Term 2 Cpc2

14 Questions

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Term 2 Cpc2

Questions and Answers
  • 1. 
    The most likely diagnosis in a 45-year-old woman with liver function test results showing mild increase in direct bilirubin, transfaraseenzymes & high cholesterol with markedly increased alkaline phosphatiseis:
    • A. 

      Acute viral hepatitis;

    • B. 

      Hemolytic anemia

    • C. 

      Chronic viral hepatitis

    • D. 

      Primary Biliary cirrhosis

    • E. 

      Cirrhosis of the liver

  • 2. 
    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 transferasesand 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.Cirrhosis of the liver.Cirrhosis of the liver.Cirrhosis of the liver

  • 3. 
    The most likely diagnosis in a patient with liver function test results which show mild increase in both direct & indirect bilirubin, ,transfarases& alkaline phosphatiseis:
    • A. 

      Chronic persistent hepatitis

    • B. 

      Acute viral hepatitis

    • C. 

      Hemolytic anemia

    • D. 

      Chronic active hepatitis

    • E. 

      Alcoholic hepatitis

  • 4. 
    The most likely diagnosis in a patient with following viral serology results is: HBsAgPositive, Anti HBcAgPositive Anti HBcAgIGM Negative Anti HBsAgNegative
    • A. 

      Acute Viral Hepatitis

    • B. 

      Immunised against Hepatitis B

    • C. 

      Chronic Hepatitis B

    • D. 

      Hepatitis B carrier stage

    • E. 

      Fulminant hepatitis B

  • 5. 
    The most likely diagnosis in a patient with following viral serology results is: HBsAgNegative, Anti HBcAgNegative Anti HBcAgIGM Negative Anti HBsAgPositive
    • A. 

      Acute Viral Hepatitis

    • B. 

      Immunised against Hepatitis B

    • C. 

      Chronic Hepatitis B

    • D. 

      Hepatitis B carrier stage

    • E. 

      Fulminant hepatitis B

  • 6. 
    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

  • 7. 
    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

  • 8. 
    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

  • 9. 
    MrJ.R, a 56-year-old hypertensive on treamentcomes 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

  • 10. 
    Viral serology of a patient showed the following: - HBs Ag +ve; - IgGanti 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

  • 11. 
    The following histopathology image is from a patient with hepatitis. Idnetifythe pathological feature in this slides:
    • A. 

      Mallory hyaline bodies

    • B. 

      Councilman bodies

    • C. 

      Ground glass hepatocytes

    • D. 

      Balooning degeneration

    • E. 

      Bridging fibrosis

  • 12. 
    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 tansaminasesand leukocytosis (predomaintalyneutrophils). 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

  • 13. 
    Viral serology for a patient shows: - HbsAg +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

  • 14. 
    Viral serology for a patient shows: - HbsAg +ve; - anti HBC IgM+ve; - anti HBC +ve. The patient has increased serum transaminases. Which statement is appropriate for this 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