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?
A. The hepatic veins converge toward the porta hepatis.
B. The hepatic veins have brightly echogenic walls.
C. The portal veins are largest near the dome of the liver.
D. The portal veins are accompanied by branches of the biliary tree and hepatic artery.
E. The portal veins normally exhibit a triphasic flow pattern. - correct answer D. The
portal veins are accompanied by branches of the biliary tree and hepatic artery.
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