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Worksheets

Liver Review

Total questions: 25

Worksheet time: 13mins

Name
Class
Date
1.

Smallest lobe of the liver; ligamentum venosum is the anterior border

a)

main lobar fissure

b)

rt lobe of liver

c)

left lobe of liver

d)

caudate lobe

2.

Area superior to the liver that is not covered by peritoneum so that the IVC may enter the chest

a)

epigastrium

b)

left hypochondrium

c)

bare area

d)

right hypochondrium

3.

Separates the left lobe from caudate lobe, was formerly ductus venosus in utero.

a)

main lobar fissure

b)

ligamentum teres

c)

ligamentum venosum

d)

falciform ligament

4.

True or false: The ligament that extends from umbilicus to the diaphragm in a sagittal plan and contain the ligamentum teres is called the falciform ligament.

a)

True

b)

False

5.

This image most likely represents what liver pathology?

a)

focal nodular hyperplasia

b)

hemangioma

c)

metastasis to the liver

d)

echinococcal cysts

6.

Which of these is NOT stored by the liver?

a)

Vitamins

b)

Bile

c)

Iron

d)

Glycogen

7.

The "door" to the liver is called the

a)

portal triad

b)

porta hepatis

c)

main portal vein

d)

portal confluence

8.

Yellow pigment in bile formed by the breakdown of RBC's; excreted by liver and stored in the GB

a)

hepatocyte

b)

bilirubin

c)

alkaline phosphatase

d)

bile

9.

Uncontrolled increase in blood glucose levels is:

a)

hypoglycemia

b)

hyperglycemia

c)

hyperemia

d)

hyperuria

10.

The portal triad includes:

a)

hepatic artery, common bile duct, main portal vein

b)

hepatic vein, CBD, left portal vein

c)

hepatic artery CBD, portal confluence

d)

hepatic vein, splenic vein, CBD

11.

The portal veins in the liver have echogenic walls due to:

a)

Glisson's capsule

b)

Glbson's caps

c)

Phyrigian capsule

d)

Glisson's caps

12.

What Doppler signal would be expected in the portal vein of a patient with portal hypertension?

a)

Hepatopetal flow

b)

Hepatofugal flow

c)

Turbulent flow in distended vessels

d)

Decreased flow in atrophied vessels

13.

What are the clinical implications for a 52-year-old man with a liver sonography examination suggesting long standing liver disease and the presence of alpha-fetoprotein?

a)

Hepatitis

b)

Primary carcinoma

c)

Vitamin K deficiency

d)

Serum globulin deficiency

14.

What is the location of a mass detected anterior and to the left of the ligamentum venosum?

a)

Caudate lobe

b)

Left lobe

c)

Right anterior superior segment

d)

Right anterior inferior segment

15.

What area is carefully scanned on a follow-up examination on a patient with a history of cavernous transformation?

a)

Splenic hilum

b)

Renal hilum

c)

Porta hepatis

d)

Left lobe of the liver

16.

What is the most common primary liver malignancy in an adult?

a)

Adenopathy

b)

Lymphoma

c)

Hepatoma

d)

Hepatoblastoma

17.

What is the most likely explanation when a 43-year-old woman is clinically jaundiced and has a marked elevated serum conjugated (direct reading) bilirubin level?

a)

Cholecystitis

b)

Abscess

c)

Obstructive jaundice

d)

Hemolytic disease

18.

What vascular tumor is composed of blood vessel cells with a nonspecific sonographic appearance?

a)

Angiomyosarcoma

b)

Adenoma

c)

Hematoma

d)

Hemangioma

19.

Which vessel supplies the liver with oxygen-rich blood?

a)

Aorta

b)

Hepatic artery

c)

Portal vein

d)

Inferior vena cava

20.

Which vessels are used to delineate the right and left lobes; the right posterior and right anterior segments; and the left medial and left lateral segments?

a)

Portal vein

b)

Hepatic veins

c)

Hepatic ducts

d)

Hepatic arteries

21.

What liver pathology does this image most likely represent?

a)

NASH

b)

cirrhosis

c)

wilson disease

d)

HCC

22.

Which scanning plane should the sonographer initially select to best visualize the lower liver segment?

a)

Lateral

b)

Oblique subcostal

c)

Left anterior oblique

d)

Right anterior oblique

23.

This develops when normal venous channels become obstructed.

a)

diffuse fatty liver disease

b)

thrombosis

c)

arterial occlusion

d)

collateral circulation

24.

Most common form of neoplasm of the liver; primary sites are colon, breast, and lung

a)

metastatic disease

b)

hepatocellular carcinoma

c)

pyogenic abscesses

d)

diffuse hepatcellular disease

25.

Appears as a bright echogenic foci on transverse image; along with falciform ligament, it divides medial and lateral segments of left lobe of liver.

a)

main lobar fissure

b)

ligamentum teres

c)

ligamentum venosum

d)

ligamentum teresa