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Hepatocytes Swelling and Necrosis Quiz

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30 Questions

Which enzyme is present in biliary epithelium?

Alkaline phosphatase

What is a test of hepatocyte function that can be affected by increased ammonia levels?

Prothrombin time

What is a complication associated with cholestasis?

Jaundice

Which histologic feature is characteristic of liver cirrhosis?

Bridging fibrous septa

What occurs in cholestasis as a result of hepatocyte swelling?

Foamy degeneration

Which liver condition results from irreversible end-stage chronic liver disease?

Liver cirrhosis

What is the main cause of hepatocytes swelling?

Defects in membrane and/or mitochondrial function

Which type of necrosis is characterized by poorly staining mummified hepatocytes with shadows of cells?

Coagulative necrosis

What causes yellowish discoloration of skin & sclera in jaundice?

Systemic retention of bilirubin

What happens in Kernicterus?

Accumulation of bilirubin in the brain

How is unconjugated bilirubin different from conjugated bilirubin?

Unconjugated bilirubin is tightly bound to serum albumin, whereas conjugated bilirubin is loosely bound.

Which lab test can evaluate conjugated bilirubin specifically?

Direct bilirubin test

What is a major etiologic association for the development of Hepatocellular Carcinoma (HCC)?

Continuous bouts of inflammation caused by HBV

In what percentage of cases does Hepatocellular Carcinoma (HCC) occur without cirrhosis?

50%

Which toxin, produced by certain fungi, is mentioned as a cause for mutation in p53 leading to Hepatocellular Carcinoma?

Aflatoxin

What is the male-to-female ratio for Hepatocellular Carcinoma (HCC) between 20 - 40 years?

8:1

Which condition is mentioned as a cause for accumulation of iron inside hepatocytes, contributing to Hepatocellular Carcinoma?

Hemochromatosis

In which setting does Hepatocellular Carcinoma (HCC) almost exclusively occur in patients with HCV according to the text?

In the setting of cirrhosis

Which of the following is a characteristic of focal nodular hyperplasia (FNH)?

It is a solitary focus of hyperplastic hepatocyte nodules with a central fibrous scar.

What is the most common site of origin for metastatic carcinomas in the liver?

Colon

Which of the following is a characteristic of liver cell dysplasia?

It is a precursor lesion to liver cell carcinoma.

Which of the following is a benign epithelial neoplasm of the liver?

Liver cell adenoma

Which of the following is a characteristic of nodular regenerative hyperplasia?

It is a benign condition.

Which of the following is a malignant non-epithelial neoplasm of the liver?

Angiosarcoma

Which of the following is NOT a characteristic of hepatocellular carcinoma (HCC)?

Presence of bile pigment or hyaline inclusions

What is the median survival for patients with hepatocellular carcinoma (HCC)?

7 months

Which of the following factors is associated with a better prognosis for hepatocellular carcinoma (HCC)?

Single tumor < 2 cm in diameter

What is the most effective treatment for hepatocellular carcinoma (HCC) mentioned in the text?

Surgical resection of smaller tumors

What is the length of the pancreas mentioned in the text?

20 cm

Where does the pancreatic duct empty into, according to the text?

Duodenum or the common bile duct

Test your knowledge on hepatocytes swelling and necrosis in the liver. Learn about the causes and characteristics of swelling, hydropic change, and different types of necrosis like coagulative and lytic necrosis.

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