Saturday, May 19, 2012

Risk factors for alcoholic cirrhosis

Q Which of the following is not a risk factor for developing alcohol related cirrhosis

a) Duration and amount of alcohol

b) Genetic predisposition

c) Associated haemangioma

d) Body Mass Index



Answer

c

A duration of more than 10 years of daily drinking of more than 60 g of alcohol will cause cirrhosis in 10-40% people.

Body Mass Index (BMI) and genetic deficiency of alcohol metabolizing enzymes will speed up the process of developing cirrhosis

Saturday, May 5, 2012

Spontaneous Bacterial Peritonitis

Q Which is not an indication to start an antibiotic in a patient with Cirrhosis for Primary Prophylaxis

a) Chronic Liver Failure (CLF) with ascites with ascitic fluid protein less than 1 mg%

b) Serum Bilirubin greater than 3.2 mg%

c) Platelet count more than 98000

d) Child's B cirrhosis


Answers

d) Risk factors for SBP in patients who have CLF include, a prior episode of SBP, an ascitic fluid protein concentration lower than 1.0 g/dL, and variceal hemorrhage.

Child Status alone has no role in dictating the use of primary prophylaxis