Q1. Which of the following structures is not part of the portal triad in liver
a) Portal Vein
b) Hepatic vein
c) Hepatic Artery
d) Bile Duct
Answer: b
Hepatic vein does not form part of the portal triad. It forms the central vein around which the hepatocytes are arranged and on the periphery is the portal triad consisting of Portal Vein posteriorly, the bile duct on the right and Hepatic artery on the left.
Hepatic vein does not form part of the portal triad. It forms the central vein around which the hepatocytes are arranged and on the periphery is the portal triad consisting of Portal Vein posteriorly, the bile duct on the right and Hepatic artery on the left.
Q2. Which of the following has the weakest association with Hepatocellular Carcinoma (HCC)
a) Hepatitis B
b) Hepatitis C
c) Oral contraceptives
d) Smoking
Answer: c
Hepatitis B and Hepatitis C have known association with cirrhosis and Hepatocellular Carcinoma.
Other significant risk factors are:
Chronic alcohol abuse
Smoking
Aflatoxins
Nitrates, Nitrites
Hemochromatosis, Wilson disease, Alpha 1 Antitrypsin deficiency
Thorotrast
Associations with hormonal manipulations such as the use of oral contraceptive agents and anabolic steroids have been suggested but are weak. – Sabiston 20th
Hepatitis B and Hepatitis C have known association with cirrhosis and Hepatocellular Carcinoma.
Other significant risk factors are:
Chronic alcohol abuse
Smoking
Aflatoxins
Nitrates, Nitrites
Hemochromatosis, Wilson disease, Alpha 1 Antitrypsin deficiency
Thorotrast
Associations with hormonal manipulations such as the use of oral contraceptive agents and anabolic steroids have been suggested but are weak. – Sabiston 20th
Q3. Which is not a paraneoplastic syndrome for Hepatocellular Carcinoma
a) Hypercalcemia
b) Hypoglycemia
c) Erythrocytosis
d) Hyperglycemia
Answer: d
Less than 1% of cases of HCC present as a paraneoplastic syndrome, most commonly hypercalcemia, hypoglycemia, and erythrocytosis.
Less than 1% of cases of HCC present as a paraneoplastic syndrome, most commonly hypercalcemia, hypoglycemia, and erythrocytosis.
Q4. Which is the most common cause of Hemobilia
a) Blunt Trauma Abdomen
b) Iatrogenic injury
c) Cholelithiasis
d) Hepatic artery aneurysm
Answer: b
Earlier blunt abdominal trauma was the most common cause of Hemobilia. But recently with the advent of more interventional procedures like PTBD (Percutaneous Transhepatic Biliary Drainage), hemobilia has become more common.
Earlier blunt abdominal trauma was the most common cause of Hemobilia. But recently with the advent of more interventional procedures like PTBD (Percutaneous Transhepatic Biliary Drainage), hemobilia has become more common.
Q5. Which is not true regarding Haemangioendothelioma of liver?
a) It is a rare tumor
b) It is highly vascular
c) It involves both lobes of the liver
d) In 50% cases it has extrahepatic spread
Answer: d
All the above are true except the fourth choice. In one-fourth cases extrahepatic spread occurs. Death is usually due to liver failure.
All the above are true except the fourth choice. In one-fourth cases extrahepatic spread occurs. Death is usually due to liver failure.