Thursday, May 04, 2006

Hepatology: Portal hypertension

1. Portal vein is about:
a) 1cm
b) 5cm
c) 10cm
d) 15cm

2. Portal hypertension is diagnosed when pressure is:
a) >10cm of water
b) >12 mm of Hg
c) >30mm of Hg
d) >30 cm of water
e) Both A and C
f) Both B and D

3. Tributaries of left portal vein are all except:
a) Paraumblical vein
b) Ligamentum venosum
c) Ligamentum teres
d) Cystic vein


4. Grade III varix in OGD means that:
a) Varices are easily compressible
b) Varices are not compressible
c) Confluent varices at lower GE junction

5. Which of the following statements is wrong:
a) Azygous vein forms caval and left and short gastric veins form portal components of esophageal PS shunts
b) Superior rectal vein forms caval and and middle and inferior rectal veins form portal components of PS shunts in rectum
c) Paraumblical veinn drains in to the left branch of portal vein directly.

6. USG wise the following are suggestive of PHTN except:
a) Splenomegaly
b) Collaterals
c) Ascites
d) Portal vein of diameter 1cm

7. Cardiac cirrhosis is charecterised by all except:
a) Raised JVP
b) Hepatomegaly
c) Non pulsatile liver with TR
d) Numerous collaterals in USG
e) Ascites

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