Portal Hypertension and Liver Disease Quiz

Portal Hypertension and Liver Disease Quiz

Created by
@IndulgentChaparral

Questions and Answers

What is the most common condition associated with decompensated cirrhosis?

Ascites

Which vaccination is recommended in patients with cirrhosis to prevent additional liver damage from an acute viral infection?

Hepatitis A and B vaccination

What dietary sodium restriction is recommended for patients with ascites?

Less than 800 mg sodium per day

What is the first-line treatment for portal hypertension to reduce bleeding and decrease mortality in patients with known varices?

<p>Endoscopic band ligation</p> Signup and view all the answers

What is the basis of pharmacologic therapy for ascites in cirrhosis?

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

What is the maximum amount of ascitic fluid that can be removed through diuresis per day?

<p>0.5 L/day</p> Signup and view all the answers

What causes selective vasoconstriction of the splanchnic bed, resulting in decreasing portal venous pressure with few serious side effects?

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

What is the first-line drug therapy for hepatic encephalopathy?

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

Which antibiotic is used to treat hepatic encephalopathy but is not generally recommended due to toxicity?

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

Which medication is a non-absorbable antibiotic that decreases urease-producing gut bacteria, thereby decreasing ammonia production?

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

Which medication conserves potassium that would otherwise be excreted because of elevated aldosterone levels in cirrhosis?

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

What is the synthetic somatostatin analog used in combination with endoscopic therapy to decrease rebleeding rates and transfusion needs in variceal bleeding?

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

Which of the following is a clinical problem associated with portal hypertension?

<p>Esophageal varices</p> Signup and view all the answers

Which condition results in the replacement of normal hepatic parenchyma with fibrotic tissue?

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

What is the primary function of hepatic venous pressure gradient (HVPG) measurement?

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

Which of the following is a complication of liver cirrhosis?

<p>Pleural effusion</p> Signup and view all the answers

What is the primary clinical manifestation of liver cirrhosis?

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

Which condition is characterized by the deposition of fat causing liver enlargement?

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

What is the primary function of serum albumin in the liver?

<p>Maintenance of oncotic pressure</p> Signup and view all the answers

Which etiological category includes Wilson’s disease and α1 antitrypsin deficiency?

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

What is the primary cause of esophageal and gastric varices in portal hypertension?

<p>Elevated hepatic venous pressure gradient</p> Signup and view all the answers

Which of the following is a common symptom of liver cirrhosis?

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

In liver cirrhosis, what is the primary function of C-reactive protein?

<p>Serving as an acute phase reactant</p> Signup and view all the answers

Which condition is characterized by the inability of the liver to work properly due to the formation of scar tissue?

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

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