Liver Enzymes and Liver Damage Correlation Quiz
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Questions and Answers

Which symptom is characteristic of hepatocellular and cholestatic jaundice?

  • Ascites and abdominal swelling
  • Bleeding gums and nosebleeds
  • Itching that is more severe in the morning (correct)
  • Severe pain in the right hypochondriac region
  • Why might portal hypertension lead to bleeding from ruptured esophageal veins?

  • Impaired coagulation due to liver damage (correct)
  • Destruction of platelets by the liver
  • Decreased uptake of vitamin K
  • Increased synthesis of clotting factors
  • What is the effect of decreased synthesis of clotting factors in hepatic failure?

  • Decreased ability to form clots (correct)
  • Enhanced platelet function
  • Increased risk of thrombosis
  • Improved coagulation process
  • What is a common cause of abdominal swelling according to the text?

    <p>Reduced synthesis of albumin</p> Signup and view all the answers

    Why is ammonia accumulation mentioned in relation to hepatic encephalopathy?

    <p>It causes dry mouth and nausea</p> Signup and view all the answers

    How does vit.K malabsorption contribute to hematoma formation according to the text?

    <p>Reduces clotting factor production</p> Signup and view all the answers

    What is the main reason for the occurrence of xanthelasma near the inner canthus of the eyelid?

    <p>Liver disorder affecting lipid metabolism</p> Signup and view all the answers

    Which physical examination finding is associated with a disorder of estrogen inactivation in the liver?

    <p>Telangiectasia (spider veins)</p> Signup and view all the answers

    What could be an indication of anasarca in severe cases?

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

    Which condition is characterized by one or more fingers becoming permanently bent in a flexed position?

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

    What is the typical response of someone in a state of stupor during a physical examination?

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

    What is the characteristic feature of telangiectasia during a physical examination?

    <p>Small dilated blood vessels near the surface of the skin or mucous membranes</p> Signup and view all the answers

    What is the main reason for an increase in GGT (gamma-glutamyl transferase) levels according to the text?

    <p>Acute viral hepatitis</p> Signup and view all the answers

    Which condition is NOT associated with an increase in GPT/ALT (alanine aminotransferase) levels as per the text?

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

    In which condition would you expect to find an elevated De Ritis index (GGT/GOT ratio) according to the text?

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

    What is the main reason for an increase in AST (aspartate aminotransferase) levels according to the text?

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

    Which condition is NOT linked to anemia with normocytic normochromic characteristics according to the text?

    <p>Folic acid deficiency</p> Signup and view all the answers

    What diagnostic test involves inserting a long needle through the skin into the liver and then injecting a radiopaque contrast agent into a bile duct in the liver?

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

    What does an elevated MCV (mean corpuscular volume) indicate according to the text?

    <p>Folic acid deficiency</p> Signup and view all the answers

    Which imaging technique can detect collections of pus and fatty liver disorders uniformly throughout the liver?

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

    What procedure allows for biopsies and certain treatments to be done during the examination because an endoscope is used?

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

    Which of the following can provide images of the bile ducts and nearby structures?

    <p>Endoscopic retrograde cholangiopancreatography (ERCP)</p> Signup and view all the answers

    Which diagnostic test shows blood flow, providing information about blood vessel disorders?

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

    In which diagnostic test is a radiopaque contrast agent injected through a tube into the biliary tract, while x-rays are taken of the biliary tract and pancreatic duct?

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

    What is a characteristic laboratory finding associated with posthepatic jaundice?

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

    Which of the following symptoms is typically NOT associated with hepatic failure?

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

    What is a key symptom that occurs during the later stage of hepatic failure?

    <p>Abdominal distension from ascites</p> Signup and view all the answers

    Which of the following is a sign of upper gastrointestinal bleeding associated with hepatic failure?

    <p>Asterixis (hand tremor)</p> Signup and view all the answers

    Apart from jaundice, what other clinical finding is commonly associated with hepatic failure?

    <p>Loss of appetite</p> Signup and view all the answers

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