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Questioning of the patient with liver diseases.

1. Palmar change in liver cirrhosis is called:

  1. «palmar erythema»

  2. «a sign of red palms»

  3. «cirrhotic palms»

  4. «palmar hyperemia»

2. Which of the following complaints is not typical for liver diseases:

  1. Jaundice

  2. Pruritus

  3. Tenderness in right hypochondrium

  4. Dysphagia

  5. Pale stool, dark urine

3. Which of the following can be revealed in liver disorders:

  1. Suppressed consciousness

  2. Icteric skin

  3. Increased waist circumference

  4. Excoriations

  5. All answers are correct

4. Normal liver dimensions by Kurlov:

  1. 13 cm х 10 cm х 9 cm

  2. 15 cm х 12 cm х 10 cm

  3. 9 cm х 8 cm х 7 cm

  4. 12 cm х 12 cm х 8 cm

  5. 5.8 cm х 6 cm х 5 cm

5. What is true about spleen examination?:

  1. Palpation is performed on the right side of the patient

  2. Spleen is palpated 2 cm under left costal arch

  3. Longitudinal size of the spleen is percussed along the Xth intercostal space on the left side

  4. Transverse size of the spleen is percussed along the mid axillary line

  5. Normal dimensions are 6 cm x 8 cm

6. Ascites is an accumulation __________________________________ in __________________________________________________________________________

7. Symptom of dilated veins around the umbilicus is called -__________________________________________________________________________

8. Risk factors for liver diseases include:

  1. Surgery

  2. Blood transfusions

  3. Medicines and narcotics intake

  4. Alcohol abuse

  5. All answers are correct

9. Signs of alcohol damage to the liver:

  1. Dupuytren’s contracture

  2. Giant parotitis

  3. Gynecomastia

  4. Hands tremor

  5. All answers are correct

10. Skin itching in liver diseases is caused by intra- or extrahepatic occlusion of biliary ducts

  1. True

  2. False