Liver Pathology / Vascular Abnormalities Of The Liver Part 2

12 Questions | Total Attempts: 46

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Liver Pathology Quizzes & Trivia

Budd-Chiari and Portal Vein Thrombosis


Questions and Answers
  • 1. 
    ___________ syndrome is caused by thrombosis of the main hepatic veins.
  • 2. 
    Check all that apply to the clinical and lab data of Budd-Chiari Syndrome:
    • A. 

      Ascites

    • B. 

      RUQ pain

    • C. 

      Jaundice

    • D. 

      Hepatosplenomegaly

  • 3. 
    Sonographic appearance of Budd-Chiari syndrome depends on the degree of venous ________ and the underlying cause.
  • 4. 
    With Budd-Chiari syndrome, hepatic veins may appear anechoic to __________ depending on the stage of thrombus.
  • 5. 
    Check all that apply to the etiology of Budd-Chiaris syndrome:
    • A. 

      Tumor invasion

    • B. 

      Pregnancy

    • C. 

      Oral contraceptives

    • D. 

      Mechanical compression from liver tumor or cirrhosis

    • E. 

      Hypercoagulation states

  • 6. 
    Check all that apply to the clinical and lab data of portal vein thrombosis:
    • A. 

      Abdominal pain

    • B. 

      Hypovolemia

    • C. 

      Fever

    • D. 

      Leukocytosis

    • E. 

      Hepatomegaly

  • 7. 
    _______ ______ thrombosis is associated with HCC, metastatic liver disease, carcinoma of the pancreas, hepatitis, trauma, hypercoagulable state, and PHTN.
  • 8. 
    Check all of the following that apply to the causes of portal vein thrombosis in infants:
    • A. 

      Sepsis

    • B. 

      Umbilical vein catherization

    • C. 

      Acute dehydration

  • 9. 
    Thrombus/tumor must be visualized within the lumen in order to make the diagnosis.
    • A. 

      True

    • B. 

      False

  • 10. 
    Put the following stages of portal vein thrombosis in order as they appear sonographically:1. cavernous transformation of the portal vein2. when thrombus is fresh it appears anechoic, making it hard to visualize3. thrombus becomes more echogenic and there is a dilation of the PV at and proximal to the thrombus or occlusion
  • 11. 
    The caudate lobe is often ______ in Budd-Chiari syndrome.  The _____ veins drain directly into the IVC at the level lower than the main hepatic veins.  The increased blood flow through the caudate lobe leads to caudate __________ or hypertrophy.
  • 12. 
    Check all that apply to the sono appearance of Budd-Chiari syndrome:
    • A. 

      Ascites

    • B. 

      Splenomegaly

    • C. 

      Hepatomegaly

    • D. 

      Dilation of the HV at and proximal to the thrombus or occlusion

    • E. 

      Intrahepatic collaterals or hepatofugal flow in the branches of the PV

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