Cirrhosis

Question 1

What is the most common liver cancer?

Answer 1

Heptocellular carcinoma

mostly occurs in the context of chronic liver diseases leading to cirrhosis

Question 2

The 3 most common causes of cirrhosis?

Answer 2

Alcohol
Hepatitis C
NASH

Question 3

What does ascites look like on an ultrasound scan?

Answer 3

Dark

Question 4

Why shouldn’t you use NSAIDS in ascites?

Answer 4

They can induce renal vasoconstriction and diminish diuretic responsiveness

Question 5

Is spironolactone or amiloride better as a diuretic for spironolactone?

Answer 5

Spironolactone

Question 6

Primary prophylaxis of variceal bleeding

Answer 6

Beta blockers and variceal ligation

Question 7

What does lactulose do?

Answer 7

Clears the gut
(you might give it to someone with encephalopathy because that is where ammonia is made)
-You could also give rifaximin

Question 8

When would you give thiamine and vitamin B supplements?

Answer 8

If they are taking excess alcohol