Hepatology

Question 1

What is the management for hepatorenal syndrome?

Answer 1

Vasopressor - e.g. Terlipressin

Albumin infusion

transjugular intrahepatic portosystemic shunt

Question 2

What causes elevated anti-mitochondrial antibodies?

Answer 2

Primary biliary cholangitis

elevated IgM

Question 3

What is the management for primary biliary cholangitis?

Answer 3

Ursodeoxycholic acid is first line

Pruritis managed with cholestyramine

Fat soluble vitamin supplementation

Liver transplantation indicated if bilirubin >100

Question 4

How do you manage a patient presenting with ascites secondary to liver cirrhosis?

Answer 4

Paracentesis

Spironolactone - should always be prescribed to patients presenting with ascites secondary to liver cirrhosis

Question 5

How do you manage small intestine bacterial overgrowth syndrome?

Answer 5

Rifaximin

Question 6

Secondary prevention of hepatitic encephalopathy?

Answer 6

Lactulose and rifaxamin

Question 7

What is the AST/ALT ratio in alcoholic hepatitis?

Answer 7

2:1

Question 8

Most common cause of hepatocellular carcinoma in the UK?

Answer 8

Hepatitis C

Question 9

Combination of liver and neurological symptoms in a young patient?

Answer 9

Wilson’s disease

Question 10

Associations with primary biliary cholangitis?

Answer 10

Sjrogen’s syndrome
Rheumatoid arthritis
systemic sclerosis
thyroid disease

Question 11

Blood test associated with primary biliary cholangitis?

Answer 11

Anti-mitrochondrial antibodies

Question 12

Management of severe alcoholic hepatitis?

Answer 12

Corticosteroids such as Prednisolone