liver Flashcards
1
Q
1. Which materials are primarily excreted in the liver? Select one or more: a. bilirubin b. cholesterol c. copper d. iron
A
a/b/c
2
Q
2. The most common cause of severe acute parenchymal liver lesion in the US: Select one: a. acute alcohol intoxication b. mushroom poisoning c. paracetamol overdose d. viral hepatitis e. cocaine overdose
A
c
3
Q
3. Chronic hepatitis is never caused by: Select one of more: a. HDV b. HBV c. HAV D. HCV 4.
A
c
4
Q
4. What percentage of deaths occurring under 70 years of aging Hungary are related to alcohol consumption: Select one: a. 5% b. 10% c. 15% d. 20% E. 25%
A
d
5
Q
5. Clinical signs of liver disease include: Select one or more: a. palmar erythema b. koilonychia c. hypertrichosis d. spider nevi
A
a/d
6
Q
6. Consequences of cirrhosis in the liver: Select one or more: 115 Pathophysiology 1 MCQs - Team effort a. fewer microvilli on the liver cells b. capillarization of sinusoids c. loss of parenchyma d. more collagen production
A
a/b/c/d
7
Q
7. Which infection cannot be prevented by vaccination? Select one: a. HDV b. HAV c. HCV d. HEV e. HBV
A
c
8
Q
8. Laennec cirrhosis is caused by: Select one: a. alcohol b.drug effect c. biliary obstruction d. Wilson's disease e. congestive heart failure.
A
a
9
Q
9. Cirrhosis may cause the following except: Select one: a. bleeding tendency b. spontaneous bacterial peritonitis c. hepatocellular carcinoma d. hepatorenal syndrome e. iron deficiency
A
e
10
Q
- It is true about HCV infection:
Select one or more:
a. there is no effective vaccine against it
b. there is not effective antiviral drug against it
c. it is most likely to turn into chronic hepatitis
d. fulminant course is common
A
a/c
11
Q
11. Both portal hypertension and decreased parenchyma contribute in cirrhotic patients to the development of: Select one or more: a. prolonged protrombin time b. ascites c. hepatic encephalopathy d. splenomegaly
A
b/c
12
Q
- The consequence of an increased NADH/NAD ratio in the liver of alcoholic patients:
Select one or more:
a. MEOS is induced
b. beta-oxidation of fatty acids is inhibited
c. citrate cycle is inhibited
d. gluconeogenesis is inhibited
A
b/c/d
13
Q
13. Which nutrients coming through the portal vein are filtered and stored in the liver? Select one or more: a. fatty acids and monoglycerides b. ketone bodies c. amino acids d. glucose
A
c/d
14
Q
- What is the idiosyncratic reaction?
Select one:
a. severe adverse effect resulting from the interaction of more than two drugs
b. severe adverse effect resulting from the interaction of two drugs
c. when two different drugs have the same adverse effect
d. drug poisoning of mentally retarded people
e. severe adverse effect of a drug administered at the usual dose
A
e
15
Q
- Asterixis is a symptom occurring in hepatic encephalopathy. What is it?
Select one:
a. visual disturbance: seeing star-like lights
b. the name of convulsions seen in this state
c. momentarily losing the ability to hyperextend the wrist joint
d. reading cartoons obsessively
e. reversal of the sleep/wake pattern
A
b
16
Q
16. Alcohol consumption is toxic to the: Select one or more: a. gastrointestinal tract b. nervous system c. liver d. muscle
A
a/b/c/d
17
Q
- In patients with liver failure who have high levels of ammonia in the plasma
select one or more:
a.The activity of glutamine synthetase is increased in the muscle
b.The activity of glutamine synthetase is increased in the liver
c.The amount of glutamate is increased in the synapses of the brain
d.The amount of glutamate is increased in the astrocytes
A
a
18
Q
18. Liver disease may cause select one or more: a.Fatty liver b.Hyperglycemia c.Hypoglycemia d.Bleeding tendency
A
a/b/c/d
19
Q
19. Laënnec cirrhosis is caused by select one: a.Biliary obstruction b.Congestive heart failure c.Alcohol d.Wilson´s disease e.Drug effect
A
c
20
Q
20. Consequence of cirrhosis in the liver select one or more: a.More collagen production b.Fewer microvilli on the liver cells c.Capillarization of sinusoids d.Loss of parenchyma
A
a/b/c/d
21
Q
21. What is the likelihood that an HBV infection become chronic in a newborn? select one: a.0% b.1-10% c.10-20% d.40-50% e.90%
A
e
22
Q
- What is hepatorenal syndrome?
select one:
a.Severe impairment of liver function seen in kidney disease
b.Severe impairment of renal function seen in liver disease
c.Severe lesion of the liver parenchyma seen in kidney disease
d.Any condition in which there is a simultaneous liver and kidney dysfunction
e.Severe lesion of the kidney parenchyma seen in liver disease
A
b
23
Q
- Symptoms of hepatic encephalopathy, except:
Select one:
118
a. foetor hepatis
b. vomiting
c. paralysis
d. asterixis
e. reversal of sleep/wake cycle
A
c
24
Q
24. Foetor hepatis is the name of: Select one: a. alcoholic cirrhosis b. the characteristic smell of the breath of cirrhotic patients c. alcoholic steatohepatitis d. alcoholic steatosis e. the fetal liver
A
b
25
Q
25. Which clinical states are associated with a higher risk for hepatocellular carcinoma? Select one or more: a. NAFLD b. cirrhosis c. NASH d. chronic HBV infection
A
b/d
26
Q
26. Which hereditary condition may cause progressive parenchymal lesion in the liver? Select one or more: a. Gilbert’s syndrome b. hemochromatosis c. Wilson’s disease d. hemophilia
A
b/c
27
Q
27. The increase of which enzyme activity indicates the lesion of liver parenchyma? Select one: a. ALAT b. GGT C. ALP d. LDH e. CPK
A
a
28
Q
28. Which materials are stored in the liver? Select one or more: a. nutrients b. ketone bodies c. iron d. vitamines
A
a/c/d
29
Q
29. In which Viral hepatitis is pregnancy a risk factor for a fulminant course? Select one: a. HEV b. HCV c. HDV d. HAV e. HBV
A
a
30
Q
- The ammonia level of plasma is decreased by the:
Select one or more:
a. decreased activity of glutamine synthetase in the muscle
b. increased activity of glutamine synthetase in the liver
c. increased activity of urea cycle
d. increased intake of proteins
A
b/c
31
Q
31. The tolerance for barbiturates in alcoholics is: Select one or more: a. decreased in the drunken state b. decreased in the sober state c. increased in the drunken state d. increased in the sober state
A
a/d
32
Q
32. Caput medusae” is the name: Select one: a. for dilated capillaries b. for spider nevi c. of the dying jellyfish d. when someone dies from the sting of a jellyfish e. for dilated periumbilical veins
A
e
