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BVetMed3: Icterus and Hepatic Encephalopathy

Deleted user 45 questions Updated 13 Apr 2019

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1Most of the oxygen to the liver is delivered by the
1. Abile duct
2. Bhepatic artery
3. Cportal vein
4. Dhepatic vein
2Bile is produced in the [blank_start]canaliculi[blank_end] and flows in the [blank_start]opposite[blank_end] direction into bile ducts.
1. Acanaliculi
2. Bopposite
3Which hepatic zone is usually the worst affected by disease?
1. Aperiportal
2. Bmidzonal
3. Ccentrilobular
4. Dcentroacinar
4Vacuolar hepatopathies are usually
1. Azonal
2. Bdiffuse
3. Cfocal
4. Drandom
5Which disease process can cause this degenerative change in the liver?
1. APregnancy toxaemia
2. BDiabetes mellitus
3. CStarvation
4. DHaemorrhage
6Ischaemia usually causes which pattern of injury in the liver?
1. ARandom
2. BFocal
3. CZonal
4. DMassive
7An enhanced lobular pattern aka a "nutmeg liver" is often indicative of
1. Apassive venous congestion
2. Bdiabetes mellitus
3. Cicterus
4. Dhepatitis
8Inflammation of only the liver parenchyma is known as
1. Acholangitis
2. Bhepatitis
3. Ccholangiohepatitis
9Which of the following is NOT a viral hepatitis?
1. ACanine Infectious Hepatitis
2. BAujeszky's disease
3. CFeline Infectious Peritonitis
4. DTyzzer's disease
10Which of the following is the most common route of infection in bacterial hepatitis?
1. Adirect extension
2. Bhaematogenous
3. Cabcessation

11Which of the following is NOT a typical characteristic of infectious canine hepatitis?
1. Along-term urine shedding
2. Bwidespread haemorrhage
3. Cenlarge lymph nodes
4. Daborted neonates/foetuses
12Fusobacterium necrophorum often causes liver abscesses and necrosis in which animal?
1. ASheep
2. BDogs
3. CCattle
4. DPigs
13Which type of bacterial hepatitis affects both sheep and cattle and causes clinical signs such as anaemia, jaundice or haemoglobinuria?
1. AClostridium novyi
2. BClostridium haemolyticum
3. CClostridium piliforme
4. DSalmonellosis
14Hepatocytes in nodular hyperplasia are often
1. Alarger and contain less glycogen
2. Blarger and contain more glycogen
3. Csmaller and contain more glycogen
4. Dsmaller and contain less glycogen
15Haemangiosarcomas have a predilection for metastasizing
1. Athe spleen
2. Bthe left auricle
3. Cthe gallbladder
4. Dthe right auricle
5. Epancreas
16A 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...
1. APancreatitis
2. BPancreatic hypoplasia
3. CSalmonellosis
4. DClostridium haemolyticum
5. EPancreatic hyperplasia
17Fat necrosis or saponification is characteristic of
1. Apancreatitis
2. Bpancreatic hyperplasia
3. Cpancreatic neoplasia
4. Dcholecystitis
18Which of the following drugs is safe to give to a dog with liver disease?
1. Aphenobarbitone
2. Bcaroprofen
3. Csulphonamides
4. Dgabapentin
19Bilirubin is NOT derived from
1. Ahaemoglobin
2. Bmyoglobin
3. Cheme-containing liver enzymes
4. Dalbumin
20Unconjugated bilirubin travels through the body bound to
1. Aalbumin
2. Bglobulin
3. Chaemoglobin
4. Diron
21Haemopoietic jaundice is also known as
1. Aprehepatic jaundice
2. Bhepatic jaundice
3. Chepatobiliary jaundice
4. Dposthepative jaundice
22Haemopoietic jaundice ALWAYS results in
1. Anon-regenerative anemia
2. Bregenerative anemia
3. Chyperalbuminea
4. Dincreased ALT and ALP values
23Which of the following can cause hepatic jaundice in dogs?
1. Aadenovirus
2. Bpancreatitis
3. Csalmonellosis
4. Dbile duct obstruction
24It can be normal to find mild bilirubinuria (2+) in healthy cats.
1. ATrue
2. BFalse
25A 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
1. Ahepatic encephalopathy
2. Bhorner's syndrome
3. Chaemopoietic jaundice
4. Dpancreatitis
26Which of the following is NOT a clinical sign of hepatic encephalopathy?
1. Aerythrocyte macrocytosis
2. Bammmonium biurate crystalluria
3. Cseizures
4. Dincreased aggression
5. Ehypersalivation
27A cat with hepatic encephalopathy is more likely to have which type of shunt?
1. Acongenital extrahepatic shunt
2. Bcongenital intrahepatic shunt
3. Cacquired extrahepatic shunt
4. Dacquired intraphepatic shunt
28Which type of bacterial hepatic disease is identifiable by its "wheat sheaf" appearance of bacterial colonies?
1. ATyzzers diseases
2. BSalmonellosis
3. CBlack disease
4. DFusobacterium necrophorum
29Which of the following is NOT a common complaint in horses with liver disease?
1. Aicterus
2. Bweight loss
3. Canorexia
4. Ddepression
30Which of the following is characteristic of stage 2 hepatic encephalopathy in horses?
1. Asubtle mental impairment
2. Bsomnolence and aggressive behavior
3. Ccoma
4. Dimpaired motor function and consciousness
31How many stages are there of HE?
1. A2
2. B3
3. C4
4. D5
32Which of the following is NOT a primary mechanism that causes CNS dysfunction in hepatic disease?
1. AGIT derived neurotoxins
2. BAltered amino acid metabolism
3. CAltered GABA-glutumate neurotransmission
4. DIncreased blood brain permeability
5. EDecreased endogenous benzodiazipines
33Which of the following liver specific enzyme is NOT useful in diagnosing hepatic disease in the horse?
1. AALT
2. BGGT
3. CSDH
4. DAST
34Which liver specific enzyme has the highest sensitivity for equine liver disease?
1. AGGT
2. BALT
3. CSDH
4. DAST
35Which enzyme is specific for both muscle tissue and liver tissue?
1. AAST
2. BGGT
3. CSDH
4. DALP
36Which of the following enzymes is considered least specific for equine liver disease?
1. AALP
2. BAST
3. CGGT
4. DSDH
37Which of the following is considered a minor liver function test in horses?
1. ABlood Urea Nitrogen
2. BBilirubin
3. CAmmonia
4. DBile Acid
5. EGlucose
6. FAlbumin
38Which of the following could cause an increased amount of conjugated bilirubin?
1. Aanorexia
2. Bhaemolysis
3. Ccholestasis
4. Dhemorrhage
39Which of the following is NOT a common feature of acute equine hepatic disease?
1. Apolycythemia
2. Bcoagulation abnormalities
3. Chypoalbuminemia
4. Dhypoglycemia
40Increased bilirubin in a horse's urine is possibly indicative of
1. Ahemolysis
2. Bcholestasis
3. Canorexia
4. Dhemorrhage
41Megalocytosis is a key feature of
1. Apyrrolidizine alkaloid toxicity (ragwort)
2. BTyzzer's disease
3. CCholangiohepatitis
4. DTheiler's disease
42Which hepatic disease is commonly associated with administration of tetanus antitoxin?
1. ATheiler's Disease
2. BPyrrolidizine Alkaloid Toxicity (Ragwort)
3. CTyzzer's disease
4. DCholangiohepatitis
43Which of the following would you use to sedate a horse in acute liver failure?
1. ASarmazenil (inverse benzodiazepine receptor agonist)
2. BDiazepam (augments GAPA receptors)
3. CAcepromazine (lowers seizure threshold)
44Insulin inhibits the activity of which enzyme?
1. ALipoprotein Lipase
2. BHSL
3. CALP
4. DALT
45Which of the following is indicative of hepatocellular damage rather than function?
1. AAST
2. Bbilirubin
3. Calbumin
4. Durea

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Description: MCQ
Author: Deleted user
Language: English
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History: Created on 13 Apr 2019 · updated on 13 Apr 2019
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BVetMed3: Icterus and Hepatic Encephalopathy

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