What is the incubation period for Hepatitis C?

a. 2-4 weeks

b. 1-3 months

c. 35-65 days

d. 1-2 years

Which type of hepatitis produces the largest number of chronic carriers?

a. hepatitis A

b. hepatitis B

c. hepatitis C

d. hepatitis D

e. hepatitis E

Excessive alcohol

Volatile solvents

Drugs and chemicals

Some poisons

False

Fatty liver is reversible if injurious agent is removed

What is the mildest form of alcoholic liver disease?

a. alcoholic fatty liver

b. alcoholic hepatitis

c. alcoholic cirrhosis

Cirrhosis of the liver is characterized by:

a. bridging fibrous septa producing masses of scar tissue

b. nodules of degenerating and regeneration of islands of hepatocytes

c. disruption of the architecture of the entire liver

d. all of the above

Which of the following is the most common cause of liver cirrhosis?

a. various drugs or chemicals

b. genetic diseases

c. alcoholic liver disease

d. chronic bile duct obstruction 

e. chronic hepatitis

c. alcoholic liver disease

e. chronic hepatitis

False

Severe right-sided heart failure is a product of post hepatic port hypertension

Thrombi and narrowing of the potal vein, also splenomegaly shunting excessive blood is a result of prehepatic portal hypertension

Cirrhosis is a product of hepatic portal hypertension

Portal hypertension can lead to all of the following except:

a. ascites

b. congestive splenomegaly

c. esophageal varices

d. hepatic encephalopathy

e. gallstones

f. it can lead to any of the above

False

Ascities leads to less albumin production

Clinical signs of liver failure can include all of the follwing except

a. coagulopathy

b. hyperammonemia

c. hypoalbuminemia

d. hypoestrogenemia

e. jaundice

f. multiple organ system failure

g. all of the above can be signs of liver failure

What are the three morphologic categories of liver failure?

Which of the following is not a complication of gallstones?

a. Biliary colic

b. Hypoglycemia

c. Cholecystitis

d. Obstructive jaundice

False

Primary Biliary Cirrhosis is due to a slowly progressive chronic inflammation and destruction of the small intrahepatic bile ducts.

Secondary Biliary Cirrhosis (aka Obstructive B.C.) is due to a longstanding bloackage of the extrahepatic bile ducts

True. 

An intrahepatic cholestasis is caused by cirrhosis of liver or tumor.

True

They're also common in Asia and Africa due to high incidence of chronic heptatis carriers

Which of the following belongs in the exocrine category?

a. Digestive enzymes

b. Glucagon

c. Insulin

d. Somatostatin

False

CF is an abnormal chloride transport across cell membranes

The term for "a lack of pancreatic digestive enzymes" is:

a. acute pancreatitis

b. chronic pancreatitis

c. cystic fibrosis

d. pancreatic cirrhosis

e. pancreatic insufficiency

Matching

____ Night blindness

____ Results in poor absorption of fats and fat-soluble vitamins

____ Decreased calcium absorption and bone demineralization

____ Blood clotting deficiency

____ Testicular atrophy and neurologic defects in children

a. Vitamin K deficiency

b. Vitamin A deficiency

c. Vitamin D deficiency

d. Vitamin E deficiency

e. Bile Salt deficiency

b. Vitamin A deficiency

e. Bile salt deficiency

c. Vitamin D deficiency

a. Vitamin K deficiency

d. Vitamin E deficiency

Name one cause of Bile Salt deficiency

Advanced liver disease

Obstruction of common bile duct

Diseases of the ileum

False

The majority are in the head of the pancreas

• Diabetes mellitus
• Chronic pancreatic disease
• Endocrine diseases associated with overproduction of pituitary or adrenal hormones
• Various drugs
• A few rare hereditary diseases

False

Hypoglycemia can be both a symptom and a disease

Reduced intake of food

Increased physical activity

Insulin Overdose

Confusion

Loss of consciousness

Convulsions

Coma

Death

Matching

____ scarring of the bile duct lining

____ tortuous, distended veins in the esophagus
____ due to deficient bile salts in relationship to amount of cholesterol

____ neurologic signs due to liver failure

a. acute pancreatitis

b. biliary cirrhosis

c. biliary colic

d. bile salt deficiency

e. cholecystitis

f. cholelithiasis

g. cholestasis

h. chronic hepatitis

i. cirrhosis of the liver

j. esophageal strictures

k. esophageal varices

l. hepatic encephalopathy

m. mallory bodies

n. portal hypertension

b. biliary cirrhosis

k. esophageal varices

f. cholelithiasis

l. hepatic encephalopathy

Which type of hepatitis produces the largest number of chronic carriers?

a. hep A

b. hep B

c. hep C

d. all types of hepatitis produce equal numbers of chronic carriers

Vaccine is available for all of the following EXCEPT:

a. hep A

b. hep B

c. hep C

d. vaccine is available for all of the above

The most common cause of cirrhosis in Asia is

a. biliary diseases

b. alcoholic liver disease

c. autoimmune liver disease

d. viral hepatitis

Clincial signs of liver failure can include all of the following EXCEPT:

a. coagulopathy

b. hyperammonemia

c. hyperalbuminemia

d. hyperestrogenemia

e. jaundice

Describe the person with the highest risk for cholelithiasis. (four characteristicis)

A lack of pancreatic digestive enzymes lead to

a. acute pancreatitis

b. chronic pancreatitis

c. cystic fibrosis of the pancreas

d. malabsorption

e. maldigestion

f. pancreatic cirrhosis

All of the following are possible causes of hyperglycemia EXCEPT:

a. chronic pancreatitis

b. diabetes mellitus

c. insulinoma

d. some drugs

e. all of the above are associated with hyperglycemia