Cirrhosis

Child-Pugh Score for Cirrhosis Mortality 

• Used to estimate cirrhosis severity 

MELD Score 

• Quantifies end-stage liver disease for transplant planning in patients >12 

1. All of the following can cause liver cirrhosis EXCEPT

a) Chronic alcohol use 

b) Cystic fibrosis

c) Celiacs disease

d) Hepatitis C

2. Which of the following is NOT a sign or symptom of cirrhosis?

a) Jaundice

b) Anemia

c) Polyuria

d) Ankle edema

3. The following medications should be titrated to a heart rate of 55-60 BPM 

a) Propranolol

b) Nadolol

c) Carvedilol

d) All of the above

e) a and b 

4. Ascites can be defined as

a) Accumulation of excess fluid in the peritoneal cavity 

b) SAAG <11 g/L

c) Brain dysfunction caused by liver damage

d) All of the above

5. What is the 1st line therapeutic treatment for a patient presenting with hepatic encephalopathy?

a) Rifaximin 550 mg po BID 

b) Lactulose 25 ml q1-2 hr until 2-3 soft BMs then 30-45 ml TID-QID until 2-3 BMs/day 

c) Lactulose 25 ml q4-6 hr until 3-4 soft BMs then 35-45 ml TID-QID until 3-4 BMs/day 

d) PEG 4 L taken over 4 hours