BVetMed3: Icterus and Hepatic Encephalopathy

Beschreibung

MCQ
Marina Martins
Quiz von Marina Martins, aktualisiert more than 1 year ago
Marina Martins
Erstellt von Marina Martins vor etwa 5 Jahre
5
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Zusammenfassung der Ressource

Frage 1

Frage
Most of the oxygen to the liver is delivered by the
Antworten
  • bile duct
  • hepatic artery
  • portal vein
  • hepatic vein

Frage 2

Frage
Bile is produced in the [blank_start]canaliculi[blank_end] and flows in the [blank_start]opposite[blank_end] direction into bile ducts.
Antworten
  • canaliculi
  • opposite

Frage 3

Frage
Which hepatic zone is usually the worst affected by disease?
Antworten
  • periportal
  • midzonal
  • centrilobular
  • centroacinar

Frage 4

Frage
Vacuolar hepatopathies are usually
Antworten
  • zonal
  • diffuse
  • focal
  • random

Frage 5

Frage
Which disease process can cause this degenerative change in the liver?
Antworten
  • Pregnancy toxaemia
  • Diabetes mellitus
  • Starvation
  • Haemorrhage

Frage 6

Frage
Ischaemia usually causes which pattern of injury in the liver?
Antworten
  • Random
  • Focal
  • Zonal
  • Massive

Frage 7

Frage
An enhanced lobular pattern aka a "nutmeg liver" is often indicative of
Antworten
  • passive venous congestion
  • diabetes mellitus
  • icterus
  • hepatitis

Frage 8

Frage
Inflammation of only the liver parenchyma is known as
Antworten
  • cholangitis
  • hepatitis
  • cholangiohepatitis

Frage 9

Frage
Which of the following is NOT a viral hepatitis?
Antworten
  • Canine Infectious Hepatitis
  • Aujeszky's disease
  • Feline Infectious Peritonitis
  • Tyzzer's disease

Frage 10

Frage
Which of the following is the most common route of infection in bacterial hepatitis?
Antworten
  • direct extension
  • haematogenous
  • abcessation

Frage 11

Frage
Which of the following is NOT a typical characteristic of infectious canine hepatitis?
Antworten
  • long-term urine shedding
  • widespread haemorrhage
  • enlarge lymph nodes
  • aborted neonates/foetuses

Frage 12

Frage
Fusobacterium necrophorum often causes liver abscesses and necrosis in which animal?
Antworten
  • Sheep
  • Dogs
  • Cattle
  • Pigs

Frage 13

Frage
Which type of bacterial hepatitis affects both sheep and cattle and causes clinical signs such as anaemia, jaundice or haemoglobinuria?
Antworten
  • Clostridium novyi
  • Clostridium haemolyticum
  • Clostridium piliforme
  • Salmonellosis

Frage 14

Frage
Hepatocytes in nodular hyperplasia are often
Antworten
  • larger and contain less glycogen
  • larger and contain more glycogen
  • smaller and contain more glycogen
  • smaller and contain less glycogen

Frage 15

Frage
Haemangiosarcomas have a predilection for metastasizing
Antworten
  • the spleen
  • the left auricle
  • the gallbladder
  • the right auricle
  • pancreas

Frage 16

Frage
A calf is presented with polyphagia, loss of condition and diarrhea. It has a lack of abdominal fat but appears pot-bellied. No other calves in the farm are affected. This can be explained by...
Antworten
  • Pancreatitis
  • Pancreatic hypoplasia
  • Salmonellosis
  • Clostridium haemolyticum
  • Pancreatic hyperplasia

Frage 17

Frage
Fat necrosis or saponification is characteristic of
Antworten
  • pancreatitis
  • pancreatic hyperplasia
  • pancreatic neoplasia
  • cholecystitis

Frage 18

Frage
Which of the following drugs is safe to give to a dog with liver disease?
Antworten
  • phenobarbitone
  • caroprofen
  • sulphonamides
  • gabapentin

Frage 19

Frage
Bilirubin is NOT derived from
Antworten
  • haemoglobin
  • myoglobin
  • heme-containing liver enzymes
  • albumin

Frage 20

Frage
Unconjugated bilirubin travels through the body bound to
Antworten
  • albumin
  • globulin
  • haemoglobin
  • iron

Frage 21

Frage
Haemopoietic jaundice is also known as
Antworten
  • prehepatic jaundice
  • hepatic jaundice
  • hepatobiliary jaundice
  • posthepative jaundice

Frage 22

Frage
Haemopoietic jaundice ALWAYS results in
Antworten
  • non-regenerative anemia
  • regenerative anemia
  • hyperalbuminea
  • increased ALT and ALP values

Frage 23

Frage
Which of the following can cause hepatic jaundice in dogs?
Antworten
  • adenovirus
  • pancreatitis
  • salmonellosis
  • bile duct obstruction

Frage 24

Frage
It can be normal to find mild bilirubinuria (2+) in healthy cats.
Antworten
  • True
  • False

Frage 25

Frage
A 4 month old kitten is presented with head pressing, wall seeking, hypersalivation and polyuria/polydipsia. It is also very small for its age. Clinical pathology shows a decrease in serum albumin and globulin. This suggests the kitten has
Antworten
  • hepatic encephalopathy
  • horner's syndrome
  • haemopoietic jaundice
  • pancreatitis

Frage 26

Frage
Which of the following is NOT a clinical sign of hepatic encephalopathy?
Antworten
  • erythrocyte macrocytosis
  • ammmonium biurate crystalluria
  • seizures
  • increased aggression
  • hypersalivation

Frage 27

Frage
A cat with hepatic encephalopathy is more likely to have which type of shunt?
Antworten
  • congenital extrahepatic shunt
  • congenital intrahepatic shunt
  • acquired extrahepatic shunt
  • acquired intraphepatic shunt

Frage 28

Frage
Which type of bacterial hepatic disease is identifiable by its "wheat sheaf" appearance of bacterial colonies?
Antworten
  • Tyzzers diseases
  • Salmonellosis
  • Black disease
  • Fusobacterium necrophorum

Frage 29

Frage
Which of the following is NOT a common complaint in horses with liver disease?
Antworten
  • icterus
  • weight loss
  • anorexia
  • depression

Frage 30

Frage
Which of the following is characteristic of stage 2 hepatic encephalopathy in horses?
Antworten
  • subtle mental impairment
  • somnolence and aggressive behavior
  • coma
  • impaired motor function and consciousness

Frage 31

Frage
How many stages are there of HE?
Antworten
  • 2
  • 3
  • 4
  • 5

Frage 32

Frage
Which of the following is NOT a primary mechanism that causes CNS dysfunction in hepatic disease?
Antworten
  • GIT derived neurotoxins
  • Altered amino acid metabolism
  • Altered GABA-glutumate neurotransmission
  • Increased blood brain permeability
  • Decreased endogenous benzodiazipines

Frage 33

Frage
Which of the following liver specific enzyme is NOT useful in diagnosing hepatic disease in the horse?
Antworten
  • ALT
  • GGT
  • SDH
  • AST

Frage 34

Frage
Which liver specific enzyme has the highest sensitivity for equine liver disease?
Antworten
  • GGT
  • ALT
  • SDH
  • AST

Frage 35

Frage
Which enzyme is specific for both muscle tissue and liver tissue?
Antworten
  • AST
  • GGT
  • SDH
  • ALP

Frage 36

Frage
Which of the following enzymes is considered least specific for equine liver disease?
Antworten
  • ALP
  • AST
  • GGT
  • SDH

Frage 37

Frage
Which of the following is considered a minor liver function test in horses?
Antworten
  • Blood Urea Nitrogen
  • Bilirubin
  • Ammonia
  • Bile Acid
  • Glucose
  • Albumin

Frage 38

Frage
Which of the following could cause an increased amount of conjugated bilirubin?
Antworten
  • anorexia
  • haemolysis
  • cholestasis
  • hemorrhage

Frage 39

Frage
Which of the following is NOT a common feature of acute equine hepatic disease?
Antworten
  • polycythemia
  • coagulation abnormalities
  • hypoalbuminemia
  • hypoglycemia

Frage 40

Frage
Increased bilirubin in a horse's urine is possibly indicative of
Antworten
  • hemolysis
  • cholestasis
  • anorexia
  • hemorrhage

Frage 41

Frage
Megalocytosis is a key feature of
Antworten
  • pyrrolidizine alkaloid toxicity (ragwort)
  • Tyzzer's disease
  • Cholangiohepatitis
  • Theiler's disease

Frage 42

Frage
Which hepatic disease is commonly associated with administration of tetanus antitoxin?
Antworten
  • Theiler's Disease
  • Pyrrolidizine Alkaloid Toxicity (Ragwort)
  • Tyzzer's disease
  • Cholangiohepatitis

Frage 43

Frage
Which of the following would you use to sedate a horse in acute liver failure?
Antworten
  • Sarmazenil (inverse benzodiazepine receptor agonist)
  • Diazepam (augments GAPA receptors)
  • Acepromazine (lowers seizure threshold)

Frage 44

Frage
Insulin inhibits the activity of which enzyme?
Antworten
  • Lipoprotein Lipase
  • HSL
  • ALP
  • ALT

Frage 45

Frage
Which of the following is indicative of hepatocellular damage rather than function?
Antworten
  • AST
  • bilirubin
  • albumin
  • urea
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