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Liver Quiz


1.  The most cost-effective form of liver imaging for patients with RUQ pain and abnormal LFTs is:
 

A. CT
 B. Ultrasound
C. MRI

2. During what contrast phase is a hepatocellular carcinoma most likely to enhance?
 

A. Arterial phase
 B. Portal venous phase
C. Equilibrium phase

3. The liver normally appears hyperdense to (brighter than) the spleen on CT.
 

True
False

4.  75% of the blood suply to the liver is from the hepatic arteries.
 

True
False

5.  The following image depicts:

 

A. Focal nodular hyperplasia
 B. Hepatocellular carcinoma
C. Simple liver cyst
D. Echinococcal cyst

6. All of the following are signs of advanced cirrhosis on imaging EXCEPT:
 

A. Liver surface nodularity
 B. Contracted liver with ascites
C. Atrophy of the posterior segments (VI,VII) of the right lobe
D. Enlarged caudate lobe (I) and lateral segments (II,III) of the left lobe
E. Prominent umbilical vein
F. Irregular enhancement
G. All of the above are signs of advanced cirrhosis

7. The most sensitive and specific imaging modality for detecting focal fatty infiltration is:
 

A. Ultrasound
 B. MRI
C. CT

8. The most common cause of a hyperechoic liver mass on U/S is:
 

A. Hepatoma
 B. Simple cyst
C. Hemangioma
D. Echinococcal cyst

9.  The following image depicts a hepatic hemangioma.

 

True
False

10. All of the following are characteristic of hepatocellular adenomas EXCEPT:
 

A. Benign lesions, but may be pre-malignant
 B. Risk of severe hemorrhaging
C. Show marked enhancement on contrast CT
D. Associated with oral contraceptives and steroids
E. All of the above are associated with hepatocellular adenomas

11. Risk factors for developing hepatocellular carcinoma include:
 

A. Cirrhosis
 B. Hemochromatosis
C. Steroid use
D. Hepatitis B or C
E. All of the above

12.  The appearance of the liver below is due to:

 

A. CHF
 B. Constrictive pericarditis
C. Restrictive cardiomyopathy
D. Any of the above

Your score is out of 12.

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