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

Why is ammonia accumulation mentioned in relation to hepatic encephalopathy?

<p>It causes dry mouth and nausea (B)</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 (A)</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 (B)</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) (B)</p> Signup and view all the answers

What could be an indication of anasarca in severe cases?

<p>Abdominal swelling (B)</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 (A)</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 (C)</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 (D)</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 (D)</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 (D)</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 (B)</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 (C)</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 (A)</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 (A)</p> Signup and view all the answers

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

<p>Folic acid deficiency (D)</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 (B)</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 (D)</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) (B)</p> Signup and view all the answers

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

<p>MRI (D)</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 (C)</p> Signup and view all the answers

What is a characteristic laboratory finding associated with posthepatic jaundice?

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

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

<p>Weight gain (B)</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 (D)</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) (A)</p> Signup and view all the answers

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

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

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