17370967
Descripción
Test por Marina Martins, actualizado hace más de 1 año
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Creado por Marina Martins
hace más de 5 años
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Pregunta 1
Pregunta
Most of the oxygen to the liver is delivered by the
Respuesta
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bile duct
-
hepatic artery
-
portal vein
-
hepatic vein
Pregunta 2
Pregunta
Bile is produced in the [blank_start]canaliculi[blank_end] and flows in the [blank_start]opposite[blank_end] direction into bile ducts.
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canaliculi
-
opposite
Pregunta 3
Pregunta
Which hepatic zone is usually the worst affected by disease?
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periportal
-
midzonal
-
centrilobular
-
centroacinar
Pregunta 4
Pregunta
Vacuolar hepatopathies are usually
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zonal
-
diffuse
-
focal
-
random
Pregunta 5
Pregunta
Which disease process can cause this degenerative change in the liver?
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Pregnancy toxaemia
-
Diabetes mellitus
-
Starvation
-
Haemorrhage
Pregunta 6
Pregunta
Ischaemia usually causes which pattern of injury in the liver?
Respuesta
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Random
-
Focal
-
Zonal
-
Massive
Pregunta 7
Pregunta
An enhanced lobular pattern aka a "nutmeg liver" is often indicative of
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passive venous congestion
-
diabetes mellitus
-
icterus
-
hepatitis
Pregunta 8
Pregunta
Inflammation of only the liver parenchyma is known as
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cholangitis
-
hepatitis
-
cholangiohepatitis
Pregunta 9
Pregunta
Which of the following is NOT a viral hepatitis?
Respuesta
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Canine Infectious Hepatitis
-
Aujeszky's disease
-
Feline Infectious Peritonitis
-
Tyzzer's disease
Pregunta 10
Pregunta
Which of the following is the most common route of infection in bacterial hepatitis?
Respuesta
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direct extension
-
haematogenous
-
abcessation
Pregunta 11
Pregunta
Which of the following is NOT a typical characteristic of infectious canine hepatitis?
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-
long-term urine shedding
-
widespread haemorrhage
-
enlarge lymph nodes
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aborted neonates/foetuses
Pregunta 12
Pregunta
Fusobacterium necrophorum often causes liver abscesses and necrosis in which animal?
Respuesta
-
Sheep
-
Dogs
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Cattle
-
Pigs
Pregunta 13
Pregunta
Which type of bacterial hepatitis affects both sheep and cattle and causes clinical signs such as anaemia, jaundice or haemoglobinuria?
Respuesta
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Clostridium novyi
-
Clostridium haemolyticum
-
Clostridium piliforme
-
Salmonellosis
Pregunta 14
Pregunta
Hepatocytes in nodular hyperplasia are often
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larger and contain less glycogen
-
larger and contain more glycogen
-
smaller and contain more glycogen
-
smaller and contain less glycogen
Pregunta 15
Pregunta
Haemangiosarcomas have a predilection for metastasizing
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the spleen
-
the left auricle
-
the gallbladder
-
the right auricle
-
pancreas
Pregunta 16
Pregunta
A calf is presented with polyphagia, loss of condition and diarrhea. It has a lack of abdominal fat but appears pot-bellied. No other calves in the farm are affected. This can be explained by...
Respuesta
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Pancreatitis
-
Pancreatic hypoplasia
-
Salmonellosis
-
Clostridium haemolyticum
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Pancreatic hyperplasia
Pregunta 17
Pregunta
Fat necrosis or saponification is characteristic of
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pancreatitis
-
pancreatic hyperplasia
-
pancreatic neoplasia
-
cholecystitis
Pregunta 18
Pregunta
Which of the following drugs is safe to give to a dog with liver disease?
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phenobarbitone
-
caroprofen
-
sulphonamides
-
gabapentin
Pregunta 19
Pregunta
Bilirubin is NOT derived from
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haemoglobin
-
myoglobin
-
heme-containing liver enzymes
-
albumin
Pregunta 20
Pregunta
Unconjugated bilirubin travels through the body bound to
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albumin
-
globulin
-
haemoglobin
-
iron
Pregunta 21
Pregunta
Haemopoietic jaundice is also known as
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prehepatic jaundice
-
hepatic jaundice
-
hepatobiliary jaundice
-
posthepative jaundice
Pregunta 22
Pregunta
Haemopoietic jaundice ALWAYS results in
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non-regenerative anemia
-
regenerative anemia
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hyperalbuminea
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increased ALT and ALP values
Pregunta 23
Pregunta
Which of the following can cause hepatic jaundice in dogs?
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-
adenovirus
-
pancreatitis
-
salmonellosis
-
bile duct obstruction
Pregunta 24
Pregunta
It can be normal to find mild bilirubinuria (2+) in healthy cats.
Respuesta
- True
- False
Pregunta 25
Pregunta
A 4 month old kitten is presented with head pressing, wall seeking, hypersalivation and polyuria/polydipsia. It is also very small for its age. Clinical pathology shows a decrease in serum albumin and globulin. This suggests the kitten has
Respuesta
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hepatic encephalopathy
-
horner's syndrome
-
haemopoietic jaundice
-
pancreatitis
Pregunta 26
Pregunta
Which of the following is NOT a clinical sign of hepatic encephalopathy?
Respuesta
-
erythrocyte macrocytosis
-
ammmonium biurate crystalluria
-
seizures
-
increased aggression
-
hypersalivation
Pregunta 27
Pregunta
A cat with hepatic encephalopathy is more likely to have which type of shunt?
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congenital extrahepatic shunt
-
congenital intrahepatic shunt
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acquired extrahepatic shunt
-
acquired intraphepatic shunt
Pregunta 28
Pregunta
Which type of bacterial hepatic disease is identifiable by its "wheat sheaf" appearance of bacterial colonies?
Respuesta
-
Tyzzers diseases
-
Salmonellosis
-
Black disease
-
Fusobacterium necrophorum
Pregunta 29
Pregunta
Which of the following is NOT a common complaint in horses with liver disease?
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icterus
-
weight loss
-
anorexia
-
depression
Pregunta 30
Pregunta
Which of the following is characteristic of stage 2 hepatic encephalopathy in horses?
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subtle mental impairment
-
somnolence and aggressive behavior
-
coma
-
impaired motor function and consciousness
Pregunta 31
Pregunta
How many stages are there of HE?
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2
-
3
-
4
-
5
Pregunta 32
Pregunta
Which of the following is NOT a primary mechanism that causes CNS dysfunction in hepatic disease?
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GIT derived neurotoxins
-
Altered amino acid metabolism
-
Altered GABA-glutumate neurotransmission
-
Increased blood brain permeability
-
Decreased endogenous benzodiazipines
Pregunta 33
Pregunta
Which of the following liver specific enzyme is NOT useful in diagnosing hepatic disease in the horse?
Respuesta
-
ALT
-
GGT
-
SDH
-
AST
Pregunta 34
Pregunta
Which liver specific enzyme has the highest sensitivity for equine liver disease?
Respuesta
-
GGT
-
ALT
-
SDH
-
AST
Pregunta 35
Pregunta
Which enzyme is specific for both muscle tissue and liver tissue?
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AST
-
GGT
-
SDH
-
ALP
Pregunta 36
Pregunta
Which of the following enzymes is considered least specific for equine liver disease?
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ALP
-
AST
-
GGT
-
SDH
Pregunta 37
Pregunta
Which of the following is considered a minor liver function test in horses?
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Blood Urea Nitrogen
-
Bilirubin
-
Ammonia
-
Bile Acid
-
Glucose
-
Albumin
Pregunta 38
Pregunta
Which of the following could cause an increased amount of conjugated bilirubin?
Respuesta
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anorexia
-
haemolysis
-
cholestasis
-
hemorrhage
Pregunta 39
Pregunta
Which of the following is NOT a common feature of acute equine hepatic disease?
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polycythemia
-
coagulation abnormalities
-
hypoalbuminemia
-
hypoglycemia
Pregunta 40
Pregunta
Increased bilirubin in a horse's urine is possibly indicative of
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hemolysis
-
cholestasis
-
anorexia
-
hemorrhage
Pregunta 41
Pregunta
Megalocytosis is a key feature of
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pyrrolidizine alkaloid toxicity (ragwort)
-
Tyzzer's disease
-
Cholangiohepatitis
-
Theiler's disease
Pregunta 42
Pregunta
Which hepatic disease is commonly associated with administration of tetanus antitoxin?
Respuesta
-
Theiler's Disease
-
Pyrrolidizine Alkaloid Toxicity (Ragwort)
-
Tyzzer's disease
-
Cholangiohepatitis
Pregunta 43
Pregunta
Which of the following would you use to sedate a horse in acute liver failure?
Respuesta
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Sarmazenil (inverse benzodiazepine receptor agonist)
-
Diazepam (augments GAPA receptors)
-
Acepromazine (lowers seizure threshold)
Pregunta 44
Pregunta
Insulin inhibits the activity of which enzyme?
Respuesta
-
Lipoprotein Lipase
-
HSL
-
ALP
-
ALT
Pregunta 45
Pregunta
Which of the following is indicative of hepatocellular damage rather than function?
Respuesta
-
AST
-
bilirubin
-
albumin
-
urea
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