Multiple Choice Questions on Jaundice

Examining the Conjunctiva for Jaundice

Source

Jaundice-Introduction

Jaundice is the yellowish discoloration of the skin and mucous membrane and body fluids. Jaundice can be classified as congenital, haemolytic, hepatocellular and obstructive.

This hub contains a few multiple choice questions on jaundice which will be useful for medical, dental, nursing and allied health students and those students who are preparing for premedical examinations.

Jaundice in hereditary spherocytosis can be classified under:

  • Congenital Hyperbilirubinaemia

  • Haemolytic

  • Hepatocellular

  • Obstructive

    ----------------------------------------

Answer: Haemolytic

Jaundice in Sickle Cell Anaemia can be classified under:

Congenital Hyperbilirubinaemia

Haemolytic

Hepatocellular

Obstructive

------------------------------------------------

Answer: Haemolytic

Jaundice in malaria can be classified under:

  • Congenital Hyperbilirubinaemia

  • Haemolytic

  • Hepatocellular

  • Obstructive

    --------------------------------------------

Answer: Haemolytic

Jaundice in Guilbert’s syndrome is due to:

  • Congenital Hyperbilirubinaemia

  • Haemolytic

  • Hepatocellular

  • Obstructive

    ----------------------------------

Answer: Congenital Hyperbilirubinaemia

Jaundice in Weil’s disease can be classified under:

  • Congenital Hyperbilirubinaemia

  • Haemolytic

  • Hepatocellular

  • Obstructive

    -----------------------------------------

Answer: Hepatocellular

Jaundice in a patient with Viral Hepatitis

Source

Jaundice in Viral Hepatitis can be classified under:

  • Congenital Hyperbilirubinaemia

  • Haemolytic

  • Hepatocellular

  • Obstructive

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Answer: Hepatocellular

Jaundice in Acute Cholecystitis can be classified under:

  • Congenital Hyperbilirubinaemia

  • Haemolytic

  • Hepatocellular

  • Obstructive

----------------------------------------

Answer: Obstructive

Stercobilinogen is absent in the stools in the following type of jaundice:

  • Hemolytic

  • Hepatocellular

  • Obstructive

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Answer: Obstructive

Urobilinogen is absent in the urine in the following type of jaundice:

  • Hemolytic

  • Hepatocellular

  • Obstructive

------------------------------------

Answer: Obstructive

Newborn infant undergoing Phototherapy to treat Neonatal Jaundice

Source

Bilirubin Metabolism

Learning about bilirubin metabolism will help you understand how jaundice develops.

In the break down phase haemoglobin released from the dying RBCs will be broken down into globin and heme. Heme is further broken down into iron and bilirubin. Bilirubun gets attached to serum albumin to be carried to liver.

In the Conjugation phase, bilirubin is separated from albumin and conjugated to glucuronide by glucuronyl transferase so that bilirubin becomes water soluble and can be excreted through kidneys.

In the alimentary phase, the conjugated bilirubin comes out of the bile canaliculi into the intestines and gets converted to urobilinogen and stercobilinogen by the intestinal bacteria.

In the excretion phase, urobilinogen is carried to kidneys for excretion. Some amount of stercobilinogen is absorbed back into the liver. Unabsorbed stercobilinogen gives brown colour to the faeces.

A defect in any phase of bilirubin metabolism can lead to the development jaundice and can be classified under any of four categories mentioned above.

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Comments 3 comments

mariam mohamed 2 years ago

thanks


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thumbi7 3 years ago from India Author

Hi DDE

Thanks for the visit


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DDE 3 years ago from Dubrovnik, Croatia

Great approach to this topic, my son had jaundice when was born and had then realized why but now I learned more about it and so glad to have stopped by here. Informative, useful interesting and voted up.

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