Explanation : In chronic passive hepatic congestion- The centrilobular regions are grossly redbrown and slightly depressed (because of cell death) and are accentuated against the surrounding zones of uncongested tan liver (nutmeg liver). Microscopically, there is centrilobular congestion and hemorrhage, hemosiderin-laden macrophages, and variable degrees of hepatocyte dropout and necrosis.
৮.
Sign of portal hypertension -
ক
Splenomegaly
খ
Testicular atrophy
গ
Hepatic coma
ঘ
Polyuria
ব্যাখ্যা
Explanation : Signs of portal hypertension - Ascites Yellowing of the skin Easy bruising Enlarged spleen Varices Arterial hypotension Caput medusae Edema of the legs
Explanation : Liver failure - Hyperacute : <7 days Acute : 8-28 days Subacute : 29 days - 12 weeks.
১১.
Which of the following is the most common risk factor for developing hepatocellular carcinoma?
ক
ক) HBV infection
খ
খ) HCV infection
গ
গ) Alcohol
ঘ
ঘ) NASH
ব্যাখ্যা
Explanation: HBV infection is the most common risk factor for developing hepatocellular carcinoma.
১২.
Which hepatocellular adenoma has very high risk of malignant transformation
ক
ক) HNF1-alpha inactivated adenoma
খ
খ) Beta catenin activated adenoma
গ
গ) Inflammatory adenoma
ঘ
ঘ) None of them
১৩.
Which is not the features of chronic liver disease -
ক
Loss of libido
খ
Spider telangiectecsia
গ
Ascities
ঘ
Cerebellar ataxia
ব্যাখ্যা
Explanation : Clinical features of cirthosis of liver - Jaundice Ascitis Hepatomegaly Spider nevi Gynaecomastia Loss of libido
১৪.
Non hepatitic cause of hepatomegaly-
ক
ক) Budd chiari syndrome
খ
খ) CCF
গ
গ) Polycystic liver
ঘ
ঘ) Hydatid cyst
ব্যাখ্যা
CCF causes tender hepatomegaly
১৫.
Ground glass cells are found in chronic infection with hepatitis
ক
ক) B
খ
খ) C
গ
গ) D
ঘ
ঘ) E
১৬.
Most common cause of liver cirrhosis -
ক
Chronic viral hepatitis
খ
Drugs
গ
Autoimmune
ঘ
Idiopathic
ব্যাখ্যা
Explanation : Causes of cirrhosis of liver - Chronic viral hepatitis ( B or C) (Most common) Alcohol NAFLD Primary biliary cirrhosis Harmochromatosis Wilson disease Drugs Idiopathic