Here Are 50 Mcqs On The Topic Of
DIAGNOSIS AND MANAGEMENT OF HEPATIC ENCEPHALOPATHY
Based On The USA Universities Syllabus
1. Hepatic encephalopathy (HE) is a neurological syndrome caused by:
a) Kidney dysfunction
b) Liver dysfunction
c) Heart dysfunction
d) Brain dysfunction (Correct Answer)
2. The primary toxin responsible for hepatic encephalopathy is:
a) Ammonia (Correct Answer)
b) Urea
c) Creatinine
d) Bilirubin
3. The gold standard for diagnosing hepatic encephalopathy is:
a) MRI scan
b) EEG (Electroencephalogram) (Correct Answer)
c) CT scan
d) X-ray
,4. Flapping tremor, also known as "asterixis," is a clinical sign commonly seen in
patients with hepatic encephalopathy. What is the underlying mechanism for this
tremor?
a) Dopamine excess
b) GABA deficiency (Correct Answer)
c) Serotonin deficiency
d) Acetylcholine excess
5. A patient with cirrhosis presents with confusion, disorientation, and slurred
speech. These symptoms are indicative of:
a) Hepatic adenoma
b) Hepatitis A
c) Hepatic encephalopathy (Correct Answer)
d) Hepatocellular carcinoma
6. The treatment of hepatic encephalopathy involves reducing ammonia levels.
Which medication is commonly used for this purpose?
a) Propranolol
b) Lactulose (Correct Answer)
c) Acetaminophen
d) Metformin
, 7. A patient with hepatic encephalopathy is started on lactulose therapy. The
primary mechanism of lactulose is to:
a) Reduce blood pressure
b) Bind to ammonia and promote its excretion (Correct Answer)
c) Increase insulin sensitivity
d) Inhibit dopamine release
8. Which dietary restriction is recommended for patients with hepatic
encephalopathy?
a) Low protein intake (Correct Answer)
b) Low carbohydrate intake
c) Low fat intake
d) High sodium intake
9. The clinical assessment of hepatic encephalopathy severity often utilizes the
West Haven criteria. Grade 3 indicates:
a) Confusion
b) Lethargy (Correct Answer)
c) Stupor
d) Coma
10. Which of the following tests can help assess the severity of hepatic
encephalopathy by measuring psychomotor and cognitive functions?
DIAGNOSIS AND MANAGEMENT OF HEPATIC ENCEPHALOPATHY
Based On The USA Universities Syllabus
1. Hepatic encephalopathy (HE) is a neurological syndrome caused by:
a) Kidney dysfunction
b) Liver dysfunction
c) Heart dysfunction
d) Brain dysfunction (Correct Answer)
2. The primary toxin responsible for hepatic encephalopathy is:
a) Ammonia (Correct Answer)
b) Urea
c) Creatinine
d) Bilirubin
3. The gold standard for diagnosing hepatic encephalopathy is:
a) MRI scan
b) EEG (Electroencephalogram) (Correct Answer)
c) CT scan
d) X-ray
,4. Flapping tremor, also known as "asterixis," is a clinical sign commonly seen in
patients with hepatic encephalopathy. What is the underlying mechanism for this
tremor?
a) Dopamine excess
b) GABA deficiency (Correct Answer)
c) Serotonin deficiency
d) Acetylcholine excess
5. A patient with cirrhosis presents with confusion, disorientation, and slurred
speech. These symptoms are indicative of:
a) Hepatic adenoma
b) Hepatitis A
c) Hepatic encephalopathy (Correct Answer)
d) Hepatocellular carcinoma
6. The treatment of hepatic encephalopathy involves reducing ammonia levels.
Which medication is commonly used for this purpose?
a) Propranolol
b) Lactulose (Correct Answer)
c) Acetaminophen
d) Metformin
, 7. A patient with hepatic encephalopathy is started on lactulose therapy. The
primary mechanism of lactulose is to:
a) Reduce blood pressure
b) Bind to ammonia and promote its excretion (Correct Answer)
c) Increase insulin sensitivity
d) Inhibit dopamine release
8. Which dietary restriction is recommended for patients with hepatic
encephalopathy?
a) Low protein intake (Correct Answer)
b) Low carbohydrate intake
c) Low fat intake
d) High sodium intake
9. The clinical assessment of hepatic encephalopathy severity often utilizes the
West Haven criteria. Grade 3 indicates:
a) Confusion
b) Lethargy (Correct Answer)
c) Stupor
d) Coma
10. Which of the following tests can help assess the severity of hepatic
encephalopathy by measuring psychomotor and cognitive functions?
