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EMQ: 14

Causes of cirrhosis of the liver

a)      Haemochromatosis

b)      Wilson’s disease

c)      Primary biliary cirrhosis

d)      Osler-Rendu-Weber syndrome

e)      Alcohol

f)        Methotrexate

g)      Cardiac cirrhosis

h)      Budd-Chiari syndrome

i)        Alpha₁ antitrypsin deficiency

j)        Cystic fibrosis

Match the physical signs below to the cause of cirrhosis listed above

1) A young female on the contraceptive pill. On examination there is absent hepatojugular reflux

2) A middle-aged female with ulnar deviation at the metacarpophalangeal joints and swan neck deformity of the fingers

3) A young male with a ring of greenish brown pigment at the junction of the cornea and sclera

4) A male with a hyperinflated chest with reduced cardiac and liver dullness on percussion and diminished vesicular breath sounds on auscultation

5) A middle-aged male with increased pigmentation of the skin

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