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WorksheetsGI Clin Lab Exam practice
Total questions: 21
Worksheet time: 12mins
Which labs will help rule out hepatocellular damage/disease?
ALT
AST
BLT
ALP
Which labs will help you rule out biliary tract damage/disorder?
ALT
AFT
ALP
AST
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)
heart attack
alcohol abuse
steatosis
chronic issues
Common causes of liver disease include which of the following?
Hepatitis C (chronic)
Hepatitis B (chronic)
Cirrhosis
Alcohol
steatosis/ steatophepatitis
Which of the following lab values indicate immunity from Hepatitis A?
IgM anti-HAV positive
Total HAV ab positive
IgM anti-HAV negative
Total HAV ab negative
Which of the following is indicative of Hep B recovery or immunity?
anti-HBc IgM
HBsAg
HBsAb
HBV-DNA
What would you suspect in a patient who's labs presents with the following:
HBsAg
HBcAg
anti-HBc IgM
HBO max
Acute HBV infection
Latent HBV
HBV immunity
What would you order to indicate a past or present exposure to Hepatitis C?
AFP
HCV-RNA ab
HCV quantaSure
HCV Fibrosure
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
True
False
Which of the following would you most likely find an elevation in conjugated bilirubin?
Gilbert's syndrome
Biliary tract obstruction
Biliary atresia
Choledocholithiasis
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?
Decreased conjugated bilirubin
Elevated Conjugated bilirubin
Elevated unconjugated bilirubin
Decreased unconjugated bilirubin
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?
Biliary Atresia
Gilbert's syndrome
Criglar-Najjar
Rotor Syndrome
Elevation in what lab value would make you suspicious for blocked bile flow out of the liver?
Creatinine
Alkaline phosphate (ALP)
Alpha Fetoprotein (AFP)
Albumin
What important transport molecule helps the liver metabolize drugs and other toxins?
Gamma Glutathione Reductase (GGR)
Gamma Glutamyl Transpeptidase (GGT)
Gamma theta beta (GTB)
Gamma wamma jamma (GWJ)
What glycoprotein is normally elevated in pregnant mothers and neonates?
Conjugated bilirubin (CB)
Alpha Fetoprotein (AFP)
Alkaline Phosphate (ALP)
Bacon Lettuce Tomato (BLT)
Albumin keeps blood from leaking out of the blood vessels into surrounding tissue. What symptoms would be seen in someone with hypoalbuminemia?
Edema
Ascites
Tetany
Locked jaw
What symptoms would you see with a patient that has a Prothrombin Time of 18 seconds (10-14 normal)?
diarrhea
bleeding
clotting
dry skin
If a patient has cirrhosis and thrombocytopenia, what screening test should be preformed and could be life saving?
MRI
Endoscopy
CT abdomen
Xray of Abdomen
Which analytic component of ascitic fluid would be the best predictor of portal hypertension?
Cell count and Diff
Serum to albumin ascites gradient (SAAG)
Gross Appearance
Protein concentration
All of the following are possible reasons for ascites EXCEPT
ur mom
portal hypertension
hypoalbuminemia
peritoneal disease
What is the term for the bilirubin-induced brain dysfunction due to hyperbilirubinemia in neonates?
Hirschprung's disease
Wilson's disease
Kernicterus
Kernel corn
