Liver, Biliary Tract, Pancreas Quiz

Liver, Biliary Tract, Pancreas Quiz

Created by
@ComfortingBigBen

Questions and Answers

Which of the following is a characteristic finding of acute pancreatitis on imaging?

Necrosis involving the pancreatic parenchyma

What is the main characteristic of interstitial edematous pancreatitis (IEP)?

Non-necrotizing inflammation of the pancreas

Which sign is associated with acute pancreatitis and indicates retroperitoneal bleeding?

Grey Turner's sign

What is the recommended treatment for bile duct stones in case of failed standard stone extraction?

<p>Intraoperative ERCP or laparoscopic bile duct exploration in combination with cholecystectomy</p> Signup and view all the answers

What are the three main categories of cholangitis described in the text?

<p>Primary, secondary, and immune cholangitis</p> Signup and view all the answers

What is the main characteristic of necrotizing pancreatitis?

<p>Necrosis involving the pancreatic parenchyma</p> Signup and view all the answers

Which imaging method is recommended in case of strong clinical suspicion of gallbladder stones and negative abdominal ultrasound?

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

What are the two main signs used to diagnose acute pancreatitis?

<p>Charcot's triad and Cullen's sign</p> Signup and view all the answers

What is the main characteristic of Charcot’s triad?

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

Which procedure may be performed for bile duct stones if there is a failed standard stone extraction?

<p>Extracorporeal shock wave lithotripsy</p> Signup and view all the answers

What are the two main characteristics of Reynolds' pentad?

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

Which stage of ascites reflects a more deranged circulatory state?

<p>Hepatorenal syndrome (HRS)</p> Signup and view all the answers

What is the most common type of bacterial infection in hospitalized cirrhotic patients?

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

What is the key factor in the pathogenesis of Hepatic Encephalopathy?

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

Which stage of Hepatic Encephalopathy presents with gross disorientation and bizarre behavior?

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

What is asterixis in the context of Hepatic Encephalopathy?

<p>Inability to maintain a position, demonstrated by jerking movements of the outstretched hands when bent upward at the wrist.</p> Signup and view all the answers

Jaundice can result from an increase in bilirubin production or a decrease in hepatobiliary elimination of bilirubin. Which type of jaundice is characterized by decreased hepatocellular uptake of unconjugated bilirubin?

<p>Hepatic (hepatocellular) jaundice</p> Signup and view all the answers

The optimal treatment for non-obstructive jaundice (i.e., liver disease) is directed toward:

<p>Cessation of ethanol</p> Signup and view all the answers

'Cholestasis' is defined as stagnation or a marked reduction in bile secretion and flow, and can be due to a functional impairment of the hepatocytes or due to an obstruction at any level of the excretory pathway of bile. What type of jaundice is associated with cholestasis?

<p>Extrahepatic (obstructive) jaundice</p> Signup and view all the answers

'Cholangitis' refers to inflammation and fibrosis of the hepatobiliary system characterized by eventual narrowing and obstruction of the bile ducts. What is the primary therapeutic intervention for managing cholangitis?

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

'Biliary colic' is characterized by episodic attacks of severe pain in the right upper abdominal quadrant or epigastrium, often with radiation to the right back or shoulder. How is a patient with biliary colic typically treated?

<p>NSAIDs ± spasmolytics and opioids</p> Signup and view all the answers

What is a characteristic symptom of gallbladder stones?

<p>Pain that spreads to the right shoulder or back</p> Signup and view all the answers

What do NSAIDs ± spasmolytics and opioids help manage in patients with biliary colic?

<p>Severe pain in the upper right or center abdomen</p> Signup and view all the answers

Which of the following represents a high risk of variceal bleeding according to HVPG?

<p>HVPG &gt; 12mmHg</p> Signup and view all the answers

What is the most common cause of cirrhosis in the United States?

<p>Alcoholic liver disease</p> Signup and view all the answers

Which physical examination finding is associated with alcoholic liver disease?

<p>Dupuytren’s contracture</p> Signup and view all the answers

What is the primary laboratory finding in alcoholic liver disease?

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

What is the most common complication of cirrhosis?

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

What is the significance of the HVPG when it exceeds 20mmHg?

<p>High risk of treatment failure and rebleeding</p> Signup and view all the answers

Which condition is characterized by marked abdominal distension according to the grading system for ascites?

<p>Grade 3</p> Signup and view all the answers

'The word ascites is of Greek origin (askos) and means bag or sac.' This statement implies that ascites refers to:

<p>'Pathologic fluid collection within the abdominal cavity'</p> Signup and view all the answers

'Patients with cirrhosis are susceptible to a variety of complications' implies that cirrhosis leads to:

<p>'Reduced life expectancy'</p> Signup and view all the answers

What does the HVPG represent?

<p>Gradient between pressures in the portal vein and the inferior vena cava</p> Signup and view all the answers

What does HVPG > 10mmHg signify?

<p>High risk of variceal bleeding</p> Signup and view all the answers

Which two conditions are the most common causes of cirrhosis in the United States?

<p>Alcoholic liver disease and hepatitis C</p> Signup and view all the answers

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