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ARDMS ABDOMEN ULTRASOUND REGISTRY EXAM REVIEW QUESTIONS AND ANSWERS

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ARDMS ABDOMEN ULTRASOUND REGISTRY EXAM REVIEW QUESTIONS AND ANSWERS The caudate lobe is separated from the LLL by which ligament? - ANSWER -ligamentum venosum Main portal vein is created by the merging of which two vessels? What is this area referred to as? - ANSWER -Superior mesenteric vei...

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  • August 6, 2024
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  • ARDMS ABDOMEN ULTRASOUND REGISTRY
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ARDMS ABDOMEN ULTRASOUND
REGISTRY EXAM REVIEW QUESTIONS
AND ANSWERS
The caudate lobe is separated from the LLL by which ligament? -

ANSWER -ligamentum venosum



Main portal vein is created by the merging of which two vessels?

What is this area referred to as? - ANSWER -Superior mesenteric vein

and splenic vein. Known as the splenic portal confluence



What is the name of the capsule surrounding the liver? - ANSWER -

Glisson capsule



Normal AP measurement of the MPV? - ANSWER -13mm or less



What is an enlarged (>13mm) portal vein signify? - ANSWER -Portal

hypertension



Normal MPV flow? - ANSWER -Hepatopetal and monophasic w/ some

respiratory variation

,Where do the hepatic veins drain? - ANSWER -IVC

These veins are considered both interlobar and intersegmental -

ANSWER -hepatic veins. They are located between the segments and

the lobes



normal hepatic vein flow - ANSWER --Hepatofugal - away from liver

-pulsatile, triphasic due to right atrial pressure changes

-respiratory variation



Narrowing or occlusion of the hepatic veins is indicative of: -

ANSWER -Budd-Chiari syndrome



The liver hilum is also know as - ANSWER -The porta hepatis



flow pattern of the hepatic artery should be - ANSWER -low resistance

since it is feeding the liver



After birth the umbilical vein becomes - ANSWER -ligamentum teres

aka round ligament

,-runs along with the falciform ligament

-will usually be seen near left portal vein in left liver



Where can the main lobar fissure be seen? - ANSWER --in sag plane

-will appear to connect the neck of the GB with the RPV

-also separates right and left hepatic veins



hepatic steatosis - ANSWER -fatty liver



Causes of fatty liver disease - ANSWER -Fatty deposits within the

hepatocytes.

Once it becomes cirrhosis, it is non-reversible.



1. Alcoholic fatty liver disease




2. Non-alcoholic fatty liver disease:

-obesity

-starvation

, -chemotherapy

-diabetes mellitus

-hyperlipidemia

-pregnancy

-von Gierke disease (glycogen storage dx)

-total parental nutrition

-cystic fibrosis



steatohepatitis - ANSWER -inflammation of the liver associated with

fat



precursor for chronic liver dx leading to fibrosis, cirrhosis, and HCC



hepatomegaly size - ANSWER ->15cm



need to correlate with clinical hx don't

confused Riedel's lobe as hepatomegaly



Fatty liver symptoms and labs - ANSWER -Symptoms:

-usually asymptomatic

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