Cpc23-hepatitis
- 1.
A 25-year-old male presents with malaise, headache and mild fever. On history, he specifically mentions that he doesn't like to smoke ever since the symptoms started. Lab investigations show mild increase in direct bilirubin, marked increase in amino transferases and a mild increase in alkaline phosphatase. the most likely diagnosis is:
- A.
Acute viral hepatitis
- B.
Hemolytic anemia
- C.
Chronic viral hepatitis
- D.
Alcoholic fatty liver
- E.
Cirrhosis of the liver
Correct Answer
A. Acute viral hepatitis -
- 2.
Mr J.R, a 56-year-old hypertensive on treament comes to you looking pale and complaining of feeling nauseous, fatigued and having malaise for 2 weeks. investigations show a mild increase in unconjugated bilirubin, dark stools and pale urine which turns dark on standing. Liver function tests are normal. What would be the likely diagnosis:
- A.
Hemolytic jaundice
- B.
Acute hepatitis
- C.
Chronic hepatitis
- D.
Hepatocellular carcinoma
- E.
Chronic persistent hepatitis
Correct Answer
A. Hemolytic jaundice -
- 3.
A 28 year old alcoholic, homosexual male presented with fatigue, icterus and fever. His liver biopsy image is shown below. The most likely diagnosis is:
- A.
Acute viral hepatitis
- B.
Hemolytic anemia
- C.
Chronic viral hepatitis
- D.
Alcoholic fatty liver
- E.
Cirrhosis of the liver
Correct Answer
A. Acute viral hepatitis -
- 4.
Viral serology for a patient shows: - Hbs Ag +ve; - anti HBC IgM +ve; - anti HBC +ve. The patient has increased serum transaminases. Which statement is appropriate for this patient:
- A.
Patient has had infection in the past
- B.
Patient is immnized
- C.
Patient has chronic peristent hepatitis
- D.
Patient has an on-goinjg infection
- E.
Patient had an infection more than 6 months ago
Correct Answer
D. Patient has an on-goinjg infection -
- 5.
The most likely diagnosis in a patient with following viral serology results is: HBsAg Positive, Anti HBcAg Positive Anti HBcAg IGM Negative Anti HBsAg Negative
- A.
Acute Viral Hepatitis
- B.
Immunised against Hepatitis B
- C.
Chronic Hepatitis B
- D.
Hepatitis B carrier stage
- E.
Fulminant hepatitis B
Correct Answer
C. Chronic Hepatitis B -
- 6.
The most likely diagnosis in a patient with liver function test results which show mild increase in both direct & indirect bilirubin, ,transfarases & alkaline phosphatise is:
- A.
Chronic persistent hepatitis
- B.
Acute viral hepatitis
- C.
Hemolytic anemia
- D.
Chronic active hepatitis
- E.
Alcoholic hepatitis
Correct Answer
D. Chronic active hepatitis -
- 7.
Viral serology of a patient showed the following: - HBs Ag +ve; - IgG anti HBs -ve; - HDV-DNA +ve; - HDV Ag +ve; The statement most befitting this patient is:
- A.
Is a carrier of Hepatitis B
- B.
Is showing recent infection of Hepatitis B and Hepatitis D
- C.
Is a carrier of hepatitis B with superinfection by Hepatitis D
- D.
A carrier of both Hepatitis B and D
- E.
Immunized against Hepatitis B and D
Correct Answer
C. Is a carrier of hepatitis B with superinfection by Hepatitis D -
- 8.
The most likely diagnosis in a patient with following viral serology results is: HBsAg Negative, Anti HBcAg Negative Anti HBcAg IGM Negative Anti HBsAg Positive
- A.
Acute Viral Hepatitis
- B.
Immunised against Hepatitis B
- C.
Chronic Hepatitis B
- D.
Hepatitis B carrier stage
- E.
Fulminant hepatitis B
Correct Answer
B. Immunised against Hepatitis B -
- 9.
The following histopathology image is from a patient with hepatitis. Idnetify the pathological feature in this slides:
- A.
Mallory hyaline bodies
- B.
Councilman bodies
- C.
Ground glass hepatocytes
- D.
Balooning degeneration
- E.
Bridging fibrosis
Correct Answer
C. Ground glass hepatocytes -
- 10.
This is the liver biopsy image from a 58 year old chronic alcoholic male presented with distended abdomen. The most likely diagnosis is:
- A.
Chronic active hepatitis
- B.
Chronic persistant hepatitis
- C.
Hepatocellular carcinoma
- D.
Cirrhosis
- E.
Chronic Alcoholic hepatitis
Correct Answer
D. Cirrhosis -
- 11.
A 22 year old alcoholic male presented with fatigue, icterus and fever. His liver biopsy image is shown below. The structure shown by the arrow in the following image is:
- A.
Mallory hyaline
- B.
Apoptotic cell
- C.
Viral inclusions
- D.
Hepatocyte necrosis
- E.
Inflammatory cell
Correct Answer
B. Apoptotic cell -
- 12.
The most likely diagnosis in a 45-year-old woman with liver function test results showing mild increase in direct bilirubin, transfarase enzymes & high cholesterol with markedly increased alkaline phosphatise is:
- A.
Acute viral hepatitis
- B.
Hemolytic anemia
- C.
Chronic viral hepatitis
- D.
Primary Biliary cirrhosis
- E.
Cirrhosis of the liver
Correct Answer
D. Primary Biliary cirrhosis -
- 13.
Viral serology shows: - HBs Ag +ve; - HBe Ag +ve; - HBV-DNA +ve. Which staement appropriately describes the patient:
- A.
The patient has Hepatitis D and can infect other
- B.
The patient has Hepatitis B and is not in the infective stage
- C.
The patient is a Hepatitis B carrier
- D.
The patient has Hepatitis B and is in the infective stage
- E.
The patient has chronic persitent Hepatitis B infection
Correct Answer
D. The patient has Hepatitis B and is in the infective stage -
- 14.
A patient who has a history of heavy drinking complains of anorexia, malaise, upper abdominal discomfort. On examination, you find hepatomegaly. The lab investigations show increased serum bilirubin, increased serum alkaline phosphatase, increased serum tansaminases and leukocytosis (predomaintaly neutrophils). Liver biopsy shows necrosis of hepatocytes, irregular eosinophilic (pink) inclusion bodies in degenerated hepatocytes surrounded by a large number of neutrophils. Sparse fibrous tissue is also evident in the surroundings. What is the most likely diagnosis:
- A.
Alcoholic hepatitis
- B.
Alcoholic cirrhosis
- C.
Primary bilary cirrhosis
- D.
Chronic active hepatitis
- E.
Chronic persistent hepatitis
Correct Answer
A. Alcoholic hepatitis -
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Mar 21, 2022Quiz Edited by
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Apr 27, 2012Quiz Created by
Dilshanator
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