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Hepatic Review

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

The addition of water to an ester or an amide is:

a)

Oxidation

b)

Hydrolysis

c)

Reduction

d)

Synthesis

2.

Net gain of electrons occurs in this reaction.

a)

Reduction

b)

Oxidation

c)

Conjugation

d)

Hydrolysis

3.

A phase II reaction includes:

a)

Conjugation

b)

Hydrolysis

c)

Reduction

d)

Oxidation

4.

Bilirubin is a product of:

a)

Bacterial decontamination

b)

Protein metabolism

c)

Fat metabolism

d)

Erythrocyte destruction

5.

Hepatocellular injury is reflected in:

a)

Biliary obstruction

b)

Transaminase elevation

c)

Decreased PT

d)

Elevated albumin

6.

Unconjugated bilirubin needs to be conjugated to make it:

a)

Fat soluble

b)

Water soluble

7.

The half-life of albumin is

a)

24 hours

b)

72 hours

c)

One week

d)

2 weeks

8.

What can happen to hepatic flow due to positive pressure ventilation?

a)

Flow enhancement

b)

Flow reduction

c)

Exponential flow augmentation

9.

Which relieves the spasm of the Sphincter of Oddi?

a)

Morphine

b)

Fentanyl

c)

Insulin

d)

Glucagon

10.

A month ago while traveling in Vietnam, a patient ate several meals containing shellfish, she now presents with elevated AST and ALT. She most likely has:

a)

Hepatitis B

b)

Cholecystitis

c)

Hepatitis C

d)

Hepatitis A

11.

Chronic hepatitis most frequently occurs as a consequence of:

a)

Hepatitis A

b)

Hepatitis B

c)

Hepatitis C

d)

Hepatitis D

12.

Which of the following is consistent with a cirrhotic liver? (Select 2.)

a)

Increased albumin

b)

Prolonged prothrombin time

c)

Decreased AST

d)

Elevated portal venous pressure

13.

What are two problems that can occur because of alpha-1 -antitrypsin deficiency? (Select 2.)

a)

Asthma

b)

Renal failure

c)

Cirrhosis

d)

Emphysema

14.

Which drugs should be avoided in Prophyria?

a)

Propofol

b)

Thiopental

c)

Etomidate

d)

Ketamine

15.

Which clotting factor has the shortest half-life?

a)

II

b)

V

c)

VII

d)

X

16.

Name two factors in clotting not made in the liver

a)

III

b)

IV

c)

VII

d)

VIII

17.

Which relieve spasm of the Sphincter of Oddi?

a)

Insulin

b)

Naloxone

c)

Glucagon

d)

Fentanyl

18.

The most common cause of liver transplant is:

a)

Hepatitis A

b)

Hepatitis B

c)

Hepatitis C

d)

Alpha 1 antitrypsin deficiency

19.

In three different porphyrias, what enzyme is overabundant?

a)

ALA synthase

b)

ALA dehydrogenase

c)

ALA hydropronase

d)

ALA deprophydronase

20.

Name two induction agents to avoid in patients with porphyria.

a)

Thiopental

b)

Propofol

c)

Ketamine

d)

Etomidate