Liver Surgery

Question 1

Cauinaud classification

Answer 1

Divides the liver into 8 different segment

Question 2

Cantile’s line

Answer 2

Join the IVC to the GB fossa

Question 3

Which structure divide the liver into left and right lobe !?

Answer 3

Portal vein > hepatic vein

Question 4

Structure divide the left lobe into left lateral & medial !?

Answer 4

Falciform ligament

Question 5

Independent segment of the liver

Answer 5

Segment 1

Subdivided into - segment 9 & spigelian lobe

Question 6

Mickey mouse view on usg !?

Answer 6

Liver pedicle

Question 7

Mc organism in world to cause pyogenic liver abscess !?

Answer 7

E coil

Question 8

Mc organisms to cause pyrogenic liver abscess in india !?

Answer 8

Klebsiella

Question 9

Mc organism in children with chronic granulomatous disease!?

Answer 9

Staphylococcus aureus

Question 10

Pyogenic liver abscess mainly spread by …

Answer 10

Ascending cholangitis

Question 11

IOC for the pyogenic & amoebic liver abscess !?

Answer 11

Usg/ CECT scan

Question 12

Mc site for the amoebic liver abscess!?

Answer 12

Segment 7

Question 13

Anchovy sauce pus ( chocolate) is feature of !?

Answer 13

Amoebic liver abscess

Question 14

Flask shaped ulcer in bowel causative organism??

Answer 14

Entamoeba histolytica

Question 15

Mx for the pyogenic liver abscess!?

Answer 15

Antibiotics ( penicillin, ahminoglycosides) + fails - aspiration ( pigtail catheter)

Question 16

Mx for the amoebic liver abscess??

Answer 16

Metronidazole- medical tx fails - aspiration - pigtail catheter

Question 17

Mc site of rupture of amoebic liver abscess!?

Answer 17

Subdiapharagmatic > pleural > peritoneal

Question 18

Mc causative organism for the Hyatid disease!?

Answer 18

Echinococcus granulosus

Question 19

Ioc for hyatid cyst !?

Answer 19

Usg

Question 20

Ghabro classsification used for the !?

Answer 20

Hyatid cyst

Question 21

Honeycomb cyst appear in which type according to who & Ghabri !?

Answer 21

CE2 / type 3 - honeycomb cyst

Question 22

water lily / floating membrane sign !?

Answer 22

CE3A / type 2

Question 23

Mx for the hyatid cyst !?

Answer 23

PAIR

PA - percutaneous aspiration

I - injection

R - Respiration

Question 24

Mc injection used as scolicidal agent in the Hyatid cyst tx !?

Answer 24

20 % hypertonic saline

Question 25

Mc benign tumor of liver

Answer 25

Hemiangioma

Question 26

Most common malignant tumor of liver ?,

Answer 26

Metastase

Question 27

Mc primary malignant tumor of the liver ??

Answer 27

Hepatocellular carcinoma

Question 28

Mc primary malignant tumor of the liver in children !?

Answer 28

Hepatoblastoma

Question 29

BIOPSY is C/I in ………….. tumor of the liver !?

Answer 29

Liver hemangioma

Question 30

Large hemangiomas can develop……

Answer 30

Kasabach- merritt syndrome - consumption of all platelets

Question 31

Giant liver hemangioma ……….. and sign ……… on MRI !?

Answer 31

> 5 cm & Light bulb sign

Question 32

Central stellated scar present in !?

Answer 32

Focal nodular hyperplasia

Question 33

Which structure found on HPE of FNH ??

Answer 33

Hepatocytes, bile duct structure, kuffer cells & uencapsulated

Question 34

Strongest association with ocps !?

Answer 34

Hepatic adenoma

Question 35

HPE finding on hepatic adenoma !?

Answer 35

Sheet of hepatocytes No bile duct structure No kupffer cells No vascular invasion

Question 36

Most common cause of hemoperitoneum !?

Answer 36

Ecotopic pregancy

Question 37

……… can show malignant conversion ??

Answer 37

Hepatic adenoma

Question 38

Bordeaux classification used for !?

Answer 38

Hepatic adenoma Inflammatory- max risk pf bleeding HNF -1 alpha - max risk of multiple Beta cantenin- max risk of malignant conversion

Question 39

Von meyenburg disease!?

Answer 39

Aka multiple liver hamartoma syndrome Multiple cystic liver hamartomas D/t to failure of regression of embryonic biliary duct

Question 40

Multiple liver hamartoma is a/ w ……

Answer 40

Increase risk of cholangiocarcinoma

Question 41

Multiple cavernous hemangiomas of liver + immunocompromised + anabolic steroids

Answer 41

Peliosis hepatis

Question 42

Most common risk factor for the HCC !?

Answer 42

Hepatitis B

Question 43

Thoratrast exposure increases the risk…..

Answer 43

RCC , HCC , cholangiocarcinoma

Question 44

Mc earliest sign and symptom of HCC !?

Answer 44

Hepatomeagly & abdominal pain

Question 45

Most common paraneoplastic syndrome of HCC !?

Answer 45

Hypoglycemia

Question 46

Most common biochemical paraneoplastic marker in HCC!?

Answer 46

Hypercholestrolemia

Question 47

IOC For HCC !?

Answer 47

Triple phase CT

Question 48

Mc common tumor marker for the HCC!?

Answer 48

AFP

Question 49

MOST sensitive & specific TUmor marker for HCC!?

Answer 49

Heppar-1

Question 50

HPE finding for HCC

Answer 50

Mallory hyaline bodies in HCC

Question 51

Components of the MELD ??

Answer 51

Serum creatinine Serum bilirubin INR

Question 52

Components of CHILD pugh A score !?

Answer 52

Prothrombin time /INR Bilirubin Serum albumin Ascites Encephalopathy

Question 53

Most important prognostic factor of HCC !?

Answer 53

Stage of diseases

Question 54

MC site of distant metastasis!?

Answer 54

Lungs

Question 55

Tumor marker in the fibrolamellar variant of HCC !?

Answer 55

Neurotensis-B

Question 56

< 3 year child with mass in right upper quadrant + Anemia + thrombocytes

Answer 56

Hepatoblastoma

Question 57

Angiosarcoma risk factor !?

Answer 57

A - arsenic T-thorotst P- poly vinyl chloride

Question 58

Prognostic indicator for the HCC Okuda content !?

Answer 58

B- bilirubin A- ascites T - tumor size A- albumin

Question 59

CLIP

Answer 59

C - child pugh Score Portal veinThrombosis Tumor size AFP

Question 60

Barcelona clinic score

Answer 60

Tumor size Child pugh score Performance status