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CHAPTER 55: Hepatic, Biliary, and Pancreatic Disorders

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    AMA Citation
    Hepatic, Biliary, and Pancreatic Disorders. In: Patel S, Roberts S, Rogers V, Zink A, Duryea E, Morgan J. Patel S, & Roberts S, & Rogers V, & Zink A, & Duryea E, & Morgan J(Eds.),Eds. Shivani Patel, et al.eds. Williams Obstetrics Study Guide, 25th Edition. McGraw-Hill; Accessed July 12, 2020. https://obgyn.mhmedical.com/content.aspx?bookid=2501&sectionid=202921698
    APA Citation
    Hepatic, biliary, and pancreatic disorders. Patel S, Roberts S, Rogers V, Zink A, Duryea E, Morgan J. Patel S, & Roberts S, & Rogers V, & Zink A, & Duryea E, & Morgan J(Eds.),Eds. Shivani Patel, et al. (2019). Williams Obstetrics Study Guide, 25th Edition. McGraw-Hill. https://obgyn.mhmedical.com/content.aspx?bookid=2501&sectionid=202921698
    MLA Citation
    "Hepatic, Biliary, and Pancreatic Disorders." Williams Obstetrics Study Guide, 25th Edition Patel S, Roberts S, Rogers V, Zink A, Duryea E, Morgan J. Patel S, & Roberts S, & Rogers V, & Zink A, & Duryea E, & Morgan J(Eds.),Eds. Shivani Patel, et al. McGraw-Hill, 2019, https://obgyn.mhmedical.com/content.aspx?bookid=2501&sectionid=202921698.

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Hepatic, Biliary, and Pancreatic Disorders

All except which of the following liver-related changes are physiological in pregnancy?

a. Hypolipidemia

b. Spider angiomas

c. Palmar erythema

d. Elevated serum alkaline phosphatase levels

a Hepatic Disorders

The cytochrome P450 system is altered by which of the following during pregnancy?

a. Estrogen levels

b. Progesterone levels

c. Placental expression

d. All of the above

d Hepatic Disorders

Which of the following pregnancy-related complications has the capacity to demonstrate the most prominent alterations of normal hepatic, renal, hematological, and coagulation laboratory studies?

a. Preeclampsia

b. Hyperemesis gravidarum

c. Acute fatty liver of pregnancy

d. Intrahepatic cholestasis of pregnancy

c Table 55-1

Which of the following findings can narrow the differential of elevated liver enzymes to exclude intrahepatic cholestasis of pregnancy?

a. Jaundice

b. AST 800 U/L

c. Liver biopsy showing bile plugs in the hepatocytes

d. All of the above

b Pathogenesis

Clinical Presentation

Which of the following viral infections has been associated with a marked increase in the risk for intrahepatic cholestasis of pregnancy?

a. Hepatitis B

b. Hepatitis C

c. Cytomegalovirus

d. Human immunodeficiency virus

b Clinical Presentation

A 27-year-old multigravida comes to you for her postpartum visit. Both of her pregnancies were complicated by intrahepatic cholestasis of pregnancy. She desires another child in about 2 years. Which of the following methods of contraception do you recommend?

a. Vaginal ring

b. Copper intrauterine device

c. Combination oral contraceptive pills

d. None of the above

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