Hepatic

Question 1

What is cholecystitis

Answer 1

inflammation of gall bladder

Question 2

can acute cholecystitis become chronic?

Answer 2

Siiii

Question 3

What are most of the gallstones made of?

Answer 3

Cholesterol

Question 4

TYpes of gallstones

2

Answer 4

1. cholesterol

2. pigmented

Question 5

What are pigmented gallstones made from

2

Answer 5

Bilirubin or hemolysis

Question 6

5 diseases that can progress to cirrhosis

Answer 6

1. Fatty Liver
2. Hepatitis
3. Biliary DIsease
4. metabolic Disease
5. vascular

Question 7

What things cause fatty liver

Answer 7

1. ETOH
2. Obesity
3. DM

Question 8

What causes Hepatitis

Answer 8

1. Virus
2. Drug
3. Autoimmune

Question 9

What is the liver made of

Answer 9

Hepatocytes
Duct cCells
Blood Vessels

Question 10

What is the triad

Answer 10

Bile duct
Portal vein
Hepatic Artery

Question 11

Blood path

Answer 11

Sinusoids -> where it enriches hepatocytes
Central Vein
Heart -> its recycled

Question 12

What does the metabolic work in liver

Answer 12

hepatocytes

Question 13

WHat is the #1 casue of liver toxicity

Answer 13

Drugs!

Question 14

Steatosis aka

Answer 14

Fatty Liver

Question 15

What is the worst type of destruction of the liver?

Answer 15

Fibrosis

Question 16

Why is fibrosis so bad

Answer 16

Collagen Scar

Permanent Injury

Question 17

What is end stage of fibrosis in liver

Answer 17

cirrhosis

Question 18

If hepatocytes die in large sheets, what happens to those areas

Answer 18

fill up with blood

Question 19

what if blood in liver builds up

Answer 19

It can back-flow and cause heart failure

Question 20

What is cholestasis

Answer 20

decrease in bile production due to less secretion or obstruction

Question 21

If canaliculi in liver fill with bile bc of cholestasis then what

Answer 21

person gets jaundice

Question 22

what is hepatatis

Answer 22

inflammation of the liver

Question 23

Is hepatitis contagious

Answer 23

if caused by virus, yes

Question 24

What can cause hepatitis beside viruses

Answer 24

toxins

drugs

Question 25

What drugs cause hepatitis

Answer 25

ETOH | acetaminophen

Question 26

What type of hepatitis resolves itself

Answer 26

acute

Question 27

acute hep by what viruses doesn't progress to chronic

Answer 27

Hep A and E

Question 28

acute hep by what viruses progress to chronic and beyind

Answer 28

Hep B, C and D

Question 29

what type of hep virus is rarely expressded

Answer 29

Hep D

Question 30

Hep B, C and D can progress to what 3 things

Answer 30

chronic hep cirrhosis hepatocellular carcinoma

Question 31

how long is acute hep vs chronic

Answer 31

acute <6mo

Question 32

what type of inflammation in acute vs chronic hepatitis

Answer 32

acute - lobular inflammation | chronic - portal inflammation

Question 33

What type of fibrosis in acute vs chronic hep

Answer 33

acute - no fibrosis | chronic - fibrosis

Question 34

what virus causes hep a

Answer 34

picornavirus

Question 35

what virus causes hep e

Answer 35

calcivirus

Question 36

what virus causes hep b

Answer 36

hepadnavirus

Question 37

whatvirus causes hep c

Answer 37

flavivirus

Question 38

what virus casues hep d

Answer 38

deltavirus

Question 39

what are syptoms of hep c during acute stage

Answer 39

Noooneee

Question 40

how is hep c easily transmitted

Answer 40

blood | needles

Question 41

tx of hep c

Answer 41

very expensive combination of antivirals

Question 42

what immunization prevents hep c

Answer 42

no immunization available

Question 43

How is hep B trasnmitted

Answer 43

blood

Question 44

what symptoms in hep B during acute phase

Answer 44

Noooneee

Question 45

what is the most common blood-borne infection among healthcare workers

Answer 45

Hep B

Question 46

what is hep B associated with

Answer 46

a lot of hepatocellular carcinoma

Question 47

Tx of hep B

Answer 47

Immunization | Antivirals

Question 48

Cirrhosis =

Answer 48

regenerative hepatocyte nodules

Question 49

where is fibrosis in cirrhosis

Answer 49

surrounding nodules

Question 50

autoimmune hepatitis is found hwere

Answer 50

obese, middle aged women

Question 51

autoimmune hep goes onto what

Answer 51

advanced fibrosis

Question 52

what color is a fatty liver

Answer 52

purple | jk, yellow

Question 53

in steatosis fat accumulation in liver is ______ | with ______ cellular damage

Answer 53

temporary | NO

Question 54

steatohepatitis def

Answer 54

damage to the liver with fibrosis present. Chronic

Question 55

metabolic disease in liver is often associated with?

Answer 55

iron overloads

Question 56

wilson's disease is what type of defect

Answer 56

copper metabolic defect

Question 57

wilson's disease course?

Answer 57

hepatitis, then cirrhosis

Question 58

Biliary disease def

Answer 58

destruction of bile ducts causing bile back up into liver. This causes inflammatory cells to surround ducts

Question 59

Biliary disease could end up forming what

Answer 59

Granulomaaas

Question 60

hepatocellular injury causes accumulation of what?

Answer 60

ceroid pigment

Question 61

hepatocellular damage casues accumualtion of ceroid pigment where

Answer 61

Kupffer cells

Question 62

vectors of HBV | 3

Answer 62

blood saliva nasopharyngeal secretions

Question 63

in mouth, where is the highest concetration of HBV

Answer 63

gingival sulcus

Question 64

Manifestations of HBV | 6

Answer 64

1. Lichen Planus 2. Periodontal Disease 3. Candidiasis 4. Increased Oral Bleeding 5. Increased DM type 2 6. Sjorgrens Syndrome

Question 65

Management of accidental exposure to HBV

Answer 65

wash - without rubbing use antiviral disinfectant initiate HBV vaccine

Question 66

Objectives of HCV tx | 2

Answer 66

1. Eliminate virus | 2. Prevent progression to fibrosis and cancer

Question 67

Guidelines for HCV tx | 3

Answer 67

1. Over 18 2. Pt has compensated liver disease 3. Willingness of pt to follow tx requirements

Question 68

how many of ppl treated for HCV remain virus free for 1 yr

Answer 68

92%

Question 69

Tx for HCV is contraindicated on who

Answer 69

pts with severe liver disease due to metabolism problems

Question 70

cost of HCV

Answer 70

90K