Alchol liver disease

Question 1

weekly recoomned units for men and women

Answer 1

14

Question 2

is Gamma- glutamyl transpeptidase raised or lowered in liver disease

Answer 2

raised

Question 3

time taken for alchol withdral syndomre after last drink

Answer 3

24 to 72 hours

Question 4

symptoms of alchol withdrawl

Answer 4

Sweating
Tachycardia
Hypertension
Anxiety
Headache
Insomnia
Visual hallucinations
Weakness
Nausea
Retching
Vomiting
Seizures

Question 5

what are benzodiazepine examples

Answer 5

diazepam, chlordiazepoxide or lorazepam

Question 6

what drug treatment is needed for wirther of alchol

Answer 6

benzodiazepine and thipaine (b1)

Question 7

is depression alsong encephglogctoy

Answer 7

yes

Question 8

highest alchol morbity nation in uk

Answer 8

scotland

Question 9

what is the intermedialy of alchol absobsiton

Answer 9

acetaldehyde

Question 10

how is ethanol convred to acealdehyd

Answer 10

though nad, to nahd by alhcol dehydrogenase
or
nadph to nadp+ by cytochrome p4502e1

Question 11

how s acetaldehyde turned to acetate

Answer 11

by nad, to nahd though acetaldehydae dehydrogenase

Question 12

what is the dangeer alchol chemcial for liver

Answer 12

increased acetyldeh hydrate
and increas in nadh ration

Question 13

what is steatotois

Answer 13

fatty liver disease

Question 14

what is steatohepatisis

Answer 14

fatty liver with inflaiton
neurophiliic inflation
fibrosis, cirrhosis, build up of scar tissue

Question 15

what is the cage questionalr for alchol

Answer 15

cut down alchol- ever felt need to
Annoyed - by someone cirtisied your during
guilty - about drinking
eyeopner - do you need one

Question 16

how many units of alchol are in
a - glass of wine
b - shot
c - normal cider/ beer/ larger
d - bottle of wine

Answer 16

a - 2
b - 1
c- 2
d - 9

Question 17

what score of fast is an immediate stop

Answer 17

3 or 4

Question 18

first quetion on fast

Answer 18

having more than 6 units female or 8 unit male on single occasion

Question 19

what are te cut off vales ofr the audio queson scoring for alchol

Answer 19

0-7 low risk
8-15 increasing risk
16-19 high risk
20+ possible dependence

Question 20

signs of chroci liver diease on hands

Answer 20

leukonychima, dupuytens contracure, hepatic flap, clubbing, palmar erythema

Question 21

general signs of alhcol liver disease

Answer 21

skin pigmentation
loss of hair
brusing
cachexia (muscle waisting)

Question 22

what are the chest signs of alcholic liver disease

Answer 22

gynaemaosiam, breast atrophy, spider neuvid

Question 23

what are the testiclar signs of alchol liver disea

Answer 23

atrophgy

Question 24

what are the face signs of alcholic liver diseaw

Answer 24

jaunice, parotid gland enlargement
xanthelsma

Question 25

what are the leg sings of chic liver diseas

Answer 25

scratch marks and odema

Question 26

what ar teh abdomial signs of chrnic liver disease

Answer 26

asceites, hepatomelagly, dialted umbillac vessles , splenomegaly

Question 27

what are the lab finds for alchol ilvier disease

Answer 27

aat >alt rasied gamma glutamyl tranferase macrocytosi trhombocytopenia

Question 28

what does gamma glucatml tranfaere indicate

Answer 28

liver or bile duct damage

Question 29

what are the 4 grades of hepatic encephalopathy

Answer 29

1- mild confusion 4- comatosed

Question 30

caues of hepatic encepholoapgy

Answer 30

infection, drugs, constiapation, gi bleed, electorlyte distubance

Question 31

what are alternative diagnos for hepatic encephaolpathy

Answer 31

infecton, hyypoglycaemia, intracrainal bleed

Question 32

treatment fo hepatic encephalogpy

Answer 32

bowwl clear out, laculsoe, enema, antibioci, itu, airway suppor, ng tube for meds

Question 33

what are the symptons of sponateus bacterial peritoneis

Answer 33

abdomal pain, fevour , rigos, renal imparime , sepsi, tahcaria, temp

Question 34

why do you tap sponatsu bacterial peritonitis

Answer 34

fluid prion adn glucose levles cutlres white cell count

Question 35

treatment for spontaous bactial periotnais

Answer 35

iv antibioc ascitic fluid drin iv albumin infusion

Question 36

what is acute bactieal periotnsi

Answer 36

acute infeiction of asciteis

Question 37

presntaion of alcholic hepatis

Answer 37

jauicne, encephalopathy, infection, decopais hepatic fucniton

Question 38

sings of decomapti hepatic fucton

Answer 38

low albumin and rised prothorbin time

Question 39

change in biochemcial in alhcol hepatis

Answer 39

raised bilirubin, riased ggt and alkp

Question 40

treatme for alcholic hepatis

Answer 40

supportive treat encepaholy trat alchol withdraw protect against gi bleed protect airway

Question 41

tratme fo ralchol withde

Answer 41

bendodiapiens

Question 42

what grade on the galsgow alcholidd hepatisi score do you need for sternodi to be worth it

Answer 42

9 or hgiher

Question 43

what grade do you need to be on maddrey discriment fucniton to treat with oral steroids

Answer 43

32

Question 44

how to offer ntuion for alcoli hepatis

Answer 44

ng tube with high nution frequent feeds

Question 45

benfiit of nutrion in alhcolhepis

Answer 45

changes 2 year survi form 15% to 70%

Question 46

what are the cause of fatty liver diseae

Answer 46

obesity diabes hypercholsia

Question 47

signs of steathopais

Answer 47

raised alanine amio transfase fatty fliver on uss