This session covers 10 exam productive MCQs on LIVER for the preparation of MBBS, INI-CET, NEET PG, INI-SS, FMGE,MS,DNB entrance and UPSC Combined Medical Services examinations.
For ANSWERS AND DESCRIPTION please watch the following YouTube video:
Q.1. The most common liver tumour of early childhood is:
A. Hepatocellular carcinoma.
B. Hepatoblastoma.
C. Haemangioendothelioma.
D. Intrahepatic cystadenocarcinoma.
Q.2. Regarding polycystic liver disease all are true EXCEPT
A. may be associated with autosomal dominant polycystic disease of kidney.
B. rarely symptomatic.
C. ultrasound is the investigation of choice.
D. liver transplantation is the treatment of choice.
Q.3. Which is the most common benign tumor of the liver?
A. Adenoma.
B. Hepatoma.
C. Cavernous haemangioma.
D. Lipoma.
Q.4. A 55-year-old man with a history of alcohol abuse presents with new-onset ascites. The most appropriate next step in management is:
A. Diuretic therapy.
B. Large-volume paracentesis.
C. Liver transplantation.
D. Salt restriction and fluid restriction.
E. Transjugular intrahepatic portosystemic shunt (TIPS).
Q.5. A 60-year-old man received a liver transplant 10 months ago for cirrhosis with hepatocellular carcinoma as per Milan criteria. He is taking immunosuppression with sirolimus 3 mg daily and mycophenolate mofetil 1000 mg twice daily. After examining the explant, the patient’s RETREAT score was 2 due to two viable tumours (largest 3cm) without evidence of microvascular invasion.
How should this patient be managed post-transplantation?
A. Change his immunosuppression to a calcineurin-inhibitor-containing regimen now that he is 9 months post-transplant.
B. Surveillance for HCC with an abdominal ultrasound every 6 months for the next two years.
C. Adjuvant systemic therapy with atezolizumab plus bevacizumab for five years post-transplant.
D. CT abdomen/pelvis and serum alpha-fetoprotein (AFP) every 6 months for the next two years.
Q.6. A 58-year-old man with alcohol-related cirrhosis presents with new-onset hepatorenal syndrome. The most appropriate management is to…?
A. Administer diuretics and beta-blockers.
B. Administer intravenous albumin in combination with terlipressin.
C. Recommend haemodialysis.
D. Recommend liver transplantation.
E. Recommend transjugular intrahepatic portosystemic shunt (TIPS).
Q.7. A 48-year-old patient suffering from cirrhosis is to undergo surgery for perforated appendix. Which of the following scores is used to assess the surgical mortality in such patients?
A. MELD score.
B. PELD score.
C. Child-Turcotte -Pugh score.
D. SOFA Score.
Q.8. Which of the following statements about anti-soluble liver antigen is FALSE?
A. Associated with a more severe disease course.
B. Present in non-hepatic autoimmune disorders.
C. Target of anti-SLA is tRNP(Ser)Sec.
D. Specific serologic marker for autoimmune liver diseases.
Q.9. FALSE about hydatid cyst of liver:
A. Liver resection is never done.
B. Laparoscopic de-roofing of cyst is performed.
C. Mostly asymptomatic.
E. Most common causative organism is Echinococcus Granulosus.
Q.10. Central stellate scar is seen in:
A. FNH
B. Haemangioma
C. Hepatic metastasis
D. HCC
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