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Gi Quiz - Round 1

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

Who performed the first liver biopsy ?

a)

Paul Ehrlich

b)

Charles Dotter

c)

Menghini

d)

Peter Scheurer

2.

The arow indicates a structure within a damaged hepatocyte.

What is the pathological basis of its formation?

a)

Damaged cytoskeletal proteins

b)

Viral inclusions

c)

Storage of glycogen

d)

Alpha1 antitrypsin inclusions

3.

In which of the following conditions is ALT typically normal or only mildly raised despite significant liver disease?

a)

Acute hepatitis A

b)

Autoimmune hepatitis

c)

Alcoholic cirrhosis

d)

Hepatitis B reactivation

4.

A photograph of the cut surface of a liver is provided. What is the most likely underlying pathology for this appearance?

a)

Acute haemorrhagic necrosis

b)

Chronic venous congestion

c)

Cirrhosis

d)

Portal hypertension

5.

A 45-year-old obese male with diabetes mellitus was diagnosed with MASLD with advanced fibrosis. What is the most useful antidiabetic medication for this patient?

a)

Pioglitazone

b)

Sitagliptin

c)

Semaglutide

d)

Insulin

6.

Which of the following is NOT an indication for treatment with albumin in a patient with decompensated cirrhosis?

a)

Following large volume paracentesis

b)

Treatment of spontaneous bacterial peritonitis

c)

Hepatic encephalopathy

d)

Hepato-renal syndrome

7.

The following treatment option has the best evidence for delaying decompensation in patients with compensated cirrhosis

a)

Carvedilol

b)

Simvastatin

c)

Vitamin E

d)

Ursodeoxycholic acid

8.

Which of the following is the primary mechanism of lactulose in preventing hepatic encephalopathy?

a)

Acting as a systemic antibiotic to reduce gut bacteria

b)

Acidifying colonic contents to convert ammonia (NH3) to ammonium (NH4+)

c)

Increasing renal ammonia excretion

d)

Blocking ammonia production in the liver

9.

A Hepatitis B serology profile of a patient presented with icterus is given below. Which of the following is the correct interpretation of these results?

a)

Early acute hepatitis B infection

b)

Chronic active hepatitis B infection

c)

Relatively recent, resolving, hepatitis B infection

d)

Past resolved hepatitis B infection

10.

The parasitic stage causing this cystic lesion in the liver is

a)

Ascaris lumbricoides larval worm

b)

Echinococcus granulosus larval worm

c)

Entamoeba histolytica trophozoite

d)

Fasciola hepatica adult worm