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The nephrotic syndrome is characterized by hypoalbuminemia, with serum albumin levels typically less than 3 g/dL due to the loss of albumin in the urine.
What is the typical serum albumin level seen in the nephrotic syndrome?
1) > 4 g/dL
2) 3.0-3.5 g/dL
3) < 3.0 g/dL
4) 2.0-2.5 g/dL
In liver disease, especially cirrhosis, there is a decrease in hepatic synthesis of clotting factors, particularly factor II (prothrombin). Vitamin K deficiency is also common in liver disease, which further contributes to hypoprothrombinemia. The deficiency of fibrinogen (factor I) would also result in a bleeding diathesis but is less common in liver disease. Factors V and VIII are also synthesized in the liver but are less frequently affected than factor II in such cases.
A patient with a history of liver cirrhosis develops a hemorrhagic tendency. Which coagulation factor is likely to be deficient?
1) Factor I (Fibrinogen)
2) Factor II (Prothrombin)
3) Factor V
4) Factor VIII
Alcoholic cirrhosis is characterized by the presence of extensive scar tissue (fibrosis) and regenerative nodules within the liver. This results from chronic alcohol-induced damage to hepatocytes and the subsequent wound healing response.
Which of the following is a hallmark of alcoholic cirrhosis?
1) Massive hepatic necrosis
2) Fatty infiltration of hepatocytes
3) Extensive scar tissue and regenerative nodules
4) Inflammatory cell infiltration
Acute peptic ulcers are characterized by mucosal erosions in the stomach or duodenum. They are usually caused by increased gastric acidity and mucosal damage due to stress factors such as psychological stress, trauma, burns, or intracranial lesions, leading to symptoms like severe abdominal pain and potential gastrointestinal bleeding.
What is the typical presentation of acute peptic (stress) ulcers?
1) Severe abdominal pain and hemorrhage
2) Abdominal distension and vomiting
3) Diarrhea and dehydration
4) Weight loss and jaundice
While hepatitis B and C are both common causes of chronic hepatitis, hepatitis B is the most frequently encountered cause due to its high prevalence worldwide and its ability to persist in the body for long periods.
What is the most common cause of chronic hepatitis in humans?
1) Hepatitis A
2) Hepatitis B
3) Hepatitis C
4) Alcohol abuse
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