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Liver and Biliary System MCQs (Question 1 to 10)

Introducing surgery MCQs in cram sheet format to get the most out of your limited time online. Will be adding more MCQs patterned for NEET SS, DNB CET SS and MRCS Part A exams.

S.NOQuestionAnswer and Explanation
1.Liver abscess ruptures most commonly in
a. Pleural cavity
b. Peritoneal cavity
c. Pericardial cavity
d. Bronchus

b. Peritoneal cavity
High risk of rupture
· size >5 cm
· left lobe abscess

2.True about amoebic liver abscess:
a. Male: female >10:1
b. Not predisposed by alcohol
c. More common in diabetics
d. E. histolytica is isolated in >50% from blood culture

a. Male: female >10:1
Majority of patients are young men (may be due to heavy alcohol consumption)
3.Not an indication for percutaneous aspiration in amoebic liver abscess)
a. Radiographically unresolved lesion afer 6 months
b. Suspected diagnosis
c. Lef lobe liver abscess
d. Compression or outflow obstruction of hepatic or portal vein

a. Radiographically unresolved lesion afer 6 months
Radiologic resolution of the abscess cavity is usually delayed. The average time to radiologic resolution is 3 to 9 months and can take as long as years in some patients. Clinical improvement after adequate treatment with antiamoebic agents is a rule.
4.Liver biopsy is done through 8th ICS midaxillary line to avoid:
a. Lung
b. Pleural cavity
c. Subdiaphragmatic space
d. Gall bladder

a. Lung
Liver biopsy is done through 8th ICS in midaxillary line to avoid Lung
5.“Crumbled egg appearance” in liver is seen in
a. Hepatic adenoma
b. Chronic amoebic liver abscess
c. Hydatid liver disease
d. Hemangioma

c. Hydatid liver disease
Crumbled egg appearance in liver is seen in hydatid disease

6.Honey-comb liver is seen in
a. Micronodular cirrhosis
b. Dubin Johnson’s syndrome
c. Actinomycosis
d. Hydatidosis

c. Actinomycosis
Most commonly, Actinomyces reaches liver through portal vein. Liver is gradually replaced by multiple abscesses, typical honey comb liver
7.Primary sinusoidal dilatation of liver is also known as:
a. Hepar lobatum
b. Peliosis hepatis
c. Von-Meyerburg complex
d. Caroli’s disease

b. Peliosis hepatis
It is an uncommon disorder characterized by multiple, small, blood-filled sinuses. It occurs in immunocompromised postransplant patients, AIDS patients, and patients taking long term steroids.
8.Not a contraindication of lap cholecystectomy:
a. Acute Cholecystitis
b. Ca Gallbladder
c. Portal Hypertension
d. Bleeding Diathesis

a. Acute Cholecystitis
In Acute cholecystitis, Lap cholecystectomy IS NOT CONTRAINDICATED. In other conditions surgery should be done by open method.
9.A patient presented with RIF pain with dyspepsia. USG showed edematous GB wall. What will be the most sensitive investigation to confirm the suspected diagnosis?
b. MRI

Hydroxy-iminodiacetic acid (HIDA) is taken by liver and excreted into bile. Failure to fill gallbladder in a time of 2 hours is indicative of Acute cholecystitis
10.True statement regarding choledochal cyst is all except:
a. Type 2 is most common
b. Type 1 needs excision and biliary anastomosis
c. Surgical excision is the treatment of choice
d. Associated with anomalous union of pancreatic and bile duct

a. Type 2 is most common

As per Todani classification of Choledocal cysts:
· Most common choledochal cyst – Type 1
· APBDJ is seen in 90% of choledochal cyst cases


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