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Obetohep

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

Liver is second largest organ in human body?

a)

TRUE

b)

False

2.

Main functions of liver are-

a)

Bile production

b)

Metabolism of fats, proteins, and carbohydrates

c)

Storage of glycogen, vitamins, and minerals

d)

Synthesis of plasma proteins, such as albumin, and clotting factors

e)

All of the above

3.

Bile is made up of____________.

a)

bile acids

b)

cholesterol & phospholipids

c)

bile pigments (bilirubin and biliverdin)

d)

electrolytes and water

e)

All of the above

4.

Bile acid is produced by _________________.

a)

enterocytes

b)

hepatocytes

c)

parietal cells

d)

None of the above

5.

Nonalcoholic fatty liver disease (NAFLD) is an umbrella term for a range of liver conditions affecting people who drink little to no alcohol.

a)

True

b)

False

6.

NAFLD is-

a)

too much fat stored in liver cells.

b)

too much bile stored in liver cells.

c)

too much proteins stored in liver cells.

d)

All of the above

7.

Primary Biliary Cholangitis(PBC) is a chronic progressive autoimmune disease?

a)

TRUE

b)

FALSE

8.

Progression of Primary Biliary Cholangitis includes-

a)

destruction of small bile ducts of liver

b)

bile build up in liver

c)

cholestasis

d)

permanent liver scarring (cirrhosis)

e)

All of the above

9.

Obeticholic Acid (OCA) is a semi-synthetic analog of bile acid chenodeoxycholic acid (CA) ?

a)

TRUE

b)

FALSE

10.

OCA (Obeticholic Acid) is ____________ more potent than CA.

a)

10 times (approx.)

b)

50 times (approx.)

c)

100 times (approx.)

d)

1000 times (approx.)

11.

Obeticholic acid is a potent farnesoid X receptor (FXR) agonist ?

a)

TRUE

b)

FALSE

12.

FXR (farnesoid X receptor) are found in __________.

a)

liver

b)

intestine

c)

Both of the above

d)

None of the above

13.

Obeticholic acid acts by_____________.

a)

Inhibiting bile acid synthesis

b)

Increasing bile acid clearance to reduce hepatic exposure to bile acids

c)

Reduction of overall bile acid pool

d)

Protects liver from toxic effects of accumulation of bile acids

e)

All of the above

14.

OCA offers OD dose advantage Vs BD dosage of UDCA?

a)

TRUE

b)

FASLE

15.

Half life of Obeticholic acid is______.

a)

4 Hrs.

b)

24 Hrs.

c)

48 Hrs.

d)

4 days

16.

Excretion of Obeticholic acid is mainly fecal > 85%?

a)

TRUE

b)

FALSE

17.

As per Regenerate trial with OCA "Better improvement in fibrosis by at least 1 stage without worsening was observed". ?

a)

TRUE

b)

FALSE

18.

Obetohep (OCA) is indicated for treatment of PBC (DCGI/USFDA)?

a)

TRUE

b)

FALSE

19.

What is the average weight decrease by OCA in NASH Patients?

a)

2.3 kg

b)

3.2 kg

c)

2.3 gm

d)

23 kg

20.

Most Patients move from ________________ to________________ fibrosis after treatment with OCA.

a)

Severe to advance

b)

Moderate to Advance

c)

Advance to Moderate