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Free Practice Quiz Question List

4 Portal Hypertension Online Quiz Questions

Use this free practice quiz with 20 questions to review 4 Portal Hypertension, test your knowledge, and prepare for your next test or exam.

20 questions
01
Fill in the blank
1 point

Portal hypertension is abnormally increased pressure in the .

02
True or false
1 point

Portal hypertensive gastropathy is congestion of the stomach lining and can cause slow or chronic blood loss.

  1. A

    True

  2. B

    False

03
Choose one
1 point

A patient with cirrhosis suddenly vomits a large amount of blood. Which complication of portal hypertension is the most likely cause?

  1. A

    Ruptured esophageal varices

  2. B

    Uncomplicated ascites

  3. C

    Hepatic encephalopathy

  4. D

    Splenic infarction

04
Choose all
1 point

Which conditions are identified as possible complications of portal hypertension? Select all that apply.

  1. A

    Varices

  2. B

    Splenomegaly

  3. C

    Ascites

  4. D

    Hepatic encephalopathy

  5. E

    Gallstones

05
Written response
1 point

In cirrhosis, what change in the liver increases resistance to portal blood flow?

06
True or false
1 point

In portal hypertension, an enlarged spleen can sequester blood cells and contribute to low platelet counts.

  1. A

    True

  2. B

    False

07
Choose one
1 point

Which hepatic venous pressure gradient (HVPG) defines clinically significant portal hypertension in cirrhosis?

  1. A

    At least 5 mm Hg

  2. B

    At least 10 mm Hg

  3. C

    At least 15 mm Hg

  4. D

    At least 20 mm Hg

08
Written response
1 point

What is the minimum HVPG, in mm Hg, that defines clinically significant portal hypertension in cirrhosis?

09
Fill in the blank
1 point

Enlarged collateral veins, commonly found in the lower esophagus or stomach, are called .

10
Choose one
1 point

A patient with cirrhosis has high-risk esophageal varices and no contraindication to nonselective beta-blockers. Which approach is used to reduce the risk of a first variceal bleed?

  1. A

    Nonselective beta-blocker therapy

  2. B

    Antibiotics for every patient

  3. C

    Routine splenectomy

  4. D

    No preventive treatment until bleeding occurs

11
Choose all
1 point

Which statements about portal hypertensive gastropathy are correct? Select all that apply.

  1. A

    It involves congestion of the stomach lining.

  2. B

    It is another name for a ruptured esophageal varix.

  3. C

    It may cause chronic or, less often, acute bleeding.

  4. D

    It is fluid accumulation in the peritoneal cavity.

12
Choose one
1 point

A patient with cirrhosis and high-risk varices cannot take or tolerate nonselective beta-blockers. Which option may be used to prevent a first variceal bleed?

  1. A

    Routine splenectomy

  2. B

    Endoscopic variceal ligation

  3. C

    Antibiotics for every patient

  4. D

    No preventive option

13
Open ended
1 point

Explain how portosystemic collateral vessels can contribute to hepatic encephalopathy.

14
True or false
1 point

True or false: Portal hypertension is abnormally increased pressure in the portal venous system.

  1. A

    True

  2. B

    False

15
Written response
1 point

What is the medical term for fluid accumulation in the peritoneal cavity, a complication associated with portal hypertension?

16
Written response
1 point

In cirrhosis, what is the minimum hepatic venous pressure gradient (HVPG), in mm Hg, that defines clinically significant portal hypertension?

17
Choose one
1 point

In a patient with cirrhosis, which change most directly contributes to increased pressure in the portal venous system?

  1. A

    Scarring lowers resistance to blood flow through the liver.

  2. B

    Scarring increases resistance to blood flow through the liver.

  3. C

    The spleen blocks blood from entering the portal venous system.

  4. D

    The liver produces excess blood that raises portal pressure.

18
Choose one
1 point

A patient with portal hypertension has evidence of slow, chronic blood loss. Which condition describes congestion of the stomach lining that can cause this?

  1. A

    A ruptured vein in the lower esophagus

  2. B

    Fluid accumulation in the peritoneal cavity

  3. C

    Congestion of the stomach lining that may cause chronic blood loss

  4. D

    Blood-cell sequestration by an enlarged spleen

19
Choose one
1 point

A patient with portal hypertension has splenomegaly and thrombocytopenia. Which mechanism best explains the low platelet count?

  1. A

    Varices consume platelets directly.

  2. B

    An enlarged, congested spleen can sequester blood cells.

  3. C

    Ascitic fluid prevents the bone marrow from producing platelets.

  4. D

    Portal pressure increases platelet removal by the kidneys.

20
Choose one
1 point

A patient with cirrhosis has high-risk esophageal varices and no contraindication to nonselective beta-blockers. Which approach can reduce the risk of a first variceal bleed?

  1. A

    Begin antibiotics for every patient with varices.

  2. B

    Wait until bleeding occurs before considering prevention.

  3. C

    Perform routine splenectomy.

  4. D

    Use nonselective beta-blocker therapy.