Liver disorders Quiz Part 2
By:Mohamed Mamdouh 
Inflammation of the liver caused by viruses,bacteria,toxins,chemicals 
Jaundice
Liver cirrhosis
Hepatitis 
Bleeding esophageal varices
Called infectious and epidemic hepatitis 
Hepatitis B
Hepatitis C
Hepatitis D
Hepatitis A
Transmitted via watter or food contaminated with infected matter 
A) Hepatitis A
 B) Hepatitis E
C) Hepatitis C
Both A,B
Transmitted by contact of blood and contaminated medical equipment 
A) Hepatitis A
B) Hepatitis B
C) Hepatitis C
Both ( B , C)
Transmitted by blood transfusion 
Hepatitis B
Hepatitis C
Hepatitis G
All of the above
Transmitted precutaneously  through skin or mucous membranes 
Hepatitis E
Hepatitis D
Hepatitis G 
Hepatitis C
Caused by a virus known as the delta agent 
Hepatitis E
Hepatitis D
Hepatitis G 
Hepatitis C
Exist only with other viral infections and don't cause chronic hepatitis by itself
Hepatitis E
Hepatitis D
Hepatitis G 
Hepatitis C
The course of the hepatitis diseases is marked by 
Pre-icteric phase 
Icteric phase 
Post-icteric phase 
All of the above
Usually unrecognized phase and symptoms are flu like
Pre-icteric phase 
Icteric phase 
Post-icteric phase 
All of the above
The start of real hepatitis symptoms 
Pre-icteric phase 
Icteric phase 
Post-icteric phase 
All of the above
Pericteric phase lasts to 
1-21 days
2-4 weeks 
Several months 
None of the above
Icteric phase  lasts 
1-21 days
2-4 weeks 
Several months 
None of the above
Post-icteric phase lasts 
1-21 days
2-4 weeks 
Several months 
None of the above
Which of the following is complication of hepatitis 
Chronic hepatitis
Severe liver failure
Liver cirrhosis 
All of the above
Which of the following enzymes is found high in blood when liver cells is damaged
Aspartate aminotransferase (AST)
Alanine aminotransferase (ALT)
Glutamytranspeptidase(GGT)
All of the above
Is treated with a course of an alpha-interferon and antiviral drugs
Hepatitis C
Hepatitis A
Hepatitis E
Hepatitis B
Is treated with peginterferon alfa-2a,ribavirin and protease inhibtor
Hepatitis C
Hepatitis A
Hepatitis E
Hepatitis B
Which of the following indicates hepatitis 
Prolonged PT 
Urinary bilirubin and urobilinogen elevated 
Normal or low albumin 
Normal or high gamma globulin 
All of the above
What diet should a hepatitis patient follow 
A) low calorie diet 
B) high calorie diet 
C) high carbs-protein 
Both B,C
Vaccines are available to immunize people against 
Hepatitis E , G
Hepatitis A ,B 
Hepatitis A, D 
Hepatitis E,C
Adults at age of 40 who are exposed to hepatitis A are given 
HAV vaccine 
Immune globulin (IG)
Antibiotic 
Sedatives
Adults at over age 40 who are exposed to hepatitis A are given 
HAV vaccine 
Immune globulin (IG)
Antibiotic 
Sedatives
Progressive disease characterized by degeneration and destruction of liver cells
Jaundice 
Hepatitis 
Liver cirrhosis 
Hepatic encephalopathy
Caused by exposure to alcohol ,liver enlarges and becomes knobby 
Postnecrotic cirhosis 
Alcoholic cirrhosis 
Cardiac cirrhosis 
Biliary cirrhosis 
Can be a complication of hepatits in which massive liver cell necrosis occurs 
Postnecrotic cirhosis 
Alcoholic cirrhosis 
Cardiac cirrhosis 
Biliary cirrhosis 
Develops as a result of obstruction to bile flow 
Postnecrotic cirhosis 
Alcoholic cirrhosis 
Cardiac cirrhosis 
Biliary cirrhosis 
Venous congestion and hypoxia lead to necrosis of liver cells
Postnecrotic cirhosis 
Alcoholic cirrhosis 
Cardiac cirrhosis 
Biliary cirrhosis 
Cardiac cirrhosis follows severe 
Left-sided heart failure
Right-sided heart failure
Both-sided heart failure 
Non of the above
Which of the following  sign and symptoms are hematological of liver cirrhosis  
Dyspepsia 
Spider angiomas
Flatulence 
Thrombocytopenia 
Which of the following  sign and symptoms appear on skin  of liver cirrhosis 
Dyspepsia 
Spider angiomas
Thrombocytopenia 
Anorexia 
Which of the following complications the liver is unable to detoxify ammonia 
Esophageal varices 
Hepatic encephalopathy
Hepatorenal syndrome 
Spontanenous bacterical peritonitis
Distended engroged vessels cause bleeding from the varices and considered medical emrgency 
Esophageal varices 
Hepatic encephalopathy
Hepatorenal syndrome 
Spontanenous bacterical peritonitis
Renal failure due to redistribution of blood flow from kidneys or hypovolemia 
Esophageal varices 
Hepatic encephalopathy
Hepatorenal syndrome 
Spontanenous bacterial peritonitis
First medication  treatment for esophageal varices bleeding patient 
Metronidazole 
Antibiotic 
Intravenous octreotide ( sandostatin)
Anti-inflammatory 
Which of the following vitamins is given to esophageal varices bleeding patient
Vitamin A
Vitamin D
Vitamin K
Vitamin C
Which of the following treatments a solution is injected to varices or into the veins
Intravenous octreotide
Sclerotherapy
Esophageal gastric 
Ligate varices 
Which of the following treatments a ballon tube ay be used to apply dircet pressure 
Intravenous octreotide
Sclerotherapy
Esophageal gastric 
Blood transfusions
Ammonia in systemic circulation without liver detoxification 
Esophageal varices 
Spontanenous bacterial peritonitis
Hepatorenal syndrome 
Hepatic encephalopathy 
The level of consciousness  changes from lethargy to coma with hyperventilation and hypothermia in
Esophageal varices 
Spontanenous bacterial peritonitis
Hepatorenal syndrome 
Hepatic encephalopathy 
A cathartic that promotes elimination of ammonia from the colon and discourages growth of bacteria by making contents more acidic  
Esophageal gastric 
Sclerotherapy
Lactulose(cephalac)
None of the above
Which of the following is restricted in hepatic encephalopathy 
Vitamins 
Protein 
Antibiotics 
All of the above
Which of the following medications is given to hepatic encephalopathy patient
Sandostatin
NSAIDs
Nemoycin 
Beta-adrenergic blockers
May be treated with vasoconstrictor , diuretic therapy and water&salt restrictions 
Hepatic encephalopathy 
Esophageal varices 
Spontanenous bacterial peritonitis
Hepatorenal syndrome 
Should be given to a hepatorenal syndrome patient with diuretic therapy
 A)water&salt
B)NSAIDs
C) albumin 
Both A , B
A newer study that uses ultrasound technology to measure liver stiffness
Lactulose(cephalac)
Transient elastography
Sclerotherapy 
MRI
Which of the following diets is given to liver cirrhosis patient with ammonia level elevated 
High carbohydrates and protein
Moderate carbohydrates and protein 
High carbohydrates and low protein 
None of the above
Is treated with antibiotics and albumin is given to prevent renal dysfunction associated with INFECTION 
Hepatic encephalopathy 
Esophageal varices 
Spontanenous bacterial peritonitis
Hepatorenal syndrome 
Used to reduce portal pressure which decreases the risk of varices and hemorrhage 
Metronidazole 
NSAIDs
Neomycin 
Beta-adrenergic blockers
For liver cirrhosis patients food should 
A) solid 
B) liquid 
C) semisolid 
Both B ,C
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