Anc Exam V Chpt 39

Front 1

Asterixis

Back 1

involuntary flapping movements of the hands associated with metabolic liver dysfunction.

Front 2

Balloon tampondae

Back 2

use of balloons placed with the esophagus and proximal portion of the stomach and inflated to compress bleeding vessels.

Front 3

Cirrhosis

Back 3

a chronic liver disease characterized by fibrotic changes and the formation of dense connective tissue within in the liver, subsequent degenerative changes, and loss of functioning cells.

Front 4

Constructional apraxia

Back 4

inability to draw fingers in two or three dimensions

Front 5

Fector hepaticus

Back 5

sweet, slightly fecal odor to the breath, presumed to be of intestinal origin.

Front 6

OLT

Back 6

grafting of a donor liver into the normal anatomic location, with removal of the diseased native liver.

Front 7

OTL =

Back 7

Orthotopic liver transplantation

Front 8

Portal hypertension

Back 8

elevated pressure in the portal circulation resulting from obstruction of venous flow into and through the liver.

Front 9

Sclerotherapy

Back 9

the injection of substances into or around esophagogastric varices to cause constriction, thickening and hardening of the vessel and thus to stop bleeding.

Front 10

Variceal banding

Back 10

procedure that involves the endoscopic placement of rubber bank like device over esophageal varices to ligate the area and stop bleeding.

Front 11

Xenograft

Back 11

transplantation of organs from one species to another.

Front 12

What organ manufactures and secretes bile

Back 12

The Liver

Front 13

How much does the liver wt?

Back 13

1200 to 1500g

Front 14

The Liver has how man lobes

Back 14

Four

Front 15

The blood that perfuses the liver comes from two sources

Back 15

80% Portal Vein (rich in nutrients) , Hepatic Artery (rich in Oxygen).

Front 16

Hepatocytes & Phagocytic cells belonging to the ________________ system are present in the liver.

Back 16

Reticuloendothelial

Front 17

This phagocytic cell engulfs matter (bacteria that enters the liver through portal blood.

Back 17

Kupffer Cell

Front 18

True or False the Liver secrets bile continuously

Back 18

True

Front 19

True or False Bile emulsifies Fat?

Back 19

True

Front 20

True or False Bile is greenish brown viscous fluid containing blie salts, cholesterol, bilirubin, electrolytes & water?

Back 20

False Yellow bown

Front 21

Name vitamins stored in the liver

Back 21

Vitamins A, D, B12, E, K, FE and Copper.

Front 22

Another name for Liver cells is

Back 22

Hepatocytes

Front 23

When fat enters the duodenum , this stimulates the releases of this hormone… which acts to relax the sphincter of Oddi

Back 23

CCK-PZ Cholecystokinin-pancroezymin

Front 24

The ______ duct from the liver joins the ______ duct from the gallbladder to from the _______ _____ duct which empties into the duodenum.

Back 24

hepatic , cystic, common bile

Front 25

The Liver is responsible for the metabolism of

Back 25

Carbohydrates, Fates, Proteins

Front 26

True or False glycogen to glucose is known as glycogenolysis

Back 26

True

Front 27

List age related changes in hepatobiliary system

Back 27

Decrease in size, wt, repair, blood flow, drug metabolism.

Front 28

The nurse estimates the size of the liver by inspection or percussion of the liver

Back 28

Percussion

Front 29

The liver of a PT with chirrhosis is

Back 29

small and hard

Front 30

The liver of a PT with hepatitis is

Back 30

soft

Front 31

ALT =

Back 31

Alanine Aminotransferase

Front 32

AST =

Back 32

Aspartate aminotransferase

Front 33

GGT=

Back 33

gamma-glutamyl transferase

Front 34

This is commonly associated with hepatic cirrhosis

Back 34

Portal Hypotension

Front 35

What is the diuretic of choice for Ascites

Back 35

Spironolactone (Aldactone)

Front 36

What is a Paracentesis

Back 36

the removal of fluid from the peritoneal cavity through a puncture or a small surgical incision through the abdominal wall under sterile conditions.

Front 37

True or False 5 to 6 L is considered a large Paracentesis

Back 37

True

Front 38

What type of Anesthetic is used in a Paracentesis

Back 38

Local

Front 39

Asterixis may be seen in what stage of encephalopathy

Back 39

Stage II

Front 40

The inability to reproduce a simple figure such as a star is called

Back 40

constructional apraxia

Front 41

Asterixis is present is which Encephalopathy Stages I –IV

Back 41

I, II, III

Front 42

_________ is considered the major etiological factor in the development of Encephalopathy

Back 42

Ammonia

Front 43

What is a sign of medication overdose with Lactulose

Back 43

watery diarrheal stools

Front 44

True or False Sedatives, Tranquilizers & Analgesic medications are Dc’d when treating encephalopathy?

Back 44

True

Front 45

This is the most common type of Cirrhosis

Back 45

Alcoholic Cirrhosis

Front 46

List reasons for Hepatic Dysfunction

Back 46

Alcoholism, Infection, Anoxia, Metabolic Disorder, Hypersensitivity

Front 47

Hemolytic -

Back 47

Red Blood Cell Distruction

Front 48

Hepatocellular

Back 48

Liver Cell Damage

Front 49

S/S Jaundice or Obstruction

Back 49

Dark orange-brown urine and clay colored stools, intolerance to fat, impaired digestion, PRURITIS

Front 50

S/S of Portal Hypertension

Back 50

Ascites, Esophageal Varices

Front 51

TX of Ascites

Back 51

Low Na diet, Diuretics, Bed Rest, Paracentesis, TIPS, Salt-poor albumin

Front 52

This a systemic viral infection that causes necrosis and inflammation of liver cells with characteristic symptoms and cellular and biochemical changes

Back 52

Viral Hepatitis A – E

Front 53

Hepatitis A is transmitted

Back 53

Fecal –oral transmission, Prevention Hand Washing

Front 54

Hepatitis B is transmitted through

Back 54

blood, saliva, semen, vaginal secretions. Also transmitted to infant at time of birth. Prevention Vaccine, Standard precautions.

Front 55

Hepatitis C is transmitted by

Back 55

needle sticks, blood, sexual contact, Prevention Vaccination

Front 56

True or False only a Person with Hepatitis C can contract Hepatitis D

Back 56

False Hepatitis B is needed to contract Hepatitis D.

Front 57

The liver is the frequent site of ________ cancer

Back 57

metastatic