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Liver quiz

Total questions: 66

Worksheet time: 33mins

Name
Class
Date
1.

What are the functional units of the liver?

a)

Alveoli

b)

Hepatic lobules

c)

Hepatocytes

d)

Sinusoids

2.

What substance is processed by the liver and gives bile its yellow-green color?

a)

Hemoglobin

b)

Bilirubin

c)

Creatinine

d)

Albumin

3.

What causes jaundice

a)

Vitamin D Deficency

b)

Bile duct rupture

c)

Excess bilirubin in the blood

d)

Low RBC count

4.

What divides the liver segments anatomically?

a)

Ligamentum teres

b)

Diaphragm

c)

Hepatic and Portal veins

d)

Falciform ligament

5.

Where is Morrison's pouch located?

a)

Between the spleen and kidney

b)

Between liver and right kidney

c)

Between liver and pancreas

d)

Between gallbladder and colon

6.

What attaches the liver to the diaphragm

a)

Coronary ligaments

b)

Falciform ligament

c)

Round ligament

d)

Ligamentum venosum

7.

What ligament divides the right and left lobes of the liver anteriorly?

a)

Falciform ligament

b)

Ligamentum venosum

c)

Main lobar fissure

d)

Round ligament

8.

What is the ligamentum teres a remnant of?

a)

Fetal umbilical vein

b)

Ductus arteriosus

c)

Ductus venosus

d)

Umbilical artery

9.

What is the ligamentum venosum a remnant of?

a)

Umbilical artery

b)

Ductus venosus

c)

Ductus arteriosus

d)

Hepatic artery

10.

What is the main lobar fissure?

a)

A branch of the hepatic artery

b)

A remnant of fetal circulation

c)

The landmark dividing the right and left liver

d)

Ligament surrounding the caudate lobe

11.

What is the portal triad composed of?

a)

Hepatic vein, artery, and bile duct

b)

Portal vein, hepatic artery, and bile duct

c)

Hepatic artery, bile duct, and lymph vessel

d)

Hepatic vein , ligamentum teres, and bile duct

12.

What does the portal vein drain?

a)

Lungs and heart

b)

Kidneys and spleen

c)

GI tract and spleen

d)

Brain and spinal cord

13.

What is the portal confluence

a)

Bifurcation of hepatic a.

b)

Joining of splenic vein and SMV

c)

Exit of bile duct

d)

Entrance of hepatic veins

14.

What does a starry sky appearance suggest?

a)

Acute hepatitis

b)

Cirrhosis

c)

Fatty infiltration

d)

HCC

15.

Which is a common benign liver tumor, usually hyperechoic?

a)

Cavernous hemangioma

b)

Hepatocellular carcinoma

c)

Metastasis

d)

Echinococcal cyst

16.

Which malignant tumor is most associated with cirrhosis?

a)

Hemangioma

b)

HCC

c)

Liver cyst

d)

Fatty liver

17.

What is the function of liver in metabolism

a)

Pump oxygenated blood

b)

Metabolize fats, carbs, proteins

c)

Control hormone secretion

d)

Store RBC's

18.

Which liver pathology is caused by Echinococcus tapeworms?

a)

Amoebic abscess

b)

Echinococcal cyst

c)

Von Gierke's disease

d)

Polycystic liver disease

19.

Which disease presents with multiple hepatic and renal cysts?

a)

Hepatitis

b)

Polycystic liver disease

c)

Cirrhosis

d)

Metastasis

20.

Which liver pathology is related to glycogen storage issues?

a)

Von Gierke's disease

b)

Cirrhosis

c)

Metastasis

d)

HCC

21.

What happens to the portal vein flow in portal hypertension?

a)

Flow increases

b)

Flow is unchanges

c)

Flow reverses

d)

Flow becomes turbulent

22.

What pathology causes hepatic vein obstruction?

a)

Portal hypertension

b)

Cirrhosis

c)

Budd-Chiari syndrome

d)

Hepatitis

23.

What does the caudate lobe lie between

a)

Gallbladder and right lobe

b)

IVC and ligamentum venosum

c)

Falciform ligament and diaphragm

d)

Right and left hepatic veins

24.

Which ligament suspends the liver from the diaphragm?

a)

Ligamentum venosum

b)

Coronary ligament

c)

Falciform ligament

d)

Hepatic ligament

25.

hat is another name for the round ligament?

a)

Ligamentum venosum

b)

Ligamentum teres

c)

Coronary ligament

d)

Bare ligament

26.

What divides the liver into anterior and posterior segments?

a)

Hepatic veins

b)

Main portal vein

c)

Ligamentum teres

d)

Gallbladder

27.

hich vein brings 70-80% of blood to the liver?

a)

Hepatic vein

b)

Portal vein

c)

Splenic vein

d)

Hepatic artery

28.

The liver appears echogenic and coarse in:

a)

Hepatitis

b)

Cirrhosis

c)

Hydatid cyst

d)

Normal liver

29.

The normal liver length is

a)

6-8 cm

b)

9-12 cm

c)

13-15 cm

d)

16-20 cm

30.

Normal portal vein diameter is

a)

<10 mm

b)

<13 mm

c)

<16 mm

d)

>20 mm

31.

The ligamentum venosum separates the caudate lobe from:

a)

Right lobe

b)

Left lobe

c)

Quadrate lobe

d)

Caudate lobe

32.

The quadrate lobe lies next to the:

a)

IVC

b)

Spleen

c)

Diaphragm

d)

Gallbladder

33.

Which liver lobe is anatomically separate and drains independently?

a)

Left lobe

b)

Caudate lobe

c)

Right lobe

d)

Quadrate lobe

34.

The right portal vein branches into

a)

Anterior and posterior

b)

Superior and inferior

c)

Medial and lateral

d)

Left and right

35.

The left portal vein branches into:

a)

Anterior and posterior

b)

Medial and lateral

c)

Caudate and quadrate

d)

Inferior and superior

36.

What region does the liver primarily occupy?

a)

Left hypochondrium

b)

Right lower quadrant

c)

Left iliac fossa

d)

Right hypochondrium

37.

The ligament that anchors the posterior liver to the diaphragm is:

a)

Falciform ligament

b)

Ligamentum venosum

c)

Coronary ligament

d)

Ligamentum teres

38.

What segment in the caudate lobe

a)

II

b)

IV

c)

I

d)

VIII

39.

Which of the following has echogenic walls on ultrasound?

a)

Hepatic veins

b)

Portal veins

c)

IVC

d)

Bile duct

40.

Hepatic vein flow is:

a)

Hepatopetal

b)

Hepatofugal

c)

Pulsatile and hepatopetal

d)

Turbulent

41.

Each hepatic lobule is composed mainly of:

a)

Kupffer cells

b)

Hepatocytes

c)

Bile canaliculi

d)

Portal veins

42.

Kupffer cells function to:

a)

Produce bile

b)

Remove foreign substances

c)

Transport oxygen

d)

Store glycogen

43.

The liver stores glucose in the form of:

a)

Glycogen

b)

Insulin

c)

Glucagon

d)

Albumin

44.

Which function describes the liver's role in processing fats?

a)

Converts fat to glucose

b)

Converts fats to lipoproteins

c)

Stores fat in bile

d)

Converts fat to bile

45.

Urea is a product of liver metabolism of:

a)

Glucose

b)

Lipids

c)

Amino acids

d)

Bile

46.

Bilirubin is primarily derived from the breakdown of:

a)

Leukocytes

b)

Hemoglobin

c)

Albumin

d)

Kupffer cells

47.

The primary role of bile in digestion is:

a)

Breakdown of protein

b)

Absorbtion of carbohydrates

c)

Emulsification of fats

d)

Elimination of uric acid

48.

Elevated ALT and AST indicate:

a)

Liver enlargement

b)

Biliary obstruction

c)

Hepatocellular injury

d)

Fatty liver

49.

Alpha-fetoprotein elevation may indicate:

a)

Gallstones

b)

Cirrhosis

c)

HCC

d)

Hepatitis

50.

Which liver pathology presents with a moth-eaten appearance?

a)

Metastatic disease

b)

Hemangioma

c)

Von Gierk's disease

d)

Hepatitis

51.

What are the normal measurements of the Splenic vein

a)

5-10 mm

b)

12-15 mm

c)

2-10 mm

d)

5-7 mm

52.

What are the normal measurements of the SMV

a)

2-7 mm

b)

5-12 mm

c)

4-13 mm

d)

2-13 mm

53.

What does diffuse hepatocellular disease affect?

a)

Bile ducts

b)

Hepatocytes

c)

Portal veins

d)

Gallbladder

54.

Fatty infiltration of the liver is:

a)

Always congenital

b)

Malignant and irreversible

c)

Acquired, benign, and reversible

d)

Limited to a specific lobe

55.

Cirrhosis of the liver is:

a)

Reversible and non-progressive

b)

Irreversible and progressive

c)

Caused by trauma

d)

Genetic

56.

A simple liver cyst will appear as:

a)

Hyperechoic with shadowing

b)

Anechoic with posterior enhancement and thin wills

c)

Complex with septations

d)

Isoechoic

57.

The honeycomb sign is associated with:

a)

Echinococcal cyst (Hydatid cyst)

b)

Cirrhosis

c)

Cavernous hemangiomoa

d)

Chronic hepatitis

58.

The most common malignancy of the liver is:

a)

Liver metastases

b)

Hepatoblastoma

c)

Liposarcoma

d)

HCC

59.

Caudate love

a)

I

b)

II

c)

IV

d)

VIII

60.

Superior lateral left lobe

a)

II

b)

IV

c)

V

d)

I

61.

Inferior lateral left lobe

a)

III

b)

IV

c)

VIII

d)

II

62.

Superior and Inferior Medial Left Lobe

a)

IV

b)

VI

c)

VIII

d)

III

63.

Anterior Inferior Right Lobe

a)

V

b)

VI

c)

II

d)

IV

64.

Posterior Inferior Right Lobe

a)

VI

b)

VII

c)

II

d)

IV

65.

Posterior Superior Right Lobe

a)

VII

b)

VIII

c)

III

d)

IV

66.

Anterior Superior Right Lobe

a)

VIII

b)

III

c)

V

d)

I

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