Liver Diseases

Question 1

Serum Ascites Albumin Gradient < 1.1g/dl

Answer 1

Infection
Cancer
Nephrotic Syndrome

Question 2

Serum Ascites Albumin Gradient >1.1g/dl

Answer 2

Portal HTN
CHF
Hepatic Vein Thrombosis
Constrictive Pericarditis

Question 3

Best initial Test for Spontaneous Bacterial Peritonitis

Answer 3

Cell Count with >250 Neutrophils

Question 4

Most accurate test for Spontaneous Bacterial Peritonitis

Answer 4

Fluid Culture

Question 5

Treatment for Spontaneous Bacterial Peritonitis

Answer 5

Cefotaxime
Ceftriaxone

Question 6

Labs in Acute Alcoholic Hepatitis

Answer 6

AST>ALT
Increased GGTP
Increased Bilirubin
Increased INR
Increased PT

Question 7

If Discriminate Factor >32 in Acute Alcoholic Hepatitis

Answer 7

Treat with Steroids

Question 8

How to calculate Discriminate Factor

Answer 8

4.6(Patients PT-Control PT) + Bilirubin

Question 9

Most accurate test for Primary Biliary Cholangitis (PBC)

Answer 9

Liver biopsy

Question 10

Most accurate blood test for Primary Biliary Cholangitis (PBC)

Answer 10

Anti-mitochondrial Ab

Question 11

Treatment for Primary Biliary Cholangitis (PBC)

Answer 11

Ursodeoxycholic Acid and Obeticholic Acid
-decrease Fibrosis

Question 12

Most accurate Test for Primary Sclerosing Cholangitis (PSC)

Answer 12

MRCP or ERCP
-beeding, narrowing obstruction in biliary system

Question 13

Best initial treatments in Primary Sclerosing Cholangitis (PSC)

Answer 13

Ursodeoxycholic acid

Try to dilate strictures

Question 14

Best initial Test to diagnose Hemochromatosis

Answer 14

Iron Study
-Increase Serum FE
-Increased Ferritin
-Decreased Iron Binding capacity

Question 15

Most accurate test for Hemochromatosis

Answer 15

Liver biopsy for Increased Iron

Question 16

Best initial Test for Hepatitis

Answer 16

Hep A,C,D,E IgM Ab
-Acute infection

Hep A,C,D,E, IgG Ab
-resolution of acute infection

Question 17

Treatment for Hemochromatosis

Answer 17

Phlebotom
Iron Chelation
-Deferasirox
-Deferiprone
-Deferoxamine

Question 18

Other Tests for Hepatitis

Answer 18

Increased Direct Bilirubin
Increased ratio of ALT:AST
Increased Alkaline Phosphatase
PCR for Viral Load
-Hep B,C

Question 19

Diagnosis for Wilson Disease

Answer 19

Slit Lamp Exam
-Keyser-Flescher Rings

Urine
-increased Copper

Low Ceruloplasmin

Liver Biopsy
-Increased Hepatic Copper

Question 20

Treat Wilson Disease

Answer 20

Penicillamine

Question 21

Most accurate test for autoimmune Hepatitis

Answer 21

Liver Biopsy

Question 22

Antibodies in autoimmune hepatitis

Answer 22

Anti-smooth muscle

Question 23

Treatment for autoimmune Hepatitis

Answer 23

Prednisone
Azathoprine

Question 24

Most accurate test to diagnose Non-alcoholic fatty liver disease

Answer 24

Biopsy

Question 25

Treatments for Non-Alcoholic Fatty Liver Disease

Answer 25

Correct Risk factors Vitamin E Pioglitazone -if NASH and DM

Question 26

Focal Nodule Hyperplasia

Answer 26

Central Scarring no malignant potential

Question 27

Hemangioma

Answer 27

Tuft of abnormal vessels Imaging is diagnostic No malignant potential

Question 28

Hepatic Adenoma

Answer 28

Grows with estrogen Large may rupture small malignant potential