Quiz: Liver — AUA MCQ

Arterial embolization is advocated for haemobilia from the extrahepatic bile ducts

A A- Size greater than 0.5 cm B B- Presence of clinical symptoms C C- Patient age of over 25 years D D- Presence of multiple small lesions

True statements regarding cavernous hemangiomata of the liver in adults include

A A- The majority become symptomatic B B- They may undergo malignant transformation C C- They enlarge under hormonal stimulation D D- They should be resected to avoid spontaneous rupture and life-threatening hemorrhage

Arterial embolization is advocated for haemobilia from the extrahepatic bile ducts

A A- Size greater than 0.5 cm B B- Presence of clinical symptoms C C- Patient age of over 25 years D D- Presence of multiple small lesions

True statements regarding cavernous hemangiomata of the liver in adults include

A A- The majority become symptomatic B B- They may undergo malignant transformation C C- They enlarge under hormonal stimulation D D- They should be resected to avoid spontaneous rupture and life-threatening hemorrhage

True statements regarding hemobilia include which of the following?

A A- The classic presentation includes biliary colic, jaundice, and gastrointestinal bleeding B B- Spontaneous bleeding secondary to hematologic disorders is the majorcause of this disorder C C- Percutaneous transhepatic catheter placement of an absorbable gelatin sponge (Gelfoam) is the preferred treatment in cases of significant intrahepatic bleeding D D- Percutaneous transhepatic catheter placement of an absorbable gelatinsponge (Gelfoam) is the preferred treatment in cases of significant intrahepatic bleeding

the most satisfactory surgical procedure for hepatic ascites persists despite all conservative measures is:

A A- thoracic duct drainage B B- portocaval shunt C C- mesocaval shunt D D- peritoneo-jugular shunt.

The most appropriate treatment far amoebic liver abscess is by:

A a. Emetine hydrochloride. B b. Metronidazole. C c. Aspiration. D d. Open drainage.

The most common malignant tumors of the liver are:

A a. Hepatomas B b. Cholangiomas. C c. Angiosarcomas. D d. Metastatic deposits.

Rupture of an amoebic liver abscess occurs most often into the:

A a. Peritoneal cavity. B b. Pleural cavity. C c. Pericardial cavity. D d. Duodenum.

Hemangioma is ultrasound is:

A a. Isoechoic B b. Hypoechoic C c. Hyperechoic D d. Any of the above

Which of the following statement(s) is/are true about benign lesions of the liver:

A a. Adenomas are true neoplasms with a predisposition for complications and should usually be resected. B b. Focal nodular hyperplasia (FNH) is a neoplasm related to oral contraceptive pills and usually requires resection. C c. Hemangiomas are the most common benign lesions of the liver that come to the surgeon's attention. D d. Nodular regenerative hyperplasia does not usually accompany cirrhosis.

Most common predisposing factor for hepatoma is:

A a. Hepatitis B. B b. Hepatitis C. C c. Chronic irritation. D d. Portal hypertension.

Angiography for detection of hepatoma should be done through:

A a. Portal vein. B b. Hepatic artery. C c. Retrograde through hepatic veins. D d. Any of the above.

Paramalignant syndrome may present by the following except:

A a. Polycythaemia. B b. Fever of unknown etiology C c. Hypocalcaemia. D d. Hypertension and diabetes.

Rupture of amoebic liver abscess occurs most offen into:

A e. Peritoneal cavity B f. Pleural cavity C g. Pericardial cavity D h. Duodenum

The most common complication of hepatic hydatid disease is:

A a. Jaundice B b. Rupture into perionteal cavity C c. Suppuration D d. Rupture into biliary channel

Stage Ill of hepatic bilharziasfs means:

A a. Hepatomegaly. B b. Hepatospleenomegaly. C c. Spleenomegaly with shrunken liver. D d. None of the above.

The most common type of bilharzial periportal fibrosis is:

A a. Fine. B b. Coarse. C c. Mixed. D non of the above

High fever in amoebic hepatitis indicates:

A a. Amoebic liver abscess. B b. Systemic spread. C c. Secondary infection in amoebic liver abscess. D d. All of the above.

As regard treatment of hydatidosis the best is:

A a. Follow up. B b. Enucleation. C c. Removal en block. D d. Segmentectomy.

The most common presentation of hydatidosis is:

A a. Asymptomatic. B b. Obstructive jaundice. C c. Anaphylactic shock. D d. Cough and haemoptysis.

The following is not a common complication(s) of hydatidosis:

A a. Anaphylactic shock. B b. Obstructive jaundice. C c. Malignant transformation of surrounding tissue. D d. Multi-system spread.

Treatment of traumatic injury to the liver includes all except:

A a. Resection debridement of devitalized tissues B b. Ligation of exposed blood vessels and bile ducts C c. Packing with gauze. D d. Pringle's maneuver

Mortality from rupture liver is about:

A A. 5% B B. 20%. C C. 40%. D D. 50%.

Indications of alpha feto-protein measuring include:

A a. Sudden deterioration of hepatic patient. B b. Focal lesion by abdominal US. C c. Follow up after surgical removal of tumor. D d. All of the above.

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