Liver and pancreas lec | Quizlet

In dogs, liver percussion is typically performed at which intercostal spaces (ICS) on the right side?

A. 5-9 ICS

B. 10-15 ICS

C. 7-12 ICS

D. 3-7 ICS

C

What is the most common indicator of hepatocellular damage in enzyme testing?

A. GGT

B. LDH

C. ALT (ALAT)

D. ALP

C

Which enzyme is most specific for bile stasis or cholestasis?

A. ALT

B. AST

C. GGT

D. LDH

C

6. What is the most sensitive and specific blood test for diagnosing pancreatitis in dogs?

A. Amylase

B. TLI

C. Lipase

D. cPLI

D

Which of the following is not a major digestive enzyme produced by the exocrine pancreas?

A. Trypsin

B. Lipase

C. Amylase

D. Pepsin

D

8. In cats with pancreatitis, which symptom is often the least obvious or absent?

A. Vomiting

B. Diarrhea

C. Jaundice

D. Abdominal pain

D

A decrease in both albumin and total protein is most likely due to:

A. Nephrotic syndrome

B. Multiple myeloma

C. Chronic inflammation

D. Cirrhosis

D

Which test assesses the liver's excretory function via bilirubin handling?

A. ALT

B. Bromosulfophthalein test

C. Prothrombin time

D. Trypsin-like immunoreactivity

B

Which enzyme is found in the cytoplasm of hepatocytes and increases in liver cell damage?

A. AST

B. ALT

C. GGT

D. ALP

B

In muscle damage (e.g., Se/Vitamin E deficiency), which liver-related enzyme may also increase?

A. ALT

B. AST

C. ALP

D. GGT

B

An increase in ALP is least likely to be associated with:

A. Bone growth

B. Cholestasis

C. Liver cancer

D. Hemolysis

D

A prolonged blood clotting time may suggest:

A. Hyperthyroidism

B. Excess albumin

C. Liver dysfunction

D. Intestinal blockage

C

Which enzyme is elevated both in cholestasis and in certain drug treatments (e.g. long-term furosemide)?

A. ALT

B. AST

C. GGT

D. ALP

D

Increased levels of free (unconjugated) bilirubin suggest:

A. Bile duct obstruction

B. Parenchymal liver disease

C. Hemolysis

D. Hepatic cancer

C

Which finding would be most consistent with mechanical jaundice?

A. Only conjugated bilirubin increase

B. Free and conjugated bilirubin increase

C. No change in bilirubin

D. Only free bilirubin increase

B

The SNAP test for pancreatic lipase is based on which method?

A. Western blot

B. ELISA

C. PCR

D. Radiography

B

A decrease in trypsin-like immunoreactivity (TLI) is a marker for:

A. Pancreatic inflammation

B. Pancreatic cancer

C. Exocrine pancreatic insufficiency

D. Intestinal malabsorption

C

Which condition is associated with reduced hepatic suppression in cattle?

A. Liver abscesses

B. Leukemia

C. Ruminal bloating

D. Fat cow syndrome

C

Chronic pancreatitis symptoms

Chronic pancreatitis may present with symptoms of polyuria and polydipsia, weight loss, hyperglycemia and glycosuria accompanied by hypoinsulinemia.

Which process is impaired during hepatic encephalopathy?

A. Protein digestion

B. Urea synthesis

C. Bile acid secretion

D. Albumin excretion

B

A high AST level with normal ALT may indicate:

A. Hepatic lipidosis

B. Hemolysis or muscle damage

C. Biliary obstruction

D. Cirrhosis

B

Elevated ALP is most strongly associated with:

A. Hemorrhage

B. Protein loss

C. Bile duct obstruction

D. Pancreatic insufficiency

C

Hypocholesterolemia may be caused by:

A. Cholestasis

B. Hyperthyroidism

C. Nephrotic syndrome

D. Corticosteroids

B