Chapter 38 Review

A patient being treated for hepatic encephalopathy could be expected to receive a(n) ________diet. A. low-protein and high-fiber B. high-protein and high-carbohydrate C. high-sodium D. unrestricted

A

Steatohepatitis is caused by an accumulation of ________ in the liver cells. A. fat B. bile C. acetaminophen D. ferritin

A

A patient admitted with bleeding related to esophageal varices could be expected to receive a continuous intravenous infusion of A. glucose. B. octreotide acetate. C. anticoagulants. D. proton pump inhibitors.

B

Hepatitis with the presence of autoantibodies and positive antinuclear antibodies (ANA) is A. hepatitis D. B. autoimmune hepatitis. C. hepatitis A. D. hepatitis B.

B

Liver transaminase elevations in which aspartate aminotransferase (AST) is markedly greater than alanine aminotransferase (ALT) is characteristic of A. viral hepatitis. B. alcohol-induced injury. C. cirrhosis. D. acetaminophen toxicity.

B

What form of viral hepatitis is likely to be transmitted sexually? A. Hepatitis A B. Hepatitis B C. Hepatitis C D. Hepatitis E

B

What laboratory data would support a diagnosis of hemochromatosis? A. Deficient protease inhibitor B. Elevated ferritin C. Elevated urine copper D. Positive antinuclear antibody

B

________ disease is a rare autosomal recessive disorder in which excessive amounts of copper accumulate in the liver. A. Kayser-Fleischer B. Wilson C. Reye D. Byler

B

Brain injury secondary to high serum bilirubin is called A. hepatic encephalopathy. B. hepatic meningitis. C. kernicterus. D. encephalitis.

C

Hepatitis B is usually transmitted by exposure to A. hepatitis vaccine. B. feces. C. blood or semen. D. contaminated food.

C

Jaundice is a common manifestation of A. malabsorption syndromes. B. anemia. C. liver disease. D. cholecystitis.

C

A patient with a history of alcoholism presents with hematemesis and profound anemia. The expected diagnosis is A. ascites. B. cerebral edema. C. hepatic encephalopathy. D. gastroesophageal varices.

D

A viral hepatitis screen with positive hepatitis B surface antigen (HBsAg) should be interpreted as ________ hepatitis B. A. recovered from B. immunity to C. chronic active D. acute

D

An increased urine bilirubin is associated with A. an increased indirect serum bilirubin. B. hemolytic reactions. C. Gilbert syndrome. D. hepatitis.

D

An infusion of mannitol would be prescribed to treat A. varices. B. encephalopathy. C. peritonitis. D. cerebral edema.

D

Hepatic encephalopathy is associated with A. hyperbilirubinemia. B. hyperuricemia. C. toxic effects of alcohol on brain cells. D. increased blood ammonia levels.

D

Pathophysiologically, esophageal varices can be attributed to A. elevated bilirubin. B. diminished protein metabolism. C. fluid accumulation. D. portal hypertension.

D

The most common causes of prehepatic jaundice are ________ and ineffective erythropoiesis. A. hemolysis B. metabolism C. fibrosis D. canalicular bilirubin transport

A