Liver/Pancrease/PKU

Question 1

clotting factor, cholesterol, glucose is made by

Answer 1

liver

Question 2

Hepatic encephalopathy is treated with

Answer 2

lactulose or Dialysis

Question 3

liver failure leads to

Answer 3

bleeding, clotting risk, hyperbilirubinemia (RBC breakdown)

Question 4

Acute viral hep A/E tx

Answer 4

short, self limiting, vaccinate

Question 5

Chronic Hep B (sex) linked with? Tx?

Answer 5

HCC

Peg interferon and liver transplant

Question 6

Hep C is tx with

Answer 6

Ledipasvir (harvani) and sfosbuvir (sovaldi)

Question 7

Hep D treated with

Answer 7

Hep B

Question 8

NASH leads to

Answer 8

Cirrhosis and HCC, risk with APAP

Question 9

Cirrhosis main risk is

Answer 9

EtOH

Question 10

Cirrhosis presents with

Answer 10

jaundice, anorexia, caput medusa, high Cr, low urine output, Portal HTN, Hepatorenal syndrome (liver transplant)

Question 11

HCC main risks

Answer 11

Hep B and C, NASH

Question 12

Acute pan presents with

Answer 12

N/V fever, jaundice, Cullen, Grey Turner.

Question 13

Acute pancreatitis triggers

Answer 13

Gallstone or EtOH

Question 14

Diag of Acute pancreattis

Answer 14

left shift, high amylase, lipase, US and CT (sential loop)

Question 15

How do you treat Acute Pancreatitis?

Answer 15

NPO, stop EtOH, surgery to remove block

Question 16

Chronic Pancreatitis is due to

Answer 16

Stone or EtOH, need to remove stone

Question 17

Diag chronic pancreatitis

Answer 17

CT - lakes

Question 18

Tx of chronic pancreatitis?

Answer 18

Whipple

Question 19

Pancreatic cancer diag?

Answer 19

CT, CA 19-9 and CEA. mostly at the head

Question 20

Amino acid in infants disorders are (3)

Answer 20

PKU, homocysteine, Maple syrup urine.

Question 21

PKU is auto res, and tx is?

Answer 21

No aspartane (pku)

Question 22

PKU presents as

Answer 22

fair skin, musty smell, epilepsy, parkinsonism

Question 23

PKU is diagnosed?

Answer 23

PKU levels, and MRI

Question 24

What hep has the highest risk of chronicdisease?

Answer 24

Hep C

Question 25

HBeAg serologic marker for hepatitis B indicate?

Answer 25

Replication and infectivity.

Question 26

Portal HTN can be treated with>

Answer 26

Spironolactone

Question 27

Spontaneous bacterial peritonitis is treated with

Answer 27

Cefotaxime - ecoli

Question 28

What presents with lipidemia and high alk phose?

Answer 28

Primary biliary cholangitis

Question 29

Which of the following is a common cause of worsening hepatic encephalopathy?

Answer 29

Constipation

Question 30

When do you give cefoxetine to a patient with ascites?

Answer 30

ascitic neutrophil count > 250 cells.

Question 31

What antibiotic is best known for causing aplastic anemia?

Answer 31

Chloramphenicol

and acute hepatitis

Question 32

mcc of adult rectal bleeding is

Answer 32

Hemorrhoids

Question 33

If refractory, or if symptoms are severe, or if the internal hemorrhoid is strangulated, what do you do for hemorroids?

Answer 33

Oper hemorrhoidectomy.

Question 34

How do you diagnose HCV?

Answer 34

RNA PCR test