Formative questions Flashcards
The usual time scale for the development of delerium tremens is
3-10 days
which of the following nutritional deficiencies often found following chronic alcohol abuse is associated with Wernicke-Korsakoff syndrome
thiamine
What is the definition of binge drinking for a woman?
greater than 8 units in one day
The liver enzyme ALT is short for
alanine aminotransferase
which clotting factor is not made in the liver
VIII
alkaline phophatase is NOT concentrated in the
lung
Which type of cancer is there strong evidence of an association with alcohol consumption?
breast
what is sometimes used to treat patients with a raised osmolal gap
ethanol
portal hypertension is most associated with
splenomegaly
how many units of alcohol are in 70cl bottle of 40% vodka?
28
Jaundice as a result of alcoholic hepatitis is caused by an accumulation of
conjugated bilirubin
the ligamenum teres within the falciform ligament is formed from which embryological structure?
umbilical vein
In a patient with a severe GI what may be used to assess perfusion?
lactate
the legal age of drinking alcohol whilst at supervised at home is
5
acute pancreatitis is associated with
steroid use
which biochemical finding is commonly seen in patients with established alcoholic liver disease?
hyperbilirubinaemia, resulting in clinical jaundice
which of these is not a recognised feature of dependence syndrome as per ICD
narrowing of repertoire
in a patient with ALD presenting with an upper GI bleed, which of the following provides the most useful information about liver synthetic function
prothrombin time
a patient with LFTs showing a normal GGT, AST and ALT with high Alk Phos is most likely to have
bone disease
which of the drugs below leads to a faster rate of alcohol absorption
domperidone
how many kcals does 1g of alcohol contain?
7
the liver enzyme AST is short for
aspartate aminotransferase
in the normal metabolic pathway the substance from which bilirubin is formed is
biliverdin
fibrosis cirrhosis of the liver is mediated by which type of cell
hepatic stellate cells/ interstitial cells of ito
which of these medications is used for medically assisted alcohol withdrawal
chlordiazepoxide
severe hepatitis is associated with
hepatorenal syndrome
which of the following is a useful screening tool for alcohol dependence disorder
AUDIT
alcohol causes a diuresis because of
decreased ADH levels
what is the definition of binge drinking for a man
greater than eight units in one day
alcohol is known to be associated with
increased precipitation of uric acid
abnormal gait seen in Wernicke’s syndrome is known as an
ataxic gait
dupuytren’s contracture is caused by
scarring of the palmar fascia
in a restraunt today a standard glass of wine (175mls) is likely to contain approximately
2 units
how many units of alcohol are in a 1 litre bottle of premium strength cider
8
in the process of death certification conditions listed under part 2 refer to
conditions contributing to but not directly responsible for death
facial flushing and a general feeling of being unwell is caused by
aldehyde
aspiration pneumonia typically occurs in
the superior segment of the right lower lobe
name 4 signs associated with acute pancreatitis
cullen’s sign, grey turner’s sign, resp failure, caput medusae
