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Which of the following is the most common precipitating event of hepatic encephalopathy
A.
Constipation
B.
Hyperkalemia
C.
Gastrointestinal bleeding
D.
Hypernatremia
E.
Acidosis
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The answer is: C
Gastrointestinal bleeding is the single most important precipitating event of hepatic encephalopathy. It leads to an increase in ammonia and other nitrogenous substances that are absorbed. Other factors that can precipitate hepatic encephalopathy include hyperkalemia, hypernatremia, and constipation; however, constipation is a much less important precipitating event than gastrointestinal bleeding