MCQ Liver Review - Dr. Burak

Question 1

Complications of Cirrhosis

Answer 1

1. Variceal bleeding
2. Ascites
3. Encephalopathy
4. Hepatocellular carcinoma (HCC)

Question 2

Approach to Liver Masses

Answer 2

Question 3

Most Often Transmission of Hep B

Answer 3

Vertical transmission.

Question 4

HBeAg

Answer 4

Present in the immune tolerant and the immune clearance phase. After the viral load decreases, HBeAg is negative, and we see Anti-HBe present. One year later, it is okay to stop treatment.

The purpose of treatment is to move the patient from the immune clearance phase to the inactive residual phase quicker. Speed up the natural history.

Question 5

Hep B Clearance in Adults

Answer 5

95% of the time you will clear it.

This is unlike vertical transmission where you likely wont.

Question 6

Cirrhosis and Tylenol

Answer 6

They CAN take tylenol.

Do NOT give NSAIDs.

Question 7

Hereditary Hemochromatosis

Answer 7

Body uptakes excessive amount of iron. Confirmed with genetic testing.

Causes iron overload and is treated with phlebotomy or iron chelation.

Question 8

Wilson’s Disease

Answer 8

Low ceruloplasmin on the screening test. Confirmed with 24 hour urine copper testing. Then chelate the copper.

Question 9

Autoimmune Hepatitis

Answer 9

Severe hepatocellular.

Test with ANA+, ASMA+, increased IgG. Often have other auto-immune diseases. You need a liver biopsy for diagnosis.

Treatment is prednisone + azathioprine.

Question 10

Thrombocytopenia and Cirrhosis

Answer 10

Portal hypertension causes splenomegaly and thus sequestration of platelets.

Question 11

Liver Function Lab Tests

Answer 11

INR and Albumin

Question 12

Varices Treatment

Answer 12

Banding and beta-blockers

Big varices bleed.

Question 13

-dolol

Answer 13

Beta blocker

Question 14

Lactulose

Answer 14

Flushes out the gut. Causes them to be less encephalopathic.