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</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</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</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</p> Signup and view all the answers

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

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

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

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

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

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

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