Alcohol related disease

Question 1

What two factors make a person more prone to the affects of alcohol ?

Answer 1

Genetics

Female

Question 2

What acronym is used to ask questions relating to alcoholism ?

Answer 2

C - Have you ever thought about cutting down
A - Have you ever been annoyed by criticism
G - Have you ever felt guilty
E - Do you need an eyeopener

Question 3

What is the recommenced number of units for a male or female per week ?

Answer 3

14 units

Question 4

What is used to grade alcoholism ?

Answer 4

FAST score, more than 3 is fast positive

Question 5

What will be found in blood tests with alcoholics ? (3)

Answer 5

High GGT
Low platelets
High AST/ALT ratio

Question 6

What will be found on an USS in an alcoholic ?

Answer 6

Fatty liver

Question 7

With hepatic encephalopathy grading what is 1 and what is 4 ?

Answer 7

1 is mild confusion

4 is a coma

Question 8

How does spontaneous bacterial peritonitis present ?

Answer 8

• Abdominal pain
• Fever
• Tachycardia

Question 9

How is spontaneous bacterial peritonitis diagnosed ?

Answer 9

Ascitic tap to look at glucose, protein levels, cell count and bacterial cultures

Question 10

How is spontaneous bacterial peritonitis treated ?

Answer 10

IV antibiotics
IV albumin
Drainage

Question 11

How is alcoholic hepatitis managed ?

Answer 11

Thiamine
Frequent feeds
Steroids
Vitamin supplements

Question 12

What does NASH stand for ?

Answer 12

Non-alcoholic steatohepatitis

Question 13

How is NAFLD diagnosed ?

Answer 13

Biopsy and USS

Question 14

What drug class can raise liver enzymes and cause damage but not give symptoms ?

Answer 14

Statins