Q) All are true in Milan criteria except?
A. Single lesion <5cm
B. 3 nodules <3cm
C. >5 nodules
D. No extrahepatic disease
Liver
MELD Score
Q) Not included in MELD Score
a) Creatinine
B. Bilirubin
C. INR
D. Albumin
Amoebic liver abscess
Q) Treatment of choice in amoebic liver abscess 4 cm in Right lobe of liver with fever and pain abdomen
a) Metronidazole
b) Aspiration
c) Pig tail insertion
d) Surgery
Question discusses
INdications of aspiration
Indications of Percutaneous drainage
Role of Surgery
Hepatic blood flow
Q. All are true regarding hepatic blood flow except
A. Liver has dual blood supply from portal vein and hepatic artery
B. 70% of liver oxygen comes from the hepatic artery
C. 70-80% of blood supply to the liver is from portal vein
d) Liver receives 25% of cardiac output
The explanation discusses how much blood and oxygen goes through portal vein and hepatic artery to the liver
What is hepatic artery buffer response??
Liver trauma
Q) All are true for blunt hepatic trauma except
A. Grade V liver injuries are associated with vascular avulsion
B. Hepatic packing is an expeditious method to control bleeding in blunt hepatic trauma
C. After damage control Surgery and hepatic packing, abdominal compartment syndrome can happen in immediate postoperative period
D. Post conservative management, in the 3rd week anemia MC occurs due to subcapsular
hematoma rupture
Liver trauma in kids
Q )Management of isolated liver injury in children commonly is
a) Conservative
b) Laparotomy
c) Intervention and embolization of bleeding vessel
d) Liver packing
Fibrolamellar carcinoma of the liver
Q) Fibrolamellar Carcinoma of the liver
a) Occurs in the setting of cirrhosis
b) Has worse survival than Hepatocellular carcinoma
c) Can be followed up for long time
d) Seen in young females
Hydatid Cyst
Q) All are true about hydatid cyst except?
a) Liver is the commonest site followed by lung
b) Most commonly presents as painless abdominal mass
c) Anaphylaxis can occur if there is spillage during surgery
d) Dog is the definitive host
Significance of MELD Scoring in Liver Transplant
Q) The significance of MELD Scoring in Liver transplant is :
a) Less ill patients are given more priority in liver transplant
b) Set threshold for patients who are too ill to undergo transplant.
c) To access mortality in the waiting list.
d) To list patients in cadaveric deceased donor program