1) Which of these is NOT a transmission method for Hepatitis C?  a) Sharing Razors b) Sharing Toothbrushes c) Sharing needles d) Sharing kitchen utensils 2) Which symptom is characterized specifically by impaired bilirubin processing? a) Melena stool  b) Dark urine  c) Red sclera  3) What is NOT a function of the liver? a) Hemoglobin processing and iron storage b) Conversion of urea into ammonia  c) Storage of glucose in the form of glycogen  d) Cholesterol production  4) Is extreme accumulation of cytokines a good thing during a hepatic injury? a) No - this leads to mitochondrial dysfunction and eventually apoptosis  b) Yes - They aid in hepatocyte mitosis and decreasing inflammation  5) What should be considered when giving liver-metabolized medications in acute liver failure? a) There is nothing to consider with these medications b) All medications must be taken on an empty stomach c) There may be a prolonged drug half-life 6) Ammonia can alter the blood-brain barrier making it more permeable to other toxins.  a) True  b) False 7) The liver synthesizes clotting factors, what lab result would be expected due to lack of clotting factors? a) Low INR b) High blood glucose levels c) Elevated bilirubin d) Prolonged prothrombin time (PTT) 8) Cirrhosis is scarring of the liver, why is scar tissue unfavourable on the liver? a) Scar tissue has no negative impact and is not unfavourable. b) Scar tissue has no function which means permanent damage and reduced liver function. c) Scar tissue is ugly on scans and can lead to the misdiagnosis of other issues.  9) A liver biopsy is the only way to diagnose acute liver failure. a) True  b) False  10) What is the purpose of administering diuretics in acute liver failure? a) To remove ascites fluid and reduce pressure on the lungs and stomach. b) To test renal function during acute liver failure treatment. c) Decrease fluid and blood volume pre-liver transplant. 11) What is the recommended maximum dose of Acetaminophen in a 24-hour period? a) 4mg b) 4000mg c) 0.4mg d) 4000g

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