MCQ Liver Review - Dr. Burak Flashcards Preview

COURSE 1 > MCQ Liver Review - Dr. Burak > Flashcards

Flashcards in MCQ Liver Review - Dr. Burak Deck (15):
1

Complications of Cirrhosis

1. Variceal bleeding

2. Ascites

3. Encephalopathy

4. Hepatocellular carcinoma (HCC)

2

Approach to Liver Masses

A image thumb
3

Most Often Transmission of Hep B

Vertical transmission.

4

HBeAg

Present in the immune tolerant and the immune clearance phase. After the viral load decreases, HBeAg is negative, and we see Anti-HBe present. One year later, it is okay to stop treatment.

The purpose of treatment is to move the patient from the immune clearance phase to the inactive residual phase quicker. Speed up the natural history.

5

Hep B Clearance in Adults

95% of the time you will clear it.

This is unlike vertical transmission where you likely wont.

6

Cirrhosis and Tylenol

They CAN take tylenol.

Do NOT give NSAIDs.

7

Hereditary Hemochromatosis

Body uptakes excessive amount of iron. Confirmed with genetic testing.

Causes iron overload and is treated with phlebotomy or iron chelation.

8

Wilson's Disease

Low ceruloplasmin on the screening test. Confirmed with 24 hour urine copper testing. Then chelate the copper.

9

Autoimmune Hepatitis

Severe hepatocellular.

Test with ANA+, ASMA+, increased IgG. Often have other auto-immune diseases. You need a liver biopsy for diagnosis.

Treatment is prednisone + azathioprine.

10

Thrombocytopenia and Cirrhosis

Portal hypertension causes splenomegaly and thus sequestration of platelets.

11

Liver Function Lab Tests

INR and Albumin

12

Varices Treatment

Banding and beta-blockers

Big varices bleed.

13

-dolol

Beta blocker

14

Lactulose

Flushes out the gut. Causes them to be less encephalopathic.

15

Decks in COURSE 1 Class (93):