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First Aid for the USMLE Step 1 (2021)

9 - Gastrointestinal

Nonalcoholic Fatty Liver Disease

Characteristics

Fat Infiltration of Hepatocytes in Absence of Alcohol Consumption

Which of the following descriptions most fits the definition of nonalcoholic fatty liver disease?

Obesity

Which of the following is a risk factor for NAFLD?

Hyperlipidemia

Which of the following is a risk factor for the development of NAFLD?

Type II Diabetes

Diagnosis

Often Found Incidentally

Which of the following is true or consistent with the presentation of NAFLD?

Elevated Liver Enzymes

Which of the following lab findings is characteristic of NAFLD?

Ultrasound

Which of the following is most commonly used to confirm suspected NAFLD?

Treatment

Abstinence From Alcohol

Which of the following interventions helps prevent disease progression in patients found to have NAFLD?

Weight Loss

Which of the following interventions helps prevent the progression of disease in NAFLD?

Hepatic Encephalopathy

Characteristics/Definition

Altered Mental Status

Which of the following symptoms is characteristic of hepatic encphalopathy?

Coma

Which of the following symptoms may be associated with the presentation of hepatic encephalopathy?

Seen in the Setting of Cirrhosis

Which of the following is true about hepatic encephalopathy?

TIPS

Hepatic encephalopathy may be seen after which of the following procedures?

Hyperammonemia

Which of the following is thought to be the cause of hepatic encephalopathy?

Asterixis

Which of the following physical exam signs is characteristic of hepatic encephalopathy?

Management

Lactulose

Which of the following medications is used in the treatment and prevention of hepatic encephalopathy?

Rifaximin

Which of the following medications may be used in the treatment and prevention of hepatic encephalopathy?

Liver Transplant

Which of the following procedures may be curative in patients with hepatic encephalopathy?

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