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Dr. Sun - Week 3
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A patient has the following information: albumin 4.1 g/dL (41 g/L), serum bilirubin 3.3 mg/dL (56.4 μmol/L), prothrombin time that is 5 seconds prolonged, no ascites, and no encephalopathy. Based on their Child–Turcotte–Pugh score, what is their grade of liver dysfunction?
a. Grade A
b. Grade B
c. Grade C
d. Grade D
b. Grade B
Drugs metabolized through which of the following processes are most likely to be affected by cirrhosis?
a. Conjugation
b. Hydrolysis
c. Oxidation
d. Sulfation
c. Oxidation
(OIC): A patient has OIC despite PEG and senna. Which option directly antagonizes peripheral μ-opioid receptors?
a. Docusate
b. Psyllium
c. Naldemedine
d. Magnesium hydroxide
c. Naldemedine
(OIC): Which presentation is most concerning?
a. OIC for 2 days after starting opioid
b. Mild bloating after adding fiber
c. New constipation with weight loss and anemia
d. Hard stools improved with PEG
c. New constipation with weight loss and anemia