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5 Written questions

5 Matching questions

  1. phases of hepatitis: icteric
  2. chronic pancreatitis
  3. hepatitis etiologies
  4. hepatic encaphalopathy
  5. water soluble bilirubin
  1. a portal HTN => dec liver metab => inc ammonia/toxin => blood and BBB => GIB byproducts => irritability, convulsions, coma
  2. b DM and cancer of pancreas
  3. c viral, bacterial, parasitic, EtOH, drugs, toxins, transfusion reaction, autoimmune
  4. d direct or conjugated bilirubin
    liver has acted on
  5. e jaundice 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 Multiple choice questions

  1. in gallbladder, common bile duct, common bile duct and pancreatic duct
  2. RBC destruction by macrophage => heme + globin

    globin => amino acid pool
    heme => iron => transferrin => ferritin

    heme => biliverdin
  3. severe liver dz (cirrhosis, hepatitis) => alters microvascular structure of liver
    inc BP in portal venous system => >10mmHg
  4. higher risk if older, have liver dz, drink EtOH, femal, genetic liver enz defects
  5. acute: mild with few to no s/s
    severe => liver necrosis/failure => life threatening
    usually regenerate but may lead to cirrhosis and chronic liver problem

5 True/False questions

  1. cholecystitis s/ssevere pain RUQ abd
    N/V
    fever
    inc WBC
    inc bilirubin
    inc alkaline phospatase

          

  2. pancreatitis: acute inflammationinc amylase and inc lipase

          

  3. pancreatitis pathologyinflam of liver => varying severity of hepatic cell damage => kupffer cell hyperplasia => infiltration of phagocytes to necrosis and scarring => alters microvasculature => portal HTN => liver failure and death

          

  4. phases of hepatitis: recoveryjaundice 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. hepatitis Ctransmission: parental/body fluids, sexual, vertical
    s/s: absent but LFT positive for HCV
    HC antigen and anti-HCV antibody
    90% chronicity
    20% => cirrhosis

          

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