肝性脑病（Hepatic encephalopathy）.doc

肝性脑病（Hepatic encephalopathy） Chapter 11 the hepatic encephalopathy 1. Selection [A1 problem] 1. The acute hepatic encephalopathy is caused by which disease A. advanced B. Portal cirrhosis C. Severe viral hepatitis D. Intrahepatic bile duct calculi e. portal - body shunt operation 2. The main source of blood ammonia is A. intestines b. kidneys c. muscle d. liver 3. The main factor that prevents ammonia absorption in the gastrointestinal tract is A. blood urea concentration decreases b. intestinal bacteria are inhibited c. intestinal pH is less than 5 D. The secretion of bile decreases e. protein intake decreases 4. The main cause of ammonia removal in severe liver disease is A. glutamate synthesis disorder b. urea synthesis disorder c. glutamate D. alanine synthesis disorder E.A TP 5. The main mechanism of hepatic encephalopathy caused by increased blood ammonia A. The excitation process that affects the cortex of the brain causes acetylcholine to be overused C. Interferes with brain energy metabolism D. The brain stem reticular structure cannot function normally E. reduce the effect of norepinephrine 6. The main mechanism for the reduction of brain energy in ammonia poisoning patients is A. fermentation process disorder b. tricarboxylic acid cycle slows c. phosphocreatinolysis barrier D. fat oxidative block e. ketone use disorder The effect of ammonia on energy metabolism in the brain can increase the consumption of NADH A. glycolysis enhanced B. pyruvate oxidation decarboxylation C. glutamine is formed by combining glutamic acid with ammonia D. Acetyl-coa combined with choline to form ethylcholine E. Ammonia binds to a - ketoglutarate to form glutamic acid 8. The effect of ammonia on ion transport of nerve cell membrane A. Intracellular K + increases B. Intracellular K + decreases C. Extracellular Na + increases D. Intracellular Ca2 + increase E. Extracellular Ca2 + decrease 9. Pseudoneurotransmitter of hepatic encephalopathy means A. Phenylethylamine and tyramine