Quiz: Portal HTN

All are possible complication of umbilical hernia repair in a cirrhotic patient with ascites except

A a. Leakage of ascitic fluid B b. Necrosis of the abdominal wall C c. Variceal bleeding D d. Hepatic encephalopathy

Regarding portal vein thrombosis, the untrue statement is

A a. Occur in patient with thrombocytopenia B b. Occurs after severe appendicitis C c. Is a cause of mesenteric bowel ischemia D d. Cause splenomegaly

An appropriate initial therapy for diagnosed bleeding esophageal varices is

A a. IV vasopressin B b. Endoscopic sclerotherapy Emergency portocaval shunt C c. Emergency esophageal transection D d. Esophageal balloon tamponade

The most feared complication of Denver shunt is:

A a. Infection. B b. Malfunction. C c. DC. D d. Rupture.

A small cirrhotic liver with grossly enlarged caudate lobe demands exclusion of

A a. Portal vein thromosis. B b. Budd-Chiari syndrome. C c. Hepatoma. D d. Primary sclerosing cholangitis.

Which of the following procedures is associated with least risk of hepatic encephalopathy

A a. Mesocaval shunt. B b. Proximal splenorenal shunt. C c. Distal splenorenal shunt' (Warren shunt). D d. Side to side portocaval shunt.

Variceal bleeding not responding to drug and sclerotherapy is treated by

A a. Embolisation. B b. Surgical ligation. C c. TIPSS. D d. Liver transplant.

The wrong statement about gastro-esophageal bleeding is:

A a. Bleeding may often be severe to cause collapse. B b. Endoscopic sclerotherapy can arrest bleeding. C c. Prophylactic sclerotherapy in GE varices obviates chance of bleeding and prolongs survival. D d. Tamponade by sungestaken tube is effective.

A serum bilirubin of 2-3 mg% conforms to Child's criteria of chronic liver disease to

A a. Class A. B b. Class B. C c. Class C. D d. All of the above.

Which of the following complications of portal hypertension often require surgical intervention (for more than 25% of patients)?

A a. Hypersplenism. B b. Variceal hemorrhage. C c. Ascites. D d. Encephalopathy.

Which of the following treatments most effectively preserves hepatic portal perfusion?

A a. Distal splenorenal shunt. B b. Conventional splenorenal shunt. C c. Endoscopic sclerotherapy. D d. Side-to-side portacaval shunt.

Normal portal venOUS pressure is:

A a. 5-7 mmHg. B b. 8-12 mmHg. C c. 10-15 mmHg. D d. 15-20 mmHg.

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