Abdominal Sonography Review
Davies Book Questions with 100%
Correct Answers
You are scanning a patient with a known mass in the left medial segment of the
liver. What anatomic landmark can you use to identify the left medial segment
separate from the right anterior segment of the liver?
A. Left portal vein
B. Ligamentum teres
C. Ligamentum venosum
D. Middle hepatic vein
E. Left hepatic vein Correct Answer: D. Middle hepatic vein.
You suspect enlargement of the caudate lobe in a patient with liver disease.
What structure located at the anterior border of the caudate lobe will help you
to identify this lobe of the liver?
A. Left portal vein
B. Fissure for the ligamentum venosum
C. Inferior vena cava
,D. Fissure for the ligamentum teres
E. Main lobar fissure Correct Answer: B. Fissure for the ligamentum venosum.
You are asked to rule out the prescence of a recanalized paraumbilical. Which
anatomic structure is a useful landmark in location of this strucutre?
A. Ligamentum teres
B. Ligamentum venosum
C. Coronary ligament
D. Hepatoduodenal ligament
E. Glisson's ligament Correct Answer: A. Ligamentum teres.
Explanation: The left portal vein is in contact with the ligamentum teres. A
paraumbilical vein begins at the left portal vein and exits the liver at the
ligamentum teres. Images of the ligamentum teres will demonstrate the
presence or absence of the pathologic finding.
Which vessel courses within the main lobar fissure?
A. Main portal vein
B. Left portal vein
,C. Middle hepatic vein
D. Proper hepatic artery
E. Right hepatic vein Correct Answer: C. Middle hepatic vein.
Oxygenated blood is supplied to the liver via the:
A. Portal vein and hepatic vein
B. Hepatic vein and hepatic artery
C. Hepatic vein and portal vein
D. Portal vein and hepatic artery
E. Hepatic artery only Correct Answer: D. Portal vein and hepatic artery.
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:
A. Caudate lobe
B. Quadrate lobe
C. Riedel's lobe
D. Accesory liver
, E. Papillary projection of the caudate lobe Correct Answer: C. Riedel's lobe.
Which of the following forms the caudal border of the left portal vein?
A. Ligamentum venosum
B. Hepatoduodenal ligament
C. Main lobar fissure
D. Coronary ligament
E. Ligamentum teres Correct Answer: E. Ligamentum teres.
What ligament divides the left lobe of the liver into medial and lateral
segments?
A. Ligamentum venosum
B. Hepatoduodenal ligament
C. Main lobar fissure
D. Coronary ligament
E. Ligamentum teres Correct Answer: E. Ligamentum teres.
You are asked to perform a Doppler study on the hepatic veins in the liver. What
differentiates the hepatic veins from the portal veins?
Davies Book Questions with 100%
Correct Answers
You are scanning a patient with a known mass in the left medial segment of the
liver. What anatomic landmark can you use to identify the left medial segment
separate from the right anterior segment of the liver?
A. Left portal vein
B. Ligamentum teres
C. Ligamentum venosum
D. Middle hepatic vein
E. Left hepatic vein Correct Answer: D. Middle hepatic vein.
You suspect enlargement of the caudate lobe in a patient with liver disease.
What structure located at the anterior border of the caudate lobe will help you
to identify this lobe of the liver?
A. Left portal vein
B. Fissure for the ligamentum venosum
C. Inferior vena cava
,D. Fissure for the ligamentum teres
E. Main lobar fissure Correct Answer: B. Fissure for the ligamentum venosum.
You are asked to rule out the prescence of a recanalized paraumbilical. Which
anatomic structure is a useful landmark in location of this strucutre?
A. Ligamentum teres
B. Ligamentum venosum
C. Coronary ligament
D. Hepatoduodenal ligament
E. Glisson's ligament Correct Answer: A. Ligamentum teres.
Explanation: The left portal vein is in contact with the ligamentum teres. A
paraumbilical vein begins at the left portal vein and exits the liver at the
ligamentum teres. Images of the ligamentum teres will demonstrate the
presence or absence of the pathologic finding.
Which vessel courses within the main lobar fissure?
A. Main portal vein
B. Left portal vein
,C. Middle hepatic vein
D. Proper hepatic artery
E. Right hepatic vein Correct Answer: C. Middle hepatic vein.
Oxygenated blood is supplied to the liver via the:
A. Portal vein and hepatic vein
B. Hepatic vein and hepatic artery
C. Hepatic vein and portal vein
D. Portal vein and hepatic artery
E. Hepatic artery only Correct Answer: D. Portal vein and hepatic artery.
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:
A. Caudate lobe
B. Quadrate lobe
C. Riedel's lobe
D. Accesory liver
, E. Papillary projection of the caudate lobe Correct Answer: C. Riedel's lobe.
Which of the following forms the caudal border of the left portal vein?
A. Ligamentum venosum
B. Hepatoduodenal ligament
C. Main lobar fissure
D. Coronary ligament
E. Ligamentum teres Correct Answer: E. Ligamentum teres.
What ligament divides the left lobe of the liver into medial and lateral
segments?
A. Ligamentum venosum
B. Hepatoduodenal ligament
C. Main lobar fissure
D. Coronary ligament
E. Ligamentum teres Correct Answer: E. Ligamentum teres.
You are asked to perform a Doppler study on the hepatic veins in the liver. What
differentiates the hepatic veins from the portal veins?
