10 Questions
Acute liver failure is a condition that occurs in patients with preexisting liver disease
False
Patients with ALF and grade 3 encephalopathy should not be intubated for airway protection
False
There is conclusive evidence to recommend the use of lactulose or rifaximin for the treatment of encephalopathy in patients with ALF
False
The INR accurately reflects bleeding risk in patients with ALF
False
Viscoelastic tests may provide a more accurate assessment of coagulopathy than INR in patients with ALF
True
In patients with ALF, routine use of prophylactic antibiotics is recommended due to the frequent absence of clinical signs of infection.
False
For hypotension not responsive to norepinephrine in ALF patients, vasopressin should be the first-line vasopressor to add as a secondary agent.
False
IV NAC initiation is suggested in patients with non-APAP ALF.
True
In ALF patients due to mushroom poisoning, IV silibinin should be initiated as soon as possible, and IV penicillin G may be used if IV silibinin is not available.
True
Grade 2 hepatic encephalopathy presents with lethargy or apathy, disorientation for time, obvious personality change, inappropriate behavior, dyspraxia, and asterixis.
True
Test your knowledge of acute liver failure in the emergency department with this quiz. Explore the causes, symptoms, and guidelines for managing this life-threatening condition, including the impact of mushroom experimentation and over-the-counter herbal supplements.
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