Liver
Gallbladder
Pathology
T / F
Miscellaneous

100

What segment does the right lobe divide into?

Anterior and posterior

100

What is the other name for the junctional fold?

The Hartman's pouch?

100

What is a non-mobile, non-shadowing focus seen within the Gallbladder lumen 

A polyp

100

Focal tenderness over the gallbladder with applied probe pressure is called the Murphy's sign?

True

100

The yellow pigment found in bile that is produced by the breakdown of old red blood cells by the liver?

Bilirubin

200

what is the medial portion of the left lobe?

Quadrate

200

What is the most distal portion of the biliary tree?

The CBD

200

What leads to a reduction in the size of the heaptic veins?

Budd-Chiari Syndrome 

200

The WES sign is the presence of a gallstone logged in the cystic duct?

False, it is a GB  filled with cholelithiasis 

200

What segment of the biliary tree tends to dilate first with obstruction?

Extrahepatic

300

Hepatomegaly 

increased echogenicity

 difficultly in penetration

 obscurity of portal veins

 liver kidney echo disparity

Fatty liver

300

What hormone causes the Gallbladder to contract?

Cholecystokinin

300

What is choledocholithiasis, and signs and symptoms?

A gallstone in the biliary tree, jaundice, elevated bilirubin and alkaline phosphatase

300

The hepatoma is a benign tumor of the liver?

False, malignant tumor

300

What is a impacted stone in the cystic duct that can present with jaundice, pain, and fever?

The Mirizzi Syndrome

400

What lab values will be associated with HCC? 

Elevated LFT's and AFP

400

What is a calcified Gallbladder wall with a higher risk of GB cancer?

Porcelain Gallbladder

400

This is a congenital defect, is a cyst like mass in the porta hepatis region and involves the CBD?

A choledochal cyst

400

Intrahepatic tubular structures fill with color?

False

400

A small Gallbladder is seen with intrahepatic dilatation, where would the obstruction be?

In the common hepatic duct

500

If liver mets is the secondary liver cancer, what are the most common primary sites?

Gi tract, breast, and lung

500

What is Adenomyomatosis?

Proliferation of the mucosal layer that extends to the muscle layer

500

What cholangiocarcinoma will cause the right and left intrahepatic ducts to dilate?

Klatskins tumor

500

A thickened Gallbladder wall is associated with Portal hypertension? 

False

500

A patient that has had a cholecystectomy and presents with RUQ pain, elevated serum bilirubin and bilirubin in the urine, what could the cause be?

A stone, tumor, or stricture causing bile duct obstruction