Liver

TIPS

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Q) Absolute contraindication to TIPS are all except ?

a)PVT

b) Multiple hepatic cysts

c) Chronic heart falure

d) Severe TR

Biliary fistula in Hydatid cyst liver

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Q) Which is not true in terms of biliary fistula in  hydatid cyst liver

a) Cyst diameter more than 10 cm is a predictor of intrabiliary rupture

b) Minor communications are revealed by post op bile leak

c) Major biliary communication is fistula more than 5 mm or communication in the bile duct

d) Major biliary communication is seen in 15-20%

Budd chiari syndrome

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Q  BCS true is

a) Hepatic venography needed for diagnosis

b) Triad of pain hepatomegaly and jaundice

c) Mesocaval graft thrombosis precludes liver transplant

d) In IVC  stenosis, splenorenal shunt can be used

Haemangioma of the liver

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Q) True about 5 cm haemangioma of the liver 

a) 50% of symptomatic haemangiomas of the liver will still have some other intra abdominal cause

b) They should be operated because of high risk of rupture

c) 2-5% of these can turn to be malignant

d) Radiation gives the best results

Ans - 

Other questions on haemangioma

NEET based questions -2018

FNH _ Focal Nodular hyperplasia

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Q) Which of the following statements about focal nodular hyperplasia (FNH) of the liver is true?

a) A central scar is present in all cases
b) Fine-needle aspiration cytology (FNAC) is usually diagnostic in doubtful cases
c) Resection is recommended due to risk of malignant transformation
d) Asymptomatic patients with typical radiologic features usually do not require treatment

d) Asymptomatic patients with typical radiologic features usually do not require treatment

  • Focal Nodular Hyperplasia (FNH) is a benign liver lesion, often found incidentally.

  • a) Central scar is present in all cases – Incorrect. While a central stellate scar is characteristic of FNH, it is not present in all cases (seen in ~50-70% on imaging).

  • b) FNAC is usually diagnostic – Incorrect. FNAC often provides inconclusive results in FNH. Histological diagnosis requires tissue architecture, which FNAC can't reliably provide.

  • c) Resection is recommended due to risk of malignant transformation – Incorrect. FNH has no malignant potential and rarely causes complications. Surgery is not routinely recommended unless symptomatic or diagnosis is uncertain.

  • d) Asymptomatic patients with typical radiologic features usually do not require treatment – Correct. FNH with typical imaging features (especially on MRI with hepatobiliary contrast agents) does not require biopsy or surgical intervention.