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WorksheetsJuly Morning Report Spectacular! Part 3
Total questions: 10
Worksheet time: 8mins
All of the following represent malignant solid liver masses except:
hepatocellular carcinoma
focal nodular hyperplasia
cholangiocarcinoma
metastatic colorectal cancer
All of the above
All of the following can be seen in decompensated cirrhosis except:
scleral icterus
ascites
ALT within the upper limit of normal
INR > 1.5
All of the above
Which of the following should be routinely sent for a patient suspected to have newly diagnosed cirrhosis?
Hepatitis C antibody
Iron studies
alpha-1 antitrypsin
AFP
Anti-LKM-1
What is the significance of a LiRADs 5 grading of a liver mass on a multiphase liver CT scan?
CT chest is required to evaluate for primary lung cancer
The liver tissue surrounding the mass appears to be cirrhotic
There is a high probability that the lesion represents a hepatocellular carcinoma and should be biopsied
The lesion is almost certainly hepatocellular carcinoma and should not be biopsied
Budd-Chiari syndrome may be the first manifestation of which of the following conditions?
CML
Polycythemia vera
cirrhosis
multiple myeloma
According to national guidelines, every patient who presents with syncope should have which of the following tests, in additional to history and physical?
Head CT
Echocardiography
EKG
D-dimer
All of the following are part of the Ottawa EKG criteria to identify cardiac syncope except:
second degree Mobitz type II
RBBB + first degree AV block
new T wave inversion in precordial leads
left axis deviation
All of the above
Which of the following most accurately describes the role of NAC in non-acetaminophen-related acute liver failure?
Improves overall survival in all patients with acute liver failure
Improves transplant-free survival in all patients with acute liver failure
Improves transplant-free survival in patients with advanced stage coma grades with acute liver failure
Improves transplant-free survival in patients with early stage coma grades with acute liver failure
Has not been shown to improve transplant-free or overall survival in all patients with acute liver failure
In which of the following patient populations was a restrictive transfusion strategy (goal HGB >7) in upper GI bleeding was shown to improve mortality at 6 weeks?
All patients with cirrhosis
Patients with Child-Pugh class A/B
Patients with Child-Pugh class C
Patients bleeding from varices
Patients bleeding from peptic ulcers
Which of the following interventions have been shown in randomized controlled studies to improve mortality in upper GI bleeding?
Octreotide
Ceftriaxone
Vitamin K
Pantoprazole
