CTL Anatomy 30% Liver, GB, Pancreas

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142 Terms

1
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<p>Use your mouse to place your cursor over the center of the lateral left lobe of the liver and click to mark the structure</p>

Use your mouse to place your cursor over the center of the lateral left lobe of the liver and click to mark the structure

2
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The caudate lobe occupies much of the ___________ surface of the liver

Posterior superior

3
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.The medial segment of the left lobe lies between:


the middle hepatic vein and the ligamentum teres

4
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In a normal fasting adult, blood sugar levels should not exceed __________ of blood.

100 mg/100ml

5
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<p><br><span>What structure is indicated by the yellow arrow?</span></p>


What structure is indicated by the yellow arrow?

main lobar fissure

6
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<p><span>What structure is marked with the X on the image?</span></p>

What structure is marked with the X on the image?


main pancreatic duct

7
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<p><span>Which of the following structures is labeled #5?</span></p>

Which of the following structures is labeled #5?

lateral left lobe

8
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<p><br><span>What lobe of the liver is indicated by #1?</span></p>


What lobe of the liver is indicated by #1?

posterior right lobe

9
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Which of the following hormones is responsible for causing the gallbladder to contract?


cholecystokinin

10
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<p><span>The yellow arrow on the images represents which of the following structures?</span></p>

The yellow arrow on the images represents which of the following structures?


caudate lobe

11
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The ______________ can be identified anterolateral to the pancreas tail.


stomach

12
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What organ produces sodium bicarbonate?


pancreas

13
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<p><br><span>What structure/vessel is indicated by #8?</span></p>


What structure/vessel is indicated by #8?

medial left lobe

14
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The ___________________ is located within the inferior margin of the falciform ligament.


ligamentum teres

15
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The caudate lobe lies between what two structures?


IVC and medial left lobe

16
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During an abdominal ultrasound, a 4mm circular anechoic structure is identified at the posterior portion of the pancreas head. Color flow is not identified in the structure. What is it?

common bile duct

17
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<p><span>What liver vessel is indicated by the green arrow?</span></p>

What liver vessel is indicated by the green arrow?

posterior right portal vein

18
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<p><span>Use your mouse to place your cursor over the ligamentum venosum and click to mark the structure.</span></p>

Use your mouse to place your cursor over the ligamentum venosum and click to mark the structure.

19
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The liver's exocrine function includes producing:


Bile

20
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<p><span>What structure/vessel is indicated by #5?</span></p>

What structure/vessel is indicated by #5?


lateral left lobe

21
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The abdominal organ that produces the majority of alkaline phosphatase is?


liver

22
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Which of the following terms can be used to describe the normal flow in the portal vein?

continuous

23
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Branches of which of the following vessels supply the pancreas with blood?


superior mesenteric artery and gastroduodenal artery

24
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<p>What lobe of the liver is indicated by #2?</p><p><br></p>

What lobe of the liver is indicated by #2?


anterior right lobe

25
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All of the following laboratory tests are used to evaluate the liver function, EXCEPT

Sodium bicarbonate

26
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The cystic artery originates at the _____________________ and the cystic vein empties into the __________________________.


right hepatic artery, right portal vein

27
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The common bile duct is formed by:

Common hepatic duct + the cystic duct

28
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A patient presents with a history of Reidel lobe. What are the expected findings on the ultrasound exam?

The right lobe of the liver will have a tongue-like extension that extends inferior to the lower pole of the right kidney.

29
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What vessels drain the blood from the caudate lobe?


emissary veins

30
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<p><span>Which of the following structures is labeled #1?</span></p>

Which of the following structures is labeled #1?


Left Hep V

31
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The pancreatic duct should normally be less than _______ in diameter in children and young adults


2mm

32
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Which of the following correctly describes the pediatric pancreas?


Pancreatic echogenicity increases with age

33
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<p><br><span>Which of the following statements is true regarding the image displayed?</span></p>


Which of the following statements is true regarding the image displayed?


The gallbladder has a normal variant called a phrygian cap near the fundal area.

34
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Which of the following statements correctly describes imaging of the dome of the liver?

Deep inspiration is required to evaluate this portion of the liver.

35
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The majority of the liver is covered by a thick capsule composed of fibrous and elastic elements called _________________.


Glisson capsule

36
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<p><br><span>The purple arrows point to which of the following liver structures?</span></p>


The purple arrows point to which of the following liver structures?

ligamentum teres

37
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While discussing the medical history with a patient, he tells you that the doctor recommended that he increase his intake of vitamin K due to some recent abnormal lab results. Which of the following lab values was abnormal?


prothrombin time

38
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An ERCP is commonly performed to evaluate:

the Ampulla of Vater

39
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<p><br><span>Use your mouse to place your cursor over the main lobar fissure and click to mark the structure.</span></p>


Use your mouse to place your cursor over the main lobar fissure and click to mark the structure.

40
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<p><span>Which of the following structures is labeled #7?</span></p>

Which of the following structures is labeled #7?

anterior right lobe

41
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<p><br><span>Which waveform represents a normal portal vein waveform? Use your mouse to position your cursor over the correct waveform and click to set the answer.</span><br><span>***the color map displayed applies to all displayed Doppler tracings.</span></p>


Which waveform represents a normal portal vein waveform? Use your mouse to position your cursor over the correct waveform and click to set the answer.
***the color map displayed applies to all displayed Doppler tracings.

42
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Which of the following structures is labeled #2?

gastroduodenal artery

43
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Which abdominal vessel is the best landmark to identify the body and tail of the pancreas?


splenic vein

44
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<p><br><span>Use your mouse to place your cursor over the superior mesenteric vein and click to mark the vessel. If the vessel is not demonstrated on the image, mark the purple box that says "Not demonstrated on the image".</span></p>


Use your mouse to place your cursor over the superior mesenteric vein and click to mark the vessel. If the vessel is not demonstrated on the image, mark the purple box that says "Not demonstrated on the image".

45
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<p><br><span>What structure/vessel is indicated by #9?</span></p>


What structure/vessel is indicated by #9?


Spine

46
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Which of the following correctly lists the structures found in an intrahepatic portal triad?


portal vein, proper hepatic artery and bile duct

47
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<p><span>What structure/vessel is indicated by #4?</span></p>

What structure/vessel is indicated by #4?


medial left lobe

48
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<p><br><span>What structure is indicated by the blue arrow?</span></p>


What structure is indicated by the blue arrow?

right portal vein

49
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<p><br><span>Use your mouse to place your cursor over the left portal vein and click to mark the structure.</span></p>


Use your mouse to place your cursor over the left portal vein and click to mark the structure.

50
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<p><br><span>Use your mouse to place your cursor over the main portal vein and click to mark the vessel.</span></p>


Use your mouse to place your cursor over the main portal vein and click to mark the vessel.

51
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The right lobe of the liver is divided into ____________________ segments, while the left lobe is divided into ________________ segments.

anterior and posterior, medial and lateral

52
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Normal hepatic venous flow will demonstrate:


two large antegrade diastolic and systolic waves followed by a small retrograde component that corresponds with the atrial contraction

53
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Which of the following produces insulin?


Islets of Langerhans

54
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Which of the following hepatic ligaments separate the medial and lateral left lobes of the liver?


falciform ligament

55
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The _______________________ lobe of the liver is located between the right and middle hepatic vein.


anterior right

56
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Which portions of the gallbladder and/ or biliary tree are involved in the formation of a phrygian cap?


body and fundus

57
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In the normal liver, which of the following correctly describes the changes in flow in the hepatic artery after eating?


increased resistive index (RI)

58
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<p><br><span>Which waveform represents a normal inferior vena cava waveform? Use your mouse to position your cursor over the correct waveform and click to set the answer.</span><br><span>***the color map displayed applies to all displayed Doppler tracings.</span></p>


Which waveform represents a normal inferior vena cava waveform? Use your mouse to position your cursor over the correct waveform and click to set the answer.
***the color map displayed applies to all displayed Doppler tracings.

59
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The superior mesenteric vein


Joins the splenic vein posterior to the neck of the pancreas

60
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In the porta hepatis, what structure is anterior to the portal vein and medial to the common hepatic duct?

Points: 1 / 1


proper hepatic artery

61
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In the porta hepatis, what structure is anterior to the portal vein and lateral to the proper hepatic artery?


common hepatic duct

62
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The IVC is located posterior to the pancreatic __________________.


head

63
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Islets of Langerhans secrete ___________________ into ___________________.

insulin, bloodstream

64
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<p><span>What structure/vessel is indicated by #4?</span></p>

What structure/vessel is indicated by #4?


body of pancreas

65
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<p><br><span>What structure is indicated by the green arrow?</span></p>


What structure is indicated by the green arrow?

Main portal vein

66
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<p><span>What structure is indicated by the red arrow?</span></p>

What structure is indicated by the red arrow?


Proper hepatic artery

67
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<p><br><span>Use your mouse to place your cursor over the hepatic artery and click to mark the vessel.</span></p>


Use your mouse to place your cursor over the hepatic artery and click to mark the vessel.

68
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<p>What structure/vessel is indicated by #12?</p><p><br></p>

What structure/vessel is indicated by #12?


spine

69
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<p><span>What structure/vessel is indicated by #2?</span></p>

What structure/vessel is indicated by #2?


head of pancreas

70
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<p><br><span>What causes the appearance of this normal variant of the uncinate process?</span></p>


What causes the appearance of this normal variant of the uncinate process?


reduced concentration of fat in the area of interest

71
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<p><br><span>Which of the following structures is labeled #6?</span></p>


Which of the following structures is labeled #6?

medial left lobe

72
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The right and left hepatic ducts come together to form the common hepatic duct:

Inside the liver, near the porta hepatis

73
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<p><span>Which of the following structures is labeled #3?</span></p>

Which of the following structures is labeled #3?

IVC

74
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<p><span>Use your mouse to place your cursor over the main portal vein and click to mark the vessel.</span></p>

Use your mouse to place your cursor over the main portal vein and click to mark the vessel.

75
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Which of the following ligaments separates the medial and lateral left lobes of the liver?


ligamentum teres

76
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All of the following are true regarding Couinaud liver segmentation except:


right and left lobes are divided by the branches of the main hepatic vein

77
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The hepatoduodenal ligament contains which of the following structures?


main portal vein, proper hepatic artery and common bile duct

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A patient presents for an abdominal sonogram due to a history of hepatic congestion. What structure(s) should be closely evaluated for related findings?


portal system

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<p><span>What structure/vessel is indicated by #2?</span></p>

What structure/vessel is indicated by #2?

left portal vein

80
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The formation of a Hartmann pouch usually occurs in what portion of the gallbladder?

neck

81
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The normal gallbladder is usually less than __________ in transverse diameter.



5cm

82
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The main lobar fissure:


separates anterior right lobe and medial left lobe

83
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During an abdominal ultrasound, a small circular anechoic structure is identified at the anterior portion of the pancreas head. Color flow is identified in the structure. What is it?

celiac axis

84
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Which lab value is associated with the development of jaundice?

bilirubin

85
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<p><br><span>What structure/vessel is indicated by #6?</span></p>


What structure/vessel is indicated by #6?


superior mesenteric artery

86
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<p><br><span>What structure/vessel is indicated by #7?</span></p>


What structure/vessel is indicated by #7?


splenic vein

87
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What structure prevents free fluid in Morison pouch from moving into the subphrenic space?

right coronary ligament

88
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<p><span>Use your mouse to place your cursor over the left medial superior segment of the liver and click to mark the structure.</span></p>

Use your mouse to place your cursor over the left medial superior segment of the liver and click to mark the structure.

89
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In a patient with complete situs inversus, the liver will be:


located in the left upper quadrant

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A small rounded prominence on the anteroinferior aspect of the normal caudate lobe is called

distal papillary process

91
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<p><br><span>Which of the following structures is labeled #8?</span></p>


Which of the following structures is labeled #8?

posterior right lobe

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<p><span>Which of the following structures is labeled #2?</span></p>

Which of the following structures is labeled #2?


Middle Hep V

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A normal portal vein will:

increase in diameter by more than 20% with deep inspiration

94
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On a transverse sonogram, the CBD enters the _________________ aspect of the head of the pancreas and lays ____________ to the IVC.


Posterior, anterior

95
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The Rex-Cantlie line is an imaginary line that extends from the ____________ in the liver.


GB fossa to IVC

96
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<p><span>What structure is indicated by the purple circle?</span></p>

What structure is indicated by the purple circle?

portal triad

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The liver is divided into superior and inferior segments by the:

branching of the portal veins

98
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<p><span>Use your mouse to place your cursor over the common bile duct and click to mark the vessel. If the vessel is not demonstrated on the image, mark the purple box that says "Not demonstrated on the image".</span></p>

Use your mouse to place your cursor over the common bile duct and click to mark the vessel. If the vessel is not demonstrated on the image, mark the purple box that says "Not demonstrated on the image".

99
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<p><br><span>What structure/vessel is indicated by #3?</span></p>


What structure/vessel is indicated by #3?


Gastroduodenal artery

100
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<p><span>What structure is indicated by the blue arrow?</span></p>

What structure is indicated by the blue arrow?


Common hepatic duct