ABD2 - Final - Liver ONLY
Liver Knowledge Challenge
Test your expertise in liver diseases and findings with this comprehensive quiz! Whether you're a student of medicine or a seasoned professional, this quiz will help you assess your understanding of liver pathology, Doppler flow signals, and more.
- 23 questions covering various liver-related topics
- Multiple-choice and checkbox formats
- Perfect for review or self-assessment
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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