Cirrhosis Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 58-year-old man presents to the office to follow up on recent blood testing. The patient has no previously diagnosed medical conditions. The patient has been feeling more fatigued recently but attributes it to working long hours. The patient drinks 6-8 cans of beer on weekday evenings and 10-12 cans on weekend days. Temperature is 37.0 ºC (98.6° F), pulse is 84/min, and blood pressure is 132/74 mmHg. Physical exam shows palmar erythema and spider angiomas. Neurologic examination is normal. There is no distension of the abdomen and no abdominal tenderness to palpation. Lab results are shown below. Ultrasound of the abdomen shows a small, nodular liver and minimal ascites. The patient is referred for upper endoscopy which shows medium varices with no signs of active bleeding. Which of the following medications should be started at this time?  

Laboratory value
Result   
Reference range
Blood count  


Hemoglobin
11.0 g/dL
13.5-17.5 g/dL
Platelets
108,000/mm3   
150,000-400,000/mm3   
Metabolic Panel  


BUN
10 mg/dL
7-18 mg/dL
Creatinine
1.5 mg/dL  
0.6-1.2 mg/dL  
AST
118 U/L  
8-40 U/L  
ALT
55 U/L  
8-40 U/L  
Alkaline phosphatase  
165 U/L  
20-70 U/L  
Gamma-glutamyl transpeptidase  
140 U/L  
5-40 U/L  
Total bilirubin  
2.3 mg/dL  
0.1-1 mg/dL  
Albumin
2.8 g/dL  
3.5-5.5 g/dL  
INR
1.4  
≤1.1  

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