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Liver

Total questions: 20

Worksheet time: 20mins

Name
Class
Date
1.

Ligamentum Teres hepatis is a remnant of.....

a)

Right umbilical vein

b)

Left umbilical vein

c)

Ductus arteriosus

d)

Umbilical artery

2.

Jaundice caused by an obstructive pathology of the billiary tree , is known as

a)

Prehepatic

b)

Hepatic

c)

Post hepatic

d)

Splenohepatic

3.

........ transports unconjugated bilirubin to liver

a)

Globulin

b)

Albumin

c)

AST

d)

ALP

4.

Which of the following vitamin can be produced by liver?

a)

Vitamin D

b)

Vitamin C

c)

Vitamin A

d)

Vitamin E

5.

....... Is a group of enzymes found mainly in liver, bone, placenta and intestines .

a)

AST

b)

ALP

c)

SGPT

d)

ALT

6.

Unconjugated bilirubin

a)

Is soluble in aqueous solution

b)

Is not protein bound

c)

When present in excess is readily excreted in urine

d)

Can cause kernicterus if present in excess in neonates

7.

Space of disse surrounds

a)

Sinusoids

b)

Portal triad

c)

Hepatic lobule

d)

Portal lobule

8.

Common duct stricture is common in patients with

a)

Fatty liver

b)

Hepatitis B

c)

Post cholesystectomy

d)

Pancreatic head mass

9.

True about hydatid cyst of liver is

a)

Extrahepatic location is 15% in lungs and 2% in brain

b)

Adult worm infests carnivores

c)

IHA is most specific serological tests

d)

Echinococcus multiocularis is more common than Echinococcus granulosus

10.

Which of the following structures is not a part of portal triad in liver

a)

Portal vein

b)

hepatic vein

c)

Bile duct

d)

Hepatic artey

11.

Which of the following has weakest association with Hepatocellular carcinoma

a)

Hepatitis B

b)

Hepatitis C

c)

Oral contraceptives

d)

Smoking

12.

Which of the following is not a paraneoplastic syndrome for Hepatocellular carcinoma.

a)

Hypercalcemia

b)

Hypoglycemia

c)

Hyperglycemia

d)

Erythrocytosis

13.

Which of the following diseases is caused in liver by liver fluke

a)

Babesiosis

b)

Toxoplasmosis

c)

Fascioliosis

d)

Malaria

14.

Pain, diarrhea and black tarry stool are GI symptoms of

a)

Amoebic abscess

b)

Pyogenic abscess

c)

Acute hepatatis

d)

Echinococcal cyst

15.

Which liver disease classification is characterized by liver malfunction due to a blockage in bile ducts and is treated surgically?

a)

Obstructive

b)

Diffuse

c)

Hepatocellular

d)

None of the above

16.

A patient with a fever, vomiting, and RUQ pain presents to the ER. LFT are elevated and the patient has increased WBC. Sonographic exam reveals a 2 cm round, echogenic lesion in the right lobe.

a)

Pyogenic abscess

b)

Cholangiocarcinoma

c)

Bacterial hepatatis

d)

Focal nodular heperplasia

17.

Which is not a sign of an intrahepatic mass?

a)

Formation of a triangular fat wedge

b)

Displacement of hepatci vascular

c)

External bulging ofthe liver capsule

d)

Posterior displacement of the IVC

18.

The two main patterns of liver injury are:

a)

Hepatocellular and cholestatic

b)

Cholestatic and obstructive

c)

Necrotic and hepatocellular

d)

Neoplastic and cholestatic

19.

A predominantly direct hyperbilirubinemia is present in all of the following causes of jaundice, except:

a)

Hemolysis

b)

Bile duct obstruction

c)

Drug-induced liver injury

d)

Primary biliary cirrhosis

20.

The following entity can cause both intrahepatic and extrahepatic cholestasis:

a)

Primary biliary cirrhosis

b)

Viral hepatitis

c)

Primary sclerosing cholangitis

d)

Sarcoidosis