Free Practice Quiz Question List

7 Complications of Liver Dysfunction Online Quiz Questions

Use this free practice quiz with 20 questions to review 7 Complications of Liver Dysfunction, test your knowledge, and prepare for your next test or exam.

20 questions

True or false

1 point

A patient with liver disease has conjugated hyperbilirubinemia and dark urine. Conjugated bilirubin can enter the urine.

A
True
B
False

Choose one

1 point

Which statement best describes thrombosis risk in cirrhosis?

A
Cirrhosis generally protects against thrombosis.
B
Cirrhosis can be associated with both bleeding and thrombosis.
C
Cirrhosis causes bleeding but makes thrombosis impossible.
D
Thrombosis occurs only when the INR is normal.

Fill in the blank

1 point

A cholestatic laboratory pattern has a disproportionately elevated compared with .

Written response

1 point

What minimum serum creatinine increase, in mg/dL within 48 hours, meets one acute kidney injury criterion in a patient with cirrhosis?

Choose one

1 point

A patient with cirrhosis develops rapidly worsening jaundice, fever, and right-upper-quadrant pain. What is the best next clinical priority?

A
Wait several months and repeat the bilirubin level.
B
Urgently assess for infection and biliary obstruction with laboratory evaluation and appropriate imaging.
C
Diagnose hemolysis from the jaundice alone.
D
Treat the bilirubin value without investigating its cause.

Choose all

1 point

A patient with cirrhosis and ascites develops rising creatinine after poor intake and diuretic use. Select all appropriate parts of the initial evaluation.

A
Assess the patient's volume status.
B
Assume HRS is the cause before evaluating other possibilities.
C
Review medications, including diuretics and potentially nephrotoxic drugs.
D
Look for infection or other precipitating factors.

True or false

1 point

True or false: In a patient with cirrhosis, INR alone reliably predicts bleeding risk before a low-risk procedure such as diagnostic paracentesis.

A
True
B
False

Fill in the blank

1 point

Treatment for HRS-AKI generally combines vasoconstrictor therapy with .

Written response

1 point

Which vasoconstrictor is named as a recommended option for suitable patients with HRS-AKI? Enter the drug name.

Choose one

1 point

A patient with cirrhosis and ascites has an INR of 2.0 and a platelet count of 78,000/µL, with no active bleeding, and needs diagnostic paracentesis. Which approach is most accurate?

A
Give plasma to normalize the INR because it reliably predicts bleeding.
B
Do not routinely correct the INR or platelet count solely for this low-risk procedure; consider the clinical context.
C
Give vitamin K because it reliably normalizes the INR in cirrhosis.
D
Avoid the procedure because cirrhosis prevents safe paracentesis.

Choose all

1 point

A hospitalized patient has been diagnosed with HRS-AKI after evaluation of acute kidney injury and precipitating factors. Select all elements of the generally used treatment approach.

A
Use vasoconstrictor therapy with albumin.
B
Use NSAIDs to improve renal blood flow.
C
Monitor for complications such as ischemia or pulmonary edema.
D
Assess the patient for liver-transplant candidacy.

Choose one

1 point

A patient with cirrhosis and ascites has a creatinine increase of 0.4 mg/dL within 48 hours. There is no shock or clear urinary obstruction, and kidney function does not improve after appropriate volume resuscitation. Which diagnosis should be considered?

A
Consider HRS-AKI, while continuing to assess for alternative causes.
B
Diagnose chronic kidney disease from the creatinine rise alone.
C
Diagnose portal vein thrombosis from the creatinine rise alone.
D
Exclude HRS-AKI because the patient has ascites.

Open ended

1 point

A patient with cirrhosis and ascites develops a rising serum creatinine. Explain why this finding alone does not establish HRS, and outline the initial evaluation needed before attributing the kidney dysfunction to HRS.

True or false

1 point

In a patient with conjugated hyperbilirubinemia, dark urine can result because conjugated bilirubin is water-soluble, whereas unconjugated bilirubin is not excreted in urine.

A
True
B
False

Choose one

1 point

A patient with chronic liver disease has yellow eyes, dark urine, pale stools, predominantly conjugated hyperbilirubinemia, and alkaline phosphatase elevated out of proportion to aminotransferases. Which process should be considered?

A
Increased bilirubin production from hemolysis alone
B
Cholestasis or impaired bile flow, including possible biliary obstruction
C
Unconjugated bilirubin being excreted in urine
D
A finding that rules out significant hepatobiliary disease

Choose one

1 point

A patient with cirrhosis and ascites has an INR of 2.0, a platelet count of 78,000/µL, and no active bleeding. They are scheduled for diagnostic paracentesis. Which approach is most accurate?

A
Give plasma to normalize the INR because it reliably predicts bleeding.
B
Do not routinely correct the INR before low-risk paracentesis; assess the full clinical context.
C
Assume thrombosis is unlikely because cirrhosis protects against it.
D
Give vitamin K because it reliably normalizes INR in cirrhosis.

Written response

1 point

For acute kidney injury assessment in cirrhosis, what minimum increase in serum creatinine within 48 hours meets the absolute increase criterion? Enter the value in mg/dL.

Choose one

1 point

A patient with cirrhosis and ascites develops rising creatinine after several days of poor oral intake and diuretic use. What is the most appropriate initial approach?

A
Diagnose HRS immediately and start treatment without further assessment.
B
Assess volume status, review medications, look for infection or other triggers, and evaluate alternative causes.
C
Continue diuretics and add an NSAID.
D
Rule out HRS because the patient has ascites.

Choose one

1 point

A
The creatinine increase alone establishes HRS-AKI.
B
HRS-AKI should be considered, while assessing for alternative causes and whether kidney function improves after appropriate volume resuscitation.
C
The increase establishes chronic kidney disease.
D
The increase establishes portal vein thrombosis.

Written response

1 point

What is the definitive treatment for hepatorenal syndrome–acute kidney injury in cirrhosis? Enter the treatment in a short term.

7 Complications of Liver Dysfunction Online Quiz Questions

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