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A patient with cirrhosis is scheduled for a TIPS procedure. Which of the following correctly describes a TIPS procedure?

A.

A shunt will divert blood from the hepatic vein to the Inferior vena cava

B.

A shunt will divert blood from the aorta to the inferior vena cava

C.

A shunt will divert blood from the portal vein to the hepatic vein

D.

A shunt will divert blood from the aorta to the hepatic vein

Answer and Explanation

The Correct Answer is C

A. A shunt will divert blood from the hepatic vein to the Inferior vena cava: This is not the correct pathway for a TIPS procedure.

B. A shunt will divert blood from the aorta to the inferior vena cava:  This describes a different vascular pathway unrelated to TIPS.

C. A shunt will divert blood from the portal vein to the hepatic vein: TIPS (Transjugular Intrahepatic Portosystemic Shunt) is a procedure that creates a pathway between the portal vein and hepatic vein, reducing portal hypertension and preventing variceal bleeding.

D. A shunt will divert blood from the aorta to the hepatic vein:  This is not the correct anatomical pathway for a TIPS procedure.


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Related Questions

Correct Answer is ["50"]

Explanation

Available: Octreotide 0.5 mg in 100 mL of fluid

Calculation:

Convert the available dose to mcg:

  • 0.5 mg = 500 mcg

Determine the concentration:

  • 500 mcg in 100 mL = 5 mcg/mL

Calculate the infusion rate:

  • Desired rate: 50 mcg/hour
  • Infusion rate (mL/hour) = Desireddose(mcg/hour)÷ Concentration(mcg/mL)

= 50 mcg/hour ÷ 5 mcg/Ml

= 10 mL/hour

The infusion rate of 10 mL/hour will deliver 50 mcg/hour of Octreotide, as prescribed.

Correct Answer is ["A","D"]

Explanation

A. HAV: Hepatitis A is spread via the fecal-oral route, often through contaminated food or water.

B. HCV: Hepatitis C is primarily spread through blood-to-blood contact, not the fecal-oral route.

C. HDV: Hepatitis D is spread through blood contact and requires Hepatitis B for replication.

D. HEV: Hepatitis E is spread through the fecal-oral route, similar to Hepatitis A.

E. HBV: Hepatitis B is spread through blood, sexual contact, and perinatal transmission, not the fecal-oral route.

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