Hepatobiliary Surgery Practice Questions

Question 1

Which of the following statements regarding a patient of liver trauma are correct?

1. Liver is the most common organ injured following abdominal trauma.
2. Surgical exploration (laparotomy) is required in haemodynamically unstable patients and patients with free intraperitoneal fluid on FAST.
3. Contrast enhanced CT abdomen should be done in haemodynamically stable patients.
4. Blunt injuries have a higher mortality as compared to penetrating injuries.

Accepted Answer

3. Contrast enhanced CT abdomen should be done in haemodynamically stable patients.

Answer

1. Liver is the most common organ injured following abdominal trauma.

Answer

2. Surgical exploration (laparotomy) is required in haemodynamically unstable patients and patients with free intraperitoneal fluid on FAST.

Answer

4. Blunt injuries have a higher mortality as compared to penetrating injuries.

Question 2

What type of gallstones are shown in the image from a patient with history of acute cholecystitis?

Accepted Answer

Cholesterol stones

Answer

Black pigment stones

Answer

Strawberry gallbladder

Answer

Brown pigmented stones

Question 3

A 65-year-old man with cirrhosis (Child-Pugh B) and hepatocellular carcinoma presents with a 4 cm tumor. He has portal hypertension with esophageal varices and ascites. His MELD score is 18. Evaluate the optimal treatment strategy considering tumor stage, liver function, and available therapies.

Accepted Answer

Liver transplantation evaluation

Answer

Sorafenib chemotherapy

Answer

Radiofrequency ablation of the tumor

Answer

Transarterial chemoembolization (TACE)

Question 4

A 50-year-old man comes to the physician because of a 6-month history of difficulties having sexual intercourse due to erectile dysfunction. He has type 2 diabetes mellitus that is well controlled with metformin. He does not smoke. He drinks 5–6 beers daily. His vital signs are within normal limits. Physical examination shows bilateral pedal edema, decreased testicular volume, and increased breast tissue. The spleen is palpable 2 cm below the left costal margin. Abdominal ultrasound shows an atrophic, hyperechoic, nodular liver. An upper endoscopy is performed and shows dilated submucosal veins 2 mm in diameter with red spots on their surface in the distal esophagus. Therapy with a sildenafil is initiated for his erectile dysfunction. Which of the following is the most appropriate next step in management of this patient's esophageal findings?

Accepted Answer

Nadolol therapy

Answer

Injection sclerotherapy

Answer

Transjugular intrahepatic portosystemic shunt

Answer

Endoscopic band ligation

Answer

Isosorbide mononitrate therapy

Question 5

A 55 year old woman presented with history of recurrent episodes of right upper abdominal pain for the last one year. She presented to emergency with history of jaundice and fever for 2 days. On examination, the patient appeared toxic and had a blood pressure of 100/60 mmHg. She was started on intravenous antibiotics. Ultrasound of the abdomen showed presence of stones in the common bile duct. What would be the best treatment option for her -

Accepted Answer

Endoscopic Retrograde Cholangiopancreatography (ERCP) and bile duct stone extraction

Answer

Open bile duct surgery for stone removal

Answer

Lithotripsy for bile duct stones

Answer

Laparoscopic cholecystectomy (gallbladder removal)

Question 6

What organism causes emphysematous cholecystitis?

Accepted Answer

Clostridium perfringens

Answer

Salmonella typhi

Answer

Cytomegalovirus

Answer

Bacteroides

Question 7

Which of the following does not contribute to the formation of an enterobiliary fistula?

Accepted Answer

Gastric ulcer

Answer

Duodenal ulcer

Answer

Gall stones

Answer

Carcinoma of the gallbladder

Question 8

Klatskin tumor is defined as:

Accepted Answer

Cholangiocarcinoma arising from the bifurcation of the bile duct

Answer

Primitive neuroectodermal tumor in the chest

Answer

Lung adenocarcinoma involving the apical region

Answer

Enterochromaffin cell tumor

Question 9

Which of the following is NOT a tumor marker for hepatocellular carcinoma?

Accepted Answer

CEA

Answer

AFP

Answer

PIVKA II

Answer

Glypican-3

Question 10

Which of the following is NOT a part of the management of a stone in the common bile duct?

Accepted Answer

Medical dissolution of the stone

Answer

Endoscopic retrograde cholangiopancreatography (ERCP)

Answer

Laparoscopic common bile duct exploration

Answer

Endosphincteric removal

Hepatobiliary Surgery

Study Resources

Lessons

Questions

Flashcards

Lessons

Liver Anatomy and Physiology

Benign Liver Lesions

Liver Abscess

Hepatocellular Carcinoma

Metastatic Liver Disease

Cirrhosis and Portal Hypertension

Liver Trauma

Cholelithiasis and Cholecystitis

Choledocholithiasis

Biliary Tract Tumors

ERCP and Its Complications

Liver Transplantation Basics

Practice Questions

Flashcards

About Hepatobiliary Surgery for NEET-PG

Lessons in Hepatobiliary Surgery

Master Hepatobiliary Surgery