Liver disease — Flashcards

Flashcard 271: In a patient with cirrhosis and new-onset ascites or variceal bleeding, the next step to screen for HCC or portal vein thrombosis is _____

Answer: abdominal ultrasound

Flashcard 272: In inactive chronic HBV, HBe is _____

Answer: negative

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 273: _____ is a genetic cause of emphysema that should be considered in a young patients with symptoms of obstructive lung disease and cirrhosis

Answer: α1-antitrypsin deficiency

Extra:  https://onlinemeded.org/spa/pulmonology/copd/acquire?ref=anki 

Flashcard 274: A "steppage gait" secondary to foot drop is often caused by _____ radiculopathy and common/deep peroneal neuropathy

Answer: L5

Extra: Both pathologies result in weakness with dorsiflexion. L5 radiculopathy also causes weak foot inversion and big toe extension (whereas peroneal neuropathy spares inversion), as well as back pain radiating to the foot.

Flashcard 275: USPSTF recommends HIV antibody screen 1 time for adults 15-65 _____

Answer: T

Extra:  https://onlinemeded.org/spa/infectious-disease/hiv/acquire?ref=anki 

Flashcard 276: When should you counsel patients on sexually transmitted diseases? If they are: 1) _____ 2) _____

Answer: Sexually active adolescents

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 277: What causes thrombocytopenia in cirrhosis? _____

Answer: Hypersplenism

Extra:  https://onlinemeded.org/spa/gastroenterology/cirrhosis/acquire?ref=anki 

Flashcard 278: Liver nodule and (+) FOBT / anemia = _____

Answer: mets

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 279: Painless lymphadenopathy, B symptoms and pruritus is seen in _____

Answer: Hodgkin lymphoma

Extra:  https://onlinemeded.org?ref=anki  

Flashcard 280: Anti-HBc IgG (vs. IgM) indicates that a Hepatitis B infection is _____ (or resolved)

Answer: chronic

Extra: Anti-HBc IgM: Marker of acute infection. Anti-HBc IgG: Marker of past (resolved) or chronic infection; it distinguishes these states from acute infection. Chronic HBV infection (HBsAg+ >6 months) is further categorized into: 1. Active chronic (Chronic Hepatitis): HBeAg+, high HBV DNA, elevated ALT. 2. Inactive chronic (Healthy Carrier): HBeAg-, low HBV DNA, normal ALT.