Quiz: hepatic encephalopathy

All of the following are present in hepatic coma except:

A Abnormal EEG B Asterixis C Absent deep reflexes D Increased ammonia level in blood

The earliest and most common metabolic abnormality in hepatic encephalopathy is:

A Respiratory alkalosis B Respiratory acidosis C Metabolic acidosis D Metabolic alkalosis

Minimal hepatic encephalopathy is classically diagnosed by:

A Psychometric study B EEG C Evoked potential study D MRI of brain.

Characteristic of hepatic pre-coma is:

A Night-time somnolence B Flaccid muscles. C Babinski's sign D Presence of ankle clonus

The characteristics morphological features of hepatic encephalopathy is:

A Kupffer-Browicz cells B Alzheimer type II astrocytes C enterochromaffin cells (Kulchitsky cell) D Hurthle cell (Askanazy cell)

Regarding to hepatic encephalopathy all of the following are true except:

A In hepatic encephalopathy the level of aromatic amino acids is increased B In hepatic encephalopathy the level of branched amino acids is increased C The toxic effect of ammonia on the brain cells is related to reduced glutamate. D The clinical features of hepatic encephalopathy are both neurological and psychiatric.

Regarding to hepatic encephalopathy all of the following are true except:

A Hepatic encephalopathy is suggested by inverted sleep rhythm, disturbed behaviour, apathy, asterixis. B Diuretics induced hyperkalemia is an important preceptiating factor for hepatic encephalopathy. C Hepatic encephalopathy can occur as a complication of acute fulminant hepatitis D In hepatic encephalopathy there is increase in formation of false neurotransmitter

Treatment of hepatic encephalopathy include:

A Antibiotics B Lactulose C Repeated enema D All of the above.

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