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10.3 Liver Metabolism & Failure — Test 1
Q1. The liver maintains blood glucose between meals chiefly by:✓ Glycogenolysis and gluconeogenesis
Q2. The liver can release free glucose into the blood because it has:✓ Glucose-6-phosphatase
Q3. The liver detoxifies ammonia from amino-acid metabolism by the:✓ Urea cycle
Q4. In liver failure, the accumulation of ammonia contributes to:✓ Hepatic encephalopathy
Q5. The liver conjugates bilirubin with glucuronic acid to make it:✓ Water-soluble for excretion
Q6. Ketone bodies are synthesized by the liver but the liver cannot use them because it lacks:✓ Thiophorase (the enzyme to reactivate ketones)
Q7. Match each liver function with its product/marker and choose the correct option.✓ A-ii, B-iii, C-i
Q8. The liver synthesizes most plasma proteins, including:✓ Albumin and clotting factors
Q9. In liver failure, a prolonged prothrombin time reflects:✓ Reduced synthesis of clotting factors
Q10. The Cori cycle involves the liver converting:✓ Lactate (from muscle) back to glucose
Q11. The first hydroxylation of vitamin D (to 25-OH-D) occurs in the:✓ Liver
Q12. In the fed state, the liver:✓ Synthesizes glycogen and fat (lipogenesis)
Q13. During fasting, the liver supplies glucose first by ___ then by ___.✓ glycogenolysis; gluconeogenesis
Q14. The glucose-alanine cycle transfers ___ from muscle to liver for gluconeogenesis.✓ alanine (carrying amino nitrogen)
Q15. Hypoglycaemia in severe liver failure occurs because the liver cannot:✓ Maintain gluconeogenesis/glycogen stores
Q16. Most cholesterol and bile acid synthesis occurs in the:✓ Liver
Q17. The liver's role in drug metabolism involves:✓ Phase I (oxidation) and phase II (conjugation) reactions
Q18. Jaundice with raised conjugated bilirubin, pale stools and dark urine indicates:✓ Post-hepatic (obstructive) cause
Q19. The liver is central to nitrogen disposal because it:✓ Converts amino-acid nitrogen to urea for renal excretion
Q20. Overall, the liver functions as the body's:✓ Central metabolic processing and detoxifying organ