NUR 622 (Adult_Gero Acute) MOD #11, Cirrhosis_peritonitis, cholelethiasis, quiz Questions with
CORRECT Answers (Grade A+)
Question 1:
chronic, progressive liver disease characterized by diffuse hepatic fibrosis and replacement of
normal liver with regenerative nodules -most commonly from alcohol, NAFLD, chronic hep B -leads
to portal hypertension and systemic compilations
Answer:
cirrhosis
Question 2:
again, effects of cirrhosis
Answer:
-hepatic vasculature is distorted - portal hypertension -synthetic function declines -coagulopathy,
low albumin, high bilirubin -splenic platelet sequestration - thrombocytopenia
Question 3:
Staging of Cirrhosis
Answer:
compensated - no s/s, mild fibrosis 2. compensated with PH - portal hypertension with varices 3.
decompensated - ascites, bleeding, encephalopathy, jaundice
Question 4:
acute liver decompensation alongside organ failure
Answer:
acute-on-chronic-liver failure
Question 5:
again, compensated vs decompensated s/s
Answer:
compensated: fatigue, muscle cramps, anorexia, weight loss, RUQ pain and N/V, but often
asymptomatic decompensated: ascites, peripheral edema, heaptic encapalathoty, jaundice, scleral
icterus, hematemesis
, Question 6:
common physical exam findings of cirrhosis
Answer:
hepatosplenomegaly, ascites, umbilical hernia, spider telangiectasias, palmar erythema, neuro
effects, muscle wasting
Question 7:
lab studies/imaging for cirrhosis
Answer:
AST/ALT- liver injury Alk Phos, bilirubin, GGT cholestasis albumin, PT/INR: synthetic function and
coagulopathies CBC: macrocytic anemia, thrombocytopenia imaging: ABD US, CT/MRI
Question 8:
diagnostics for cirrhosis
Answer:
diagnostics: liver biopsy (gold standard), FIB-4 index, Fibroscan (stiffness)
Question 9:
elevated liver stiffness, platelets under 150K, portal hypertension
Answer:
initiate BB and screen for varices
Question 10:
scores for cirrhosis
Answer:
MELD score (graded 6-40) Child-Pugh score (graded A,B,C)
Question 11:
most common driver for most decompensating events
Answer:
portal hypertension HVPG > 10
Question 12:
CORRECT Answers (Grade A+)
Question 1:
chronic, progressive liver disease characterized by diffuse hepatic fibrosis and replacement of
normal liver with regenerative nodules -most commonly from alcohol, NAFLD, chronic hep B -leads
to portal hypertension and systemic compilations
Answer:
cirrhosis
Question 2:
again, effects of cirrhosis
Answer:
-hepatic vasculature is distorted - portal hypertension -synthetic function declines -coagulopathy,
low albumin, high bilirubin -splenic platelet sequestration - thrombocytopenia
Question 3:
Staging of Cirrhosis
Answer:
compensated - no s/s, mild fibrosis 2. compensated with PH - portal hypertension with varices 3.
decompensated - ascites, bleeding, encephalopathy, jaundice
Question 4:
acute liver decompensation alongside organ failure
Answer:
acute-on-chronic-liver failure
Question 5:
again, compensated vs decompensated s/s
Answer:
compensated: fatigue, muscle cramps, anorexia, weight loss, RUQ pain and N/V, but often
asymptomatic decompensated: ascites, peripheral edema, heaptic encapalathoty, jaundice, scleral
icterus, hematemesis
, Question 6:
common physical exam findings of cirrhosis
Answer:
hepatosplenomegaly, ascites, umbilical hernia, spider telangiectasias, palmar erythema, neuro
effects, muscle wasting
Question 7:
lab studies/imaging for cirrhosis
Answer:
AST/ALT- liver injury Alk Phos, bilirubin, GGT cholestasis albumin, PT/INR: synthetic function and
coagulopathies CBC: macrocytic anemia, thrombocytopenia imaging: ABD US, CT/MRI
Question 8:
diagnostics for cirrhosis
Answer:
diagnostics: liver biopsy (gold standard), FIB-4 index, Fibroscan (stiffness)
Question 9:
elevated liver stiffness, platelets under 150K, portal hypertension
Answer:
initiate BB and screen for varices
Question 10:
scores for cirrhosis
Answer:
MELD score (graded 6-40) Child-Pugh score (graded A,B,C)
Question 11:
most common driver for most decompensating events
Answer:
portal hypertension HVPG > 10
Question 12:
