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GI Clin Lab Exam practice

Total questions: 21

Worksheet time: 12mins

Name
Class
Date
1.

Which labs will help rule out hepatocellular damage/disease?

a)

ALT

b)

AST

c)

BLT

d)

ALP

2.

Which labs will help you rule out biliary tract damage/disorder?

a)

ALT

b)

AFT

c)

ALP

d)

AST

3.

60 year old chronically ill appearing man presents with his wife who stated he has been confused recently with hypersomnolence, swollen abdomen, and has multiple bruises on his arms. During your history you discover that he drinks a fifth of vodka every week and has for decades.

What would you suspect is causing his symptoms with the following values:

AST 120 (normal =10-40)

ALT 60 (normal = 7-56)

a)

heart attack

b)

alcohol abuse

c)

steatosis

d)

chronic issues

4.

Common causes of liver disease include which of the following?

a)

Hepatitis C (chronic)

b)

Hepatitis B (chronic)

c)

Cirrhosis

d)

Alcohol

e)

steatosis/ steatophepatitis

5.

Which of the following lab values indicate immunity from Hepatitis A?

a)

IgM anti-HAV positive

b)

Total HAV ab positive

c)

IgM anti-HAV negative

d)

Total HAV ab negative

6.

Which of the following is indicative of Hep B recovery or immunity?

a)

anti-HBc IgM

b)

HBsAg

c)

HBsAb

d)

HBV-DNA

7.

What would you suspect in a patient who's labs presents with the following:

HBsAg

HBcAg

anti-HBc IgM

a)

HBO max

b)

Acute HBV infection

c)

Latent HBV

d)

HBV immunity

8.

What would you order to indicate a past or present exposure to Hepatitis C?

a)

AFP

b)

HCV-RNA ab

c)

HCV quantaSure

d)

HCV Fibrosure

9.

With hepatocellular dysfunction, conjugated bilirubin (CB) is usually elevated because the transport of CB to the bile cannaliculi is typically the rate limiting step to bilirubin excretion

a)

True

b)

False

10.

Which of the following would you most likely find an elevation in conjugated bilirubin?

a)

Gilbert's syndrome

b)

Biliary tract obstruction

c)

Biliary atresia

d)

Choledocholithiasis

11.

A patient's lab results show a positive direct Coombs Test, elevated LDH and decreased haptoglobin. Which of the following labs would most likely be present?

a)

Decreased conjugated bilirubin

b)

Elevated Conjugated bilirubin

c)

Elevated unconjugated bilirubin

d)

Decreased unconjugated bilirubin

12.

A 12 y/o male presents to the office complaining of fatigue. His mother states he has been overall healthy except gets yellow discolored skin episodically. Your lab results come back normal except an elevation in unconjugated bilirubin. What is the diagnosis?

a)

Biliary Atresia

b)

Gilbert's syndrome

c)

Criglar-Najjar

d)

Rotor Syndrome

13.

Elevation in what lab value would make you suspicious for blocked bile flow out of the liver?

a)

Creatinine

b)

Alkaline phosphate (ALP)

c)

Alpha Fetoprotein (AFP)

d)

Albumin

14.

What important transport molecule helps the liver metabolize drugs and other toxins?

a)

Gamma Glutathione Reductase (GGR)

b)

Gamma Glutamyl Transpeptidase (GGT)

c)

Gamma theta beta (GTB)

d)

Gamma wamma jamma (GWJ)

15.

What glycoprotein is normally elevated in pregnant mothers and neonates?

a)

Conjugated bilirubin (CB)

b)

Alpha Fetoprotein (AFP)

c)

Alkaline Phosphate (ALP)

d)

Bacon Lettuce Tomato (BLT)

16.

Albumin keeps blood from leaking out of the blood vessels into surrounding tissue. What symptoms would be seen in someone with hypoalbuminemia?

a)

Edema

b)

Ascites

c)

Tetany

d)

Locked jaw

17.

What symptoms would you see with a patient that has a Prothrombin Time of 18 seconds (10-14 normal)?

a)

diarrhea

b)

bleeding

c)

clotting

d)

dry skin

18.

If a patient has cirrhosis and thrombocytopenia, what screening test should be preformed and could be life saving?

a)

MRI

b)

Endoscopy

c)

CT abdomen

d)

Xray of Abdomen

19.

Which analytic component of ascitic fluid would be the best predictor of portal hypertension?

a)

Cell count and Diff

b)

Serum to albumin ascites gradient (SAAG)

c)

Gross Appearance

d)

Protein concentration

20.

All of the following are possible reasons for ascites EXCEPT

a)

ur mom

b)

portal hypertension

c)

hypoalbuminemia

d)

peritoneal disease

21.

What is the term for the bilirubin-induced brain dysfunction due to hyperbilirubinemia in neonates?

a)

Hirschprung's disease

b)

Wilson's disease

c)

Kernicterus

d)

Kernel corn