Liver Assessment

Question 1

What can indicate liver disease upon physical assessment?

Answer 1

1. jaundice
2. ascites
3. hepatic encephalopathy

Question 2

What do LFTs >1000 indicate?

Answer 2

1. viral hepatitis
2. ischemic liver injury
3. drug-induced liver diasease

Question 3

What does an AST:ALT ratio of 2-3:1 indicate?

Answer 3

alcohol-related liver injury

Question 4

What does an AST:ALT ratio of >10:1 indicate?

Answer 4

Wilson’s disease

Question 5

What is synthetic liver function?

Answer 5

1. INR
2. Albumin
3. Bilirubin

Question 6

What causes jaundice?

Answer 6

liver isn’t working –> high unconjugated bilirubin

Question 7

What indicates an issue with the biliary tract?

Answer 7

high conjugated bilirubin

Question 8

What can be elevated in liver disease but is non-specific and can also indicate mononucleosis or bone metastases?

Answer 8

Alkaline phosphate

Question 9

What does the MELD score predict?

Answer 9

3-month mortality of end-stage liver disease

Question 10

What does a high MELD score predict?

Answer 10

high chance of death

Question 11

What does Child-Pugh class A mean?

Answer 11

less severe liver disease

Question 12

What does Child-Pugh class B mean?

Answer 12

moderately severe liver disease

Question 13

What does Child-Pugh class C mean?

Answer 13

most severe liver disease

Question 14

What does high unconjugated and high conjugated bilirubin indicate?

Answer 14

Alcohol induced liver disease
Toxic liver failure