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Quiz

Portal Hypertension- Surgical Diseases 4th Year- PMU

Med Student 11 Fragen

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Fragen in diesem Quiz (11)

  1. 1If you want Flashcards go to
    https://quizlet.com/_6qwiqw
    1. ARichtig
    2. BFalsch
  2. 2Portal hypertension is defined by a portal pressure higher than
    1. A5 mm Hg
    2. B10 mm Hg
    3. C15 mm Hg
    4. D20 mm Hg
    5. E25 mm Hg
  3. 3Which collateral network is clinically the most important when we discuss development of portosystemic collateralization due to portal hypertension?
    1. Athe recanalized umbilical vein from the left portal vein to the epigastric venous system (caput medusae)
    2. Bretroperitoneal collateral vessels
    3. Ccollateral network through the coronary and short gastric veins to the azygos vein
    4. Dthe hemorrhoidal venous plexus
    5. Ethe anatomic and physiologic (e.g. capillarization of hepatic sinusoids) intrahepatic shunts
  4. 4Which of these conditions accounts for approximately 50% of cases of portal hypertension in children?
    1. APortal vein thrombosis
    2. BSchistosomiasis
    3. CAlcoholic cirrhosis
    4. DBudd-Chiari syndrome
    5. EConstrictive pericarditis
  5. 5Alcohol cirrhosis, the most common cause of portal hypertension, usually causes increased resistance to portal flow at
    1. Athe presinusoidal and sinusoidal levels
    2. Bthe sinusoidal and postsinusoidal levels
    3. Conly the presinusoidal level
    4. Donly the postsinusoidal level
    5. Eall three levels
  6. 6Which of these conditions can cause posthepatic portal hypertension?
    1. Aportal vein thrombosis
    2. Balcoholic cirrhosis
    3. Cschistosomiasis
    4. Dheart failure
    5. Enone of the above
  7. 7What is the most serious and life-threatening complication of portal hypertension?
    1. Aascites
    2. Bhepatic encephalopathy
    3. Cgastrointestinal bleeding
    4. Dthrombocytopenia
    5. Eanemia
  8. 8A patient with liver cirrhosis and diagnosed esophageal varices is admitted to the hospital with low haemoglobin level and hematemesis. You already ensured adequate access (two large-bore intravenous lines), fluid infusion, type and crossmatch of blood, and judicious blood and products transfusion. How do you proceed?
    1. Aprepare the patient for operation - total or selective shunt
    2. Bprepare the patient for liver transplantation
    3. Cprepare the patient for TIPS (transjugular intrahepatic portosystemic shunt)
    4. Dprepare the patient for endoscopic treatment (e.q., sclerosis or ligation)
    5. Eperform a balloon tamponade with Sengstaken-Blakemore tube
  9. 9Which is the most frequent complication in patients with portal hypertension who underwent non-selective shunt operation?
    1. Aleukopenia
    2. Bthrombocytopenia
    3. Cascites
    4. Drebleeding from esophageal varices
    5. Epostoperative encephalopathy
  10. 10Which is the most frequently used selective shunt?
    1. Aleft gastric-venacaval shunt
    2. Bthe distal splenorenal shunt
    3. Cthe end-to-side portacaval shunt
    4. Dside-to-side portacaval shunt
    5. Enone of the above

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Portal Hypertension- Surgical Diseases 4th Year- PMU
Sprache
English
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