MELD Scoring – Liver Transplant

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Q) True about MELD scoring except a) MELD score less than 15 not included in list b) Additional points given for renal failure c) Predicts mortality for 3 months d) HCC with cirrhosis exception points are given  

Indications of Liver transplant

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Q ) Orthoptic Liver Transplant  indicated in all except A) HPS B) Hyperbilirubinemia C) Severe hepatic encephalopathy D) SBP  

Sugiura Procedure

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Q)   What is not true regarding Sugiura’s procedure for Portal Hypertension a)  It is a transesophageal variceal ligation b) Splenectomy is done c) Vagotomy d) Pyloroplasty Sugiura procedure is the nonshunting procedure for EV bleeding, which was first proposed by Sugiura and Futagawa in 1973 [2]. However, because of its complexity and high postoperative morbidity and mortality, this procedure has not been widely accepted in Western countries 

Role of TARE in HCC

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Q)Regarding the role of TARE in HCC False  statement is a) Diagnostic angiography required b) Portal Vein Thrombosis is a contraindication

INactive hydatid cyst

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Q According to WHO-IWGE ultrasonographic classification for Hydatid cyst, inactive cysts belong to which group a) Group I b)  Group 2 c) Group 3 d) Group 4 More question at www.mcqsurgery.com/hydatid Answer: C Reference Bailey and love 27th edition page number 64 WHO Informal Working Group on Echinococcosis (WHO-IWGE) classification Group 1: Active group – cysts larger than 2 cm and often fertile. Group 2: Transition group – cysts starting to degenerate and entering a transitional stage because of host resistance or treatment, but may contain viable protoscolices. Group 3: Inactive group – degenerated, partially or totally calcified cysts; unlikely to contain viable protoscolices.

Auxillary liver transplant

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Q1) Auxillary liver transpalntation in acute  liver failure false is A) Immuno Suppression can  be stopped after liver recovers B)Mostly  done in metabolic liver disease without cirrhosis C) Inflow modulation is  not required D) Mainly done in children

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