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5 Written questions

5 Matching questions

  1. cirrhosis etiologies
  2. cholecystitis s/s
  3. cholestatic obstructive syndrome locations
  4. cholelithiasis
  5. pancreatitis: other organ damages
  1. a gallstone formation (mostly cholesterol)
  2. b in gallbladder, common bile duct, common bile duct and pancreatic duct
  3. c severe pain RUQ abd
    N/V
    fever
    inc WBC
    inc bilirubin
    inc alkaline phospatase
  4. d lungs
    kidneys => dec GFR => vasoactive peptides => myocardial depression => shock
    biliary obstruction
    peritoneum => peritonitis => shock
    paralytic ileus => N/V
  5. e toxins (EtOH abuse + malnutrition, drugs)
    biliary obstruction
    autoimmune, post-necrotic viral hepatitis syndrome (Hep B/C)
    metabolic defects

5 Multiple choice questions

  1. splenic
    gastric
    renal
    mesenteric arteries
  2. transmission: parental/body fluids, sexual, vertical
    s/s: absent but LFT positive for HCV
    HC antigen and anti-HCV antibody
    90% chronicity
    20% => cirrhosis
  3. splenomegaly from inc splenic vein pressure
    ascites: from inc pressure mesenteric vessles => inc capillary permeability and dec COP => fluid shifting
    hepatic encaphalopathy
    hepatorenal syndrome
    jaundice
  4. HBV and HCV
  5. inc liver enzymes 1-2 wks before jaundice
    inc bilirubin (bilirubinemia => bilirubinuria)
    hypoalbuminemia
    prolonged prothrombin time (ACUTE)
    seroligic marker (antigen presence)
    anemia, leukopenia, thrombocytopenia, transient hypo/hyperglycemia

5 True/False questions

  1. cirrhosis: fibrosistoxins (EtOH abuse + malnutrition, drugs)
    biliary obstruction
    autoimmune, post-necrotic viral hepatitis syndrome (Hep B/C)
    metabolic defects

          

  2. serology of hepatitis Apoisonous mushrooms
    analgesics (tylenol, NSAIDs), anesthetics, statins, some anticonvulsants, anti-fungal, antibiotics
    anabolic steroids, anti-HTN, some herbs, industrial/chemicals/pesticides/herbicides

          

  3. hepatitis Btransmission: FECAL-ORAL
    hep A antigen
    anti-HAV antibody
    NO chronicity
    30 days incubation

          

  4. increase liver enzyems for liver pathologyALT/SGPT is most sensitive
    AST/SGOT
    LDH
    alkaline phosphatase
    GGT

          

  5. pancreatitis: autodigestionfever
    inc WBC (inc bands)
    pain

          

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