Liver functions

Question 1

What are the main functions of the Liver

Answer 1

Oestrogen regulation
Albumin 
Clotting
Storage
Carb Metabolism
Immunity w/Kuppfer cells
Detoxification
Billirubin Metabolism

Question 2

Oestrogen regulation is important in what disorders (GPS)

Answer 2

Gyno
Palmar Erythema
Spider Navi

Question 3

Albumin regulation is indicated in what liver disease (Think Fluid)

Answer 3

Ascites

Oedema

Question 4

Wilson’s, Haematochromatosis and A1TTD are all types of what liver dysfunction

Answer 4

Liver Storage dysfunction

Question 5

Bilirubin metabolism is indicated with what liver sign

Answer 5

Jaundice

Question 6

What is hepaticencephalopathy

Answer 6

Ammonia accumulates and crosses BBB to accumulate in CNS = Confusion

Question 7

What are the markers of disease in Liver function tests

Answer 7

HIGH Bilirubin
LOW Albumin
HIGH Prothrombin Time/INR

Question 8

Which non specific enzymes suggest liver damage by spilling into the blood

Answer 8

ALT/AST (Found in liver, heart, kidney and muscles)
GGT
ALP

Question 9

ALP is raised in what liver diseases

Answer 9

Billiary tree and Bony pathology

Question 10

GGT is raised in what disease

Answer 10

Alcoholic liver disease

Question 11

AST:ALT

2 : 1 suggests what disease

Answer 11

Alcoholic liver disease w/ Raised GGT

Question 12

AST:ALT

4.5 :1 suggests what liver disease

Answer 12

Wilsons

Hyperthyroid

Question 13

If ALT is greater than AST, what type of liver disease is indicated

Answer 13

Non Alcoholic Fatty Liver Disease