HEP biliary tumors

Question 1

hep cell CA
symptoms

Answer 1

rapid deterioration of liver function and PT{despite taking medications }
anorexia
nausea vomitting

Question 2

HCC
Lfts?

Answer 2

obstructive( very high ALP)

Question 3

P..”S”..C with rapid deteriorating LFTs and PT

Answer 3

cholangio ca

Question 4

Cholangiocarcinoma
Association

Answer 4

primary SCLEROSING cholangitis

Question 5

cholangiocarcinoma
symptoms

Answer 5

PSC
PAINLESS JAUNDICE
RAISED LFT ( OBSTRUCTIVE )
NORMAL: “AFP”

Question 6

Ascending cholangitis
symptoms

Answer 6

Fever/rigors
RUQ pain
jaundice

Question 7

risk factors for
HCC

Answer 7

hepatitis > alcohol
hep c (western countries )
hep b (developing)

Question 8

percent of HCC resectable

Answer 8

15 to 20 percent

Question 9

Primary “B”iliary chonangitis
associated disease

Answer 9

haemochromatosis

Question 10

HCC high prevalence

Answer 10

east africa and south east asia
high in hepatitis

Question 11

metabolic risk factors for HCC

Answer 11

alpha 1antitrypsisn deficiency
primary or hereditary haemochromatosis (not secondary)

Question 12

intra and extra hepatic duct dilation causes

Answer 12

PSC
Cholangiocarcinoma

Question 13

auto immune destruction of INTRA hepatic ducts

Answer 13

PBC

Question 14

viral hepatitis hepatology

Answer 14

fibrosis and cirrhosis of liver parenchyma

Question 15

drug indused cholestasis
risk factor

Answer 15

acute or chronic liver disease

Question 16

drug inused cholestsis drugs

Answer 16

azathioprine
isoniazid
halothane
nsaids
macrolides
tca

Question 17

other risk factors of HCC

Answer 17

STEATOHEPATITIS ( not hepatic steatosis)
wilson disease

Question 18

ebstein barr virus CANCER

Answer 18

BURKITTS AND
HODGKINS LYMPHOMAS
CNS

Question 19

HERPES VIRUS 8 CANCER

Answer 19

KAPOSISARCOMA

Question 20

HPV cancers
1 and 18

Answer 20

cervical
oral pharengeal and anal malignancies

Question 21

human t lymphocyte virus cancer

Answer 21

leukaemia

Question 22

southeast asian / african
hepatomegaly
alcohol
elervated lfts
wt loss
+/- POSITIVE FOR HGEPATITIS
DD?

Answer 22

HCC» CHOLAGIOCARCINOMA

Question 23

screening for hcc .. whom and when

Answer 23

cirrhosis
six to 12 months

Question 24

chronic hepatitis b labs

Answer 24

HB s Ag
IgG Anti HB c

Question 25

acute hepatitis labs

Answer 25

IgM anti HB c

Question 26

haemangioma of liver USG

Answer 26

Hyper echoic nodular lesions

Question 27

MILAN criteria for liver transplant

Answer 27

single lesion <=5cm or
three lesion <=3cm with
no extra hepatic involvement and
no major vessel involvement.

Question 28

coclorectal ca chemo

Answer 28

FOLFOX

Question 29

CA gall bladdder risk facots

Answer 29

UC
PSC
gall stones

Question 30

hcc=
cholangio ca=
gall bladder ca=
hallamark

Answer 30

deterirating lft

itchy skin , swingging pyrexia

abdominal mass