FNH _ Focal Nodular hyperplasia

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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

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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

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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  Answer to Q 10 – Be a premium member, putting AIIMS Nov 2018 questions on this page   

Amoebic Liver abscess

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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 Read on for answer – Need Premium Membership

Contraindication of Left lobe liver transplant

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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        

Selective Shunt

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Q) A type of Selective shunt for portal hypertension is—   (Practise MCQs)  A. PSRS (Proximal spleno renal shunt)  B. Warren shunt C. SSPCS (Side to side portocaval shunt)  D. Mesocaval shunt

Milan Criteria

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Q) All are true in Milan criteria except? A. Single lesion  <5cm B. 3 nodules <3cm  C. >5 nodules D. No extrahepatic disease Answer for premium 

MELD Score

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Q) Not included in MELD Score a) Creatinine B. Bilirubin C. INR D. Albumin  Answer for premium members

Amoebic liver abscess

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Q)  Treatment of choice in amoebic liver abscess 4 cm in Right lobe of liver with fever and pain abdomen a) Metronidazole b) Aspiration c) Pig tail insertion d) Surgery Answer Question discusses  INdications of aspiration  Indications of Percutaneous drainage Role of Surgery 

Hepatic blood flow

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Q. All are true regarding hepatic blood flow except A. Liver has dual blood supply from portal vein and hepatic artery B. 70% of liver oxygen comes from the hepatic artery C. 70-80% of blood supply to the liver is from portal vein d) Liver receives 25% of cardiac output Answer for premium The explanation discusses how much blood and oxygen goes through portal vein and hepatic artery to the liver What is hepatic artery buffer response  

Liver trauma

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Q) All are true for blunt hepatic trauma except A. Grade V liver injuries are associated with vascular avulsion B. Hepatic packing is an expeditious method to control bleeding in blunt hepatic trauma C. After damage control Surgery and hepatic packing, abdominal compartment syndrome can happen in immediate postoperative period D. Post conservative management, in the 3rd week anemia MC occurs due to subcapsular hematoma rupture Answer