Liver function

Question 1

3 key risk factors for liver disease

Answer 1

NAFLD, alcoholic liver disease, hepatitis C

Question 2

7 risk factors for alcoholic liver disease

Answer 2

Alcohol dependence, female, overweight, african, genes, drinking pattern, hepatitis C

Question 3

Why is management of obesity key in hepatitis C treatment?

Answer 3

Obesity can reduce effectiveness of antivirals

Question 4

PEM can lead to 6 consequences (MAEVIR)

Answer 4

Mortality
Ascites worse
Encephalopathy
Variceal bleeds
Infections
Re-admission

Question 5

How can ascites act to worsen PEM?

Answer 5

Early satiety as the pressure results in lower gastric capacity

Question 6

Why could you lose your appetite?

Answer 6

Cytokines

Question 7

3 causes of nausea and vomiting related to liver disease?

Answer 7

Gastropariesis, small bowel dysfunction, bacterial overgrowth

Question 8

Why can alcohol worsen PEM?

Answer 8

B vitamin deficiency, nutrient replacement

Question 9

Taste changes can be caused by deficiency in which 2 nutrients?

Answer 9

Zinc and magnesium

Question 10

Why may zinc and magnesium deficiency occur?

Answer 10

Reduced availability of magnesium; protein metabolism affects zinc plasma transport

Question 11

Key signs of zinc deficiency (IRA Wants Help)

Answer 11

Immune impairment, Rash worse, Appetite change, Wound healing, Hair loss

Question 12

Why is magnesium deficiency not usually related to intake?

Answer 12

Excretion is tightly controlled by kidneys

Question 13

Key signs of magnesium deficiency (My Cramps Are Annoying)

Answer 13

Muscle spasm, Cramps, Arrhythmia, Appetite loss

Question 14

Hypomagnesaemia can be caused by excess ____

Answer 14

hypercalcaemia

Question 15

Hypomagnesaemia can lead to secondary deficiency of which two other micronutrients?

Answer 15

Potassium and calcium