Hepatology 1
Which drug class for primary prevention of variceal bleeding is preferred
Nonselective beta-blockers (accept non-cardioselective beta-blockers; do not accept only beta-blockers)
USPSTF hepatitis C screening indication
All patients age 18-79 years
Initial treatment for PBC
Ursodeoxycholic acid
Most common cause of abnormal liver test results
MASLD
Diagnosis suggested by fever, RUQ abdominal pain, jaundice
Cholangitis
SBP prophylaxis after an episode of SBP
Long-term antibiotics
Hepatitis virus associated with circulating Dane particles
Hepatitis B (accept HBV)
Liver condition most commonly associated with anti-smooth muscle antibody
Type 1 autoimmune hepatitis (accept autoimmune hepatitis)
Disease historically referred to as hepatolenticular degeneration
Wilson disease
Diagnosis suggested by first-trimester pregnancy, prolonged vomiting, elevated AST/ALT
Hyperemesis gravidarum
The three original laboratory values needed to calculate the MELD score
Serum creatinine, total bilirubin, and international normalized ratio (INR)
Diagnosis suggested by normal ALT/AST, positive HBsAg, positive HBeAg, high HBV DNA
Hepatitis B infection immune-tolerant phase
Treatment for autoimmune hepatitis
Prednisone, usually with azathioprine
Most commonly used serum marker for hepatocellular carcinoma
Alpha-fetoprotein (accept AFP)
Which syndrome is characterized by common hepatic duct obstruction caused by an extrinsic compression from an impacted stone in the cystic duct
Mirizzi syndrome
Hepatic encephalopathy drug treatments
Lactulose (initial), rifaximin (second)
Hepatitis B treatment indications
ALF, immune-active or reactivation phase, cirrhosis, pregnant patients with viral load >200,000 IU/mL in third trimester
Which eponym denotes inherited isolated cystic dilation of the intrahepatic bile ducts
Caroli disease (communicating cavernous ectasia or congenital cystic dilation of the intrahepatic biliary tree) (do not accept Caroli syndrome)
Hematological disorder found in 50% of patients with Budd-Chiari syndrome
Myeloproliferative disorder (accept any: polycythemia vera, essential thrombocythemia, primary myelofibrosis, chronic myeloid leukemia); accept JAK-2 tyrosine kinase mutation
Diagnosis suggested by RUQ pain without gallstones on ultrasound in critically ill patient
Acalculous cholecystitis
Diagnosis characterized by cirrhosis-related orthodeoxia and platypnea
Hepatopulmonary syndrome
Type of viral hepatitis with the highest maternal mortality in pregnancy
Hepatitis E
PSC gold standard treatment
Liver transplantation
Maddrey Discriminant Function score threshold to initiate steroids in alcoholic hepatitis
32 or greater
Treatment for HELLP syndrome and fatty liver of pregnancy
Delivery