Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map

Review of Clinical Signs Review Questions

Stigmata of Liver Disease

Author: Bernard Karnath, MD

Questions 1 and 2 refer to the following case study.

A 50-year-old woman with alcoholism presents with a 2-month history of abdominal distention with lower extremity edema. She has gained 30 pounds over the same period of time. You suspect ascites.


1. Which of the following physical examination maneuvers is considered the most sensitive for the detection of ascites?

  1. Bulging flanks
  2. Flank dullness
  3. Fluid wave
  4. Shifting dullness
Click here to compare your answer.


2. Which of the following physical examination maneuvers is considered the most specific for the detection of ascites?

  1. Bulging flanks
  2. Flank dullness
  3. Fluid wave
  4. Shifting dullness
Click here to compare your answer.


3. A 20-year-old woman presents with jaundice. She had a recent respiratory infection that started about 1 week ago. The physical examination is significant for mild scleral icterus. She denies any darkening of her urine. This patient most likely has which of the following conditions causing her jaundice?

  1. Biliary obstruction
  2. Cirrhosis
  3. Hemolytic anemia
  4. Viral hepatitis
Click here to compare your answer.


4. A 40-year-old man with cirrhosis of the liver presents with a 2-day history of altered mental status. On physical examination, he is lethargic with inappropriate behavior. Asterixis is obvious. You conclude that the patient has hepatic encephalopathy. Based on the patientís clinical presentation, how would you grade the hepatic encephalopathy?

  1. Grade 1
  2. Grade 2
  3. Grade 3
  4. Grade 4
Click here to compare your answer.


5. A 40-year-old man with cirrhosis of the liver presents with gynecomastia. Which of the following medications is likely to contribute to the development of gynecomastia in this cirrhotic patient?

  1. Furosemide
  2. Neomycin
  3. Propranolol
  4. Spironolactone
Click here to compare your answer.


Click here to read more about Stigmata of Liver Disease (Requires Adobe Acrobat Reader)




Check our archives to test your knowledge in other clinical signs:

Review of Clinical Signs Archives





If you do not already have Acrobat Reader, simply click on the icon below, scroll down to the "Get the Free Acrobat Reader" heading and follow the instructions to install the program. Acrobat enables you to convert any document into an Adobe Portable Document Format (PDF) file for easy viewing.

Download Adobe Acrobat Reader

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj