1
NCA 622: Test Three: Module 12 Questions with
Answers (100% Correct Answers)
?? is more specific for liver disease than ?? Answer: ALT
AST
When ALK Phos is elevated, check for ?? evidence to support a biliary
issue. Answer: ggt
A 72 year old woman with chronic headaches taking high doses of
acetaminophen, other analgesics, and over-the-counter products
developed drowsiness, poor appetite, nausea, vomiting and diarrhea.
She was brought to the emergency room by her son who found his
mother to be unusually confused. Vital signs included pulse of 136/min,
respirations 18/min, BP 127/64 and temperature 36.5 oC. She had no
signs of chronic liver disease. Serum bilirubin was 4.8 mg/dL, ALT 5,945
U/L, AST 12,476 U/L, and alkaline phosphatase was normal. Tests for
hepatitis A and B and C were negative as were autoantibodies.
Abdominal ultrasound showed no evidence of biliary obstruction.What
is the best initial treatment for this condition?
© 2025 All rights reserved
,2
Order FFP
Begin Dialysis
Give N-Acetylcisteine (Mucomyst)
Consult geriatric psychiatry Answer: Give mucomyst
In alcoholic associated liver disease, you would expect the ?? to be at
least 2x the ?? Answer: AST
ALT
?? is the best diagnostic tool for NAFLD. Answer: liver biopsy
A 65 year old male with known cirrhosis presents with abdominal pain,
ascites, fever, and encephalopathy. After paracentesis, you find that
ascitic fluid characteristics include white cell count up to 500 with PMN
cell count >250, protein concentration of <1. What complication of
cirrhosis has likely occurred?
Spontaneous bacterial perforation
Hepatorenal syndrome
DIC
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, 3
Cholelithiasis Answer: SBP
?? is a good mnemonic to help you remember causes of chronic
pancreatitis. Answer: TIGAR-O
toxic-metabolic
idiopathic
genetic
autoimmune
recurrent and severe acute
obstructive
A 70 year old Female with chronic pancreatitis and diabetes mellitus
type 2 reports a 10 pound weight loss over the past 2 months. She
experiences steatorrhea, excessive gas, and painful cramping after
eating. What can be added to her treatment plan to combat these
symptoms?
PPI
PPI and pancreatic enzyme supplements
© 2025 All rights reserved
NCA 622: Test Three: Module 12 Questions with
Answers (100% Correct Answers)
?? is more specific for liver disease than ?? Answer: ALT
AST
When ALK Phos is elevated, check for ?? evidence to support a biliary
issue. Answer: ggt
A 72 year old woman with chronic headaches taking high doses of
acetaminophen, other analgesics, and over-the-counter products
developed drowsiness, poor appetite, nausea, vomiting and diarrhea.
She was brought to the emergency room by her son who found his
mother to be unusually confused. Vital signs included pulse of 136/min,
respirations 18/min, BP 127/64 and temperature 36.5 oC. She had no
signs of chronic liver disease. Serum bilirubin was 4.8 mg/dL, ALT 5,945
U/L, AST 12,476 U/L, and alkaline phosphatase was normal. Tests for
hepatitis A and B and C were negative as were autoantibodies.
Abdominal ultrasound showed no evidence of biliary obstruction.What
is the best initial treatment for this condition?
© 2025 All rights reserved
,2
Order FFP
Begin Dialysis
Give N-Acetylcisteine (Mucomyst)
Consult geriatric psychiatry Answer: Give mucomyst
In alcoholic associated liver disease, you would expect the ?? to be at
least 2x the ?? Answer: AST
ALT
?? is the best diagnostic tool for NAFLD. Answer: liver biopsy
A 65 year old male with known cirrhosis presents with abdominal pain,
ascites, fever, and encephalopathy. After paracentesis, you find that
ascitic fluid characteristics include white cell count up to 500 with PMN
cell count >250, protein concentration of <1. What complication of
cirrhosis has likely occurred?
Spontaneous bacterial perforation
Hepatorenal syndrome
DIC
© 2025 All rights reserved
, 3
Cholelithiasis Answer: SBP
?? is a good mnemonic to help you remember causes of chronic
pancreatitis. Answer: TIGAR-O
toxic-metabolic
idiopathic
genetic
autoimmune
recurrent and severe acute
obstructive
A 70 year old Female with chronic pancreatitis and diabetes mellitus
type 2 reports a 10 pound weight loss over the past 2 months. She
experiences steatorrhea, excessive gas, and painful cramping after
eating. What can be added to her treatment plan to combat these
symptoms?
PPI
PPI and pancreatic enzyme supplements
© 2025 All rights reserved
