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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