مساء الخير في ناس كثيرة بعتت ليا ليه منزلتش MCQ على الجراحة من كتاب القسم للأسف الكتاب فيه جمل بعيدة كل البعد و أغلبها على شكل cases و طويلة و ده صعب يجبوه ف الامتحان فقررت انزل من مصدر تاني قريب جدا لكتاب القسم و بنفس الصيغة
و السنة اللي فات الجمل اللي جت كلها مباشرة من كلام الكتاب و بسيطة
و السنة اللي فات الجمل اللي جت كلها مباشرة من كلام الكتاب و بسيطة
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Which of the following is a marker of the synthetic function of the liver ?
Anonymous Quiz
8%
AST & ALT
84%
Albumin
4%
Platelet count
5%
Bilirubin
😭9
All the following are true about PT except ?
Anonymous Quiz
3%
Prolonged in liver cell faliure
11%
Prolonged in obstructive jaundice
66%
Rising INR in liver disease corrected by parental vit K
10%
Asess the severity & prognosis of the liver diseases
11%
Follow up of oral anti-coagultant
❤2
Which of the followings are more specific for the liver ?
Anonymous Quiz
6%
AST
83%
ALT
6%
GGT
5%
ALP
AST is inceased in the following cases except ?
Anonymous Quiz
17%
Acute hepatitis
7%
Infectious myositis
25%
Hemolytic anemia
51%
Vit b6 deficiency
❤2
Which type of jaundice is markedly inceased GGT & ALP ?
Anonymous Quiz
2%
Hemolytic jaundice
69%
Obstructive jaundice
12%
Hepatic jaundice
17%
All the above
All the following are casuse of hypoalbuminemia except ?
Anonymous Quiz
2%
Chronic liver faliure
76%
Acute liver faliure
19%
Uncontrolled DM
2%
Glomerulonephritis
❤3
All the following are true about Acute liver faliure except ?
Anonymous Quiz
3%
Coagulopathy & encephalopathy
11%
Albumin is not affected
65%
Hyperglycemia
21%
Ttt by liver transplantion
" Clinical Notes "
Normal level of alpha-fetoprotein does exclude HCC?
ال alpha fetoprotein الsensitivity بتاعته مش عالية اوي يعني لو جاي عيان و انا شاكك عنده المرض و عملته ال test و طلع نورمال يبقى مقدرش استبعد المرض
و علشان يكون specific و عملته لازم يكون فوق 400ng/ml يبقى علطول احلف انه عنده HCC
عشان كدا normal alpha fetoprotein which do not exclude HCC
و علشان يكون specific و عملته لازم يكون فوق 400ng/ml يبقى علطول احلف انه عنده HCC
عشان كدا normal alpha fetoprotein which do not exclude HCC
❤9😭2
" Clinical Notes "
All the following are casuse of hypoalbuminemia except ?
● السؤال ده برضو ي شباب :
ممكن albumin يقل فعلا في حالة واحدة الا اذا acute liver faliure لو كان subacute ساعتها هيقل albumin غير كدا في acute & hyperacute ميلحقش ينقص لانه life half بتاعته طويلة
برضو كمعلومة hypoalbuminemia is a marker of chronic liver disease
ممكن albumin يقل فعلا في حالة واحدة الا اذا acute liver faliure لو كان subacute ساعتها هيقل albumin غير كدا في acute & hyperacute ميلحقش ينقص لانه life half بتاعته طويلة
برضو كمعلومة hypoalbuminemia is a marker of chronic liver disease
❤12
" Clinical Notes "
Which type of jaundice is markedly inceased GGT & ALP ?
■ السؤال ده تفسيره يا شباب :-
●GGT ده بيعلى في حالات
Biliary tract obstruction as obstructive jaundice
●و ALP ده بيعلى برضو في أي liver disease
و عشان
to confirm increase ALP due to liver disease not bone disease لازم associated with increase GGT & Abdominal US
●GGT ده بيعلى في حالات
Biliary tract obstruction as obstructive jaundice
●و ALP ده بيعلى برضو في أي liver disease
و عشان
to confirm increase ALP due to liver disease not bone disease لازم associated with increase GGT & Abdominal US
❤9
■ بكرا بإذن الله يا شباب هنزل ليكم notes on the liver function tests لأنه الأغلب تايه فيهم لازم تفهم الدرس ده أولاً بعد كدا تحفظ النقط المهمة
تاني حاجة بالنسبة لل ENT في اسكيمه نزلت فيها كل حاجة ما عدا ttt أنا عملت اسكيمه ليها برضو
تاني حاجة بالنسبة لل ENT في اسكيمه نزلت فيها كل حاجة ما عدا ttt أنا عملت اسكيمه ليها برضو
❤22
■ Notes on liver function tests :-
● sr.albumin & PT are consiedered for a marker of synthetic function of the liver
● hypoalbuminemia is a marker of chronic liver disease
● Albumin is initially normal in Acute liver disease but decrease later , especially in subacute liver cell failure
● PT is prolonged in case of LCF & OJ
● A rising INR in patients with liver disease that is not corrected by vit K
● ALT is present only in the liver & it is more specific for the liver disease than AST
● ALT is elevated only in active liver disease such as Acute hepatitis as viral hepatits
● AST is present in brain & kidney & liver
● AST is elevated in AMI , myositis , liver disease
● ALP & GGT is formed normally in the liver & excreted in the bile
● ALP is elevated in liver & bone disease
● ALP & GGT is elevated in case of biliary obstruction ( cholestasis)
● ALP is marked elevated > 1000IU/L in case of metastases & PBC
● confirm that increase in ALP due to liver disease not bone disease : shoulde be associated increase GGT & Abd US
● Increase GGT in case of OJ & Alcoholic hepatitis & drug hepatitis
● Normal level of alpha fetoprotein do not exclude HCC
● alpha fetoprotein is more than 400ng/ml is more spedific for HCC
● in PBC : IgM is increased , AIM : IgG is raised
●igG4 is raised in case of Autoimmue pancreatitis & cholangitis
● Globulin is increased in case of Acute & chronic liver disease
● Reversed A/G ratio in chronic liver disease
● Direct bilirubin is increased in OJ
● indirect bilirubin is increased in hemolytic jaundice
● both types of bilirubin are increased in hepatocellular jaundice
● in chronic liver failure : there is hypoalbuminemia & hyperglycemia & Increased liver enzymes
● Acute liver faliure :
♤ albumin is initially normal then decreased later esp . In subacute Liver faliure
♤ hypoglycemia
♤ serum transaminases is increase at the first then decrease d.t massive necrosis
● sr.albumin & PT are consiedered for a marker of synthetic function of the liver
● hypoalbuminemia is a marker of chronic liver disease
● Albumin is initially normal in Acute liver disease but decrease later , especially in subacute liver cell failure
● PT is prolonged in case of LCF & OJ
● A rising INR in patients with liver disease that is not corrected by vit K
● ALT is present only in the liver & it is more specific for the liver disease than AST
● ALT is elevated only in active liver disease such as Acute hepatitis as viral hepatits
● AST is present in brain & kidney & liver
● AST is elevated in AMI , myositis , liver disease
● ALP & GGT is formed normally in the liver & excreted in the bile
● ALP is elevated in liver & bone disease
● ALP & GGT is elevated in case of biliary obstruction ( cholestasis)
● ALP is marked elevated > 1000IU/L in case of metastases & PBC
● confirm that increase in ALP due to liver disease not bone disease : shoulde be associated increase GGT & Abd US
● Increase GGT in case of OJ & Alcoholic hepatitis & drug hepatitis
● Normal level of alpha fetoprotein do not exclude HCC
● alpha fetoprotein is more than 400ng/ml is more spedific for HCC
● in PBC : IgM is increased , AIM : IgG is raised
●igG4 is raised in case of Autoimmue pancreatitis & cholangitis
● Globulin is increased in case of Acute & chronic liver disease
● Reversed A/G ratio in chronic liver disease
● Direct bilirubin is increased in OJ
● indirect bilirubin is increased in hemolytic jaundice
● both types of bilirubin are increased in hepatocellular jaundice
● in chronic liver failure : there is hypoalbuminemia & hyperglycemia & Increased liver enzymes
● Acute liver faliure :
♤ albumin is initially normal then decreased later esp . In subacute Liver faliure
♤ hypoglycemia
♤ serum transaminases is increase at the first then decrease d.t massive necrosis
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