Case - Abnormal Liver Function

11 Questions | Total Attempts: 115

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Case - Abnormal Liver Function - Quiz

IDHD case


Questions and Answers
  • 1. 
    Which of the following are typical of metabolic syndrome?
    • A. 

      Hypouricaemia

    • B. 

      Hypercholesterolaemia

    • C. 

      Low HDL cholsterol

    • D. 

      Hypocalcaemia

    • E. 

      Raised triglycerides

    • F. 

      Raised ESR

  • 2. 
    What two medical conditions are associated with obesity?
    • A. 

      Increased CVS mortality

    • B. 

      Renal failure

    • C. 

      Increased risk of gallstones

    • D. 

      Increased risk of pancreatic cancer

    • E. 

      Increased risk of osteoporosis

  • 3. 
    Select the pairs of blood tests and diagnoses that are a correct match
    • A. 

      Positive AMA - autoimmune chronic active hepatitis

    • B. 

      Low caeruloplasmin - Haemochromatosis

    • C. 

      Raised transferrin saturation - Wilson's disease

    • D. 

      Positive ANCA antibodies - primary sclerosing cholangitis

    • E. 

      Raised IgM - primary biliary cirrhosis

  • 4. 
    Select TWO most useful approaches when determining actual alcohol intake
    • A. 

      Ask a close contact

    • B. 

      Routine LFTs

    • C. 

      U+Es

    • D. 

      Arrange a liver biopsy looking for specific alcohol features

    • E. 

      Measure the MCV

  • 5. 
    What is the best indication of NAFLD (Non alcoholic fatty liver disease) on abdominal ultrasound from the list?
    • A. 

      Abnormal focal lesions suggestive of liver cancer

    • B. 

      Bile duct dilation

    • C. 

      A bright liver

    • D. 

      An enlarged spleen

    • E. 

      Abnormal flow in the portal vein

  • 6. 
    Across the range of severity of NAFLD, which one of the following is NOT a feature of NAFLD?
    • A. 

      Simple steatosis

    • B. 

      Cirrhosis

    • C. 

      Liver cancer

    • D. 

      Advanced fibrosis

    • E. 

      Bile duct obstruction

  • 7. 
    Which TWO of the following general treatment stategy should be adopted for patients with advanced NAFLD?
    • A. 

      Advise to restrict fluid intake

    • B. 

      Advise to completely abstain from alcohol

    • C. 

      Advise to reduce dietary fat

    • D. 

      Advise to take as much rest as possible

    • E. 

      Advise to increase exercise levels

  • 8. 
    Select TWO Circumstances under which a typical NAFLD patient may become a candidate for liver transplant?
    • A. 

      If they were to develop increasing fatigue

    • B. 

      If they were to develop resistant ascites

    • C. 

      If they were to develop an 8cm liver cell cancer

    • D. 

      If they were to develop frequent episodes of encephalopathy

    • E. 

      If they were to have a variceal bleed

  • 9. 
    KNOWLEDGE - in suspected Autoimmune hepatitis, choose the correct matchings for investigations and diagnoses
    • A. 

      AMA and PBC

    • B. 

      AMA and PSC

    • C. 

      ASMA and AIH

    • D. 

      AMA and AIH

    • E. 

      IgA and Alcohol

    • F. 

      IgG and AIH

    • G. 

      IgM and PBC

    • H. 

      IgM and Alcohol

    • I. 

      IgM and AIH

    • J. 

      IgG and Alcohol

    • K. 

      IgG and PBC

    • L. 

      IgA and PBC

    • M. 

      IgA and AIH

    • N. 

      Alpha Fetoprotein in AIH

    • O. 

      Alpha Feto-protein in HCC

    • P. 

      ANCA and PSC

    • Q. 

      ANCA and PBC

    • R. 

      AIH can be caused by ANA, ASMA, Anti LKM1 antibodies, and Soluble Liver Antigen

  • 10. 
    KNOWLEDGE - choose the correct statements
    • A. 

      Elevated caeruloplasmin indicates Wilson's

    • B. 

      Elevated ferritin indicates Wilson's

    • C. 

      Elevated ferritin indicates Haemochromatosis

    • D. 

      Elevated caeruloplasmin indicates Haemochromatosis

  • 11. 
    KNOWLEDGE - in Viral Hepatitis...
    • A. 

      IgG means the infection has been cleared, or vaccinated against, in the past

    • B. 

      IgM indicates an acute infection

    • C. 

      Hep A and E have similar presentations

    • D. 

      Hep A and E never progress to chronic disease

    • E. 

      Anti Hepatitis B Surface antibody indicates immunity to Hep B

    • F. 

      Anti Heptatitis B e antibody indicates decreased infectivity

    • G. 

      Anti Hepatitis B c antibody indicates immunity to Hep B

    • H. 

      Anti Hepatitis B surface antibody indicates reduced infectivity

    • I. 

      Hep B can lead to chronic hepatitis, but not HCC

    • J. 

      Hep B is a risk factor for HCC

    • K. 

      Hep B can be vaccinated against

    • L. 

      Hep C can be vaccinated against

    • M. 

      In Heb B, sexual transmission is most important route

    • N. 

      In Hep C, sexual transmission is most important route

    • O. 

      In hep B, IV transmission is most important route

    • P. 

      In hep C, IV transmission is most important route

    • Q. 

      Hep D is clinically irrelevant

    • R. 

      >60% of hep C patients develop chronic disease

    • S. 

      >80% of Hep C patients develop chronic disease

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