Quiz: Conditions of the Liver with Clinical Disease and it's Management: 20-748521 | SonoPath

Quiz: Conditions of the Liver with Clinical Disease and its Management: 20-869921

20-869921

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(Use the following profession codes for this board: Veterinarian=V; Veterinarian Technician=VT) SELECT FROM DROPDOWN!

Quiz

Which of the following is an unlikely clinical sign of chronic liver disease?(Required)

Polyphagia

Polyuria

Vomiting

Which of the following is the most likely clinical sign of acute liver disease?(Required)

Polyuria

Vomiting

Intermittent anorexia

Which of the following is typically not associated with chronic liver failure?(Required)

Ascites

Icterus

Alopecia

Which of the following has not been associated with chronic liver failure?(Required)

Gastrointestinal haemorrhage

Constipation

Encephalopathy

Which of the following statements regarding hepatic encephalopathy is incorrect?(Required)

Occurs with primary porto-systemic shunts

Results in diffuse cerebellar disease

Occurs with severe acute hepatic failure

Which of the following statements regarding serum ALT activity is incorrect?(Required)

Increases with acute hepatic disease

Has a high sensitivity for the detection of hepatic disease

Has a high specificity for hepatic disease

Which of the following statements regarding serum ALT activity is incorrect?(Required)

Increases with chronic liver disease

Level of elevation is not predictive of hepatic functional capacity

Levels may be low in chronic hepatic disease

Which of the following statements regarding serum ALP activity is incorrect?(Required)

Increases with cholecystitis

Can be associated with non-hepatic diseases

Cytosol enzyme within the hepatocyte

Which of the following is unlikely to result in ascites in a dog with chronic liver failure?(Required)

Sodium retention

Hyperglobulinemia

Portal hypertension

Which of the following statements regarding ammonia is incorrect?(Required)

Hyperammonemia can occur in cats fed an arginine-deficient diet

Hyperammonemia can occur with advanced liver failure

Once collected, ammonia levels remain stable in the collected blood sample

Which of the following statements regarding ammonia is incorrect?(Required)

It is an insensitive indicator of a porto-caval shunt

Hyperammonemia can occur with advanced liver failure

Hyperammonemia can occur with a urea cycle deficiency

Which of the following procedures will not confirm an intra-hepatic porto-caval shunt?(Required)

Abdominal ultrasonography

Mesenteric portogram

Liver biopsy

Which of the following is unlikely to be associated with acute fulminant hepatic failure caused by toxin ingestion?(Required)

Severely elevated ALT activity

Bilirubinuria

Hypocholesterolemia

Which of the following is unlikely to be associated with acute fulminant hepatic failure caused by toxin ingestion?(Required)

Severely elevated ALP activity

Hypoglycemia

Hyperammonemia

Which of the following statements regarding bile acids is incorrect?(Required)

The Maltese dog may show increased postprandial serum bile acids without having any underlying hepatic disease

Serum bile acids are well correlated with the severity of histological changes

Serum bile acids can be elevated with primary intestinal disease

Which of the following statements regarding bile acids is incorrect?(Required)

Bile acids are synthesized exclusively in the liver from cholesterol

Disruption of the entero-hepatic bile acid circulation will result in increased serum bile acids

An etiological diagnosis of liver disease can be made on serum bile acids

Which of the following is not an indication for a liver biopsy?(Required)

Hypoalbuminemia

Persistent elevated liver enzyme activity

Unexplained ascites

Which of the following is not an indication for a liver biopsy?(Required)

Unexplained hepatomegaly

Mucocele

As a guide to assess response to therapy

Which of the following is unlikely to result in hepatic encephalopathy?(Required)

Intra-hepatic porto-caval shunt

Acute liver failure

Primary liver neoplasia

Which of the following is unlikely to result in hepatic encephalopathy?(Required)

Cirrhosis

Acute cholecystitis

Primary portal vein hypoplasia

Which of the following statements is correct? Cats with hepatic lipidosis develop hepatic encephalopathy because of:(Required)

Arginine deficiency

Excessive absorption of ammonia from the intestines

Portal hypertension

Which of the following is unlikely to precipitate hepatic encephalopathy?(Required)

Alkalosis

Hyperkalemia

Dehydration

Which of the following laboratory changes are not typical for a cat with hepatic lipidosis?(Required)

Elevated ALT activity

Normal ALP activity

Bilirubinuria

Which of the following is unlikely to occur with malnutrition?(Required)

Poor tissue repair

Hypoglycemia

Decreased immune-competence

Which of the following is unlikely to occur with malnutrition?(Required)

No alteration in drug metabolism

Decreased tissue synthesis

Anemia

Which of the following cell infiltration into the liver has not been reported in cats with cholangio-hepatitis?(Required)

Neutrophilic

Lymphocytic

Eosinophilic

Which of the following is typically not associated in the pathogenesis of hepatic lipidosis?(Required)

Hyperglycemia

Activation of hormone-sensitive lipase

Accumulation of triglycerides

In which of the following conditions should protein restriction be done?(Required)

Hepatic lipidosis

Ammonium biurate uroliths

Vacuolar hepatopathy

Which of the following does not act as an antioxidant nutrient in animals with chronic liver disease?(Required)

Beta-carotene

Vitamin K

Alpha tocopherol

In which of the following liver diseases should dietary fat be restricted?(Required)

Hepatic lipidosis

Bile duct obstruction

Viral hepatitis

Which of the following medication is indicated in the management of a cat with hepatic lipidosis?(Required)

Glucocorticoids

Insulin

Taurine

Which of the following regarding idiosyncratic hepatic drug reactions is incorrect?(Required)

Often random

Dose dependent

Difficult to reproduce experimentally

Which of the following regarding the liver’s ability to recovery in acute toxic hepatitis is incorrect?(Required)

It is independent on the degree of hepatic damage

Dependent on the ability of hepatic regeneration

Associated with development of secondary complications

Which of the following is not typical for complete obstruction of the gall bladder?(Required)

Icterus

Vomiting

Normal feces

Which of the following is not typically indicated for an inflammatory hepatic disease?(Required)

Antioxidants

Ursodeoxycholic acid

Antibiotics

Which of the following is contra-indicated as a sedative in a dog with liver disease?(Required)

Diazepam

Propofol

Fentanyl

The diuretic of choice for managing ascites associated with chronic liver disease is:(Required)

Furosemide

Spironolactone

Torsemide

Which of the following is typically not associated with obstruction of the bile duct?(Required)

Pancreatitis

Cholecystitis

Jejunal neoplasia

Which of the following conditions is not an indication for a cholecystectomy?(Required)

Cholecystitis

Duodenal neoplasia

Cholelithiasis

Which of the following is not a typical clinical sign associated with septic cholecystitis?(Required)

Polyphagia

Pyrexia

Episodic abdominal pain

Quiz: Conditions of the Liver with Clinical Disease and it’s Management: 20-748521

Quiz: Conditions of the Liver with Clinical Disease and its Management: 20-869921

Quiz