Deck 38: Liver Diseases

Question 1

Hepatic encephalopathy is associated with

A) hyperbilirubinemia.
B) hyperuricemia.
C) toxic effects of alcohol on brain cells.
D) increased blood ammonia levels.

Answer 1

increased blood ammonia levels.

Question 2

Jaundice is a common manifestation of

A) malabsorption syndromes.
B) anemia.
C) liver disease.
D) cholecystitis.

Answer 2

liver disease.

Question 3

Match the grades of hepatic encephalopathy to the assessment findings.
Stuporous, able to follow commands, marked confusion, slurred speech, liver flap present

A)Grade 1
B)Grade 2
C)Grade 3
D)Grade 4

Answer 3

Grade 3

Question 4

Hepatitis with the presence of autoantibodies and positive antinuclear antibodies (ANA)is

A) hepatitis D.
B) autoimmune hepatitis.
C) hepatitis A.
D) hepatitis B.

Question 5

Match the grades of hepatic encephalopathy to the assessment findings.
Confusion, subtle behavioral changes, no liver flap

A)Grade 1
B)Grade 2
C)Grade 3
D)Grade 4

Question 6

Steatohepatitis is caused by an accumulation of ________ in the liver cells.

A) fat
B) bile
C) acetaminophen
D) ferritin

Question 7

A patient being treated for hepatic encephalopathy could be expected to receive a(n)________diet.

A) low-protein and high-fiber
B) high-protein and high-carbohydrate
C) high-sodium
D) unrestricted

Question 8

An increased urine bilirubin is associated with

A) an increased indirect serum bilirubin.
B) hemolytic reactions.
C) Gilbert syndrome.
D) hepatitis.

Question 9

What form of viral hepatitis is likely to be transmitted sexually?

A) Hepatitis A
B) Hepatitis B
C) Hepatitis C
D) Hepatitis E

Question 10

What laboratory data would support a diagnosis of hemochromatosis?

A) Deficient protease inhibitor
B) Elevated ferritin
C) Elevated urine copper
D) Positive antinuclear antibody

Question 11

________ disease is a rare autosomal recessive disorder in which excessive amounts of copper accumulate in the liver.

A) Kayser-Fleischer
B) Wilson
C) Reye
D) Byler

Question 12

A patient admitted with bleeding related to esophageal varices could be expected to receive a continuous intravenous infusion of

A) glucose.
B) octreotide acetate.
C) anticoagulants.
D) proton pump inhibitors.

Question 13

A patient with a history of alcoholism presents with hematemesis and profound anemia.The expected diagnosis is

A) ascites.
B) cerebral edema.
C) hepatic encephalopathy.
D) gastroesophageal varices.

Question 14

Pathophysiologically, esophageal varices can be attributed to

A) elevated bilirubin.
B) diminished protein metabolism.
C) fluid accumulation.
D) portal hypertension.

Question 15

Hepatitis B is usually transmitted by exposure to

A) hepatitis vaccine.
B) feces.
C) blood or semen.
D) contaminated food.

Question 16

Liver transaminase elevations in which aspartate aminotransferase (AST)is markedly greater than alanine aminotransferase (ALT)is characteristic of

A) viral hepatitis.
B) alcohol-induced injury.
C) cirrhosis.
D) acetaminophen toxicity.

Question 17

An infusion of mannitol would be prescribed to treat

A) varices.
B) encephalopathy.
C) peritonitis.
D) cerebral edema.

Question 18

Brain injury secondary to high serum bilirubin is called

A) hepatic encephalopathy.
B) hepatic meningitis.
C) kernicterus.
D) encephalitis.

Question 19

The most common causes of prehepatic jaundice are ________ and ineffective erythropoiesis.

A) hemolysis
B) metabolism
C) fibrosis
D) canalicular bilirubin transport

Question 20

A viral hepatitis screen with positive hepatitis B surface antigen (HBsAg)should be interpreted as ________ hepatitis B.

A) recovered from
B) immunity to
C) chronic active
D) acute

Question 21

Match the grades of hepatic encephalopathy to the assessment findings.
Drowsy, clear behavioral changes, liver flap present

A)Grade 1
B)Grade 2
C)Grade 3
D)Grade 4

Question 22

Match the grades of hepatic encephalopathy to the assessment findings.
Coma, no liver flap

A)Grade 1
B)Grade 2
C)Grade 3
D)Grade 4