Medicosmos Surgery MCQ - LIVER AND PANCREASE MCQ
Liver and Pancreas MCQ
1. Which of the following statements about the segmental anatomy of the liver are
not true?
A. Segments are subdivisions in both the French and American systems.
B. Segments are determined primarily by the hepatic venous drainage.
C. The French anatomic system is more applicable than the American system to
clinical hepatic resection.
D. Segments are important to the understanding of the topographic anatomy of the
liver.
Answer: D
2. Which of the following anatomic features of the biliary system are important
considerations in operative cholangiography?
A. The left hepatic duct comes off farther anterior than the right one.
B. At the confluence there may be more than just a right and a left hepatic duct.
C. Dissection of the triangle of Calot is more important than cholangiography in
preventing bile duct injury.
D. Segments V, VII, or VIII sometimes join the biliary system below the confluence.
Answer: ABCD
3. The hepatic artery:
A. Supplies the same amount of blood to the liver as the portal vein.
B. Provides more blood to the bile ducts than the portal vein.
C. Is autoregulated just as the portal vein is.
D. Supplies most of the blood to hepatic metastases.
Answer: BD
4. Bile formation is:
A. An active secretory process.
B. Determined at two sites principally.
C. Regulated physiologically by hormones.
D. Largely determined by the intactness of the enterohepatic circulation (EHC).
Answer: ABCD
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,Medicosmos Surgery MCQ - LIVER AND PANCREASE MCQ
5. Generally, the two most important hepatic functions to consider after hepatic
resection are:
A. Hepatic synthetic function.
B. Glucose metabolism.
C. The liver's role in lipid metabolism.
D. The liver's role in vitamin metabolism.
Answer: AB
6. Which of the following statements about pyogenic abscess of the liver are true?
A. The right lobe is more commonly involved than the left lobe.
B. Appendicitis with perforation and abscess is the most common underlying cause of
hepatic abscess.
C. Mortality is largely determined by the underlying disease.
D. Mortality from hepatic abscess is currently greater than 40%.
Answer: AC
7. Which of the following statements most accurately describes the current therapy
for pyogenic hepatic abscess?
A. Antibiotics alone are adequate for the treatment of most cases.
B. All patients require open surgical drainage for optimal management.
C. Optimal treatment involves treatment of not only the abscess but the underlying
source as well.
D. Percutaneous drainage is more successful for multiple lesions than for solitary
ones. Answer: C
8. Which of the following statements characterize amebic abscess?
A. Mortality is higher than that for similarly located pyogenic abscesses.
B. The diagnosis of amebic abscess may be based on serologic tests and resolution of
symptoms.
C. In contrast to pyogenic abscess, the treatment of amebic abscess is primarily
medical.
D. Patients with amebic abscess tend to be older than those with pyogenic abscess.
BC
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,Medicosmos Surgery MCQ - LIVER AND PANCREASE MCQ
9. Which of the following statement(s) is/are true about benign lesions of the liver?
A. Adenomas are true neoplasms with a predisposition for complications and should
usually be resected.
B. Focal nodular hyperplasia (FNH) is a neoplasm related to birth control pills (BCPs)
and usually requires resection.
C. Hemangiomas are the most common benign lesions of the liver that come to the
surgeon's attention.
D. Nodular regenerative hyperplasia does not usually accompany cirrhosis.
Answer: A
10. Which of the following statement(s) about malignant neoplasms of the liver is/are
true?
A. Hepatocellular carcinoma is probably the number 1 cause of death from cancers
worldwide.
B. The most common resectable hepatic malignant neoplasm in the United States is
colorectal metastasis.
C. Hepatoma has at least one variant that has a much more benign course than
hepatomas in general.
D. Hepatomas are generally slower growing than was formerly believed.
Answer: ABCD
11. Which of the following statement(s) is/are true about bile duct cancers?
A. If resected, proximal lesions are usually curable.
B. The more proximal the lesion, the more likely is resection to be curative.
C. Radiation clearly prolongs survival.
D. Transplantation is usually successful if the lesion seems confined to the liver.
E. None of the above is true.
Answer: E
12. Echinococcosis liver disease caused by Echinococcus granulosus:
A. Is not a neoplasm.
B. Is endemic to parts of Europe, but not the United States.
C. Is usually curable by resection.
D. Is more deadly than in its Echinococcus multilocularis form.
Answer: ABC
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, Medicosmos Surgery MCQ - LIVER AND PANCREASE MCQ
13. Which of the following statements about hemobilia are true?
A. Tumors are the most common cause.
B. The primary treatment of severe hemobilia is an operation.
C. Percutaneous cholangiographic hemobilia is usually minor.
D. Ultrasonography usually reveals a specific diagnosis.
Answer: C
14. Ligation of all of the following arteries usually causes significant hepatic enzyme
abnormalities except:
A. Ligation of the right hepatic artery.
B. Ligation of the left hepatic artery.
C. Ligation of the hepatic artery distal to the gastroduodenal branch.
D. Ligation of the hepatic artery proximal to the gastroduodenal artery.
Answer: D
15. Which of the following is the most common acid-base disturbance in patients with
cirrhosis and portal hypertension?
A. Metabolic acidosis.
B. Respiratory alkalosis.
C. Metabolic alkalosis.
D. Respiratory acidosis.
Answer: C
16. A portal venous pressure of 30 mm. Hg (elevated) and a hepatic venous wedge
pressure of 5 mm. Hg (normal) may be associated with which of the following causes
of portal hypertension?
A. Portal vein thrombosis.
B. Alcoholic cirrhosis.
C. Schistosomiasis.
D. Alcoholic hepatitis.
Answer: AC
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Liver and Pancreas MCQ
1. Which of the following statements about the segmental anatomy of the liver are
not true?
A. Segments are subdivisions in both the French and American systems.
B. Segments are determined primarily by the hepatic venous drainage.
C. The French anatomic system is more applicable than the American system to
clinical hepatic resection.
D. Segments are important to the understanding of the topographic anatomy of the
liver.
Answer: D
2. Which of the following anatomic features of the biliary system are important
considerations in operative cholangiography?
A. The left hepatic duct comes off farther anterior than the right one.
B. At the confluence there may be more than just a right and a left hepatic duct.
C. Dissection of the triangle of Calot is more important than cholangiography in
preventing bile duct injury.
D. Segments V, VII, or VIII sometimes join the biliary system below the confluence.
Answer: ABCD
3. The hepatic artery:
A. Supplies the same amount of blood to the liver as the portal vein.
B. Provides more blood to the bile ducts than the portal vein.
C. Is autoregulated just as the portal vein is.
D. Supplies most of the blood to hepatic metastases.
Answer: BD
4. Bile formation is:
A. An active secretory process.
B. Determined at two sites principally.
C. Regulated physiologically by hormones.
D. Largely determined by the intactness of the enterohepatic circulation (EHC).
Answer: ABCD
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Edit by: Dr. Aimen yahia /Al-yarmook teaching hospital e-mail:
,Medicosmos Surgery MCQ - LIVER AND PANCREASE MCQ
5. Generally, the two most important hepatic functions to consider after hepatic
resection are:
A. Hepatic synthetic function.
B. Glucose metabolism.
C. The liver's role in lipid metabolism.
D. The liver's role in vitamin metabolism.
Answer: AB
6. Which of the following statements about pyogenic abscess of the liver are true?
A. The right lobe is more commonly involved than the left lobe.
B. Appendicitis with perforation and abscess is the most common underlying cause of
hepatic abscess.
C. Mortality is largely determined by the underlying disease.
D. Mortality from hepatic abscess is currently greater than 40%.
Answer: AC
7. Which of the following statements most accurately describes the current therapy
for pyogenic hepatic abscess?
A. Antibiotics alone are adequate for the treatment of most cases.
B. All patients require open surgical drainage for optimal management.
C. Optimal treatment involves treatment of not only the abscess but the underlying
source as well.
D. Percutaneous drainage is more successful for multiple lesions than for solitary
ones. Answer: C
8. Which of the following statements characterize amebic abscess?
A. Mortality is higher than that for similarly located pyogenic abscesses.
B. The diagnosis of amebic abscess may be based on serologic tests and resolution of
symptoms.
C. In contrast to pyogenic abscess, the treatment of amebic abscess is primarily
medical.
D. Patients with amebic abscess tend to be older than those with pyogenic abscess.
BC
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Edit by: Dr. Aimen yahia /Al-yarmook teaching hospital e-mail:
,Medicosmos Surgery MCQ - LIVER AND PANCREASE MCQ
9. Which of the following statement(s) is/are true about benign lesions of the liver?
A. Adenomas are true neoplasms with a predisposition for complications and should
usually be resected.
B. Focal nodular hyperplasia (FNH) is a neoplasm related to birth control pills (BCPs)
and usually requires resection.
C. Hemangiomas are the most common benign lesions of the liver that come to the
surgeon's attention.
D. Nodular regenerative hyperplasia does not usually accompany cirrhosis.
Answer: A
10. Which of the following statement(s) about malignant neoplasms of the liver is/are
true?
A. Hepatocellular carcinoma is probably the number 1 cause of death from cancers
worldwide.
B. The most common resectable hepatic malignant neoplasm in the United States is
colorectal metastasis.
C. Hepatoma has at least one variant that has a much more benign course than
hepatomas in general.
D. Hepatomas are generally slower growing than was formerly believed.
Answer: ABCD
11. Which of the following statement(s) is/are true about bile duct cancers?
A. If resected, proximal lesions are usually curable.
B. The more proximal the lesion, the more likely is resection to be curative.
C. Radiation clearly prolongs survival.
D. Transplantation is usually successful if the lesion seems confined to the liver.
E. None of the above is true.
Answer: E
12. Echinococcosis liver disease caused by Echinococcus granulosus:
A. Is not a neoplasm.
B. Is endemic to parts of Europe, but not the United States.
C. Is usually curable by resection.
D. Is more deadly than in its Echinococcus multilocularis form.
Answer: ABC
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Edit by: Dr. Aimen yahia /Al-yarmook teaching hospital e-mail:
, Medicosmos Surgery MCQ - LIVER AND PANCREASE MCQ
13. Which of the following statements about hemobilia are true?
A. Tumors are the most common cause.
B. The primary treatment of severe hemobilia is an operation.
C. Percutaneous cholangiographic hemobilia is usually minor.
D. Ultrasonography usually reveals a specific diagnosis.
Answer: C
14. Ligation of all of the following arteries usually causes significant hepatic enzyme
abnormalities except:
A. Ligation of the right hepatic artery.
B. Ligation of the left hepatic artery.
C. Ligation of the hepatic artery distal to the gastroduodenal branch.
D. Ligation of the hepatic artery proximal to the gastroduodenal artery.
Answer: D
15. Which of the following is the most common acid-base disturbance in patients with
cirrhosis and portal hypertension?
A. Metabolic acidosis.
B. Respiratory alkalosis.
C. Metabolic alkalosis.
D. Respiratory acidosis.
Answer: C
16. A portal venous pressure of 30 mm. Hg (elevated) and a hepatic venous wedge
pressure of 5 mm. Hg (normal) may be associated with which of the following causes
of portal hypertension?
A. Portal vein thrombosis.
B. Alcoholic cirrhosis.
C. Schistosomiasis.
D. Alcoholic hepatitis.
Answer: AC
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Edit by: Dr. Aimen yahia /Al-yarmook teaching hospital e-mail:
