Liver Cirrhosis

Question 1

Common cause of Liver Cirrhosis

Answer 1

Alcoholism

Question 2

What type of Cirrhosis is due to alcoholism?

Answer 2

Laennec’s Cirrhosis

Question 3

Leannec’s Cirrhosis

Answer 3

type of Cirrhosis is due to alcoholism

Question 4

What type of Cirrhosis occurs after a Liver Disease (Viral Infxn)

Answer 4

Post - Necrotic Cirrhosis

Question 5

Post - Necrotic Cirrhosis

Answer 5

What type of Cirrhosis occurs after a Liver Disease (Viral Infxn)

Question 6

What type of Cirrhosis that is due to Bile Obstruction

Answer 6

Biliary Cirrhosis

Question 7

What type of Cirrhosis that is due to Bile Obstruction

Answer 7

Biliary Cirrhosis

Question 8

What type of Cirrhosis that is due to Right CHF ➡️ Liver is deprived of O2 ➡️ Necrosis

Answer 8

Cardiac Cirrhosis

Question 9

Cardiac Cirrhosis

Answer 9

type of Cirrhosis that is due to Right CHF ➡️ Liver is deprived of O2 ➡️ Necrosis

Question 10

Biliary Cirrhosis

Answer 10

type of Cirrhosis that is due to Bile Obstruction

Question 11

Repeated scarring and healing will lead to what?

Answer 11

Hepatomegally

Question 12

What is Hepatomegally

Answer 12

Repeated scarring and healing

Question 13

First sign (Early Sign) of Liver Cirrhosis

Answer 13

Anorexia

Question 14

What is the early sign of hepatic encephalopathy?

Hepatic Coma or Asterixis

Answer 14

Asterixis
- Flapping - Hand Tremors

Question 15

Diet for Liver Cirrhosis

Answer 15

⬇️ fat and ⬇️ Protein

Question 16

What is the cause of Hepatic Encephalopathy

Answer 16

Accumulation of Ammonia in the Brain

Question 17

Flapping - Hand Tremors

• indicates ⬆️ Ammonia in the Brain

Answer 17

Asterixis

Question 18

Stages of Hepatic encephalopathy

Slow / Slurred Speech

Stage 1 (Prodromal)
Stage 2 (Impending)
Stage 3 (Stuporous)
Stage 4 (Comatose)

Answer 18

Stage 1

Question 19

Stages of Hepatic encephalopathy

Asterixis

Stage 1 (Prodromal)
Stage 2 (Impending)
Stage 3 (Stuporous)
Stage 4 (Comatose)

Answer 19

Stage 2 (Impending)

Mental Confusion/ Disorientation

Question 20

Stages of Hepatic encephalopathy

Hypereflexia (Extreme Asterixis)

Stage 1 (Prodromal)
Stage 2 (Impending)
Stage 3 (Stuporous)
Stage 4 (Comatose)

Answer 20

Stage 3

Drowsy NOT AROUSABLE

Question 21

Stages of Hepatic encephalopathy

Seizure

Stage 1 (Prodromal)
Stage 2 (Impending)
Stage 3 (Stuporous)
Stage 4 (Comatose)

Answer 21

Stage 4 (Comatose)

Unresponsive / Unarousable
( - ) Asterixis

Question 22

What is the late sign of Hepatic Encephalopathy if left untreated

Asterixis or Hepatic Coma

Answer 22

Hepatic Coma

Question 23

What causes Anorexia in Liver Cirrhosis

Anorexia - Earliest sign of Liver Cirrhosis

Answer 23

Impaired Metabolism

Question 24

What causes Edema and Ascites

Answer 24

⬇️Albumin
- because of impaired plasma protein

Question 25

What causes Portal HPN

Answer 25

⬆️ pressure in the Portal Vein

Question 26

What causes Esophageal Varices

Answer 26

Due to Portal HPN

Question 27

What indicates rupture of Esophageal Varices?

Answer 27

Hematemesis

Question 28

What is vomiting of blood?

Answer 28

Hematemesis

Question 29

Where do you use Sengstaken - Blakemore Tube

Answer 29

Use to treat ruptured esophageal varices

Question 30

Diagnostic Test for Liver Cirrhosis

Answer 30

Liver Biopsy (Gold Standard Test)

Question 31

Why we give SO4 (Sulfate)

Answer 31

To ⬇️ bacterial content in GIT

Question 32

How to eliminate Ammonia in the lower GI? Lactulose NSS Enema

Answer 32

NSS Enema

Question 33

Eliminate ammonia thru the stool Lactulose NSS Enema

Answer 33

Lactulose

Question 34

What tool should always be available at the bedside of a pt with Sengstaken Blakemore Tube?

Answer 34

Syringe - to deflate the balloon Scissors- to cut the balloon

Question 35

- Dusky / Cyanosis - Dyspnea Indicates what in pt with Sengstaken Blakemore Tube

Answer 35

Indicates that the tube was not in place