ABD2 - Final - Liver ONLY | Take the Quiz

2 most common BENIGHN liver findings

HCC

Cavernous hemangioma

FNH

Hemangioma

Hepatic Artery: flow & Doppler signal

Hepatopetal & triphasic

Hepatofugal & triphasic

Hepatofugal & monophasic, fwd flow, above baseline

Hepatopetal & pulsatile, low resistance

Hepatic Vein: flow & Doppler signal

Hepatopetal & monophasic, fwd flow, above baseline

Hepatopetal & triphasic

Hepatofugal & triphasic

Hepatofugal & monophasic, fwd flow, above baseline

Portal Vein: flow & Doppler signal

Hepatopetal & triphasic

Hepatofugal & monophasic, fwd flow, above baseline

Hepatopetal & monophasic, fwd flow, above baseline

Hepatofugal & pulsatile, low resistance

Most common MALIGNANT liver finding

Cholangiocarcinoma

Hepatocellular Carcinoma (HCC)

FNH

Leiomyoma

Sonographic appearance of HCC

Hyperechoic

Ranges from hypoechoic to isoechoic

Ranges from hyperechoic to anechoic

Hypoechoic

2 leading causes of liver disease

Hepatitis

Hepatomegaly

Pancreatic cancer

Cirrhosis

Markers for Liver CA ?

Elevated AFP

Elevated ALT

Lowered AST

Lowered AFP

All of the following are true for Hepatocellular disease EXCEPT:

Results in simple fatty changes, severe hepatitis, or progressive cirrhosis

Liver size is affected

Liver becomes difficult to penetrate

Decrease in sound attenuation of liver

A tarsus parvus waveform is

Seen distal to an arterial occlusion

Seen proximal to an arterial occlusion

A high resistance waveform w/ dampened diastolic flow

A low resistance waveform with no diastolic flow

What causes cavernous transformation?

Hepatic vein thrombosis

Portal vein thrombosis

Portal HTN

Cirrhosis

Which of the following involves the formation of collateral (extra/accessory) vessels.

Obstructive jaundice

Eventration

Cavernous transformation

Pleural effusion

What could account for an increase in portal venous pressure, collateral channels and a dilated coronary vein?

Portal hypertension

Cirrhosis

Cholangitis

Obstructive jaundice

What Doppler flow would be expected in the portal vein of a pt w/ HTN?

Hepatopetal flow

Hepatofugal flow

Turbulent flow in distended vessels

Decreased flow in atrophied vessels

All BUT which of the following are characteristics of Glycogen Storage Disease?

Results from a defect in enzyme allowing deposits of glycogen to store in liver

Potential cause for HTN

Diffuse increase in parenchymal echogenicity

Increased penetration of fatty liver

Budd-chiari is a condition caused by

Cirrhosis

Occlusion in the hepatic arteries

Occlusion in the hepatic veins

Portal HTN

Which of the following is NOT true for Focal Nodular Hyperplasia

Occurs at any age

2nd most common malignant liver tumor

Evidence relating to long-term use of oral contraceptives

Range of echo texture: Hypo, Hyper to isoechoic

T/F: Focal Fatty Sparing is just a segment of normal tissue in a fatty liver & its Hypoechoic

True

False

T/F: Fatty Infiltration is the process of obtaining a fatty liver.

True

False

Which of the following is true regarding Jaundice

Hepatitis is a non-obstructive cause

Caused by increased levels of bilirubin in blood

Yellowish pigmentation of whites of eyes

All of the above

What may occur due to congestion

Doppler reveals reversed flow

Doppler reveals forward flow

Portal vein may become stenosed

Hepatic veins become tortuous and collaterals may be seen

Distal obstruction of CBD from calculi or mass in pancreas head is caused by:

Vein obstruction

Dilated intrahepatic ducts

Ductal dilation

Obstructive jaundice

Which of the following is NOT a process of disease in the liver

Hepatocellular disease, caused by alcoholism

Enlarged echogenic liver & irregular lobules

RT lobe atrophy

None of the above

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