Week 4 - Review Session Flashcards
True or false. Fatigue, weakness, nausea, poor
appetite, and malaise are common symptoms
of patients with hepatitis.
a. true
b. false
a. true
Hepatitis = liver inflammation
What causes hepatitis?
Fatty liver Alcohol Medications Viruses Autoimmune Genetic
Which of these is a benign genetic disorder that results is mild jaundice typically during periods of stress?
a. carotenemia
b. Gilbert’s
c. hemolytic anemia
b. Gilbert’s
Dark or tea colored urine can be suggestive of liver disease. What is causing the urine to be dark in a patient with liver disease?
A. Blood in the urine
B. Bilirubin in urine
B. Bilirubin in urine
Which of the following stool colors is suggestive of liver disease?
a. green
b. light or clay colored
c. dark
b. light or clay colored
Pale = not getting bilirubin into the gut in the first place.
What does pruritis mean?
a. pale stool
b. itchy skin
c. yellow eyes
b. itchy skin
What does scleroicterus mean?
a. pale stool
b. itchy skin
c. yellow eyes
c. yellow eyes
True or False. Patients who eat too much carotene typically have a uniform distribution of yellow discoloration in the skin including the eyes.
a. true
b. false
b. false
Jaundice affects the eyes. Carotenemia spares the eyes and most commonly shows up on the face, palms and soles.
True or False. If a patient has jaundice you would expect to see an elevated bilirubin on blood work.
a. true
b. false
a. true
[insert photo] What is this skin finding (suggestive of chronic liver disease) called?
a. spider angiomata
b. telangectasia
c. caput medusa
a. spider angiomata
True or false. Spider angiomata only occur on
the face, legs, and abdomen.
a. true
b. false
b. false
Liver disease shows up in these areas. But spider veins have nothing to do with liver disease.
Which medication is the #1 cause of acute
liver failure in the U.S.?
a. acetaminophen
b. APAP
c. Tylenol
d. paracetamol
e. all of the above are correct
e. all of the above are correct
What is the maximum safe dose of acetaminophen per day?
a. 650mg
b. 1000mg
c. 4000mg
d. 8000mg
c. 4000mg
Which of the following is the cardinal sign of
overt liver failure?
a. ascites
b. caput medusae
c. mental confusion
d. vomiting blood
c. mental confusion (hepatic encephalopathy)
In a patient with advanced liver disease, you note that they have a flapping tremor on flexion of the wrists. What is this called?
a. carotenemia
b. asterixis
c. hepatic encephalopathy
b. asterixis
Which lab test is most suggestive of hepatocellular injury?
a. AST
b. alkaline phosphatase
a. AST
If alkaline phosphatase is elevated, how do you know its liver related? Check GGT levels
If a patient has an abnormal albumin level due to chronic liver disease, what would you expect to see on blood tests?
a. low albumin
b. high albumin
a. low albumin
Low albumin means low protein, and low protein in the blood leads to edema. When edema is in the belly we call it ascites.
Which is more likely to show bilirubin deposition first?
a. eyes
b. skin
a. eyes
True or false. Steatohepatitis in a non- alcoholic patient is synonymous with NASH.
a. true
b. false
a. true
True or false. Steatosis refers to triglyceride
deposition and inflammation in the liver.
a. true
b. false
b. false
YES, Steatosis refers to triglyceride deposition. But it does not refer to inflammation in the liver (-ITIS).
In order to diagnosis a patient with NAFLD, which of the following is true?
a. they must have evidence of fatty liver on liver biopsy
b. they must not drink any alcohol
c. you must rule out other causes, such as viral and autoimmune hepatitis
c. you must rule out other causes, such as viral and autoimmune hepatitis
DX or NAFLD is with ultrasound, not a biopsy. It is cirrhosis that is staged/Dx with biopsy.
Which of the following is NOT equivalent to 1
drink of alcohol?
a. 8 ounces of wine
b. 12 ounces of beer
c. 1.5 ounces of liquor
a. 8 ounces of wine
