A 55 year-old man with chronic hepatitis by Dr. Laurence Bailen

Question 31 / 32: A 55 year-old man with chronic hepatitis C related cirrhosis presents to the Liver Transplant Clinic for evaluation. He has had a large esophageal variceal bleed in the past and is now bothered by ascites.

Which of the following best characterizes this patient’s circulation?

Low peripheral vascular resistance, low cardiac output, high rate of blood flow to splanchnic circulation

Low peripheral vascular resistance, high cardiac output, high rate of blood flow to the splanchnic circulation

Low peripheral vascular resistance, high cardiac output, low rate of blood flow to the splanchnic circulation

High peripheral vascular resistance, high cardiac output, high rate of blood flow to the splanchnic circulation

High peripheral vascular resistance, low cardiac output, high rate of blood flow to the splanchnic circulation

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Explanation:

Cirrhotic patients have a hyperdynamic cardiac response to low peripheral vascular resistance. Portal hypertension (present given history of esophageal varices) develops due to resistance to blood flow in the liver and a high rate of blood flow in the splanchnic circulation.

Assessment Home Page

https://www.jobilize.com/gastrointestinal-pathophysiology-mcq-assessment-by-dr-laurence-bailen

Gastrointestinal Pathophysiology Self-Assessment

Author:

Dr.Laurence BailenProfessor

Tufts University School of Medicine

USA

Access: Public

Attribution: Laurence Scott Bailen, Tamsin Knox, Paul Abourjaily, Fredric D. Gordon,Marshall Kaplan,Andrew G. Plaut. PPY 222 Gastrointestinal Pathophysiology, Spring 2007. (Tufts University OpenCourseWare), http://ocw.tufts.edu/Course/47 (Accessed 3 May, 2014). License: Creative Commons BY-NC-SA

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