Ultrasound Abdomen
ARDMS - Liver,
Gallbladder, & Biliary
System Exam Questions
and Complete Solutions
Graded A+
Denning [Date] [Course title]
,What is the primary functions of the liver? - Answer: -Hepatic Metabolic functions, converts
carbohydrates . converts glucose. Major site for metabolizing fats. Dietary fats are converted in the
hepatocytes.
The liver converts dietary sugars or carbohydrates into : - Answer: Glucose
The liver converts glucose into: - Answer: Glycogen & stores it , when needed it breaks down the
glycogen and release glucose into the blood.
The liver converts dietary fats in : - Answer: Hepatocytes to lipoproteins, formed into fat which are
transported throughout the body for storage or use
Hepatic Metabolic functions: Stored fats may be transported to the liver and converted into energy -
Answer: -Manufactures plasma proteins
-converts excess amino acids to fatty acids and urea
-removes nutrients from the blood
-Phagocytes bacteria and worn-out red blood cells
What's the liver's role in digestion? - Answer: -Secretes bile, important for digestion of fats
-Bilirubin, a pigment released when red blood cells are broken down, is excreted in the bile
- stores iron & certain vitamins
- detoxifies many drugs & poisons that enter the body, waste products of the body's metabolic process
Where is the liver's location? - Answer: -Occupies the right hypochondrium, the greater part of the
epigastrium, & the left hypochrondrium as far as the mammillary line
-Lies inferior to the diaphragm
-Ribs cover the greater part of the right lobe
What are segments of the liver ligaments and fissures? - Answer: -Appear echogenic of hyperechoic
because of the presence of collagen and fat within and around the structures:
-Glisson capsule
, -Main Lobar fissure
-Falciform ligament
-Ligamentum teres (round ligament)
-Ligamentum venosum
What is Glisson Capsule? - Answer: connective tissue that surrounds the liver
Where is the gallbladder and cystic duct site? - Answer: Main Lobar Fissure
What separates the right and left lobes of the liver? - Answer: Falciform Ligament
What used to be (remanent) portion of the umbilical vein? - Answer: Ligamentum teres or round
ligament
How much blood does the main portal vein supply to the liver? - Answer: 75-80% blood supply to liver,
deoxygenated blood, hepatopetal (towards the liver)
What does Main portal vein split into? - Answer: Right and left portal veins
Hepatic Venous System - Answer: -Portal veins carry blood from the bowel to the liver, where as the
hepatic veins (hepatofugal -away from liver) drain the blood from the liver into the inferior vena cava
Hepatic Arteries - Answer: -carries oxygenated blood from the aorta to the liver
20-25% blood supply to liver hepatopetal (blood towards liver)
What do Bile Ducts transport? - Answer: -Transports bile which is manufactured in the liver to the
duodenum
-hepatofugal ( away from the liver)
What is the portal triad? - Answer: -Portal veins
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