Abdominal- Test 1

Which vessel courses within the main lobar fissure

Main portal vein

Lt portal vein

Middle hepatic vein

Right hepatic vein

Middle hepatic vein

Abdominal aorta bifurcates into right and left common iliac arteries at the level of

4th. thoracic vertebra

5th. thoracic vertebra

4th. lumbar vertebra

5th. lumbar vertebra

4th. lumbar vertebra

You are performing a sonogram on a slender female and notice a long, thin extension of the inferior aspect of the right lobe of the liver. This most likely represents

Caudate lobe

Quadrate lobe

Accessory liver

Reidel's lobe

Reidel's lobe

Which of the following divides the left lobe of the liver into lateral and medial segments?

Ligamentum venosum

Left hepatic vein

Left portal vein

Main lobar fissure

Left hepatic vein

What ligament separates the left lobe of liver from caudate lobe?

Ligamentum venosum

Ligamentum teres

Hepatoduodenal ligament

Coronary ligament

Ligamentum venosum

The main portal vein divides into

Middle, left, and right branches

Left and right branches

Anterior and posterior branches

Medial and lateral branches

Left and right branches

You have detected a mass anterior and to the ligamentum venosum. This mass is located in what lobe of the liver

Left lobe

Caudate lobe

Right lobe

Quadrate lobe

Left lobe

The thin capsule surrounding the liver is known as

Reidel's capsule

Glisson's capsule

Teres capsule

Wirsung's capsule

Glisson's capsule

Which of the following course interlobar and intersegmental within the liver

Bile ducts

Portal veins

Hepatic arteries

Hepatic veins

Hepatic veins

Which of the following correctly describes the probe placement and imaging plane you would use to demonstrate the three hepatic veins and IVC on one view

Subcostal oblique approach with the probe angled slightly to the patient's right

Intercostal approach with the probe oriented in a coronal plane

Subcostal approach with the probe just to the right of midline

Sagittal subcostal approach with the probe just to the right of the midline

Subcostal oblique approach with the probe angled slightly to the patient's right

You are imaging a patient with a high liver. Subcostal images do not clearly demonstrate the liver tissue. What should you do

Scan the patient in deep inspiration

Scan the patient in expiration

Place the patient in a Trendelenburg position and rescan

Scan with the patient in quiet respiration

Scan the patient in deep inspiration

A patient is referred for ultrasound evaluation of a questionable mass in the dome of the liver seen on a CAT scan. Which method below would improve visualization in this area of the liver

Perform a subcostal scan with the probe angled superior and the patient in deep inspiration

Perform a intercostal scan with the probe in a coronal plane and the patient in expiration

Perform a subcostal scan with the patient performing a Valsalva maneuver

Roll the patient into a right lateral decubitus position and scan from a subcostal approach with the patient in expiration

Perform a subcostal scan with the probe angled superior and the patient in deep inspiration

Which of the following is not a branch of celiac artery?

Hepatic artery

Left gastric artery

Superior mesenteric artery

Splenic artery

Superior mesenteric artery

The majority of blood supply to the liver is provided from the

Hepatic veins

Portal vein

Hepatic artery

SMV

Portal vein

What three structures comprise the portal triad (seen at porta hepatis)

Portal vein, bile duct, hepatic artery

Portal vein, bile duct, hepatic vein

Bile duct, hepatic vein, hepatic artery

Hepatic vein, hepatic artery, portal vein

Portal vein, bile duct, hepatic artery

The ligamentum venosum forms the anterior border of what lobe of the liver

Left lobe

Right lobe

Caudate lobe

Quadrate lobe

Caudate lobe

The yellow line is pointing to the

The middle hepatic vein

The common hepatic artery

The portal vein

A thick walled hepatic cyst

The portal vein

The red line is pointing to the

Falciform ligament

Ligamentum of teres

Ligamentum venosum

Main lobar fissure

Main lobar fissure

The yellow line is pointing to the

Caudate lobe

Quadrate lobe

Right hepatic lobe

Posterior segment right lower lobe

Caudate lobe

The red line is pointing to the

Falciform ligament

Ligamentum of teres

Ligamentum venosum

Main lobar fissure

Ligamentum venosum

The medial segment of the left lobe corresponds to which number

1

2

3

4

3

The number 4 corresponds specifically to which of the following

Anterior segment left lobe

Lateral segment left lobe

The left lobe

Left branch of the left hepatic artery

Lateral segment left lobe

The red line points to the

Falciform ligament

Ligamentum of teres

Ligamentum venosum

Main lobar fissure

Ligamentum venosum

The image is taken

Anterior to the SMA

Proximal to the SMA

Inferior to the SMA

Distal to the SMA

Proximal to the SMA

This image is taken

Inferior to the renal veins

Inferior to the aortic bifurcation

Cranial to the right portal vein

Caudal to the SMA

Cranial to the right portal vein

Which of the three structures compose the portal triad?

Hepatic artery, portal vein, and bile duct

Hepatic vein, hepatic artery, and bile duct

Lt portal vein, Lt hepatic artery, and ligamentum teres

Hepatic vein, hepatic artery, and portal vein

Hepatic artery, portal vein, and bile duct

Which of the following arteries are branches of the celiac trunk?

Splenic, Lt gastric, and common hepatic

Splenic, Rt gastric, and proper hepatic

Superior mesenteric, Rt gastric, and proper hepatic

Inferior mesenteric, Rt gastric, and common hepatic

Splenic, Lt gastric, and common hepatic

What is the relationship of the Lt renal vein to the aorta, and the SMA?

Posterior to both the Ao and the SMA

Anterior to both the Ao and the SMA

Anterior to the Ao and posterior to the SMA

Superior to the Ao and inferior to the SMA

Anterior to the Ao and posterior to the SMA

The IVC empties blood into which of the following

Rt atrium

Lt atrium

Rt ventricle

Lt ventricle

Rt atrium

Which of the following does not drain directly into the IVC?

Renal vein

Rt hepatic vein

Common iliac vein

Splenic vein

Splenic vein

You are imaging the common hepatic artery and detect its division into two branches. What are these two branches?

Proper hepatic artery and Rt gastric artery

Rt gastric artery and gastroduodenal artery

Lt gastric artery and proper hepatic artery

Proper hepatic artery and gastroduodenal artery

Proper hepatic artery and gastroduodenal artery

Which of the following describes the anatomic course of abdominal aorta?

Enters peritoneal cavity anterior to IVC

Lies posterior to the left lobe of the liver

Anterior and slightly to the right of the vertebral column

Lies anterior to left renal vein

Lies posterior to the left lobe of the liver

Which of the following vessels courses posterior to the IVC

Rt hepatic artery

Lt renal vein

Rt renal artery

Lt renal artery

Rt renal artery

You have been asked to identify the lobes of the liver in a patient with a hepatic mass. Which vessels course intersegmental in the liver

Portal veins

Hepatic veins

Hepatic arteries

Both the portal veins and hepatic veins

Hepatic veins

You are performing an abdominal ultrasound on a patient with a mass in the pancreatic head. In order to be sure you are imaging the entire pancreas, you must identify the vessel that lies immediately posterior to the pancreas. What is this vessel

Abdominal aorta

IVC

Splenic vein

Portal vein

Splenic vein

The red line is pointing to

The main portal vein

The hepatic artery

The splenic vein

The SMA

The hepatic artery

The green line is pointing to

The main portal vein

The hepatic artery

The splenic artery

The SMA

The splenic artery

The green line is pointing to the

Rt hepatic artery

Rt hepatic vein

Rt. Portal vein

Main portal vein

Rt. Portal vein

The yellow line is pointing to the

Rt hepatic artery

Rt hepatic vein

Rt. Portal vein

Main portal vein

Main portal vein

The Splenic vein is identified by letter

D

E

C

J

J

The Rt. portal vein is identified by the letter

E

A

C

F

F

The SMV is identified by the letter

H

D

J

E

H

The purple line points to

The Aorta

The Left renal vein

Superior mesenteric artery

The IVC

Superior mesenteric artery

The yellow line points to

The SMV

The SMA

The Rt renal vein

The portal vein

The SMA

The green line points to

The celiac axis

The SMA

The Rt hepatic artery

The Splenic artery

The celiac axis

The blue line points to the

SMA

IVC

Proper hepatic artery

Portal splenic confluence

IVC

The green line points to the

Aorta

SMA

Proper hepatic artery

Portal splenic confluence

Aorta

The green line points to the

Right hepatic vein

Rt portal vein

Left hepatic vein

Medial Lt portal vein

Left hepatic vein

The green line points to the

IVC

Aorta

Portal splenic confluence

Rt Renal artery

Rt Renal artery

The yellow line points to the

IVC

Aorta

Portal vein

Rt Renal artery

Portal vein

The red line points to the

Rt renal artery

Hepatic artery

Lt renal artery

Aorta

Rt renal artery

The purple line points to the

Rt renal artery

Left portal vein

Lt renal artery

Aorta

Left portal vein

The image on the left is a sagittal image of the upper abdomen. The image on the right is a transverse image of the upper abdomen. Which of the lines on the image on the right correspond with the sagittal image on the left.

Red

Purple

Yellow

Green

Green

You are performing a follow up sonogram on a patient in which a 5mm cyst was previously identified at the anterior border of the left lobe of the liver. Although you are using a 3.5 MHz curved linear array probe, you do not see the cyst. Which of the following would be most helpful in improving visibility of this cyst?

Increase the overall gain

Increase the dynamic range

Rescan the left lobe with a lower frequency transducer

Rescan the left lobe with a higher frequency transducer

Rescan the left lobe with a higher frequency transducer

You are performing an ultrasound exam of the liver on a small patient with a 5MHz curved linear array. Although you have increased the overall gain to its maximum setting, the posterior border of the liver and diaphragm are not visualized. What should you do?

Call the service representative to repair your equipment

Decrease the transmit power on the ultrasound unit

Rescan the liver with a lower frequency transducer

Move the focal zone into the near field

Rescan the liver with a lower frequency transducer