KROK 1 2015 – Question 167 · KROK (Medicine) · Pathophysiology

A 50-year-old man, who has been suffering from chronic hepatic failure for several years, has developed ascites. What is the main mechanism of this disorder development?

  1. A. Neurotoxins appearing in blood
  2. B. Increased content of low-density and very low-density lipoproteins in blood
  3. C. Increased pressure in portal vein system
  4. D. Decrease of albumin and globulin synthesis in liver
  5. E. Increase of blood oncotic pressure
Hint

Think of the Starling forces that move fluid out of capillaries and which of them is altered when blood from the gut cannot flow freely through a cirrhotic liver.

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