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20 Cards in this Set

  • Front
  • Back
The most common exogenous cause of liver disease is:

a. Carbon tetrachloride
b. Ethyl alcohol
c. Hepatitis virus
d. Malaria
b. Ethyl alcohol
All but which one of the following are true about acute viral hepatitis B?

a. Can usually be distinguished histologically from infectious hepatitis A.
b. Is often associated with the use of blood products.
c. Has an incubation period of 4 to 26 weeks (average of 6-8 weeks) after exposure.
d. Is more frequently fatal than infectious hepatitis A.
a. Can usually be distinguished histologically from infectious hepatitis A.
Which one of the following descriptions of bile would most likely be associated with the development of gallstones?

a. Increased cholesterol, increased bile salts, increased lecithin
b. Normal cholesterol, normal bile salts, increased lecithin
c. Normal cholesterol, increased bile salts, normal lecithin
d. Increased cholesterol, decreased bile salts, normal lecithin
d. Increased cholesterol, decreased bile salts, normal lecithin
A life-threatening complication of alcoholic cirrhosis of the liver is:

a. Chronic pancreatitis
b. Jaundice and severe itching
c. Massive bleeding from esophageal varices
d. Malabsorption of fat
c. Massive bleeding from esophageal varices
Which one of the following is an essential morphologic finding for making a diagnosis of cirrhosis of the liver from a liver biopsy specimen?

a. Liver cell injury and fibrosis
b. Regeneration of liver cells forming nodules and fibrous bands
c. Lymphocytic infiltration of the liver
d. Acute inflammation around the portal vein area
b. Regeneration of liver cells forming nodules and fibrous bands
Which one of the following would be least likely in a jaundiced patient with obstruction to bile outflow from the liver?

a. Increase only in unconjugated bilirubin in the blood
b. Dark colored urine due to bilirubin (conjugated) excretion
c. Clay (light) colored feces
d. Pruritus (itching skin)
a. Increase only in unconjugated bilirubin in the blood
Which of the following causes of cirrhosis account for a large portion of the cases?

a. Alcoholism
b. Chronic hepatitis
c. Both
d. Neither
c. both
Ascites is the abnormal accumulation of watery fluid in the:

a. Joint space
b. Pericardial cavity
c. Pleural cavity
d. Peritoneal cavity
d. Peritoneal cavity
The accumulation of bilirubin in the blood can be evidenced by symptoms of:

a. Jaundice
b. Bleeding
c. Intravascular coagulation
d. Malnutrition
a. Jaundice
Portal hypertension can lead to all but which one of the following:

a. Jaundice
b. Esophageal varices
c. Splenomegaly
d. Ascites
a. Jaundice
Which of the following groups is least likely to develop gallstones?

a. Older women
b. Young men
c. Native Americans
d. Women who have had many children
b. Young men
Which of the following is not a normal function of the liver:

a. Synthesis of blood clotting proteins
b. Production of eurythropoietin
c. clearance of drugs, etc; by liver excretion
d. Storage of excess glucose as glycogen
b. Production of eurythropoietin
Manifestations of liver disease include all but which of the following:

a. Ascites
b. Bleeding/bruising
c. Polydipsia and polyuria
d. Jaundice
c. Polydipsia and polyuria
Which of the following is not true about hepatitis B:

a. Many persons (5-10%) are asymptomatic carriers of the virus
b. Most (95%) recover completely from the acute infection
c. Disease is transmitted by direct contact or by consumption of contaminated food or water
d. Presence of antibody confers immunity
c. Disease is transmitted by direct contact or by consumption of contaminated food or water
Which of the following is true about hepatitis C:

a. Many persons (5-10%) are asymptomatic carriers of the virus
b. Is most often associated with food or water-borne infection
c. Is most often associated with a high rate of progression to chronic hepatitis and cirrhosis (>50%)
d. Most (95%) recover completely from the acute infection
c. Is most often associated with a high rate of progression to chronic hepatitis and cirrhosis (>50%)
Which of the following is true about bilirubin:

a. The liver conjugates bilirubin to a water-soluble form
b. In normal serum, bilirubin is principally in the conjugated form
c. It is the major component of gallstones
d. Unconjugated bilirubin is excreted by the kidney
a. The liver conjugates bilirubin to a water-soluble form
Increased levels of unconjugated bilirubin in the blood are most often seen with which condition:

a. Stones in the bile duct
b. Hemolytic anemia
c. Hepatitis B infection
d. Hepatocellular carcinoma
b. Hemolytic anemia
Increased levels of conjugated serum bilirubin, observation of jaundice and acholic feces are consistent with:

a. Cirrhosis of the liver
b. Infectious hepatitis B infection
c. A gallstone obstructing the common bile duct
d. Increased hemolysis of red blood cells in a hemolytic anemia
c. A gallstone obstructing the common bile duct
The major constituent of gallstones:

a. Cholesterol
b. Lecithin
c. Bile salts
d. All of the above
d. All of the above
In hepatocellular disease where liver cells are dysfunctional, which of the following is generally true:

a. Liver cells cannot conjugate bilirubin to water-soluble form
b. Increased destruction of RBCs occurs
c. Unconjugated bilirubin is excreted by the kidney
d. Jaundice does not occur
a. Liver cells cannot conjugate bilirubin to water-soluble form