Renal and liver Flashcards

1
Q

The safest local anaesthetic drug to use, utilising an infiltration technique, for a patient with advanced liver disease in order to remove tooth 35 is…

A

Articiane

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2
Q

When providing instructions on first line simple analgesia for a patient with liver cirrhosis, which analgesic medication should be recommended?

A

Paracetamol

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3
Q

The liver is responsible for the production of which clotting factors involved in the coagulation cascade?

A
  • I,II,VII,IX,X and XI
  • Vit K
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4
Q

Other than clotting factors, which product of the liver is essential in achieving haemostasis?

A
  • Thrombopoietin
  • Glycoprotein hormone produced by the liver and kidney which regulates the production of platelets
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5
Q

What is the minimum UKELD score for an individual to be placed on a liver transplant list?

A

49

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6
Q

The faeco-oral route is the main route of transmission for which hepatitis virus?

A

Hepatitis A

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7
Q

Describe liver cirrhosis.

A
  • liver cell necrosis and inflammation
  • followed by replacement with fibrotic tissue and regenerating nodules of hepatocytes
  • vascular derangement
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8
Q

The Dane Particle is found in the serum of patients infected with…

A

Hepatitis B

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9
Q

Non-alcoholic fatty liver diease/Non-alcoholic steatohepatitis are strongly associated with what?

A

Obesity and type 2 diabetes

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10
Q

Sofosbuvir is a treatment given to treat which virus?

A

Hepatitis C

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11
Q

Halothane be responsible for what condition?

A

Drug induced hepatitis

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12
Q

What is hepatocelluar carcinoma?

A

Primary malignancy of the liver

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13
Q

What strain of hepatitis has circular DNA?

A

D

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14
Q

An arteriovenous fistula is provided in which situations?

A

Above the wrist for haemodialysis

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15
Q

Describe the function of the proximal convoluted tubule.

A

Actively reabsorbs glucose, amino acids, uric acid and inorganic salts

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16
Q

Describe the function of the distal convoluted tubule.

A

Na+ is reclaimed by active transport, with water loss by osmosis

17
Q

Describe the function of the collecting tubule.

A

Surplus or waste ions and molecules flow out as urine

18
Q

Describe the function of the loop of henle.

A

Water leaves via osmosis

19
Q

On which day of the week would it be best to schedule dental treatment for a patient who receives dialysis every Monday and Friday?

A

Tuesday

20
Q

What anticoagulant is likely to be prescribed for someone receiving renal dialysis?

A

Heparin

21
Q

What is the action of heparin?

A

Inhibit formation of fibrin

22
Q

What are signs of ESLD?

A
  • jaundice
  • ascites
  • encephalopathy
  • oedema of legs
  • spider angioma
23
Q

What are causes of ESLD?

A
  • hepatitis A/B/C
  • primary hepatocellular carcinoma
  • cirrhosis
  • NAFLD
  • primary biliary cirrhosis
24
Q

What is the function of erythropoietin?

A

Synthesised in the kidneys to stimulate the bone marrow to produce RBCs

25
Q

What is the safe analgesia to recommend to renal patients?

A
  • paracetamol
  • NO NSAIDs
26
Q

What is the safe LA to give to renal patients?

A

Lidocaine