MJ Hepatic Lecture

Question 1

what does albumin do?

Answer 1

helps fluid stay in vasculature

Question 2

what important plasma protein does the liver produce?

Answer 2

albumin

Question 3

why is the liver a primary organ for metastasis of intestinal cancer?

Answer 3

filters all blood from GI system

Question 4

pancreas is a _______ and _______ gland

Answer 4

exocrine and endocrine

Question 5

1º fxn of pancreas

Answer 5

exocrine secretion of digestive enzymes

Question 6

pancreas’ endocrine fxn

Answer 6

secretion of glucagon and insulin

Question 7

gallbladder is a reservoir for ______

Answer 7

bile

Question 8

3 biggest concern symptoms for liver disease

Answer 8

confusion, edema, ascites

Question 9

liver metabolizes and detoxifies _________

Answer 9

ammonia

Question 10

________ crosses the blood-brain barrier

Answer 10

ammonia

Question 11

what activities increase portal HTN?

Answer 11

eating and coughing

Question 12

cornerstone of treatment for liver disease

Answer 12

rest

Question 13

liver disease pts have decreased _______ abilities

Answer 13

clotting

Question 14

tremor of hand when wrist is extended seen in liver disease

Answer 14

asterixis

Question 15

liver ______ in size and weight with aging

Answer 15

decreases

Question 16

what happens to blood flow in liver with aging?

Answer 16

diminished

Question 17

6 liver disease complications

Answer 17

1. jaundice
2. cirrhosis
3. portal HTN
4. hepatic encephalopathy
5. hepatorenal syndrome
6. ascites

Question 18

what is ascites?

Answer 18

accumulation of fluid in peritoneal cavity causing swelling of abdomen

Question 19

final pathway of chronic, progressive inflammation of liver

Answer 19

cirrhosis

Question 20

what is cirrhosis?

Answer 20

replacement of normal tissue w fibrotic tissue

Question 21

2 most common causes of cirrhosis

Answer 21

alc abuse/HBV

Question 22

pressure that indicates portal HTN

Answer 22

over 6 mmHg

Question 23

barriers to blood flow _______ portal HTN

Answer 23

increase

Question 24

varices

Answer 24

abnormal blood vessel

Question 25

portal HTN results in ______ in what two locations?

Answer 25

varices rectum and gastroesophageal (most serious)

Question 26

when is portal pressure the highest?

Answer 26

at night and after a meal

Question 27

why can't you lie a pt with ascites in supine?

Answer 27

won't be able to breathe

Question 28

ascites is a result of ______

Answer 28

portal htn

Question 29

position that pt with ascites should be in

Answer 29

high fowler - head of bed raised 18-20 in

Question 30

acute or chronic inflammation of the liver caused by virus, chemical, drug rxn or alc abuse

Answer 30

hepatitis

Question 31

how many different types of hep?

Answer 31

6 - ABCDEG

Question 32

generic term for any rapidly progressing form of liver inflammation that results in hep encephalopathy within a few weeks of developing infection

Answer 32

fulminant hepatitis - F

Question 33

most cases of chronic hep are __________

Answer 33

asymptomatic

Question 34

what quadrant will hep pts have pain in?

Answer 34

upper R

Question 35

prognosis of hep depends on....

Answer 35

development of cirrhosis

Question 36

hep can _____ before symptoms appear

Answer 36

spread

Question 37

how is HAV transmitted?

Answer 37

oral-fecal route

Question 38

major outbreaks of HAV occur when?

Answer 38

when people consume contaminated water or food

Question 39

is HAV acute or chronic?

Answer 39

acute

Question 40

how to transmit HBV

Answer 40

needle stick or mucosal

Question 41

most common cause of chronic hep and liver CA

Answer 41

HBV

Question 42

major risk factor for liver CA

Answer 42

HCV

Question 43

how to transmit HCV

Answer 43

injection drug use

Question 44

HCV is often...

Answer 44

asymptomatic

Question 45

most common type of chronic hep

Answer 45

HCV

Question 46

you have to have ____ in order to have ____

Answer 46

B, D

Question 47

high incidence of HDV among these two groups

Answer 47

IVDA and sexually active people

Question 48

if you have HDV, you are more likely to develop....

Answer 48

HFV and chronic active hep/cirrhosis

Question 49

how to transmit HEV

Answer 49

contaminated water via oral-fecal route

Question 50

is HEV fatal?

Answer 50

na

Question 51

HEV occurs in __________

Answer 51

developing countries

Question 52

prevalent in african countries

Answer 52

HGV

Question 53

how is HGV transmitted?

Answer 53

injection, sexually