Liver Transplantation Basics Practice Questions

Question 1

Solution currently used for liver preservation for transplantation is?

Accepted Answer

University of Wisconsin (UW) solution

Answer

IGL-1 solution

Answer

Ross Marshall Citrate solution

Answer

Kyoto ET solution

Question 2

Which of the following statements regarding rejection of solid organ transplants is true?

Accepted Answer

Hyperacute rejection begins in the operating room with reperfusion of the transplanted organ

Answer

Most immunosuppressive medications are used to prevent chronic rejection

Answer

The major cause of graft failure is acute rejection

Answer

Liver transplants are especially susceptible to hyperacute rejection

Question 3

What is the documented mortality rate for healthy liver donors undergoing donor hepatectomy?

Accepted Answer

Mortality for donor is 0.2 to 0.4 %

Answer

Mortality for donor is 0.6 to 0.8 %

Answer

Mortality for donor is 0.5 %

Answer

Mortality for donor is 1%

Question 4

Which of the following is an indication of auxiliary partial orthotopic liver transplantation?

Accepted Answer

Metabolic liver disease

Answer

As a standby procedure till a suitable donor is found

Answer

Drug induced hepatic failure

Answer

All irreversible causes of fulminant liver failure

Question 5

According to the DSM-5 criteria for Autism Spectrum Disorder, which of the following is required for diagnosis in children?

Accepted Answer

Persistent deficits in social communication and interaction

Answer

Language delay before age 2

Answer

Presence of seizure disorder

Answer

Intellectual disability

Question 6

All are Indications of liver transplant except

Accepted Answer

Cholangiocarcinoma

Answer

Biliary atresia

Answer

Cirrhosis

Answer

Fulminant hepatitis

Question 7

During a laparoscopic cholecystectomy, a lateral injury to the Common Bile Duct is identified. What is the most appropriate next step in management?

Accepted Answer

Convert to open procedure with T -tube drainage

Answer

Continue the laparoscopic procedure and place a drain

Answer

Ligate the duct proximal to the injury

Answer

Close the abdomen and refer for ERCP

Question 8

A 60-year-old patient presents with pruritus and obstructive jaundice. Physical examination
reveals a palpable, non-tender gallbladder. What is the most likely diagnosis?

Accepted Answer

Carcinoma of the head of the pancreas

Answer

Choledocholithiasis

Answer

Cholangiocarcinoma

Answer

Gallbladder carcinoma

Question 9

A 28-year-old unrestrained male driver is brought to the trauma bay following a high-speed road traffic collision. Primary survey: GCS 14, HR 118 bpm, BP 94/60 mmHg with partial response to 1 litre of crystalloid. FAST examination is positive in the right upper quadrant. After partial haemodynamic stabilisation, a CT abdomen with contrast is performed and is shown (Image 2). His BP on return from CT is 88/54 mmHg despite ongoing resuscitation. What is the most appropriate next step?

Accepted Answer

C. Immediate damage control laparotomy with perihepatic packing

Answer

A. Repeat FAST examination and reassess haemodynamic response to a second litre of crystalloid

Answer

B. Urgent hepatic angioembolisation via interventional radiology

Answer

D. Formal hepatic resection of the injured lobe with intraoperative Pringle manoeuvre

Question 10

What organism causes emphysematous cholecystitis?

Accepted Answer

Clostridium perfringens

Answer

Salmonella typhi

Answer

Cytomegalovirus

Answer

Bacteroides

Liver Transplantation Basics — MCQs

Liver Transplantation Basics — MCQs

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