Questions All Correct Answers
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Alkaline phosphatase is produced by... - Answer- ✔✔Liver, bone and Placenta
Normal liver Measurement.. - Answer- ✔✔13 - 15 /Hepatomegaly after 17cm
Which liver Lab value is noted for a malignancy marker in nonpregnant patients? -
Answer- ✔✔AFP alpha- fetoprotein
indirect bilirubin-
Direct bilirubin- - Answer- ✔✔Non-obstructive conditions
cirrhosis, Hep,Liver mets, obstruction
Which liver lab value is noted when there is damaged or injured cells? - Answer-
✔✔AST Aminotransferase
the left lobe of the liver is divided by .....
Right lobe is divided by.... - Answer- ✔✔Left hepatic veinsand ligamnetum of teres
Right hepatic vein
_________ tumor is a malignant neoplasm located at the junction of the right and left
hepatic ducts near the hepatic hilum. - Answer- ✔✔Klatskin
______ligament- attatches liver to abdominal wall, extends from diaphragm to
umbilicus. - Answer- ✔✔Falciform
______ligament- Connects the lesser curvature of the stomach to the liver - Answer-
✔✔Gastrohepatic
______ligament- connects the liver to the proxiaml duodenum - Answer-
✔✔hepatoduodenal
_____ligament- Connects the posterior liver to the diaphragm - Answer- ✔✔Coronary
Portal veins divide into Right and left branches
Right divides into____,_____
,Left divides into______,______ - Answer- ✔✔Anterior/ posterior
Lateral/ medial
Gallbladder Varices is caused by....... - Answer- ✔✔PHTN, PV thrombosis, Cholecystitis
Biliary Obstruction will cause the portal vein system to appear _____ as it progresses. -
Answer- ✔✔Flatten
90% of gallstones coexist with..... - Answer- ✔✔Gallbladder carcinoma
______sign: Painless juandice associated with an enlarged gallbladder caused by the
obstruction of the distal CBD by an external masss - Answer- ✔✔Courvoisier Sign of the
gallbladder
________= hyperplasia of epithelial and muscle layers in the gallbladder wall; a small
polypoid mass of the gallbladder wall. - Answer- ✔✔Adenomyomatosis
Post cholecystectomy patients CBD should not exceed___mm - Answer- ✔✔10mm
The ____ of the gallbladder is the most anterior and Inferior portion. - Answer-
✔✔Fundus
Layers of the Gallbladder wall? (4) - Answer- ✔✔1. outer serousal layer
2. subserousal
3.Muscular layer
4.Inner epithelial layer
Gas in the GB wall or lumen? - Answer- ✔✔Emphasematous Cholecystitis
Air in the biliary tree? - Answer- ✔✔Pneumobilia
Calcification of the Gallbladder wall? - Answer- ✔✔Porcelain Gallbladder
Bleeding into the biliary tree associated with liver Bx, blunt trauma or rupture of hepatic
artery aneurysm. - Answer- ✔✔hematobilia
Polycystic Disease of the liver can also be found in... - Answer- ✔✔Kidneys, Pancreas,
spleen
Ascending Cholangitis is the most common cause of a ______ formation. - Answer-
✔✔Abscess of the liver
_____ of the liver, caused by long history of Oral Contraceptives, Glycogen Type 1
storgae disease. Benign - Answer- ✔✔Adenoma
,The most common symptomatic vascular tumor of the liver in infancy? - Answer-
✔✔hemagioendothelioma
Most common malignant liver tumor in children 3 years old or less.. - Answer-
✔✔hepatoblastoma
____ ______ _____, occurs when the MPV exceeds 13mm and presents with
hepatofugal, pulsatile and a decrease in blood flow velocity - Answer- ✔✔Portal HTN
Pancreas Digestive enzymes
_______- Breaks down Carbs
______- Breaks down fats
_______- breaks down proteins into amino acids - Answer- ✔✔Amylase
Lipase
Trypsin
Opening in the duodenum for the entrance of the CBD... - Answer- ✔✔Ampulla of vater
______ pancreas, anomaly caused by the failure of a normal regression of the left
ventral bud. - Answer- ✔✔annular pancreas
an autosomal recessive exocrine gland disorder where organs become clogged with
mucus secreted by the exocrine glands. - Answer- ✔✔Cysitc fibrosis
A sheath of muscle fibers surrounding the distal common bile and pancreatic ducts as
they cross the wall of the duodenum..... - Answer- ✔✔Sphincter of oddi
The joining of the _____,_______ and _____ forms the portosplenic confluence. -
Answer- ✔✔SMV, portal vein and splenic vein
Endocrine functions of the pancreas....
______ cells- secrete glucagon
______ cells- secrete insulin
_______cells- secrete somatostatin - Answer- ✔✔Alpha
Beta
Delta
Pancreas is _____ organ located posterior to the lesser sac. - Answer-
✔✔Retroperitoneal
, Ectopic pancreatic tissue is usually located in the _____,______ and _______/ -
Answer- ✔✔Stomach, duodenum and small or large intestines
______, accounts for 50% of cystic neoplasms within the pancreas. Majority are located
in the body and tail. - Answer- ✔✔Cystadenoma
_______ cystadenoma, arise form the ducts and have an malignant potential. Can be
multiloculated, irregular margins or displace the CBD and pancreatic duct. - Answer-
✔✔Macrocystic
____ _____tumors can either be functional or non-functional.
90% of _______ tumors are malignant. - Answer- ✔✔islet cell / non-functional
_______ syndrome- absence of the spleen associated with two right lungs, a midline
liver and GI and urinary anomalies. - Answer- ✔✔Asplenia
A rare benign neoplasm composed of lymhpoid tissue, also known as splenoma. -
Answer- ✔✔hamartoma
A hematoma located within the splenic parenchyma.. - Answer- ✔✔Intraparenchymal
hematoma
In cases of portal hypertension, The splenic vein will shunt blood directly into the
_______ - Answer- ✔✔left renal vein
The spleen is a ______ organ - Answer- ✔✔intraeritoneal
Most common benign splenic neoplasm? - Answer- ✔✔hemangioma
_______- malignant tumorof the adrenal gland found in young children. - Answer-
✔✔Neuroblastoma
__________- pertaining to organs that are closely attatched to the posterior abdominal
wall. - Answer- ✔✔Retroeritoneum
Focal or generalized enlargement of the lymph nodes.... - Answer-
✔✔lymphadenopathy
Fibers that connect the vertebral column and diaphragm. They are identified superior to
the celiac axis and lie anterior to the aorta and posterior to the IVC. - Answer-
✔✔Diaphragmatic crura