleration with diastole

The left lobe of the liver can be separated from the right lobe by the: a.) right hepatic vein b.) middle hepatic vein c.) left hepatic vein d.) falciform ligament

b.) middle hepatic vein

Which of the following is true about the portal veins? a.) portal veins carry deoxygenated blood away from the liver b.) portal veins have brighter walls than the hepatic veins c.) portal veins should demonstrate hepatofugal flow d.) portal veins increase in diameter as they approach the diaphragm

b.) portal veins have brighter walls than the hepatic veins

Which of the following is associated with E. granulosus? a.) candidiasis b.) amebic liver abscess c.) hydatid liver cyst d.) hepatocellular carcinoma

c.) hydatid liver cyst

The left umbilical vein after birth becomes the: a.) falciform ligament b.) main lobar fissure c.) ligamentum teres d.) ligamentum venosum

c.) ligamentum teres

Which of the following is the most common form of liver cancer? a.) hepatocellular carcinoma b.) adenocarcinoma c.) metastatic liver disease d.) hepatoblastoma

c.) metastatic liver disease

The right lobe of the liver is divided into segments by the: a.) middle lobar fissure b.) middle hepatic vein c.) right hepatic vein d.) left hepatic vein

c.) right hepatic vein

Which of the following benign liver masses is typically isoechoic and contains a central scar? a.) hepatoblastoma b.) cavernous hemangioma c.) hamartoma d.) focal nodular hyperplasia

d.) focal nodular hyperplasia

Which of the following is considered the most common benign childhood hepatic mass? a.) hepatoblastoma b.) hepatoma c.) hematoma d.) hemangioendothelioma

d.) hemangioendothelioma

Which of the following masses would be most worrisome for malignancy? a.) echogenic mass b.) cystic mass with posterior enhancement c.) isoechoic mass with a central scar d.) hyperechoic mass with a hypoechoic halo

d.) hyperechoic mass with a hypoechoic halo

Shortly after birth, the ductus venosus collapses and becomes the: a.) falciform ligament b.) main lobar fissure c.) ligamentum teres d.) ligamentum venosum

d.) ligamentum venosum

The left portal vein divides into: a.) middle, left, and right branches b.) left and right branches c.) anterior and posterior branches d.) medial and lateral branches

d.) medial and lateral branches

All of the following are located within the porta hepatis except: a.) main portal vein b.) common bile duct c.) hepatic artery d.) middle hepatic vein

d.) middle hepatic vein

Clinical findings of hepatitis include all of the following except: a.) jaundice b.) fever c.) chills d.) pericholecystic fluid

d.) pericholecystic fluid

Normal flow within the hepatic veins is said to be: a.) biphasic b.) irregular c.) high resistant d.) triphasic

d.) triphasic

Which of the following is typically transmitted through contaminated water found in places such as Mexico, Central America, South America, Asia, India, and Africa? a.) amebic liver abscess b.) hydatid live cysts c.) candidiasis d.) hepatoma

a.) amebic liver abscess

Clinical findings of fatty infiltration of the liver include: a.) elevated LFTs b.) fever c.) fatigue d.) weight loss

a.) elevated LFTs

A tonguelike extension of the right lobe of the liver is termed: a.) papillary lobe b.) focal hepatomegaly c.) Riedel lobe d.) Morison lobe

c.) Riedel lobe

The most common cause of cirrhosis is: a.) portal hypertension b.) hepatitis c.) alcoholism d.) cholangitis

c.) alcoholism

The right portal vein divides into: a.) middle, left and right branches b.) left and right branches c.) anterior and posterior branches d.) medial and lateral branches

c.) anterior and posterior branches

Budd-Chiari syndrome leads to a reduction in the size of the: a.) hepatic arteries b.) portal veins c.) hepatic veins d.) common bile duct

c.) hepatic veins

The diameter of the portal vein should not exceed: a.) 4mm b.) 8mm c.) 10mm d.) 13mm

d.) 13mm