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5 Written questions

5 Matching questions

  1. cholelithiasis s/s
  2. cholestatic obstructive syndrome locations
  3. toxic hepatitis risks
  4. water soluble bilirubin
  5. cirrhosis pathology
  1. a abdominal pain radiating to R scapula
    jaundice if CBD blocked
    heartburn
    flatulence
    fat intolerance
  2. b in gallbladder, common bile duct, common bile duct and pancreatic duct
  3. c direct or conjugated bilirubin
    liver has acted on
  4. d liver inflammation/necrosis =>
    fibrosis
    dec bilirubin metabolism
    pain/fever/N/V,fatigue
    dec estrogen/androgen metabolism
    dec CHO, protein, fat metabolism
  5. e higher risk if older, have liver dz, drink EtOH, femal, genetic liver enz defects

5 Multiple choice questions

  1. transmission: sexual, parental/body fluids, vertical (placental)
    HBsAg, HBcAg, HBeAg
    anti-HBs, anti-HBc, anti-HBe
    5-10% chronicity
    60 days incubation
  2. fever
    inc WBC (inc bands)
    pain
  3. splenic
    gastric
    renal
    mesenteric arteries
  4. stone/tumor CBD
    inc conjugated (direct) bilirubin
  5. HAV: infectious etiology
    HBV: serum etiology
    HCV: non-A non-B
    HDV: delta (have to have co-infection with HBV)
    type E: type of non-A non-B

5 True/False questions

  1. pancreatitis riskEtOH
    biliary blockage
    hyperlipidemia
    smoking
    stones

          

  2. insoluble bilirubindirect or conjugated bilirubin
    liver has acted on

          

  3. toxic hepatitishigher risk if older, have liver dz, drink EtOH, femal, genetic liver enz defects

          

  4. portal HTN: organ complicationsbleeding: 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. cirrhosis: dec CHO, protein, fat metabolism=> dec BS, ascites