Bacterial Translocation in Cirrhotic Patients

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Questions and Answers

Which of the following factors correlates with bacterial translocation in cirrhotic patients?

  • Decreased intestinal wall permeability
  • Normal intestinal transit time
  • Increased intestinal wall permeability (correct)
  • Reduced risk of hepatic encephalopathy

What condition is commonly observed in cirrhotic patients that is associated with altered intestinal wall permeability?

  • Spontaneous bacterial peritonitis (correct)
  • Cirrhosis-related renal failure
  • Hepatic encephalopathy
  • Coagulation defects

In cirrhotic patients, what effect does increased intestinal wall permeability have on bacterial translocation?

  • Reduces the incidence of hepatic encephalopathy
  • Has no impact on bacterial translocation
  • Increases bacterial translocation (correct)
  • Decreases the risk of bacterial translocation

Which of the following complications is NOT directly related to altered intestinal wall permeability in cirrhotic patients?

<p>Cirrhosis-related renal failure (C)</p> Signup and view all the answers

How does an increase in intestinal wall permeability contribute to bacterial translocation in cirrhotic patients?

<p>It facilitates the passage of bacteria from the gut into circulation (C)</p> Signup and view all the answers

Which condition can lead to a reduction in plasma oncotic pressure and fluid loss into the peritoneal cavity?

<p>Spontaneous bacterial peritonitis (D)</p> Signup and view all the answers

What is a consequence of fluid loss from the vascular space into the peritoneal cavity?

<p>Hepatic encephalopathy (C)</p> Signup and view all the answers

Which complication of cirrhosis may further exacerbate a reduction in plasma oncotic pressure?

<p>Coagulation defects (C)</p> Signup and view all the answers

How can altered intestinal wall permeability contribute to fluid loss into the peritoneal cavity?

<p>By impairing gut barrier function (D)</p> Signup and view all the answers

Which condition can directly lead to cirrhosis-related renal failure and a subsequent reduction in plasma oncotic pressure?

<p>Spontaneous bacterial peritonitis (D)</p> Signup and view all the answers

What is believed to be the main cause of symptoms in hepatic encephalopathy?

<p>Accumulation of gut-derived nitrogenous substances (A)</p> Signup and view all the answers

Which substance is mentioned as the primary gut-derived nitrogenous substance responsible for symptoms?

<p>Ammonia (NH3) (A)</p> Signup and view all the answers

Altered intestinal wall permeability can lead to what condition in cirrhotic patients?

<p>Spontaneous bacterial peritonitis (C)</p> Signup and view all the answers

What is a common complication associated with cirrhosis that can contribute to coagulation defects?

<p>Portal vein thrombosis (C)</p> Signup and view all the answers

In cirrhosis-related renal failure, what role does the accumulation of gut-derived nitrogenous substances play?

<p>It exacerbates the renal failure (B)</p> Signup and view all the answers

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