COPY: Liver Function Tests and Jaundice Quiz
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Questions and Answers

Which of the following is NOT a function of the liver?

  • Production of red blood cells (correct)
  • Formation of bile
  • Excretion of nitrogen
  • Protein biosynthesis
  • Jaundice is characterized by an abnormally low plasma concentration of bilirubin.

    False

    What percentage of blood supply to the liver comes from the hepatic artery?

    30

    The liver is the main site of ______ which produces glucose from non-carbohydrate sources.

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

    Match the following liver functions with their descriptions:

    <p>Excretion of nitrogen = Produces urea Protein biosynthesis = Produces albumin and clotting factors Drug metabolism = Processes and modifies various drugs Formation of bile = Includes bile salts and bilirubin</p> Signup and view all the answers

    What condition is associated with markedly increased unconjugated bilirubin in the blood?

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

    In prehepatic jaundice, there is bilirubin present in the urine.

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

    What substance is formed when hemoglobin is broken down?

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

    Prehepatic jaundice results in an increase of ________ bilirubin in the blood.

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

    Match the following bilirubin types with their characteristics:

    <p>Unconjugated bilirubin = Not water soluble, bound to albumin Conjugated bilirubin = Water soluble, can be excreted in urine Urobilinogen = Intermediate product in bilirubin metabolism Bilirubin-diglucuronide = Conjugated form of bilirubin in the liver</p> Signup and view all the answers

    What color urine is typically observed in prehepatic jaundice?

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

    Urobilinogen is water soluble and can be excreted in urine.

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

    What is the main role of the liver in bilirubin metabolism?

    <p>conjugation of bilirubin</p> Signup and view all the answers

    Which reagent is used to detect substances in the context of liver conditions?

    <p>Erlich’s reagent</p> Signup and view all the answers

    Cirrhosis of the liver can occur as a result of chronic alcohol consumption.

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

    What is the primary enzyme indicator that comes up first in cases of hepatocellular damage?

    <p>alanine aminotransferase (ALT)</p> Signup and view all the answers

    Gamma glutamyl transferase is primarily derived from the ______ system.

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

    Match the liver conditions with their characteristics:

    <p>Prehepatic jaundice = Large amounts of stercobilinogen in the stools Hepatocellular damage = Viruses such as Hepatitis A, B, and C Cirrhosis = Nodular liver surface and yellow/green color Non-alcoholic fatty liver disease (NAFLD) = Fatty liver without inflammation</p> Signup and view all the answers

    Which of the following factors is NOT commonly associated with hepatocellular damage?

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

    The sequence of events leading to cirrhosis includes injury, inflammation, cell death, ______, and regeneration.

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

    Alanine aminotransferase (ALT) is specific to liver disease.

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

    What is the normal range for albumin in g/l?

    <p>36 - 47</p> Signup and view all the answers

    Alkaline phosphatase is considered a great standalone biomarker for liver function.

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

    What does an increase in alanine aminotransferase levels typically indicate?

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

    The liver can be subjected to numerous conditions, and a battery of tests is vital to diagnose ______ abnormalities.

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

    Match the liver tests with their normal ranges:

    <p>Albumin = 36 - 47 g/l Alkaline Phosphatase = 40 - 125 u/l Alanine Aminotransferase = 10 - 40 u/l Gamma Glutamyl Transferase = 10 - 35 u/l</p> Signup and view all the answers

    Which biochemical test indicates cholestatic liver disease by showing elevation?

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

    The biological half-life of albumin is approximately 10 days.

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

    What type of bilirubin is primarily elevated in cholestatic liver disease?

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

    Primary biliary cirrhosis is a __________ condition that commonly affects women in mid-life.

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

    Match the following liver conditions with their characteristics:

    <p>Cholestatic liver disease = Failure of bile to reach the duodenum Primary sclerosing cholangitis = Chronic condition associated with ulcerative colitis Cirrhosis = Scarring and damage to liver tissue Fatty liver = Accumulation of fat in liver cells</p> Signup and view all the answers

    What is the primary immune response marker for hepatitis B infection?

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

    Bilirubin is not detectable in urine during significant biliary obstruction.

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

    Drug-induced cholestatic liver disease can occur due to __________ agents.

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

    What is the role of albumin in bilirubin transport?

    <p>It binds to unconjugated bilirubin in the bloodstream.</p> Signup and view all the answers

    Urobilinogen is formed in the small intestine after bilirubin enters the gut.

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

    What virus was the 21-year-old student infected with after returning from Asia?

    <p>hepatitis virus type A</p> Signup and view all the answers

    The _____ vein carries bilirubin from the spleen to the liver.

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

    Match the following substances with their descriptions:

    <p>Conjugated Bilirubin = Water-soluble form of bilirubin Unconjugated Bilirubin = Bound to albumin for transport Urobilinogen = Product formed in the intestine from bilirubin Bilirubin Diglucuronide = Conjugated form of bilirubin for excretion</p> Signup and view all the answers

    Which combination of tests is considered more effective?

    <p>A panel of tests including bilirubin and liver function markers.</p> Signup and view all the answers

    Bilrubin must be excreted through urine before forming urobilinogen.

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

    In the case of jaundice, what is the primary substance that is elevated in urine?

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

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