Past Exam paper random cards

Question 1

Choose the option that best describes the path of blood flow through the liver:

Answer 1

Hepatic vein, sinusoids, central vein, collecting vein, inferior vena cava

Question 2

Which of the following patterns is most suggestive of metastatic malignancy
involving the liver in a 70 yr old patient:
a) Isolated ALT elevation
b) Isolated elevation of GGT and ALP
C) Isolated unexplained bilirubin elevation
d) Raised plasma ammonia
e) CEA of 5 ug/L in a smoker (non-smoking ref. interval 0-3)

Answer 2

B because metastatic means spread this causes blockages rather than direct cell damage compared to viral hep or toxins etc

Question 3

is this true?
the elevation of bilirubin in a patient with gallstones is likely to be mostly
unconjugated (indirect).

Answer 3

No because conjugated BEFORE in liver then goes to bile in gall bladder to be excreted

Question 4

Trans plypric plane

Answer 4

1st part Duodenum
Plyoric of stomach
Hila of kidneys
Pancreas neck
SMA origin
Portal Vein origin
Fundus of gallbladder
tip of 9th costal cartiliage