LFT Quiz: Can You Spot Liver Damage?

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2. True or False: Elevated GGT with normal alkaline phosphatase is liver-specific.

True

False

3. Which pattern indicates recovery from acute hepatocellular injury?

Falling ALT/AST with rising bilirubin

Rising ALT/AST with falling bilirubin

Persistent elevation of all markers

Normal alkaline phosphatase with elevated transaminases

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5. In biliary obstruction, which Liver Function Tests pattern is expected?

High transaminases, low alkaline phosphatase

Low transaminases, high alkaline phosphatase and bilirubin

Normal alkaline phosphatase, elevated bilirubin

Elevated bilirubin only

6. True or False: Hypoalbuminemia develops early in acute hepatitis.

True

False

7. Which condition classically presents with alkaline phosphatase >4× normal and mild ALT elevation?

Acute viral hepatitis

Primary biliary cirrhosis

Alcoholic hepatitis

Acetaminophen overdose

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9. A patient has ALT 1200, AST 1400, and PT 18 seconds. What is the primary concern?

Cholestasis without liver failure

Acute hepatocellular necrosis with synthetic dysfunction

Cirrhosis with stable synthetic function

Hemolysis causing indirect hyperbilirubinemia

10. Which medication can cause cholestatic liver injury with preserved synthetic function?

Acetaminophen

Chlorpromazine

Isoniazid

Methotrexate

11. Which enzyme elevation is most specific to hepatocellular injury?

Alkaline phosphatase

Alanine aminotransferase (ALT)

Gamma-glutamyl transferase (GGT)

5'-nucleotidase

12. True or False: A normal bilirubin excludes significant liver disease.

True

False

13. Which Liver Function Tests result best reflects hepatic synthetic capacity?

Bilirubin level

Prothrombin time

Alkaline phosphatase

GGT level

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15. A patient with viral hepatitis typically shows which AST/ALT ratio?

AST > ALT (ratio >2)

ALT > AST (ratio

AST = ALT (ratio 1)

Both enzymes normal

16. True or False: AST elevation is more liver-specific than ALT elevation.

True

False

17. What is the normal albumin level range?

2.0–3.5 g/dL

3.5–5.0 g/dL

5.0–7.0 g/dL

7.0–9.0 g/dL

18. In chronic liver disease, which finding indicates synthetic dysfunction?

Elevated bilirubin alone

Prolonged PT/INR and hypoalbuminemia

Mild transaminase elevation

Increased alkaline phosphatase

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20. A patient has ALT 800 U/L, AST 750 U/L, and bilirubin 1.2 mg/dL. What does this pattern suggest?

Cholestasis with minimal hepatocellular damage

Acute hepatocellular injury

Cirrhosis with portal hypertension

Biliary obstruction

LFT Quiz: Can You Spot Liver Damage?

1. In alcoholic liver disease, the AST/ALT ratio is typically ____ than 1.

2.

What first name or nickname would you like us to use?

2. True or False: Elevated GGT with normal alkaline phosphatase is liver-specific.

3. Which pattern indicates recovery from acute hepatocellular injury?

4. The MELD score uses creatinine, INR, and ____.

5. In biliary obstruction, which Liver Function Tests pattern is expected?

6. True or False: Hypoalbuminemia develops early in acute hepatitis.

7. Which condition classically presents with alkaline phosphatase >4× normal and mild ALT elevation?

8. Conjugated (direct) hyperbilirubinemia results from impaired ____.

9. A patient has ALT 1200, AST 1400, and PT 18 seconds. What is the primary concern?

10. Which medication can cause cholestatic liver injury with preserved synthetic function?

11. Which enzyme elevation is most specific to hepatocellular injury?

12. True or False: A normal bilirubin excludes significant liver disease.

13. Which Liver Function Tests result best reflects hepatic synthetic capacity?

14. Unconjugated hyperbilirubinemia occurs when ____.

15. A patient with viral hepatitis typically shows which AST/ALT ratio?

16. True or False: AST elevation is more liver-specific than ALT elevation.

17. What is the normal albumin level range?

18. In chronic liver disease, which finding indicates synthetic dysfunction?

19. Elevated alkaline phosphatase and GGT with normal transaminases typically indicates ____.

20. A patient has ALT 800 U/L, AST 750 U/L, and bilirubin 1.2 mg/dL. What does this pattern suggest?