Liver Pathology / Infectious Diseases

21 Questions | Total Attempts: 109

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Liver Pathology Quizzes & Trivia

Questions and Answers
  • 1. 
    Fungal infections are a complication seen in patients with ______ or other immune compromised conditions.
  • 2. 
    What are the 2 main types of fungal mycotic abscesses or fungal infections?
  • 3. 
    This is a chronic bacterial infection characterized by the formation of abscesses in the mouth, lungs, and intestines
  • 4. 
    Name the rare site for actinomycosis abscess formation.
  • 5. 
    Candidiasis is also referred to as _________.
  • 6. 
    This is a fungus found normally in humans, where the normal immune system keeps it under control.  It is an opportunistic infection and thrives in HIV positive patients, patients on chemotherapy, organ transplant recipients, or any severely immunocompromised patient.
  • 7. 
    With candidiasis, the liver is frequently involved _________ to hematogenous blood spread.
  • 8. 
    Check all that apply to the clinical and lab data of candidiasis:
    • A. 

      RUQ pain

    • B. 

      Leukocytosis

    • C. 

      Hepatomegaly

    • D. 

      Fever

    • E. 

      Elevations in LFTs

  • 9. 
    Check all that apply to the sonographic appearance of candidiasis:
    • A. 

      "wheel within a wheel"

    • B. 

      Uniformly hypoechoic lesion: MOST COMMON

    • C. 

      Echogenic focus: calcification representing scar formation seen late in disease prcess

    • D. 

      "bulls eye"

  • 10. 
    Percutaneous liver aspiration is of great benefit in obtaining the organism in pyogenic liver abscesses, however it yields a false negative result for the presence of Candida organisms
    • A. 

      True

    • B. 

      False

  • 11. 
    This is the most common organism causing opportunistic infection in patients with AIDS:
  • 12. 
    Pneumocystis pneumonia affects nearly 50% of AIDS patients.
    • A. 

      True

    • B. 

      False

  • 13. 
    Pneumocystis carinii affects which of the following:
    • A. 

      Liver

    • B. 

      CBD

    • C. 

      Spleen

    • D. 

      Kidneys

    • E. 

      Pancreas

    • F. 

      Carotid

    • G. 

      Thyroid

    • H. 

      Lymph nodes

  • 14. 
    _______________ is one of the most common parasitic infections in humans worldwide.
  • 15. 
    The sono appearance of  ____________ ____________ varies ranging from tiny, non shadowing echogenic foci to extensive replacement of normal hepatic parenchyma by echogenic clumps representing dense calcifications.
  • 16. 
    Granulomas are most commonly caused by ___________ and TB.
  • 17. 
    Check all that apply to histoplasmosis:
    • A. 

      Infection caused by fungus

    • B. 

      Fungus produces spores that are inhaled

    • C. 

      Usually affects lungs

  • 18. 
    Not only is schistosomiasis the most common parasitic infection worldwide but it is a leading cause of ______ _________ worldwide.
  • 19. 
    Check all that apply to the clinical and lab data of schistosomiasis:
    • A. 

      Visible eggs found in stool

    • B. 

      Diarrhea

    • C. 

      Tender, palpable enlarged liver

    • D. 

      Splenomegaly and possible ascites

    • E. 

      History of previous travel to Africa, Asia, Egypt, South America

  • 20. 
    Put the following in sequential order regarding schistosomiasis:(use # in answer)1. the liver responds to invasion by producing a granulomatous reaction, which causes increased PV pressure and eventually PHTN, splenomegaly, varices, and ascites2. a blood fluke or parasitic trematode enters unbroken skin3. in locations with contaminated water4. travels via the lymphatic and bloodstream into the liver through the portal venous system5. larvae mature in the terminal PV branches releasing eggs that occlude the portal venous flow
  • 21. 
    Check all that apply to the sonographic appearance of schistosomiasis:
    • A. 

      Widened, echogenic portal tracts

    • B. 

      Liver enlarges initially, then as disease progresses, the liver shrinks with scarring and periportal fibrosis

    • C. 

      MPV is most affected

    • D. 

      Veins dilate, lumen widens, walls become more prominent with increased pressure

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