Mosbys Review Question Liver

26 Questions | By Agambino | Updated: Mar 19, 2022 | Attempts: 418

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1.

The adult liver is considered enlarged once the anteroposterior diameter exceeds:
- A.
  
  10 cm
- B.
  
  12 cm
- C.
  
  15 cm
- D.
  
  20 cm
- E.
  
  22 cm
2.

Sonographic findings commonly associated with portal hypertension include all of the following EXCEPT:
- A.
  
  Hepatomegaly
- B.
  
  Splenomegaly
- C.
  
  Dilated main portal vein
- D.
  
  Hypoechoic liver parenchyma
- E.
  
  Formation of venous collaterals
3.

Organs MOST COMMONLY associated with the development of polycystic disease include all of the following EXCEPT:
- A.
  
  Liver
- B.
  
  Kidney
- C.
  
  Spleen
- D.
  
  Pancreas
- E.
  
  Adrenal gland
4.

Which of the following ligaments separates the left lobe from the caudate lobe of the liver?
- A.
  
  Coronary
- B.
  
  Falciform
- C.
  
  Venosum
- D.
  
  Gastrohepatic
- E.
  
  Hepatoduodenal
5.

The most common cause of cirrhosis is:
- A.
  
  Viral hepatitis
- B.
  
  Anorexia nervosa
- C.
  
  Alcohol abuse
- D.
  
  Biliary obstruction
- E.
  
  Congestive heart failure
6.

All of the following symptoms are associated with hepatocellular carcinoma EXCEPT:
- A.
  
  Weight loss
- B.
  
  Hepatomegaly
- C.
  
  Abdominal pain
- D.
  
  Unexplained fever
- E.
  
  Elevated serum albumin
7.

In the United States, a hepatic abscess is most likely to develop in which of the following conditions?
- A.
  
  Acute pancreatitis
- B.
  
  Biliary obstruction
- C.
  
  Ascending cholangitis
- D.
  
  Portal vein thrombosis
- E.
  
  Budd-Chiari Syndrome
8.

The left lobe of the liver is separated from the right lobe by which of the following structures?
- A.
  
  Right hepatic vein and right intersegmental fissure
- B.
  
  Middle hepatic vein and ligamentum venosum
- C.
  
  Left hepatic vein and main lobar fissure
- D.
  
  Left hepatic vein and right intersegmental fissure
- E.
  
  Middle hepatic vein and main lobar fissure
9.

The right lobe of the liver is divided into anterior and posterior segments by the:
- A.
  
  Right hepatic artery
- B.
  
  Main portal vein
- C.
  
  Right portal vein
- D.
  
  Right hepatic vein
- E.
  
  Middle hepatic vein
10.

A patient presents with a history of right upper quadrant pain, fever, and leukocytosis. Upon further questioning, the patient admits to recently traveling abroad. A complex mass is identified in the right lobe of the liver. This most likely represents a(n) :
- A.
  
  Hepatoma
- B.
  
  Abscess
- C.
  
  Adenoma
- D.
  
  Cystadenoma
- E.
  
  Echinococcal cyst
11.

Patients with a history of hepatitis B have a predisposing risk factor for developing:
- A.
  
  An adenoma
- B.
  
  An abscess
- C.
  
  A hepatoma
- D.
  
  Focal nodular hyperplasia
- E.
  
  A cavernous hemangioma
12.

Which of the following hepatic structures is interlobar in location?
- A.
  
  Hepatic artery
- B.
  
  Portal vein
- C.
  
  Hepatic vein
- D.
  
  Biliary duct
- E.
  
  IVC
13.

The normal blood flow pattern in the main portal vein is described as:
- A.
  
  Phasic
- B.
  
  Hepatofugal
- C.
  
  Pulsatile
- D.
  
  Continuous
- E.
  
  Retrograde
14.

Metastatic lesions involving the liver most commonly originate from a primary malignancy of the :
- A.
  
  Pancreas
- B.
  
  Kidney
- C.
  
  Colon
- D.
  
  Stomach
- E.
  
  Gallbladder
15.

Traditional lobar anatomy divides the liver into:
- A.
  
  3 lobes
- B.
  
  4 lobes
- C.
  
  6 lobes
- D.
  
  8 lobes
- E.
  
  10 lobes
16.

Severe insult to liver cells leading to subsequent necrosis describes:
- A.
  
  Cirrhosis
- B.
  
  Portal hypertension
- C.
  
  Fatty infiltration
- D.
  
  Budd-Chiari Syndrome
- E.
  
  Focal nodular hyperplasia
17.

Von Gierke disease is most commonly associated with:
- A.
  
  Cirrhosis
- B.
  
  Polycystic disease
- C.
  
  Schistosomiasis
- D.
  
  Focal nodular hyperplasia
- E.
  
  Glycogen storage disease
18.

Prominence of the portal veins is most commonly associated with which of the following pathologies?
- A.
  
  Cirrhosis
- B.
  
  Hepatitis
- C.
  
  Polycystic disease
- D.
  
  Fatty infiltration
- E.
  
  Glycogen storage disease
19.

Which of the following most accurately describes the location of the caudate lobe?
- A.
  
  Posterior to the IVC
- B.
  
  Medial to the lesser sac
- C.
  
  Posterior to the porta hepatis
- D.
  
  Lateral to the IVC
- E.
  
  Anterior to the ligamentum venosum
20.

Which of the following ligaments attaches the liver to the anterior abdominal wall?
- A.
  
  Venosum
- B.
  
  Falciform
- C.
  
  Triangular
- D.
  
  Hepatorenal
- E.
  
  Right coronary ligament
21.

On spectral doppler, the hepatic veins are characterized by which of the following flow types?
- A.
  
  Monophasic
- B.
  
  Parabolic
- C.
  
  Multiphasic
- D.
  
  Laminar
- E.
  
  Turbulent
22.

Enlargement of the caudate lobe is most commonly associated with which of the following pathologies?
- A.
  
  Cirrhosis
- B.
  
  Candidiasis
- C.
  
  Fatty infiltration
- D.
  
  Liver metastasis
- E.
  
  Polycystic disease
23.

Which of the following conditions describes a congenital extension of the liver anterior and inferior to the right kidney?
- A.
  
  Sinus inversus
- B.
  
  Hepatomegaly
- C.
  
  Reidel lobe
- D.
  
  Left lobe variant
- E.
  
  Hyperplastic caudate lobe
24.

Hepatomegaly is commonly associated with all of the following EXCEPT:
- A.
  
  Hepatitis
- B.
  
  Fatty infiltration
- C.
  
  Acute pancreatitis
- D.
  
  Congestive heart failure
- E.
  
  Polycystic liver disease
25.

The most common symptom associated with acute thrombosis of the portal veins is:
- A.
  
  Jaundice
- B.
  
  Tachycardia
- C.
  
  Weight loss
- D.
  
  Sever abdominal pain
- E.
  
  Lower extremity edema