Liver Function Flashcards

1
Q

Hepatic artery provides __% of the total blood supply to the liver while portal vein provides __%.

A

25%, 75%

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2
Q

Liver cells that line the sinusoids which are capable of engulfing bacteria, debris, and toxins

A

Kupffer cells

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3
Q

Type of jaundice that yields a gray-colored stool and increased conjugated bilirubin

A

Post-hepatic jaundice

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4
Q

Inherited disturbance of bilirubin metabolism caused by a genetic deficiency of UDPGT

A

Criggler Najjar Syndrome

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5
Q

Intermittent unconjugated hyperbilirubinemia in the absence of hemolysis and underlying liver disease due to a defective conjugation system

A

Gilbert’s Syndrome

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6
Q

Deficiency of canalicular multidrug resistance/multispecific organic anionic transporter protein (MDR2/cMOAT); obstructive hyperbilirubinemia

A

Dubin-Johnson Syndrome

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7
Q

Conjugated hyperbilirubinemia due to a defective excretion; idiopathic

A

Rotor’s Syndrome

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8
Q

Enzymes involved in the elimination of alcohol by the liver

A

Alcohol dehydrogenase and acetaldehyde

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9
Q

Total protein and A/G ratio are tests done to check what function of the liver?

A

Synthetic

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10
Q

What test determines the liver’s detoxifying function?

A

Quick’s or Hippuric Acid Test

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11
Q

Which fraction of bilirubin is increased in physiologic jaundice of the newborn?

A

Unconjugated

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12
Q

Physiologic jaundice among infants is caused by deficiency of which enzymes?

A

Glucoronyl transferase and UDPGT

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13
Q

___% of the daily production of cholesterol is produced by the liver.

A

70

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14
Q

Jaundice becomes noticeable to the eye once bilirubin levels reach ___mg/dL.

A

> 3.0

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15
Q

Defined as the deposition of bilirubin in the brain; common among infants with Crigler-Najjjar syndrome

A

Kernicterus

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16
Q

The danger of kernicterus is a certainty at levels exceeding ___mg/dL.

A

20

17
Q

Dubin-Johnson is caused by a deficiency of the ____ protein.

A

Canalicular transporter protein (MDR2/cMOAT)

18
Q

What is the most common malignant tumor of the liver?

A

Hepatocellular carcinoma

19
Q

In Reye’s syndrome there is mild ____bilirubinemia & threefold changes in ____ & ____.

A

Hyper; ammonia; aminotransferases

20
Q

What is the most important drug which can cause liver damage?

A

Ethanol

21
Q

Unconjugated bilirubin is ____ attached to bilirubin.

A

Noncovalently

22
Q

What is the bilirubin fraction that is covalently attached to albumin?

A

Delta bilirubin

23
Q

If left unprotected from light, bilirubin values may reduce by ____% per hour.

A

30-50

24
Q

What is the composition of Ehrlich’s reagent?

A

para-dimethylaminobenzaldehyde

25
Q

This enzyme is not present in bone and can be used to differentiate ALP results; more sensitive to metastatic disease.

A

5’-nucleotidase