Acing the boards Liver 2

Question 1

Favorable biomedical indicators in liver failure

Answer 1

-hypophosphatemia
-Elevated AFP (>4 after ALT peaks)
-Elevated factor V

Question 2

Persistent hypotension in ALF

Answer 2

Adrenal insufficiency

Question 3

fascioliasis treatment?

Answer 3

Nitazoxanide

Question 4

Shepherd + infection

Answer 4

fascioliasis, echinococcus

Question 5

Infection +
New Serum sickness

Answer 5

Schistosomiasis

Question 6

Right lobe liver cyst (infection)

Answer 6

Amebiasis, echinococcus

Question 7

New LFT elevation + new Transverse myelitis

Answer 7

Schistosomiasis

Question 8

Abscess with “anchovy paste”

Answer 8

Amebiasis

Question 9

New Liver injury + new Epilepsy

Answer 9

Schistosomiasis

Question 10

Uncooked fish + liver infection

Answer 10

Chlonorchis

Question 11

Portal HTN without signs of cirrhosis + infection

Answer 11

Schistosomiasis

Question 12

Contaminated freshwater plants + infection

Answer 12

Fascioliasis

Question 13

Found unconscious with hepatic bruit

Answer 13

Alcoholic hepatitis

Question 14

HBV cirrhosis + with hepatic bruit

Answer 14

HCC

Question 15

cystic mass in the gastroduodenal ligament between the pancreatic head and left liver lobe + hepatic bruit

Answer 15

extrahepatic hepatic artery aneurysm (

Question 16

Cirrhosis + ascultative hum over umbilicus

Answer 16

Cruveilhier-Baumgarten murmur.

Caput Madusae causing reversal of blood flow from the liver into the abdominal veins

Question 17

Liver laceration s/p repair + new hepatic bruit

Answer 17

traumatic arteriovenous (AV) fistula

Question 18

Mushroom ingestion + ALF

Antidote?

Answer 18

Amanita

milk thistle and penicillin G

Question 19

Cirrhotic with new Problems with balance while ambulating - vitamin deficiency?

Answer 19

E

Question 20

positive AMA with histologic evidence of AIH but without histologic evidence of PBC?

Answer 20

AMA-positive AIH.

Question 21

Traveler to India + hepatitis

Answer 21

HEV

Question 22

Large liver cysts + intracranial aneurysm

Answer 22

ADPKD

Question 23

Most common malignancy after OLT

Answer 23

Squamous cell skin cancer

Question 24

SAAG >1.1, ascitic total protein >2.5, fatigue, constipation, hair changes, and a low ALP.

Answer 24

Hypothyroidism

Question 25

Developed gray hair early in life, now with dyspepsia, macrocytic anemia, and a low ALP.

Answer 25

Pernicious anemia

Question 26

20-year-old woman presents with acute hepatitis, hemolytic anemia, and a depressed ALP level.

Answer 26

Wilson’s disease

Question 27

Crohn’s disease + low ALP

Answer 27

Zinc deficiency

Question 28

Compare treatments for Wilson’s disease?

Answer 28

Trientine is less potent than D-penicillamine but has a much more favorable side-effect profile

Question 29

High Transaminases Without jaundice + immunocompromised + Leukopenia + Abdominal pain

Answer 29

HSV hepatitis

Question 30

ground-glass hepatocytes on liver biopsy.

Answer 30

HBV

Question 31

Pregnancy + jaundice + elevated serum bile acids

Answer 31

cholestasis of pregnancy

Question 32

Delivery by a woman who has acute fatty liver of pregnancy - test the baby for this?

Answer 32

LCHAD deficiency