WorksheetsCirrhosis: Definition and Characteristics
Total questions: 10
Worksheet time: 5mins
A 58-year-old with cirrhosis presents with progressive abdominal distention and ankle edema. Lab values indicates low albumin levels. What is the main cause of this patient's clinical manifestations?
Increased permeability of abdominal membrane
Increased hydrostatic pressure and decreased oncotic pressure
Decreased permeability of abdominal membrane
Decreased hydrostatic pressure and increased oncotic pressure
A patient with portal hypertension presents with an enlarged palpable spleen and thrombocytopenia (Low platelet course). Which rationale best explains the thrombocytopenia that has manifested?
Drug-induced thrombocytopenia from nonselective beta-blockers is most common
Bone marrow failure from cirrhosis
Autoimmune platelet destruction triggered by hepatic autoantibodies
The trapping of platelets in the spleen, decreasing serum levels
You are triaging a cirrhotic patient with lethargy and irritability. Serum ammonia is elevated. Which additional clinical manifestations support hepatic encephalopathy rather than a primary psychiatric disorder?
Pressured speech with decreased need for sleep
Auditory hallucinations with intact orientation
Fixed delusions without neurological signs
Flapping hand tremor with disorientation to time and place
A 48-year-old with known gallstones develops sudden midabdominal pain and jaundice. What is the underlying cause?.
Renal colic referred pain to epigastrium
Bile duct obstruction causing enzyme backflow
Portal vein thrombosis reducing perfusion
Gastric outlet obstruction delaying emptying
Which scenario best differentiates acute from chronic pancreatitis when planning care?
Acute requires surgery; chronic never needs hospitalization
Acute self-resolves in days; chronic shows progressive fibrosis
Acute is always painless; chronic always excruciating
Acute causes cancer; chronic never increases risk
A male cirrhotic patient with enlargement of breast tissue is known to have serum elevations in what hormone?
Estrogen
Androgen
Testoterone
Oxytocin
Antibiotics are considered during pancreatitis treatment under which circumstance?
To prevent gallstone formation
To lower amylase levels directly
Routine prophylaxis for all patients with pancreatitis
Evidence of infection complicating pancreatitis
A 48-year-old presents with episodic right upper quadrant pain radiating to the mid-back 45 minutes after a greasy meal. Ultrasound shows gallstones in the cystic duct. Which mechanism best explains the pain pattern?
Portal venous congestion stretching vasculature
Pancreatic enzymes digest the duodenal mucosa after meals
Gallbladder contractions forcing stones against the duct wall post
A patient with known cystic duct obstruction has been admitted with fever, leukocytosis, rebound tenderness, and abdominal guarding. What is likely the cause of these clinical manifestations?
Renal colic from ureteral calculus migration
Large bowel obstruction
Uncomplicated biliary colic without inflammation
Acute cholecystitis with gallbladder inflammation
What process describes cholesterol type gallstones (cholelithiasis).
Aggregation of stones improves bile flow and relieves postprandial pain
Microstones dissolve and reduce ductal pressure over time leading to better health
Aggregation of stones cause blocks leading to cystic ducts causing inflammation
Macrostones stimulate pancreatic insulin and reduce symptoms
