Liver Multiple-Choice Question And Answers

Liver Multiple-Choice Question And Answers

Question 1. Which of the following statements is false about hepatic encephalopathy?

1. It is caused by ammonia
2. Precipitated by sedatives
3. Not precipitated by bleeding into the gastrointestinal tract
4. Precipitated by diuretics

Answer: 4. Precipitated by diuretics

Question 2. About hepatorenal syndrome following are true except:

1. It can occur in sepsis
2. Most of them have advanced liver disease
3. It is associated with profuse intrarenal vasodilatation
4. Orthotopic liver transplantation can reverse hepatorenal syndrome

Answer: 3. It is associated with profuse intrarenal vasodilatation

Question 3. Which of the following is not the cause for the over-production of bilirubin?

1. Total parenteral nutrition
2. Haemolytic anaemias
3. Blood transfusion
4. Gilbert’s syndrome

Answer: 1. Total parenteral nutrition

Question 4. Triad of Sandblom includes the following except:

1. Colicky abdominal pain
2. Obstructive jaundice
3. Haematemesis or melaena
4. Sepsis

Answer: 4. Sepsis

Question 5. The following are indications for percutaneous method for drainage of pyogenic liver abscess except:

1. Superficial abscesses
2. Abscess with no intra-abdominal pathology
3. Abscesses of unknown aetiology
4. Multiple abscesses

Answer: 4. Multiple abscesses

Question 6. Very tender liver is a feature of the following except:

1. Secondaries in the liver
2. Amoebic liver abscess
3. Hepatoma
4. Congestive cardiac failure

Answer: 1. Secondaries in the liver

Question 7. A differentiating feature of amoebic liver abscess from acute cholecystitis is:

1. Intercostal tenderness
2. Abdominal tenderness
3. Guarding
4. Fever

Answer: 1. Intercostal tenderness

Question 8. The drug of choice for the treatment of amoebic liver abscess is:

1. Penicillin
2. Gentamicin
3. Metronidazole
4. Cotrimoxazole

Answer: 3. Metronidazole

Question 9. The following are scolicidal agents except:

1. Hypertonic saline
2. Chlorhexidine
3. Sodium hypochlorite
4. Hydroxyethyl starch

Answer: 4. Hydroxyethyl starch

Question 10. Indications for PAIR in the treatment of hydatid cyst includes:

1. Relapse following surgery
2. Multiple septal divisions
3. Communicating cysts
4. Dead or inactive cysts

Answer: 1. Relapse following surgery

Question 11. The following feature is true about Echinococcus multilocularis except:

1. Alveolar echinococcosis
2. Causes malignancy
3. Poorly demarcated honeycombed cystic lesion
4. Infiltrates liver and invades vascular system

Answer: 2. Causes malignancy

Question 12. A 65-year-old patient presents with the following: Serum bilirubin: 4 mg%, serum albumin: 1.8 mg%, INR: 2. He has gross ascites and is drowsy. What Child-Pugh Class does he belong to?

1. A
2. B
3. C
4. D

Answer: 3. C

Question 13. The following are features of polycystic liver disease except:

1. They are usually asymptomatic
2. The cysts do not produce liver cell failure
3. They are acquired
4. Cysts also occur in kidneys and pancreas

Answer: 3. They are acquired

Question 14. Which of the following is the commonest benign tumour of the liver?

1. Haemangioma
2. Adenoma
3. Focal nodular hyperplasia
4. Hepatoma

Answer: 1. Haemangioma

Question 15. For purposes of hepatic resection, the liver can be divided into number of segments.

1. 2
2. 4
3. 6
4. 8

Answer: 4. 8

Question 16. The main portal fissure is also called:

1. Cantlie’s line
2. Murphy’s line
3. Spigelian line
4. Macewan’s line

Answer: 1. Cantlie’s line

Question 17. The following conditions are associated with increased risk of hepatocellular carcinoma except:

1. Hepatitis B carrier state
2. Cirrhosis
3. Malignant hydatid cyst
4. Aflatoxin consumption

Answer: 3. Malignant hydatid cyst

Question 18. Up to segments of the liver can be resected safely without the danger of hepatic failure provided rest of the liver is normal.

1. 2
2. 3
3. 4
4. 5

Answer: 2. 3

Question 19. Transcatheter arterial embolisation is a good option in the treatment of hepatocellular carcinoma in following situation:

1. Serum bilirubin >3 mg%
2. Tumour thrombus in the main portal trunk
3. Early hepatocellular carcinoma
4. Inoperable tumours

Answer: 4. Inoperable tumours

Question 20. Which of the following is true criteria for secondaries in the liver?

1. Single lobe enlargement
2. Rounded border
3. Soft in consistency
4. Nodular liver

Answer: 4. Nodular liver

Question 21. The commonest gastrointestinal tract primary in a nodular liver secondaries is from:

1. Stomach
2. Pancreas
3. Gallbladder
4. Duodenum

Answer: 1. Stomach

Question 22. Portal hypertension is defined as a portal venous pressure exceeding mmHg.

1. 5
2. 10
3. 15
4. 20

Answer: 3. 15

Question 23. Portal vein normally carries % of blood supply to liver.

1. 25
2. 50
3. 75
4. 100

Answer: 3. 75

Question 24. Causes of bulky secondaries include the following except:

1. Malignant melanoma
2. Carcinoid tumours
3. Colloid carcinoma rectum
4. Testicular tumours

Answer: 4. Testicular tumours

Question 25. Which of the following is true about the use of vasopressin in variceal bleeding?

1. 20 units is diluted in 200 ml of saline and given over 20 min
2. Causes coronary vasodilatation
3. Is a powerful inotrope
4. Is a splanchnic vasodilator and reduces pressure in the splanchnic vessels

Answer: 1. 20 units is diluted in 200 ml of saline and given over 20 min

Question 26. Gastric transaction of Tanner is an operation performed for:

1. Carcinoma stomach
2. Carcinoma pancreas
3. Portal hypertension
4. Hepatocellular carcinoma

Answer: 3. Portal hypertension

Question 27. About sorafenib following are true except:

1. It is tyrosine kinase inhibitor
2. It has anti-angiogenesis property
3. Vascular endothelial growth factor is inhibited by sorafenib
4. It is not a drug for hepatocellular carcinomatous

Answer: 4. It is not a drug for hepatocellular carcinomatous