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5 Written questions

5 Matching questions

  1. pancreatitis: acute inflammation
  2. cholestatic obstructive syndrome locations
  3. hemolytic jaundice
  4. increase liver enzyems for liver pathology
  5. chronic pancreatitis
  1. a in gallbladder, common bile duct, common bile duct and pancreatic duct
  2. b DM and cancer of pancreas
  3. c fever
    inc WBC (inc bands)
  4. d ALT/SGPT is most sensitive
    alkaline phosphatase
  5. e rapid breakdown of RBCs => exceeds ability of liver to conjugate
    *inc unconjugated (indirect) bilirubin)
    *jaundice skin and sclera, pruritus

5 Multiple choice questions

  1. poisonous mushrooms
    analgesics (tylenol, NSAIDs), anesthetics, statins, some anticonvulsants, anti-fungal, antibiotics
    anabolic steroids, anti-HTN, some herbs, industrial/chemicals/pesticides/herbicides
  2. => dec BS, ascites
  3. 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
  4. ascites
    hypotension due to liver disease can lead to ATN (acute tubular necrosis) & oliguria
    altered Na concentration
    azotemia (inc BUN and inc creatinine)
  5. toxins (EtOH abuse + malnutrition, drugs)
    biliary obstruction
    autoimmune, post-necrotic viral hepatitis syndrome (Hep B/C)
    metabolic defects

5 True/False questions

  1. insoluble bilirubinindirect or unconjugated bilirubin


  2. hepatitis Bacute: 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. veins that empty into portal veinsplenic
    mesenteric arteries


  4. cholecystitis 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


  5. hepatitis etiologiesviral, bacterial, parasitic, EtOH, drugs, toxins, transfusion reaction, autoimmune