Formative Flashcards
Antabuse - a drug used to treat alcoholism work by inhibiting
Select one:
a. alcohol phosphatase
b. alkaline phosphatase
c. aldehyde dehydrogenase
d. aldehyde phosphatase
e. alcohol dehydrogenase
Aldehyde dehydrogenase
Acute pancreatitis is associated with
Select one:
a. opiate use
b. diuretics
c. 2nd generation cefalosporins
d. 3rd generation cefalosporins
e. steroid use
Steroid use
Alcohol is associated with
Select one:
a. an accumulation of lipid in hepatocytes Correct
b. an increased number of plasma cells in portal areas
c. granulomas surrounding bile ducts
d. vascular congestion in portal tracts
e. an accumulation of iron in hepatocytes
An accumulation of lipid in hepatocytes
The legal age of drinking alcohol whilst at supervised at home is
Select one:
a. 5
b. 16
c. 18
d. 10
e. 15
5
The liver is divided into
Select one:
a. 3 segments
b. 8 segments
c. 9 segments
d. 5 segments
e. 2 segments
8
The recommended number of units of alcohol for a man in one week is
Select one:
a. 18 units
b. 16 units
c. 20 units
d. 14 units
e. 21 units
14
The respiratory center of the brain lies within the
Select one:
a. brainstem
b. cerebellum
c. frontal cortex
d. thalamus
e. occipital cortex
Brainstem
Persistent vomiting causing a gastric tear is known as a
Select one:
a. Watermelon stomach
b. Hypertensive portal gastropathy
c. GAVE - gastric antral vascular ectasia
d. Mallory Weiss tear Correct
e. Boerrhave syndrome
Mallory weiss tear
Portal hypertension is most associated with
Select one:
a. hepatomegaly
b. positive Murphy’s sign
c. positive Courvoisier’s sign
d. splenomegaly
e. Cullen’s sign
Splenomegaly
A patient with LFTs showing a normal GGT, AST and ALT with high Alk Phos is most likely to have
Select one:
a. pulmonary disease
b. viral hepatitis
c. recently drunk significant amounts of alcohol (binge drinking)
d. chronic alcoholism
e. bone disease
Bone disease
In general, females become intoxicated more rapidly than males because
Select one:
a. they tend to have a higher BMI
b. they are less accustomed to drinking
c. they consume different types of alcohol
d. they tend to have less alcohol dehydrogenase
e. they tend to have smaller livers
Tend to have less alcohol dehydrogenase
Which nerve supplies the heart?
Select one:
a. phrenic
b. accessory
c. cephalic
d. vagus
e. azygous
Vagus
Which of these microscopic features is NOT present within a portal tract?
Select one:
a. hepatocyte
b. bile duct
c. vein
d. artery
e. lymphocyte
Hepatocyte
Persistent vomiting may result in
Select one:
a. metabolic alkalosis
b. metabolic acidosis
c. respiratory acidosis
d. net normal pH
e. respiratory alkalosis
Metabolic alkalosis
A patient with haematemesis may suffer from
Select one:
a. neurogenic shock
b. cardiogenic shock
c. septic shock
d. hypovolaemic shock
e. anaphylactic shock
Hypovolaemic shock
The recommended number of units of alcohol for a woman in one week is
Select one:
a. 18 units
b. 14 units
c. 16 units
d. 21 units
e. 20 units
14
In a restaurant today a standard glass of wine (175mls) is likely to contain approximately
Select one:
a. 3 units of alcohol
b. 1 unit of alcohol
c. 1.5 units of alcohol
d. 2 units of alcohol
e. 0.5 units of alcohol
2 units
After use of muscle glycogen the liver can produce “new glucose” through
Select one:
a. gluconeogenesis
b. glycophosphorylation
c. glycogenolysis
d. glucogenolysis
e. glyconeogenesis
Gluconeogenesis
Which of these speeds up the elimination of alcohol form the body
Select one:
a. all of the above
b. water consumption
c. caffeine consumption
d. glucose solution
e. none of the above
None of the above
Which of the following clinical signs can be associated with alcohol?
Select one:
a. Caput medusa
b. Kayser Fleischer ring
c. Roth spots
d. Janeway lesions
e. corneal arcus
Caput medusa
Alcohol is initially metabolised by
Select one:
a. fumarate hydratase
b. cytochrome p450
c. alcohol hydratase
d. alcohol dehydrogenase
e. alcohol phosphatase
Alcohol dehydrogenase
Jaundice as a result of alcoholic hepatitis is caused by an accumulation of
Select one:
a. conjugated biliverdin
b. unconjugated bilirubin
c. conjugated bilirubin
d. haptoglobin
e. unconjugated biliverdin
Conjugated bilirubin
Chronic alcoholism is associated with
Select one:
a. reactive pericarditis
b. restrictive cardiomyopathy
c. hypertrophic cardiomyopathy
d. dilated cardiomyopathy
e. arrhythmogenic right ventricular dysplasia
Dilated cardiomyopathy
Alcohol confers the strongest risk for
Select one:
a. oesophageal squamous cell carcinoma
b. hepatocellular carcinoma
c. pulmonary squamous cell carcinoma
d. colorectal adenocarcinoma
e. pulmonary adenocarcinoma
Hepatocellular carcinoma
