Liver Lobule Anatomy and Function
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Questions and Answers

What is the average transit time for blood across the liver lobule?

  • 10.8 s
  • 7.6 s
  • 9.2 s
  • 8.4 s (correct)

What type of cells are anchored to the endothelium of the sinusoids in the liver?

  • Central hepatic vein cells
  • Macrophages (Kupffer cells) (correct)
  • Bile canaliculi cells
  • Hepatocytes

Where do the bile canaliculi drain into in the liver?

  • Central hepatic vein
  • Portal venule
  • Intralobular bile ducts (correct)
  • Interlobular bile ducts

What happens when cholecystokinin (CCK) is released?

<p>Sphincter of Oddi relaxes (C)</p> Signup and view all the answers

What is the function of the spiral valves in the cystic duct?

<p>Facilitate bile drainage (B)</p> Signup and view all the answers

What gives the interior of the gallbladder a honeycombed appearance?

<p>Extensive folding of the surface (B)</p> Signup and view all the answers

What is the main excretory route for lipid-soluble waste products?

<p>Bile (A)</p> Signup and view all the answers

Which organ is responsible for the metabolism of essentially all steroid hormones?

<p>Liver (B)</p> Signup and view all the answers

What is the major class of plasma proteins NOT synthesized by the liver?

<p>Immunoglobulins (B)</p> Signup and view all the answers

Which compound is responsible for the golden yellow color of bile?

<p>Glucuronides of bilirubin and biliverdin (C)</p> Signup and view all the answers

What happens to the liver's synthesis of plasma proteins following blood loss?

<p>Replaces proteins in days to weeks (D)</p> Signup and view all the answers

Which system can show apparent overactivity if there is liver disease?

<p>Endocrine system (B)</p> Signup and view all the answers

What is the functional unit of the liver?

<p>Acinus (A)</p> Signup and view all the answers

Why is the central portion of the acinus referred to as zone 1?

<p>It is well oxygenated (B)</p> Signup and view all the answers

What is the approximate normal hepatic venous pressure in humans?

<p>5 mm Hg (D)</p> Signup and view all the answers

What is the purpose of the arrangement that increases the turbulence of bile as it flows out of the gallbladder?

<p>To reduce gallstone formation risk (B)</p> Signup and view all the answers

Where do hepatic veins drain?

<p>Inferior vena cava (B)</p> Signup and view all the answers

How many acini does the human liver contain approximately?

<p>~100,000 acini (D)</p> Signup and view all the answers

What is the main role of the liver in maintaining blood glucose levels in the postprandial period?

<p>Removing excess glucose from the blood (B)</p> Signup and view all the answers

Which of the following is a consequence of liver failure in relation to glucose levels?

<p>Hypoglycemia (D)</p> Signup and view all the answers

What is believed to be the primary driving force for the initial formation of canalicular bile?

<p>Secretion of bile acids (B)</p> Signup and view all the answers

Why does cholesterol precipitate, leading to one type of gallstones?

<p>Deviation from the bile acids: phosphatidylcholine: cholesterol ratio (C)</p> Signup and view all the answers

What is a key function of the liver in fat metabolism?

<p>Supporting fatty acid oxidation for energy supply (C)</p> Signup and view all the answers

How does the liver contribute to cholesterol homeostasis?

<p>By synthesizing most lipoproteins needed by the body (C)</p> Signup and view all the answers

What happens to bile when it flows into the gallbladder?

<p>It becomes hypertonic (C)</p> Signup and view all the answers

Which type of cells in the liver are responsible for trapping and breaking down bacteria and other particulates?

<p>Kupffer cells (C)</p> Signup and view all the answers

What is the average water content in hepatic bile?

<p>97% (B)</p> Signup and view all the answers

What is the primary role of cytochrome P450 enzymes in hepatocytes?

<p>Convert toxins to inactive metabolites during phase II detoxification (D)</p> Signup and view all the answers

Which substance forms mixed micelles with the bile acids and cholesterol in canalicular bile?

<p>Phosphatidylcholine (A)</p> Signup and view all the answers

What property of osmolarity allows bile to remain isotonic despite becoming hypertonic?

<p>Colligative property (A)</p> Signup and view all the answers

Why is the peripheral zone (zone 3) of the acinus least well oxygenated?

<p>Oxygen diffusion limitation from terminal branches of hepatic arteries (A)</p> Signup and view all the answers

What contributes to the high permeability of hepatic sinusoids?

<p>Large gaps between endothelial cells (C)</p> Signup and view all the answers

What is the primary function of the arrangement that increases the turbulence of bile from the gallbladder?

<p>To prevent bile acid precipitation (A)</p> Signup and view all the answers

Why are hepatic veins different from portal veins in terms of oxygenation?

<p>Hepatic veins receive blood from central lobular veins (B)</p> Signup and view all the answers

What is the significance of acinus being at the end of a vascular stalk?

<p>It allows for oxygen-rich blood flow into the liver lobules (A)</p> Signup and view all the answers

What is the role of the sphincter of Oddi in the digestive system?

<p>Prevents bile reflux into the pancreas (C)</p> Signup and view all the answers

What contributes to the honeycombed appearance of the interior of the gallbladder?

<p>Surface folding of the gallbladder (B)</p> Signup and view all the answers

What is the function of Kupffer cells in the liver lobule?

<p>Anchor to the endothelium and break down particulates (D)</p> Signup and view all the answers

Where does the common bile duct enter to release bile into the digestive system?

<p>Duodenum at the duodenal papilla (C)</p> Signup and view all the answers

What leads to the relaxation of the sphincter of Oddi to allow bile flow into the duodenum?

<p>Presence of gastric contents in the duodenum (C)</p> Signup and view all the answers

What is the overall purpose of the biliary system in relation to digestion and metabolism?

<p>Facilitate fat digestion and absorption (B)</p> Signup and view all the answers

What causes the skin, scleras, and mucous membranes to turn yellow in jaundice?

<p>Accumulation of free or conjugated bilirubin in the blood (C)</p> Signup and view all the answers

In hyperbilirubinemia due to bile duct obstruction, which type of bilirubin is predominantly elevated in the plasma?

<p>Conjugated bilirubin (C)</p> Signup and view all the answers

What is actively secreted into bile across the canalicular membrane as per the text?

<p>Bile acids, phosphatidylcholine, and cholesterol (B)</p> Signup and view all the answers

What happens when there is disturbed secretion of conjugated bilirubin into the bile canaliculi?

<p>Accumulation of free bilirubin in the plasma (C)</p> Signup and view all the answers

Which process would lead to a rise in free bilirubin in the blood?

<p>Decreased uptake of bilirubin into hepatic cells (B)</p> Signup and view all the answers

What is the yellowness observed in jaundice mainly attributed to?

<p>Elevated levels of bilirubin in the blood (C)</p> Signup and view all the answers

What is the reason for the marked pressure drop along the hepatic arterioles?

<p>Inverse relationship between hepatic arterial and portal venous blood flow (C)</p> Signup and view all the answers

What effect does adenosine have on the hepatic artery and portal vein?

<p>Vasodilation only in the hepatic artery (C)</p> Signup and view all the answers

What happens to adenosine accumulation in the terminal arterioles when portal flow is reduced?

<p>It accumulates (A)</p> Signup and view all the answers

During the postprandial period, what happens to the 'reserve' sinusoids in the liver?

<p>They recruit more blood flow (C)</p> Signup and view all the answers

What is the role of adenosine in dilating the terminal arterioles?

<p>It has a direct vasodilator effect on the terminal arterioles (D)</p> Signup and view all the answers

What is the primary driving force for the initial formation of canalicular bile?

<p>Active secretion of bile acids (C)</p> Signup and view all the answers

What substances passively enter the bile from the plasma by diffusion?

<p>Water, glucose, calcium, amino acids, urea (A)</p> Signup and view all the answers

What is the approximate ratio of bile acids: phosphatidylcholine: cholesterol in canalicular bile?

<p>10:3:1 (A)</p> Signup and view all the answers

What happens to bile flows into the gallbladder when the sphincter of Oddi is closed?

<p>Bile is concentrated by absorption of water (C)</p> Signup and view all the answers

Why does bile remain isotonic even though it is transiently hypertonic?

<p>The micelles become larger due to the presence of bile acids (D)</p> Signup and view all the answers

Why is it important for portal pressures not to increase linearly with portal flow until all sinusoids are recruited?

<p>To prevent fluid loss from the highly permeable liver under normal conditions (B)</p> Signup and view all the answers

What role does the concentration of solids play in the gallbladder bile?

<p>Reflects the degree of concentration through water absorption (A)</p> Signup and view all the answers

What happens to bile secretion when the bile duct and cystic duct are clamped?

<p>Bile secretion stops completely. (A)</p> Signup and view all the answers

What stimulates gallbladder contraction according to the text?

<p>Both fatty acids and amino acids (A)</p> Signup and view all the answers

What increases the production of bile by enhancing the water and HCO3 − content according to the text?

<p>Secretin (D)</p> Signup and view all the answers

What are substances that increase the secretion of bile known as?

<p>Choleretics (D)</p> Signup and view all the answers

What happens to intra-biliary pressure when the bile duct is clamped but the cystic duct is left open?

<p>It rises only to about 100 mm of bile in several hours. (D)</p> Signup and view all the answers

What is the primary role of the liver in relation to the substances absorbed across the gut wall?

<p>Serving as the first port for most absorbed nutrients (D)</p> Signup and view all the answers

Which blood vessel carries blood from the intestines to the liver?

<p>Portal vein (D)</p> Signup and view all the answers

What is the function of bile synthesized by the liver?

<p>Optimizes fat absorption (A)</p> Signup and view all the answers

Which vessel drains blood from the liver into the inferior vena cava?

<p>Hepatic veins (A)</p> Signup and view all the answers

What is extensively modified when blood percolates through hepatic sinusoids in the liver?

<p>Hepatic Bile (D)</p> Signup and view all the answers

What is a key structural feature that allows the liver to conduct a wide range of critical functions?

<p>Structural and physiologic adaptations (A)</p> Signup and view all the answers

What is the major excretory route for lipid-soluble waste products according to the text?

<p>Bile (A)</p> Signup and view all the answers

What is the approximate daily volume of bile secretion mentioned in the text?

<p>500 mL (A)</p> Signup and view all the answers

What contributes to the golden yellow color of bile according to the text?

<p>Glucuronides of bilirubin and biliverdin (A)</p> Signup and view all the answers

What is the primary source of bilirubin in the body based on the text?

<p>Hemoglobin breakdown (C)</p> Signup and view all the answers

Which class of plasma proteins is NOT synthesized by the liver according to the text?

<p>Immunoglobulins (A)</p> Signup and view all the answers

What can liver disease potentially lead to regarding hormone systems based on the text?

<p>Apparent overactivity of hormone systems (A)</p> Signup and view all the answers

What is the main reason for the marked pressure drop along the hepatic arterioles?

<p>Accumulation of adenosine around the arterioles (A)</p> Signup and view all the answers

How is bilirubin transported into bile canaliculi after conjugation?

<p>Via an active transporter known as UDP-glucuronosyl-transferase (D)</p> Signup and view all the answers

What contributes to the dilation of terminal arterioles in the liver?

<p>Portal flow reduction (D)</p> Signup and view all the answers

What prevents fluid loss from the highly permeable liver under normal conditions?

<p>Recruitment of 'reserve' sinusoids (B)</p> Signup and view all the answers

What has a direct vasodilator effect on the hepatic artery but not on the portal vein?

<p>Adenosine (C)</p> Signup and view all the answers

Why do many of the sinusoids collapse in the period between meals?

<p>'Reserve' sinusoid recruitment (A)</p> Signup and view all the answers

What is the enzyme responsible for conjugating bilirubin to glucuronic acid?

<p>Glucuronyl transferase (UDP-glucuronosyl-transferase) (B)</p> Signup and view all the answers

Which vessel has a lower pressure compared to the pressure in the sinusoids?

<p>Portal vein (C)</p> Signup and view all the answers

What happens to the majority of bilirubin glucuronide formed in the liver?

<p>It passes via the bile ducts to the intestine (A)</p> Signup and view all the answers

Why is bilirubin diglucuronide more water-soluble than free bilirubin?

<p>As a result of conjugation to glucuronic acid (B)</p> Signup and view all the answers

How does unconjugated bilirubin differ in permeability compared to conjugated bilirubin in the intestine?

<p>Unconjugated bilirubin is more permeable (A)</p> Signup and view all the answers

Where is the enzyme glucuronyl transferase primarily located in liver cells?

<p>Smooth endoplasmic reticulum (D)</p> Signup and view all the answers

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