The Liver: Review Questions

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

The left lobe of the liver can be separated from the right of the liver by: A. Right hepatic veins B. Middle hepatic veins C. Left hepatic veins D. Falciform ligament

B. Middle hepatic veins

The left umbilical vein after birth becomes the: A. Falciform ligament B. Main lobar fissure C. Ligamentum teres D. Ligamentum venosum

C. Ligamentum teres

Clinical findings of fatty infiltration of the liver include: A. Elevated liver function tests B. Fever C. Fatigue D. Weight loss

A. Elevated liver function tests

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 closely associated with oral contraceptive use? A. Hepatic adenoma B. Hepatic hypernephroma C. Hepatic hamartoma D. Hepatic hemangioma

A. Hepatic adenoma

Normal flow toward 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 hepatocellular carcinoma 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 enlargement of the: A. Abdominal aorta B. Inferior vena cava and hepatic veins C. Inferior vena cava and portal veins D. Portal veins and spleen

B. Inferior vena cava and hepatic veins

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

Which of the following is true concerning 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 demonstrate hepatofugal flow D. Portal veins increase in diameter as they approach the diaphragm

B. Portal veins have brighter walls than the hepatic veins

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

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

A tounguelike 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 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

The diameter of the portal vein should not exceed: A. 4 mm B. 8 mm C. 10 mm D. 13 mm

D. 13 mm

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

Immunocompromised patients are more prone to develop what form of hepatic abnormality? A. Hepatic adenoma B. Amebic abscess C. Hydatid liver abscess D. Candidiasis

D. Candidiasis

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

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 portal 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

All of the following are sequela of cirrhosis except: A. Portal vein thrombosis B. Hepatic artery enlargement C. Portal hypertension D. Splenomegaly

B. Hepatic artery enlargement