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
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
