Davies Review Questions For Liver

34 Questions  I  By Agambino on November 11, 2010

  
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1.  You are scanning a patient with a known mass in the left medial segment of the liver.  What anatomical landmark can you use to identify the left medial segment separate from the right anterior segment of the liver?
A.
B.
C.
D.
E.
2.  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 identify this lobe of the liver?
A.
B.
C.
D.
E.
3.  You are asked to rule out the presence of a recannalized paraumbilical.  Which anatomic structure is a useful landmark in location of this structure?
A.
B.
C.
D.
4.  Which vessel courses with the main lobar fissure?
A.
B.
C.
D.
E.
5.  Oxygenated blood is supplied to the liver via the :
A.
B.
C.
D.
6.  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.
B.
C.
7.  Which of the following forms the caudal border of the left portal vein?
A.
B.
C.
D.
E.
8.  What ligament divides  the left lobe of the liver  into medial and lateral segments?
A.
B.
C.
9.  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.
B.
C.
D.
E.
10.  You have detected a mass anterior and to the left of the ligamentum venosum.  This mass is located in what lobe of the liver?
A.
B.
C.
11.  The thin capsule surrounding the liver is known as:
A.
B.
C.
12.  Which of the following course interlobar and intersegmental within the liver?
A.
B.
C.
13.  You are performing an ultrasound exam of the liver on a small patient with a 5 MHz curved linear array.  Although you have increased the overall gain to its maximum setting, the posterior border of the liver and diaphragm are not visualized, What should you do?
A.
B.
C.
14.  Which of the following correctly describes the probe placement and imaging plane you would use to demonstrate the 3 hepatic veins and IVC in one view?
A.
B.
15.  A patient is referred for a liver ultrasound with the clinical history of a raised serum alpha-fetoprotein level. What should you look for?
A.
B.
C.
16.  You are reviewing lab work prior to performing an abdominal ultrasound exam.  Elevated lab values in GGT and ALP. Which statement is true?
A.
B.
C.
17.  Which of the following lab tests is NOT used in the evaluation of liver function?
A.
B.
C.
D.
E.
18.  A patient is referred with right upper quadrant pain and tenderness.  Patient has a history of oral contraceptive use.  A solid, hypoechoic mass is identified in the right lobe of the liver.  Color doppler reveals hypervascularity of the mass.  Which of the following scenarios is most likely?
A.
B.
C.
19.  A liver ultrasound on a 49 year old obese male demonstrates diffuse increased echogenicity with a focal hypoechoic area anterior to the portal vein.  This most likely represents:
A.
B.
C.
20.  A 52 year old male with known liver cirrhosis presents for an abdominal ultrasound.  You will carefully evaluate the liver to rule out the presence of any focal mass because of which TRUE statement below?
A.
B.
C.
D.
E.
21.  You are scanning a patient with suspected liver cirrhosis.  All of the following are sonographic features of cirrhosis EXCEPT:
A.
B.
C.
D.
E.
22.  An ultrasound evaluation of liver cirrhosis should include a search for which associated complication?
A.
B.
C.
23.  Ultrasound findings of an abdominal study on a 51 year old female include enlargement of hepatic veins and IVC in an otherwise normal appearing liver.  These findings are most consistent with which of the following?
A.
B.
C.
24.  Focal fatty liver is most commonly found in which location?
A.
B.
C.
D.
25.  You have performed an ultrasound study on a patient with enlarged caudate lobe. shrunken right lobe and splenomegaly.  The hepatic veins could not be identified.  No other abnormalities were discovered. What should you do?
A.
B.
C.
D.
26.  A patient is referred to rule out hepatomegaly.  All of the following are useful indicators of hepatomegaly EXCEPT:
A.
B.
C.
D.
E.
27.  You have identified a single homogeneous hyperechoic lesion measuring 2.4 cm in the posterior aspect of the right lobe of the liver.  What is the most common etiology of a mass fitting this description?
A.
B.
C.
D.
E.
28.  A patient is referred for a sonogram of the liver to rule out metastatic disease.  Which of the following described the sonographic appearance of liver metastasis?
A.
B.
C.
D.
E.
29.  Which of the following is NOT a feature of hepatic cysts?
A.
B.
C.
D.
E.
30.  You are scanning the liver and notice irregularity of the surface.  A nodular liver surface is associated with which of the following abnormalities?
A.
B.
C.
D.
31.  Which of the following is NOT TRUE regarding fatty liver?
A.
B.
C.
D.
E.
32.  The most common benign tumor in the liver is:
A.
B.
C.
D.
33.  You are scanning through the liver and notice luminal narrowing of the hepatic veins. Color and spectral doppler reveal high velocities through the strictures.  These findings are most commonly associated with which of the following?
A.
B.
C.
34.  Which of the following is most commonly associated with invasion of the portal vein?
A.
B.
C.
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