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DDSEP > Acing the boards Liver 2 > Flashcards

Acing the boards Liver 2 Flashcards

1
Q

Favorable biomedical indicators in liver failure

A

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

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2
Q

Persistent hypotension in ALF

A

Adrenal insufficiency

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3
Q

fascioliasis treatment?

A

Nitazoxanide

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4
Q

Shepherd + infection

A

fascioliasis, echinococcus

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5
Q

Infection +
New Serum sickness

A

Schistosomiasis

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6
Q

Right lobe liver cyst (infection)

A

Amebiasis, echinococcus

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7
Q

New LFT elevation + new Transverse myelitis

A

Schistosomiasis

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8
Q

Abscess with “anchovy paste”

A

Amebiasis

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9
Q

New Liver injury + new Epilepsy

A

Schistosomiasis

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10
Q

Uncooked fish + liver infection

A

Chlonorchis

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11
Q

Portal HTN without signs of cirrhosis + infection

A

Schistosomiasis

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12
Q

Contaminated freshwater plants + infection

A

Fascioliasis

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13
Q

Found unconscious with hepatic bruit

A

Alcoholic hepatitis

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14
Q

HBV cirrhosis + with hepatic bruit

A

HCC

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15
Q

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

A

extrahepatic hepatic artery aneurysm (

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16
Q

Cirrhosis + ascultative hum over umbilicus

A

Cruveilhier-Baumgarten murmur.

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

17
Q

Liver laceration s/p repair + new hepatic bruit

A

traumatic arteriovenous (AV) fistula

18
Q

Mushroom ingestion + ALF

Antidote?

A

Amanita

milk thistle and penicillin G

19
Q

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

A

E

20
Q

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

A

AMA-positive AIH.

21
Q

Traveler to India + hepatitis

A

HEV

22
Q

Large liver cysts + intracranial aneurysm

A

ADPKD

23
Q

Most common malignancy after OLT

A

Squamous cell skin cancer

24
Q

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

A

Hypothyroidism

25
Q

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

A

Pernicious anemia

26
Q

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

A

Wilson’s disease

27
Q

Crohn’s disease + low ALP

A

Zinc deficiency

28
Q

Compare treatments for Wilson’s disease?

A

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

29
Q

High Transaminases Without jaundice + immunocompromised + Leukopenia + Abdominal pain

A

HSV hepatitis

30
Q

ground-glass hepatocytes on liver biopsy.

A

HBV

31
Q

Pregnancy + jaundice + elevated serum bile acids

A

cholestasis of pregnancy

32
Q

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

A

LCHAD deficiency

DDSEP (23 decks)

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