Category Archives: Multiple Choice Question

Hepatitis B virus

Question: All of the following are true statements about the treatment of hepatitis B virus (HBV) except: A. advanced fibrosis can be reversed by giving entecavir B. the risk for cancer can be reduced C. tenofovir and entecavir are associated … Continue reading

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Transient elastography

Question:  A 66 year old female with hepatitis C virus has the following lab results:  AST 100, ALT 175, AP 200, Bilirubin 3.0, transferrin saturation 60%.  You decide to perform transient elastography (TE) because you are suspecting cirrhosis.  The result … Continue reading

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New onset ascites

Question: A 50 year old male with a longstanding history of alcohol abuse is seen by you for recent onset of ascites.  He has evidence of shifting dullness on exam along with significan pedal edema. Which of the following test … Continue reading

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Diuretic use

Question:  A 63 year old cirrhotic female with diuretic-responsive ascites reports that she feels unsteady on her feet, and nearly fell on multiple occasions.  She is on a regimen of furosemide 160 mg per day and spironolactone 400 mg per … Continue reading

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Cystadenoma

Question: A 60 year old female presents to your office with CT findings of a liver cyst with internal septations.  Infectious etiologies have already been ruled out.  She inquires about the possibility that this is cancerous.  You recall that some … Continue reading

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Obesity

Question: Obesity is known to affect which of the following liver conditions? A. hepatitis C B. NASH C. cirrhosis D. all of the above   Answer: Although obesity is nearly synonymous with NASH in the world of hepatology, you must … Continue reading

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Iron overload

Question: A 52 year old female from Puerto Rico has abnormal ALT, 2 times the upper limit of normal, and the following iron profile: iron 148, TIBC 220, ferritin 750.  Other medical conditions include sickle cell disease, obesity and HCV. She is asymptomatic.  … Continue reading

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