Hepatobiliary

Question 1

what is the MCC of liver dz?

Answer 1

acute viral hepatitis

Question 2

what is HCC?

Answer 2

hepatocellular caricinoma

Question 3

what is PBC?

Answer 3

primary biliary cirrhosis

Question 4

what is PSC?

Answer 4

primary sclerosing cholangitis

Question 5

which are the fecal-oral types of virus?

Answer 5

HAV, HEV

Question 6

what is FHF?

Answer 6

fulminate hepatic failure

Question 7

what is the incubation period of HBV?

Answer 7

2weeks to 3months

Question 8

what is a common comorbidity with cirrhosis?

Answer 8

HCC

Question 9

what is MCC of fulminant acute hepatic failure?

Answer 9

acetaminophen

Question 10

what is budd chiari syndrome?

Answer 10

blood vessels become occluded

Question 11

how do you treat acute hepatic failure?

Answer 11

correct metabolic abnormalities and other complications

Question 12

what is a 2g sodium restriction?

Answer 12

pt is not allowed to salt any food in front of them

Question 13

what is a TIPS procedure?

Answer 13

bypass vasculature in the liver and go around it

Question 14

what do all cirrhotic pts always get eventually?

Answer 14

portal HTN

Question 15

with pt in acute hep B phase test surface antigen then do what?

Answer 15

3 mo later test core antibody to identify acute leading to chronic infection

Question 16

what is the role of the kupffer cell?

Answer 16

phagocytosis

Question 17

which vessels bring blood into the liver?

Answer 17

hepatic arteries and portal vein

Question 18

which vessels bring blood out of the liver?

Answer 18

central vein leading to the hepatic vein

Question 19

how should you think about the liver?

Answer 19

brain of the rest of the body

Question 20

what protein metabolism does the liver perform?

Answer 20

synthesis proteins, albumin, prothrombin and fibrinogen

converst NH3 to urea

Question 21

what is gillbere’s disease?

Answer 21

normal LFTs with a high bilirubin

problem with conjugation that happens in times of stress

Question 22

when you deal with the liver, what should you differentiate?

Answer 22

liver injury

liver dysfunction

Question 23

which LFT is more specific to liver inflammation and hepatic necrosis?

Answer 23

ALT

Question 24

what can happen to platelets in late liver dz?

Answer 24

sequestered in the spleen

Question 25

what is the primary serology test that gets elevated in biliary dz?

Answer 25

alk phosph

Question 26

what causes pruritis in gallbladder dz?

Answer 26

alk phosph levels that are high