Medicine Practice

20 learning units • 10 questions per unit • 200 explained questions

Module 08 — Jaundice, Liver Disease & Pancreatic Presentations

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Question 01 • Single best answer

What do aminotransferases primarily reflect?

A. Total liver functional reserve directly B. Portal pressure exactly C. The precise cause of every jaundice D. Hepatocellular injury in the relevant context

Question 02 • Single best answer

Which pattern can suggest cholestasis?

A. Every isolated low sodium B. A normal platelet count alone C. Isolated high glucose only D. A disproportionate alkaline phosphatase rise in context

Question 03 • Single best answer

Acute liver disease with encephalopathy and coagulopathy requires what?

A. Routine review months later B. Reassurance based on age C. No investigation if pain is absent D. Urgent specialist assessment for acute liver failure

Question 04 • Single best answer

Which complication is associated with portal hypertension?

A. Cataract in every case B. Otitis externa only C. Isolated tendon rupture D. Varices

Question 05 • Single best answer

New ascites with fever and renal deterioration should prompt concern for what?

A. Guaranteed uncomplicated fluid retention B. Normal ageing alone C. Infection including spontaneous bacterial peritonitis D. A reason to avoid assessment

Question 06 • Single best answer

Is asterixis specific for hepatic encephalopathy?

A. Yes B. Yes if seen in both hands C. Yes without other findings D. No

Question 07 • Single best answer

Confusion in a patient with cirrhosis should lead to what?

A. Assume liver disease explains everything B. Ignore focal neurological signs C. Assess glucose, infection, bleeding, medicines and other causes D. Stop monitoring immediately

Question 08 • Single best answer

Painful jaundice with fever raises concern for which urgent problem?

A. Uncomplicated eczema B. Stable osteoarthritis C. Isolated refractive error D. Biliary infection with possible obstruction

Question 09 • Single best answer

Does an elevated pancreatic enzyme alone establish every case of acute pancreatitis?

A. Yes B. Yes regardless of symptoms C. No D. Yes without considering other causes

Question 10 • Single best answer

Which finding indicates severe physiological impact in pancreatitis?

A. A preference for one food B. Persistent organ dysfunction such as hypotension or renal injury C. A healed scar D. An isolated normal pulse