ABSITE Liver questions and answers with solutions 2025

ABSITE Liver questions and answers with
solutions 2025
Three Types of Sinusoidal Obstruction - ANSWER Pre-sinusoidal, sinusoidal, post-sinusoidal
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Common causes of presinusoidal obstruction -
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ANSWER Schistosomiasis, congenital hepatic fibrosis, portal venous thrombosis
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Common causes of sinusoidal obstruction - ANSWER Cirrhosis
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Common Cause of postsinusoidal obstruction - ANSWER Budd-
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Chiari syndrome (hepatic vein occlusive disease from tumor), constrictive pericarditis, CHF
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Normal portal venous pressure - ANSWER <12mmHg
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TIPS procedure is useful for -
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OANSWER protracted bleeding, progression of coagulopathy, visceral hypoperfusion, refractory a
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scites



Complication of TIPS - ANSWER encephalopathy, due to bypass of liver metabolism
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Splenorenal shunt - O O



OANSWER Shunt that disconnects splenic vein from portal system and shunts to renal vein. Has a
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lower rate of encephalopathy, but can worsen ascites
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Contraindications to splenorenal shunt - ANSWER > Child's class A, refractory ascites
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, Child-Pugh score - O O



ANSWER correlates with mortality after open shint placement. Components are albumin, biliru
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bin, encephalopathy, ascites, INR
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Child's A points and mortality - ANSWER 5-6 points and 2% mortality
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Child's B points and mortality - ANSWER 7-9 points and 10% mortality
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Splenic vein thrombosis -
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ANSWER Cal lead to varices without elevation in the rest of the portal system. Splenectomy if sy
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mptomatic splenomegally O




Most common cause of splenic ven thrombosis - ANSWER pancreatitis
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Amebic liver abscess, risk factors and transmission - ANSWER travel to Mexico, ETOH, fecal-
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oral route, causes amebic colitis then ends up in right lobe of liver via portal vein, usually singlul
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ar



Diagnosis of liver amebic abscess - ANSWER + serology for entamoeba histolytica
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Cultures for amebic abscess -
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ANSWER Usually useless, sterile. Organisms live at the rim of the abscess
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Treatment for amebic abscess - ANSWER Flagyl. Aspiration if refractory. Surgery only if ruptured
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CT scan characteristics of amebic abscess -
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ANSWER rim of edema, possible internal septations, focal intrahepatic biliary dilation peripheral
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to abscess occasionally
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