Liver. 1.

Question 1

What can be diagnosed on FNA on the liver?

Answer 1

Round cell neoplasia.

Question 2

What can be diagnosed with a cholecystocentesis?

Answer 2

Bacterial cholangitis.

Question 3

What can only be diagnosed with a liver biopsy?

Answer 3

Copper storage hepatopathy.

Question 4

You want to diagnose pancreatitis.

Whats most reliable diagnostic tool?

Answer 4

CPLI.

Question 5

Which part of the liver is the functional unit?

Answer 5

Acinus.

Question 6

What is the blood flow through the liver?

Answer 6

Hepatic artery and portal vein (afferent).

Acinus, central vein, hepatic vein (efferent).

Question 7

Can you diagnose the cause of end-stage liver?

Answer 7

No. Everything will be fibrotic and you can’t tell what happened.

Question 8

8. What liver cells make bile?

Answer 8

Hepatocyte.

Question 9

9. Where is bile stored?

Answer 9

Bile caniculi.

Question 10

Can liver enzymes be normal or even low with liver damage?

Answer 10

Yes, when the cells become too damaged to produce enzymes.

Question 11

What are the minimum coagulation tests to run for liver issues?

Answer 11

PT and aPTT.

Question 12

Where does cholecystokinin come from?

Answer 12

Intestinal cells.

Question 13

What does cholecystokinin do?

Answer 13

Stimulates gallbladder contraction.

Question 14

What is the afferent blood supply to the liver?

Answer 14

Hepatic artery.

Question 15

What enzymes are elevated with liver injury?

Answer 15

ALT, SDH, AST (not GGT, ALP).

Question 16

A 10-year Dog presents with multiple porto-systemic shunts (PSS).

What do you do and what is the prognosis?

Answer 16

Euthanize; grave prognosis.

Question 17

What are the top 4 differential diagnoses in an icteric cat?

Answer 17

Hepatolipidosis.

Cholangitis/cholangiohepatitis.

FIP.

Lymphoma.

Question 18

Do you check bile acids on an animal with jaindice?

Answer 18

No.

Question 19

What are the 3 components of triaditis?

Answer 19

Duodenal lesions.

Biliary tract lesions.

Pancreatic lesions.

Question 20

What liver enzymes are increased in cholangitis?

Answer 20

All liver enzymes including GGT.

Question 21

What is is a good drug for hepatobiliary disease?

Answer 21

Ursodiol.

Question 22

What drug won’t reverse cirrhosis but will prevent it?

Answer 22

Ursodiol.

Question 23

What characterises suppurative cholangitis?

Answer 23

Neutrophilic infiltrates.

Question 24

What characterises non-suppurative cholangitis?

Answer 24

Lymphoplasmacytic infiltrates

it may progress to the suppurative form.

Question 25

What kind of hepatic neoplasia is less common in the cat?

Answer 25

Primary neoplasia. Metastatic is more common.

Question 26

What is used to diagnose an extrahepatic bile duct obstruction?

Answer 26

Ultrasound.

Question 27

What shunt is the most common in cats and small dogs?

Answer 27

Single extrahepatic shunt.

Question 28

What indicates a PSS in a cat?

Answer 28

Dramatically increased bile acids, above 100.

Question 29

What must be stabilised prior to PSS surgery in a cat?

Answer 29

Hepatic encephalopathy.

Question 30

What is the most common liver disease in cats?

Answer 30

Idiopathic/primary hepatolipidosis.

Question 31

What liver values increase in idiopathic/primary hepatolipidosis?

Answer 31

All liver values, but GGT remains normal.

Question 32

What 3 signs are pathognomonic for idiopathic/primary hepatolipidosis?

Answer 32

Ventroflexion of the neck due to hypokalemia. Hypophosphatemia. Thiamine deficiency.

Question 33

What is the best treatment for idiopathic/primary hepatolipidosis?

Answer 33

Prolonged aggressive nutritional therapy.