Liver Pathology / Vascular Abnormalities Of The Liver(Portal Hypertension Only)

25 Questions | Total Attempts: 94

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Liver Pathology Quizzes & Trivia

Questions and Answers
  • 1. 
    __________ hypertension is increased blood pressure within the portal vein.
  • 2. 
    Portal hypertension is increased _________ to blood.
  • 3. 
    The normal PV diameter is how many mm? (#)
  • 4. 
    The PV diameter is considered abnormal when it measures ____ mm. (#)
  • 5. 
    The diameter of PV may return to normal even if portal hypertension still exists.
    • A. 

      True

    • B. 

      False

  • 6. 
    This type of portal hypertension is caused by something outside the liver, not involving the sinusoids.  This type of portal hypertension is known as __________   _____________ .
  • 7. 
    Extrahepatic presinusoidal PHTN is caused by portal or splenic vein ________, or from occlusion or compression of the portal vein or splenic vein.
  • 8. 
    ____________ ______________ PHTN is when the cause is within the liver but not involving the sinusoids.
  • 9. 
    Intrahepatic presinusoidal PHTN is caused by lesions or obstruction in the portal zone.
    • A. 

      True

    • B. 

      False

  • 10. 
    Check all of the following examples that apply to intrahepatic sinusoidal PTHN:
    • A. 

      Schistosomiasis

    • B. 

      Kaposi's sarcoma

    • C. 

      Primary hepatic fibrosis

    • D. 

      Toxic substances such as methotrexate

    • E. 

      Primary biliary cirrhosis

    • F. 

      Pneumocystis carinii

  • 11. 
    This type of portal hypertension is associated with hepatocellular disease and metastatic liver disease.
  • 12. 
    Abnormal liver architecture leads to decreased resistance to flow in the portal veins.
    • A. 

      True

    • B. 

      False

  • 13. 
    In cirrhosis, most of the normal liver architecture is replaced and ________.
  • 14. 
    Increased resistance caused by a blockage of blood leaving the liver (venous drainage) is known as ___________ ______________ PHTN.
  • 15. 
    IVC and HV thrombosis (budd chiari), and severe right sided CHF are examples of intrahepatic sinusoidal PHTN.
    • A. 

      True

    • B. 

      False

  • 16. 
    50-75% of cases of post hepatic PHTN are of __________ etiology.
  • 17. 
    Check all that apply to the clinical presentation of portal hypertension:
    • A. 

      Ascites

    • B. 

      Splenomegaly

    • C. 

      Fibrosis

    • D. 

      Caput medusa

    • E. 

      GI bleeding

  • 18. 
    This is caused by esophageal varices, which causes hematemesis, a life threatening condition.
  • 19. 
    ________ _______ is a network of abnormal superficial venous channels radiating out of the skin.  It is caused by recannalization of the umbilical vein.
  • 20. 
    Check all that apply to the sonographic findings of portal hypertension:
    • A. 

      Dilated PV

    • B. 

      Hepatofugal blood flow

    • C. 

      Splenomegaly

    • D. 

      Ascites

    • E. 

      Dilated splenic vein or SMV

    • F. 

      Varices

  • 21. 
    Name the 5 major sites of collaterals.
  • 22. 
    This site of collateral is where the perianal veins anastomose with the middle and inferior rectal veins.
  • 23. 
    When the ligamentum teres recannalizes and leads to the caput medusa around the umbilicus on the superficial epidermis, it is termed the :
  • 24. 
    __________________ varices are between the coronary veins, the gastric veins, and the esophageal veins.  These varices may lead to life threatening or fatal hemorrhage. 
  • 25. 
    Regions where the GI tract becomes retroperitoneal, forming a circulation between intraperitoneal and retroperitoneal organs is known as ___________.
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