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5 Written questions

5 Matching questions

  1. portal HTN: organ complications
  2. hepatic encaphalopathy
  3. insoluble bilirubin
  4. serology of hepatitis A
  5. what increases risk for hepatocellular cancer
  1. a HBV and HCV
  2. b inc fecal HA antigen (only serologic marker in incubation before jaundice (infectious)
    HAV rapidly clears with s/s (<infxn); inc liver enz and anti-HAV
    acute stage = inc anti-HAVE IgM
  3. c 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. d indirect or unconjugated bilirubin
  5. e portal HTN => dec liver metab => inc ammonia/toxin => blood and BBB => GIB byproducts => irritability, convulsions, coma

5 Multiple choice questions

  1. => biliverdin => unconjugated bilirubin (insoluble/indirect) => bound to albumin for transport to liver => CONJUGATED with glucuronic acid (water soluble/direct) => ileum/colon (bacteria) => urobilinogen => bowel (brown feces) => plasma => kidney (yellow urine)
  2. HBsAg (surface) is 1st marker (incubation, infectious as long as present, >6 mos = carrier or chronic
    HBeAg = highly infectious
    inc anti-HBe @ peak s/s => seroconverted
    inc anti-HBc: may be only marker, window period
    inc anti-HBs => recovery, immunity
    acute: inc IgM anti-HBc
  3. EtOH
    biliary blockage
    hyperlipidemia
    smoking
    stones
  4. in gallbladder, common bile duct, common bile duct and pancreatic duct
  5. DM and cancer of pancreas

5 True/False questions

  1. #1 cause for liver transplantsaltered CHO, fat, protein (dec COP, dec Ig) metabolism
    altered vitamin/mineral (ADEK, some Bs, iron)
    altered clotting, absorption, manufacturing
    altered bilirubin metabolism, altered detox
    altered lymph formation

          

  2. cholecystitis s/sacute: mild with few to no s/s
    severe => liver necrosis/failure => life threatening
    usually regenerate but may lead to cirrhosis and chronic liver problem

          

  3. cholelithiasisabdominal pain radiating to R scapula
    jaundice if CBD blocked
    heartburn
    flatulence
    fat intolerance

          

  4. cirrhosis pathologyliver inflammation/necrosis =>
    fibrosis
    dec bilirubin metabolism
    pain/fever/N/V,fatigue
    dec estrogen/androgen metabolism
    dec CHO, protein, fat metabolism

          

  5. cirrhosis etiologiesliver inflammation/necrosis =>
    fibrosis
    dec bilirubin metabolism
    pain/fever/N/V,fatigue
    dec estrogen/androgen metabolism
    dec CHO, protein, fat metabolism

          

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