Liver

Post Hepatectomy Liver Failure

December 5, 2019 admin

Q) Which finding best describes post hepatectomy liver failure
A) INR and Billi raises on or after day 5
B) Refractory INR even after FFP
C) Hyperbilirubinemia
D) Hepatic encephalopathy

TIPS

November 17, 2019 admin

Q) Absolute contraindication to TIPS are all except

a)PVT

b) Multiple hepatic cysts

c) Chronic heart falure

d) Biliary statsis

Biliary fistula in Hydatid cyst liver

October 22, 2019 admin

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

July 4, 2019July 4, 2019 admin

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

February 11, 2019February 12, 2019 admin

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 -

FNH _ Focal Nodular hyperplasia

January 3, 2019January 3, 2019 admin

Q) True about Focal nodular hyperplasia of liver

a) Central scar is seen in all cases

b) In doubt FNAC is mostly diagnostic

c) They should be resected in view of malignant transformation

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

Ans

Budd chiari

December 12, 2018December 12, 2018 admin

Q31) In Budd Chiari Syndrome best management for patients when all three hepatic veins are blocked with deranged LFT

a) Liver transplant

b) Side to side porto caval shunt

c) MEso atrial Shunt

d) TIPS

Answer

Causes of Hepatic Adenoma

November 7, 2018November 7, 2018 admin

Q) Which of the following does not cause hepatic adenoma? (AIIMS 2018, NOV)

a) Estrogens

b) Steroids

c) Alcohol

d) Diabetes

One previous question here

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Q) Not true about amoebic liver abscess
a) Most common liver enzyme elevated is ALT
b) Metronidazole and luminal amebicide needed in all cases
c) In peritonitis due to amoebiasis perforation of colon are less than perforation of liver
d) 5% to 15% of patients with ALA may be resistant to metronidazole

Answer
The cecum is the most common site of amebic colitis, and the right lobe of the liver is more commonly affected because of drainage
of the right portal branch from the right side of the colon. The condition usually starts as diffuse amebic hepatitis; liver cells
undergo liquefactive necrosis,
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Contraindication of Left lobe liver transplant

September 3, 2018April 18, 2019 admin

Q) Absolute contraindication for left lobe LDLT is
A. Trifurcation of the portal vein
B. Bifurcation of portal vein in the right lobe of the liver
C. Aberrant right hepatic artery
D. Right Posterior duct draining into left hepatic duct

ANSWER d

Trifurcation of portal vein is not a contraindication of left lobe liver transplant as we will get a single portal vein on the left side

Bifurcation of portal vein in right lobe does not matter because we are leaving the right lobe behind

Again right aberrant artery does not matter because that segment is left behind

Right post duct draining into left duct gives rise to two ducts on the left or a single duct which is quite high.

Right posterior duct to left

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