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ARDMS ABDOMEN REVIEW LIVER WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
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ARDMS ABDOMEN REVIEW LIVER WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
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ARDMS ABDOMEN REVIEW LIVER WITHCOMPLETE QUESTIONS AND CORRECT
ANSWERS
What is the most common type of glycogen storage disease that
usually manifests in the first year life? Correct Answer Type I:
Von Gierke disease
What are the clinical findings of glycogen storage disease?
Correct Answer Full cheeks, protruding abdomen, thin
extremities, may have splenomegaly, hepatomegaly, renomegaly
What are the ultrasound findings of glycogen storage disease?
Correct Answer Liver appears predominantly echogenic, left lobe
may be noticeably large, may present with liver adenoma
What is inflammation of the liver? Correct Answer Hepatitis
What is acute hepatitis? Correct Answer Hepatitis A
What is chronic hepatitis? Correct Answer Hepatitis B
What are the causes of hepatitis? Correct Answer Exposure to
toxins, viral infection, reaction to drug therapy, ischemia
What are the clinical findings of hepatitis? Correct Answer
Malaise, nausea, vomiting, fatigue, jaundice, hepatomegaly,
splenomegaly, abnormal LFTs, increased ALT/AST, increased
bilirubin, increased alkaline phosphatase levels, pale stools
What does chronic hepatitis often progress to? Correct Answer
cirrhosis and liver failure
,How is hepatitis A contracted? Correct Answer fecal-oral
How is hepatitis B contracted? Correct Answer IV/needle drug
use, STDs
What represents irreversible scarring to the liver parenchyma
characterized by fibrosis, parenchyma necrosis with a conversion
of normal liver parenchyma into structurally abnormal nodules?
Correct Answer cirrhosis
What is the most common cause of cirrhosis in the United States?
Correct Answer chronic alcoholism
What is the most common cause of cirrhosis in 3rd world
countries? Correct Answer hepatitis B
What are some other causes of cirrhosis? Correct Answer
reaction to drug therapy, genetic metabolic disorders of the liver,
parasitic infection, AIDS
What are the clinical findings of cirrhosis? Correct Answer
jaundice, hepatomegaly, ascites, portal hypertension, abnormal
LFTs, abnormal ALT/AST, increased bilirubin and alkaline
phosphatase
What are the ultrasound findings of cirrhosis? Correct Answer
Early on, liver can appear enlarged, heterogeneous presentation,
increased echogenicity, abnormal nodules, echo drop off, ascites,
splenomegaly, portal hypertension; end stage will have shrunken
liver with abnormal contour, enlargement of caudate lobe
What is the number one cause of portal hypertension? Correct
Answer cirrhosis
, What might a patient with cirrhosis also present with? Correct
Answer hepatoma
Congenital cysts affect which side of the liver more than the
other? Correct Answer right lobe
How can hepatic cysts be acquired? Correct Answer trauma,
parasitic invasion, inflammatory process
What are some general findings of hepatic cysts? Correct Answer
asymptomatic, incidental findings, large may compress
surrounding structures, may cause pain
What is a secondary complication of adult polycystic kidney
disease? Correct Answer polycystic liver disease
With polycystic liver disease (which is an inherited condition), are
the LFTs normal or abnormal? Correct Answer normal
What are the ultrasound findings of polycystic liver disease?
Correct Answer multiple cysts spread throughout liver
parenchyma, cysts can be quite large, bilateral renal cysts,
bilateral renomegaly
What is a parasitic tapeworm commony found in regions of the
world where sheep and cows are grazing? Correct Answer
echinococcal cyst (hydatid disease)
What are the clinical findings of hydatid disease? Correct Answer
abdominal pain, jaundice, palpable mass
What are the ultrasound findings of hydatid disease? Correct
Answer variable; may appear as simple liver cyst, single or
multiple, thin or thick walls, may contain calcification, honeycomb
pattern, cyst within a cyst (daughter cyst and parent cyst)
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