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5 Written Questions

5 Matching Questions

  1. cholelithiasis s/s
  2. varices from portal HTN
  3. portal HTN complications
  4. cirrhosis: dec CHO, protein, fat metabolism
  5. #1 cause for liver transplants
  1. a HBV and HCV
    #2 cause is EtOH
  2. b esophageal, hemorrhoids, umbilical
  3. c => dec BS, ascites
  4. d abdominal pain radiating to R scapula
    jaundice if CBD blocked
    heartburn
    flatulence
    fat intolerance
  5. e bleeding: varices => mild (melena) or severe (rupture red/coffe-ground = life threatening)
    bleeding: dec Vit K => dec clotting
    anemia: bleeding, dec storage B vit, dec Fe storage

5 Multiple Choice Questions

  1. 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
  2. ascites
    hypotension due to liver disease can lead to ATN (acute tubular necrosis) & oliguria
    altered Na concentration
    azotemia (inc BUN and inc creatinine)
  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. resolution of jaundice
    dec s/s but hepatomegaly and liver tenderness
    2-12 wks for normalization
  5. altered 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

5 True/False Questions

  1. fibrosis, cirrhosis, cancer in hepatitis CDM and cancer of pancreas

          

  2. cholestatic obstructive syndrome locationsbleeding: varices => mild (melena) or severe (rupture red/coffe-ground = life threatening)
    bleeding: dec Vit K => dec clotting
    anemia: bleeding, dec storage B vit, dec Fe storage

          

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

          

  4. phases of hepatitis: ictericjaundice phase; 2-6 wks
    s/s: jaundice, dark urine, pruritis, clay-colored stools (if obstruction)
    severe => hepatomegaly (tender/painful), s/s of inc estrogen/androgens, CNS changes

          

  5. pancreatitis: other organ damagesfever
    inc WBC (inc bands)
    pain

          

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