Q1 Trả lời: 4 1 - Đúng vậy, giống như tế bào Kupffer, Ito tế bào. 2 - Đúng vậy, cũng loại bỏ các phức hợp kháng thể IgG và sản xuất cytokine. 3 - Đúng vậy, và cũng là tổng hợp của ma trận ngoài tế bào và tổng hợp và phát hành collagenases | Chapter IV Hepatobiliary Diseases Answers Q1 Answer 4 1- True like Kupffer cells Ito cells. 2- True also removal of IgG complexes and cytokine production. 3- True and also synthesis of extra-cellular matrix and synthesis and release of collagenases and metalloprotease inhibitors. 4- False vitamin K and folic acids are stored in small amounts and hence deficiency occurs relatively rapidly when there is NO supply of them. 5- True and during fasting also the liver releases glucose. Q2 Answer 5 Item 5 is in favor hepato-cellular damage. The reverse is true in biliary obstruction. Q3 Answer 5 Cimetidin and ACUTE alcohol binge both are enzyme blockers or inhibitors. Other inducing enzymes meprobamate INH phenytoin primidon and phenobarbitone. Q4 Answer 5 1- True and also less useful in diffuse parenchymal diseases. 2- True and also CT scan can be combined with splenoportography. 3- True the MRCP magnetic resonance cholangiopancreaticography . 4- True PTC or ErCp. 5- False with radioisotope both are rarely used now days. Q5 Answer 4 1- True can you do in an agitated patient 2- True and it is contraindicated if the platelets less than 100 000 mm3. 3- True as well as severe anemia hepatic hydatid cyst hepatic hemangioma and bile duct obstruction. 4- False is a contraindication. 5- True as in lumbar puncture. Q6 Answer 4 Up to 4 mg of urobilinogen is passed outside in urine every day. Other options are true. Q7 Answer 4 1- True due to ineffective erythropoiesis. 2- True may be hemolytic or hepatocellular . 3- True and Crigler -Najjar syndrome type I and II. 4- False it is a DIRECT hyperbilirubinemia also in Dubin Johnson syndrome. 5- True and other causes of intravascular hemolysis. Q8 Answer 5 So we are dealing with a direct hyperbilirubinemia 1- pancreatic carcinoma 2- Bile duct stricture from a previous biliary surgery. 3- metastasis 4- any tumor including lymphoma and choledochal cyst 5- False this and together with polished nails just indicate itching from cholestasis .
