WorksheetsThe Liver: Surgery and Anesthesia
Total questions: 10
Worksheet time: 10mins
True or false. Opioid metabolism is reduced in patients with liver disease.
True
False
The average portal vein pressure is ___ mmHg
0-1
2-4
4-6
8-10
The liver’s high blood flow is due to
Low vascular resistance in the portal vein
Blood glucose regulation through buffer function
Protein metabolism and amino acid synthesis
Regeneration after injury
True or false.
The half life of serum albumin is 2 weeks.
True
False
What hormone is released from the duodenal mucosa to stimulate gallbladder contraction
Bilirubin
Bradykinin
Cholecystokinin
Ceruloplasmin
6. Which scoring system better predicts perioperative mortality of cirrhotic patients?
Child-Turcotte-Pugh
MELD
Pringle
Couinaud
7. Factors affecting hepatic clearance except
A. Blood flow
B. Drug unbound to plasma proteins
C. Intrinsic clearance
D. Route of administration
True or false.
Volatile anesthetics decrease hepatic blood flow to a variable degree
True
False
Alpha fetoprotein level of ___ confirms the diagnosis of hepatocellular CA
>50
>100
>200
>300
10. True of Portal hypertension except:
Wedged hepatic venous pressure is gold standard
Distorted hepatic architecture from inflammation
Impedance to blood flow by fibroses
Rupture of collaterals
