I n t e r n a L medicine questions Bank

Wrong about a patient with liver cirrhosis:

1. 
   Lactulose
   
2. 
   Warfarin
   
3. 
   Restrict proteins
   
4. 
   Restrict diet
   
5. 
   Restrict salt
   

Answer: B. Salt restriction is often necessary, as cirrhosis leads to accumulation of salt (sodium retention). Diuretics may be necessary to suppress ascites. Diuretic options for inpatient treatment include aldosterone antagonists (usually spironolactone) and loop diuretics. Aldosterone antagonists are preferred for patients who can take oral medications and are not in need of an urgent volume reduction, with loop diuretics as additional therapy.^[21]^\ http://en.wikipedia.org/wiki/Cirrhosis#Management

35. 
    All predispose to hepatic encephalopathy, except:
    
    1. 
       Hyperkalemia
       
    2. 
       Furosemide
       

The history may reveal a precipitating cause. These include: Hypovolemia Gastrointestinal bleeding Hypokalemia and/or metabolic alkalosis Hypoxia Sedatives or tranquilizers Hypoglycemia Infection (including SBP) Rarely, hepatoma and/or vascular occlusion (hepatic vein or portal vein thrombosis)

36.