Formative questions

Question 1

The usual time scale for the development of delerium tremens is

Answer 1

3-10 days

Question 2

which of the following nutritional deficiencies often found following chronic alcohol abuse is associated with Wernicke-Korsakoff syndrome

Answer 2

thiamine

Question 3

What is the definition of binge drinking for a woman?

Answer 3

greater than 8 units in one day

Question 4

The liver enzyme ALT is short for

Answer 4

alanine aminotransferase

Question 5

which clotting factor is not made in the liver

Answer 5

VIII

Question 6

alkaline phophatase is NOT concentrated in the

Answer 6

lung

Question 7

Which type of cancer is there strong evidence of an association with alcohol consumption?

Answer 7

breast

Question 8

what is sometimes used to treat patients with a raised osmolal gap

Answer 8

ethanol

Question 9

portal hypertension is most associated with

Answer 9

splenomegaly

Question 10

how many units of alcohol are in 70cl bottle of 40% vodka?

Answer 10

28

Question 11

Jaundice as a result of alcoholic hepatitis is caused by an accumulation of

Answer 11

conjugated bilirubin

Question 12

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

Answer 12

umbilical vein

Question 13

In a patient with a severe GI what may be used to assess perfusion?

Answer 13

lactate

Question 14

the legal age of drinking alcohol whilst at supervised at home is

Answer 14

5

Question 15

acute pancreatitis is associated with

Answer 15

steroid use

Question 16

which biochemical finding is commonly seen in patients with established alcoholic liver disease?

Answer 16

hyperbilirubinaemia, resulting in clinical jaundice

Question 17

which of these is not a recognised feature of dependence syndrome as per ICD

Answer 17

narrowing of repertoire

Question 18

in a patient with ALD presenting with an upper GI bleed, which of the following provides the most useful information about liver synthetic function

Answer 18

prothrombin time

Question 19

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

Answer 19

bone disease

Question 20

which of the drugs below leads to a faster rate of alcohol absorption

Answer 20

domperidone

Question 21

how many kcals does 1g of alcohol contain?

Answer 21

7

Question 22

the liver enzyme AST is short for

Answer 22

aspartate aminotransferase

Question 23

in the normal metabolic pathway the substance from which bilirubin is formed is

Answer 23

biliverdin

Question 24

fibrosis cirrhosis of the liver is mediated by which type of cell

Answer 24

hepatic stellate cells/ interstitial cells of ito

Question 25

which of these medications is used for medically assisted alcohol withdrawal

Answer 25

chlordiazepoxide

Question 26

severe hepatitis is associated with

Answer 26

hepatorenal syndrome

Question 27

which of the following is a useful screening tool for alcohol dependence disorder

Answer 27

AUDIT

Question 28

alcohol causes a diuresis because of

Answer 28

decreased ADH levels

Question 29

what is the definition of binge drinking for a man

Answer 29

greater than eight units in one day

Question 30

alcohol is known to be associated with

Answer 30

increased precipitation of uric acid

Question 31

abnormal gait seen in Wernicke's syndrome is known as an

Answer 31

ataxic gait

Question 32

dupuytren's contracture is caused by

Answer 32

scarring of the palmar fascia

Question 33

in a restraunt today a standard glass of wine (175mls) is likely to contain approximately

Answer 33

2 units

Question 34

how many units of alcohol are in a 1 litre bottle of premium strength cider

Answer 34

8

Question 35

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

Answer 35

conditions contributing to but not directly responsible for death

Question 36

facial flushing and a general feeling of being unwell is caused by

Answer 36

aldehyde

Question 37

aspiration pneumonia typically occurs in

Answer 37

the superior segment of the right lower lobe

Question 38

name 4 signs associated with acute pancreatitis

Answer 38

cullen's sign, grey turner's sign, resp failure, caput medusae