Abd Quiz 2

a lesion found anterior and to the left of the ligamentum venosum would most appropriately be described as arising from the:

left hepatic lobe

which of the following is a component of the portal triad?

hepatic artery

the union of the main pancreatic duct with the common bile duct leads to which of the following?

ampulla of Vater

on Doppler ultrasound, the portal vein shows hepatopetal flow. is this normal?

yes

on Doppler ultrasound, normal portal vein flow is described as:

continuous hepatopetal

what is the tubular structure visualized between the gallbladder fossa and the portal vein?

common bile duct

what is the letter C?

caudate lobe

which of the following would not be a lab finding typically analyzed with suspected gallbladder disease?

alpha-fetaprotein

a sonographer measures the gallbladder wall adjacent to the liver. which measurement falls within the normal range?

2mm

if a vessel demonstrates flow away from the liver, which of the following could it be in a normal adult?

heptaic vein

the gallbladder receives its arterial blood supply from which vessel?

cystic artery

the ligamentum teres serves as a sonographic landmark to separate:

left medial (quadrate) and left lateral lobes

the common bile duct results from the joining of which of the following?

cystic duct and common hepatic duct

which anatomic liver variant may appear as an elongated anterior projection reaching toward the iliac crest?

Riedel’s lobe

what is your diagnosis for this GB congenital anomaly?

phyrigian cap in the fundus of the gallbladder

which anatomic structure is most commonly used as a sonographic guide to find the gallbladder fossa?

main lobar fissure

in the porta hepatis, which anatomic structure lies to the left of the common bile duct?

hepatic artery

when evaluating the main portal vein, a measurement of which value is considered within normal limits?

1.3cm

which structure serves as the termination point for the hepatic veins?

IVC

what congenital anomaly does this gallbladder most likely have?

hartmann’s pouch

using ultrasonic terms describe the following regarding a normal renal ultrasound: (short term)

a. kidney compared to the liver

b. renal pyramids compared to renal cortex

c. renal sinus compared to renal cortex

d. renal capsule compared to the renal cortex

a) kidney is hypoechoic to the liver

b) renal pyramids is hypoechoic to the renal cortex

c) renal sinus is hyperechoic to the renal cortex

d) renal capsule is hyperechoic to the renal cortex

the gallbladder’s main role in digestion is to:

store and release bile into the small intestine

which anatomical structure serves as the primary surface landmark separating the left and right lobes of the liver when viewed anteriorly?

falciform ligament

what type of renal anatomic variant is this?

column of Bertin

the fibrous covering that surrounds the liver is known as:

glisson capsule

the hepatic veins normally exhibit which flow direction?

hepatofugal

the left lobe of the liver can be separated from the right lobe by the:

falciform ligament

which renal anatomic variant does this kidney have?

dromedary hump

when imaging the upper abdomen, what vessel parallels the aorta but lies slightly to its right?

IVC

1. what is the name of the 8 surgical labeling system of the liver?

2. label the liver segments:

(short term)

a)2

b)3

c)1

d)4

e)3

f)2

g)7

h)8

i)4

j)2

k)7

l)6

m)5

n)7

o)8

p)4

q)7

r)8

s)4

what are the three vessels that make up the porta hepatis?

portal vein, common bile duct, hepatic artery

label (short term)

a) right hepatic duct

b) left hepatic duct

c) cystic duct

d) common hepatic duct

e) ampulla of Vater

f) common bile duct

g) main pancreatic duct

name which Couinaud’s segment this mass is located in. (short term)

segment 4

which segment are both of these masses located? (short term)

blue dot: segment 8

red dot: segment 5

which vascular landmarks are used to separate the right and left lobes and their respective segments (posterior vs anterior, medial vs lateral)?

hepatic veins

the common heptic duct is created by the convergence of which of the following?

right and left hepatic ducts

which structure is not considered a kidney layer?

renal pelvis

the proper hepatic artery branches off the:

common hepatic artery

a gallbladder fundus that folds back on itself is most consistent with which variant?

phrygian cap

during an ultrasound of the porta triad, which structure would you expect not to demonstrate vascularity?

common hepatic duct

which vessels are shown draining the liver?

RHV, MHV

what type of renal anatomic variant is the white arrow pointing to?

dromedary hump

on ultrasound, strong round, linear, or C-shaped echoes along the left lateral border of the liver most likely which organ?

stomach

which of the following is an example of a vessel with normal hepatofugal flow?

hepatic veins

of the liver’s total blood supply, about how much is normally provided by the main portal vein?

75%

which structure serves as a more clinically and surgically useful functional division of the liver into right and left?

cantlie’s line: main lobar fissure

which term describes pain when the gallbladder is palpated or pressed with an ultrasound probe?

murphy’s sign

what is the physiologic flow pattern of hepatic veins seen on Doppler?

pulsatile hepatofugal into the inferior vena cava

label the following: (short term)

1. 
   

2. 
   

3. 
   

4. 
   

5. 
   

6. 
   

7. 
   

8. 
   

1) renal artery

2)interlobar artery

3) arcuate artery

4) interlobular arteries

5) interlobular veins

6) arcuate vein

7) interlobar vein

8) renal vein

what is the normal flow direction of the portal vein?

hepatopetal

the circula structure underneath the IVC is most likely the:

right renal artery

the boundary between the caudate lobe and the left lobe of the liver is created by the left hepatic vein and what structure?

ligamentum venosum fissure

the intrahepatic bile duct should normally measure:

0-2mm

label this image (P is Portal Vein) (short term)

a.

b.

c.

a) common hepatic duct

b)cystic duct

c) common bile duct

the IVC is joined by the draining ____ veins.

middle, left and right hepatic