Medical consequences of alcohol excess - Week 6

Question 1

How many ml of alcohol equates to 1 unit of alcohol?

Answer 1

10ml

Question 2

How many units does a standard bottle of beer equate to?

Answer 2

1.6 units

Question 3

How many units does a medium glass of wine equate to?

Answer 3

2.3 units

Question 4

How many ml of spirits is 1 unit of alcohol?

Answer 4

25ml

Question 5

Give some acute GI issues that can be caused by excess alcohol consumption.

Answer 5

Oesophagitis, Gastritis/ulceration

Acute Pancreatitis

Question 6

Chronic excess alcohol consumption can cause issues with which GI organs?

Answer 6

Stomach, pancreas, liver

Question 7

Give 4 cardiovascular effects of chronic excess alcohol consumption.

Answer 7

Hypertension
Cardiomyopathy
Myocardial infarction
Stroke

Question 8

Give 4 CNS effects of chronic excess alcohol consumption.

Answer 8

Neuropathies
Cerebellar degeneration
Dementia
Wernicke-Korsakoff’s syndrome

Question 9

Exposure of children to alcohol in utero may cause…

Answer 9

Foetal Alcohol Syndrome

Question 10

Foetal Alcohol Syndrome results in…

Answer 10

growth deficiency, mental retardation/intellectual impairment, attentional learning disabilities & behavioural problems

Question 11

How is alcohol metabolised?

Answer 11

Alcohol Dehydrogenase converts Ethanol to Acetaldehyde which is then converted to acetate by Aldehyde Dehydrogenase.

Question 12

What is meant by Steatosis?

Answer 12

Fatty liver disease

Question 13

What is meant by steatohepatitis?

Answer 13

Alcoholic Hepatitis

Question 14

Is Cirrhosis reversible?

Answer 14

No

Question 15

The majority of heavy alcohol abusers will develop…

Answer 15

Steatosis

Question 16

Give clinical signs of chronic liver disease.

Answer 16

spiders, fetor, encephalopathy, prolonged prothrombin time, hypoalbulinaemia

Question 17

Give clinical signs of portal hypertension.

Answer 17

caput medusa
hypersplenism
Thrombocytopenia

Question 18

How is Cirrhosis graded?

Answer 18

Childs-Turcotte-Pugh score

Question 19

Give some clinical features of alcoholic hepatitis.

Answer 19

hepatomegaly, fever, leucocytosis, hepatic bruit

Question 20

Which score is used to estimate survival in alcoholic hepatitis?

Answer 20

Glasgow Alcoholic Hepatitis Score (GAHS)

Question 21

What is short-term treatment for alcoholic hepatitis?

Answer 21

Prednisolone