The icteric phase of hepatitis is characterized by which clinical ...

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The icteric phase of hepatitis is characterized by which clinical manifestations?
 
  a. Fatigue, malaise, vomiting
  b. Jaundice, dark urine, enlarged liver
  c. Resolution of jaundice, liver function re-turns to normal
  d. Fulminant liver failure, hepatorenal syn-drome

Question 2

A 54-year-old reports vomiting blood. Tests reveal portal hypertension. Which of the following is the most likely cause of this condition?
 
  a. Thrombosis in the spleen
  b. Cirrhosis of the liver
  c. Left ventricular failure
  d. Renal stenosis

[sultana.d]

Answer to Question 1

ANS: B
The icteric phase is manifested by jaundice, dark urine, and clay-colored stools. The liver is en-larged, smooth, and tender, and percussion causes pain. Fatigue and vomiting occur during the prodromal stage. Resolution occurs in the recovery phase. Fulminant liver failure does not involve icterus.

Answer to Question 2

ANS: B
Portal hypertension occurs secondarily to cirrhosis of the liver. Portal hypertension is not associ-ated with thrombosis of the spleen, left ventricular failure, or renal stenosis.

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