Disorders of the Liver Flashcards

1
Q

What tumor marker is elevated in liver cancer?

A

Alpha-fetoprotein

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2
Q

A 24 year old returns from an Asian vacation tour and develops fatigue, fever, jaundice and hepatomegaly 3 days later. What is the likely cause?

A

Hepatitis A

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3
Q

Which hepatitis is only associated with hepatitis B?

A

hepatitis D

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4
Q

Which hepatitis can be obtained via blood transfusion and is likely to lead to cirrhosis and liver cancer?

A

hepatitis C

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5
Q

Which viral Hepatitis causes a high infant mortality rate in a pregnant woman?

A

Hepatitis E

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6
Q

A patient has negative Anti-HBc IGG, positive Anti-HBc IGM and positive HBsAg. What is the status of their hepatitis B?

A

acute active hep B (contagious)

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7
Q

A patient has positive Anti-HBc IGG, negative Anti-HBc IGM and positive HBsAg. What is the status of their hepatitis B?

A

chronic hep B

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8
Q

Which of the hepatitis viruses is a DNA virus?

A

Hepatitis B (the rest are all RNA viruses)

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9
Q

What test provides definitive diagnosis of liver cancer?

A

liver biopsy

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10
Q

What is the medical management of ascites due to cirrhosis?

A

Single morning oral doses of spironolactone and furosemide

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11
Q

Which types of hepatitis have available vaccines?

A

Heps A & B

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12
Q

Patient with Hepatitis C is at high risk for which malignancy?

A

Liver cancer

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13
Q

What are the routes of transmission for hepatitis B?

A

Infants: perinatal infection

Adults:
Blood to blood exposure
Sexual
IV drug abuse

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14
Q

What are the routes of transmission for hepatitis A?

A

Fecal-oral

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15
Q

What findings are expected in a patient who is immune to Hepatitis B due to vaccination?

A

HBsAg negative
Anti-HBc negative
Anti-HBs positive

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16
Q

What findings are expected in a patient who is immune to Hepatitis B due to natural infection?

A

HBsAg negative
Anti-HBc positive
Anti-HBs positive

17
Q

List two medications which may cause cholelithiasis?

A

Ceftriaxone and Clofibrate

18
Q

Treatment of chronic autoimmune hepatitis?

A

corticosteroids

19
Q

Treatment of chronic viral hepatitis B or C?

A

Pegylated interferon-alpha