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Q) A 37 year old lady with history of oral contraceptives undergoes a CT scan for pain lower abdomen which also revealed a solitary 6 cm lesion in segment VI of liver.  Triple phase  Ct scan shows a lesion which  enhances in the arterial phase more at the margins and in the venous phase it moves towards the center. This lesion is :

a) Focal Nodular Hyperplasia

b) Haemangioma

c) Hepatic Adenoma

d) Hepatocellular carcinoma

Answer is C

Hepatic Adenoma is benign neoplasms of the liver. They are associated with 

1. OCP use
2. Androgen containing steroids
3. Type I and III glycogen storage diseases

They are diagnosed on the basis of CT scans. Diagnostic features of CT Scan for hepatic adenoma are

1. Non contrast- Heterogenous hypodense mass with areas of hemorrhage and necrosis
2. Arterial phase shows rapid filling at the periphery then progressing to the center

Hepatocellular carccinoma shows - Rapid arterial filling with wash off in the portal venous phase

Hemangioma- Peripheral nodular enhancement

FNH- Central scar

Rf: Shackelford page 1564

Q) Which is a true statement regarding diagnosis of Meckel's diverticulum?

a) CT and Ultrasonography are the modality of choice 

b) Technetium pertechnetate scan is the investigation of choice in children

c) Technetium Pertechnetate scan has more utility  in adults

d) None of the above

Q) True about presentation of amoebic liver abscess?

a) 60-70% patients with amoebic liver abscess have diarrhoea

b) Jaundice is seen in 50% of these patients

c) Rupture of liver abscess in the peritoneum is seen in 10% cases

d) More complications of amoebic liver abscess occurs in acute presentation

Ans for premium Members

 A 40 year old male is  undergoing appendicectomy for acute appendictis.  During surgery a 3 cm mass is found in the body of appendix. Frozen section of the mass reveals carcinoid tumor. Which of the following is true

a) Appendicectomy should be completed followed by radiotherapy to the bed

b) Right hemicolectomy should be done

c) There is 50% chance of developing carcinoid syndrome in this case

d)  Carcinoid syndrome occurs only if there is liver metastasis

Answer for basic members (Register Free) 

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