Choose the symptom of portal hypertension a tongue

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171. Choose the symptom of portal hypertension: A. Tongue papilla atrophy B. Jaundice C. Ascites D. Erythema of palms E. Increased levels of liver enzymes in serum 172. Select the causes of ascites in patients with liver cirrhosis: 1. Portal hypertension 2. AST and ALT high levels 3. Secondary hyperaldosteronism 4. Hypoalbuminemia 5. High level of bilirubin in the blood serum. 173. Which method is the most efficient in diagnosing liver cirrhosis? 33
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174. A patient delivered to the emergency department with obstructive jaundice. Choose clinical signs which are typical for obstructive jaundice caused by choledocholisiasis: 1. Upper right quadrant pain; 2. Itch; 3. Back pain; 4. Vomiting; 5. Discolouration of stool: 175. A 67-year-old man was made diagnosis cancer of pancreas, tumor is located in the head of the gland and causes obstructive jaundice. Which clinical signs are typical for obstructive jaundice caused by cancer of the pancreas: 1. Upper right quadrant pain; 2. Nausea; 3. Palpable enlarged gallblader; 4. Weight loss; 5. Discolouration of stool: A. 1, 3, 4 B. 2, 3, 4 C. 1, 2, 3 D. 3, 4, 5 CORRECT E. 2, 3, 5 176. A 58-year-old man with a 20-year history of alcoholism and pancreatitis is admitted to the hospital with an elevated bilirubin level to 65 μmol/L, acholic stools, and an amylase level of 120 U*H/L. Obstructive jaundice in case of chronic pancreatitis usually results from which of the following? 177. A 62-year-old man is admitted with abdominal pain and weight loss of 5 kg over the past month. He has continued to consume large amounts of rum. Examination reveals icteric sclera. The indirect bilirubin level is 50 μmol/L with a total bilirubin of 65 μmol/L. An ultrasound shows a 4-cm fluid collection near the head of the pancreas. What is the most likely cause of jaundice in a patient with alcoholic pancreatitis? 178. A 66-year-old man with obstructive jaundice is found on ERCP to have periampullary carcinoma. He is otherwise in excellent physical shape and there is no evidence of metastasis. What is the most appropriate treatment? 34
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  • Winter '18
  • Jane doe
  • acute pancreatitis

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