Wednesday, May 04, 2005

Here is another Liver Test

These qs come from an article about non-alcoholic steatohepatitis syndrome. There is a lot of similarity to alcoholic caused hepatitis.
http://www.nursingcenter.com/prodev/ce_article.asp?tid=500913
Answers are posted in the comments. Print from the comments page to get both.

1.
Which factor increases a patient's risk of developing NASH?
a. obesity
b. high fat diet
c. heroin dependence
d. high caffeine intake

2.
Which assessment parameter is used to diagnose NASH?
a. measure the blood alcohol level
b. measure the BMI
c. measure the abdominal girth
d. measure the exercise tolerance

3.
Which laboratory test result suggests a diagnosis of NASH?
a. hyperkalemia
b. hypercalcemia
c. hypernatremia
d. hyperglycemia

4.
Complications of NASH include
a. cirrhosis.
b. metastasis.
c. hepatoma.
d. pancreatitis.

5.
Patients who have NASH frequently have a history of
a. cigarette smoking.
b. nutritional supplements.
c. total parenteral nutrition.
d. low protein intake.

6.
Which disease can elevate liver function tests?
a. congestive heart failure
b. renal failure
c. emphysema
d. ulcerative colitis

7.
Which patient is at the highest risk for developing NASH?
a. a 22-year-old anorexic patient
b. a 36-year-old immobile patient
c. a 51-year-old overweight patient
d. a 72-year-old dementia patient

8.
Which diagnostic test will distinguish NASH from other diseases that elevate liver function tests?
a. liver biopsy
b. ultrasound
c. Doppler test
d. abdominal x-ray

9.
Which of these tests is recommended first when a patient has a mild elevation of liver function tests?
a. CT scan
b. MRI
c. repeat liver function tests
d. serial x-rays

10.
Which laboratory test should be monitored for a patient who has NASH?
a. glutamyl transpeptidase (GGT)
b. serum amylase level
c. platelet count
d. INR level

11.
Patients who have NASH usually describe pain as
a. vague, right upper quadrant discomfort
b. sharp, burning mid abdominal pain.
c. continuous lower abdominal cramping
d. stabbing left flank pain.

12.
Which statements made by a patient who has NASH suggests a complication?
a. "My skin keeps peeling."
b. "My legs have bruises."
c. "My skin feels cold."
d. "My back aches."

13.
You should caution a patient who has NASH against
a. sudden weight loss.
b. aerobic exercise.
c. high fluid intake.
d. temperature extremes.

14.
An important component of the treatment of a patient who has NASH is
a. measuring intake and output daily.
b. controlling blood glucose levels.
c. administering potassium supplements.
d. monitoring blood-clotting time.

15.
Which BMI measurement indicates a need for additional assessment for NASH?
a. 16
b. 24
c. 28
d. 36

16.
Which vitamin is recommended for a patient who has NASH?
a. Vitamin C
b. Vitamin E
c. Vitamin B6
d. Vitamin B12

1 comment:

Bonnie Boss said...

1a,2b,3d,4a,5c,6a,7c,8a,9c,10a,11a,12b,13a,14b,15d,16b