Formative Flashcards

(32 cards)

1
Q

Antabuse - a drug used to treat alcoholism work by inhibiting

A

aldehyde dehydrogenase

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2
Q

Which microscopic features is NOT present within a portal tract?

A

Hepatocyte

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3
Q

Alcohol causes a diuresis because…

A

of decreased ADH levels

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4
Q

In a patient with alcoholic liver disease (ALD) presenting with an upper GI bleed, which biochemical test provides the most useful information about liver synthetic function?

A

prothrombin time

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5
Q

Which biochemical findings is commonly seen in patients with established alcoholic liver disease (ALD) (cirrhosis)?

A

Hyperbilirubinaemia, resulting in clinical jaundice.

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6
Q

What is not a recognized feature of dependence syndrome as per ICD-10?

A

narrowing of repertoire

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7
Q

The ligamentum teres within the falciform ligament is formed from which embryological structure?

A

umbilical vein

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8
Q

The liver enzyme AST is short for?

A

Aspartate aminotransferase

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9
Q

In the normal metabolic pathway the substance from which bilirubin is formed is…

A

biliverdin

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10
Q

According to the UK Chief Medical Officer, what is a safe limit on alcohol intake during pregnancy?

A

none - there is no safe limit

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11
Q

What does alcohol do to blood HDL levels?

A

increase

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12
Q

What drug leads to a faster rate of alcohol absorption?

A

domperidone

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13
Q

Facial flushing and a general feeling of being unwell is caused by…

A

aldehyde

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14
Q

In the process of death certification conditions listed under part 2 refer to…

A

conditions contributing to but not directly repsonsible for death

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15
Q

The abnormal gait seen in Wernicke’s syndrome is known as an…

A

Ataxic gait

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16
Q

The usual time scale for the development of Delerium Tremens is…

17
Q

Which clotting factor is NOT made in the liver?

18
Q

What is a useful screening tool for Alcohol Dependence Disorder?

19
Q

According to the World Cancer Research Fund, for which of the following cancers is there strong evidence of an association with alcohol consumption?

20
Q

What is the definition of binge drinking for a man?

A

> 8 units in one day

21
Q

What is not associated with acute pancreatitis?

A

Renal failure?

22
Q

Acute pancreatitis is associated with

23
Q

A patient with LFTs showing a normal GGT, AST and ALT with high Alk Phos is most likely to have…

24
Q

Portal hypertension is most associated with…

25
If a patient has a raised osmolol gap what can they be treated with?
Ethanol
26
Fibrosis/cirrhosis of the liver is mediated by which type of cell?
interstitial cells of Ito
27
Severe hepatitis is associated with...
Hepatorenal syndrome
28
In a severe GI bleed what biochemical test can be used?
Serum lactate
29
Jaundice as a result of alcohol hepatitis is caused by an accumulation of...
conjugated bilirubin
30
How many unuts are in 1l bottle of cider (strength 8%)?
8
31
Microscopically, hepatocytes are bordered by...
the space of DIsse
32
Which of these medications is used for Medically Assisted Alcohol Withdrawal?
Chlordiazepoxide