Question
The Child-Turcotte-Pugh (CTP) score for quantifying the severity of chronic liver disease includes all variables EXCEPT:
The correct answer is
Serum creatinine
CTP Score Components Explained
The Child-Turcotte-Pugh (CTP) score is used to assess the prognosis and severity of chronic liver disease, particularly cirrhosis.
Identifying CTP Score Variables
The standard CTP score is calculated using five clinical and laboratory parameters:
- Serum Bilirubin levels
- Serum Albumin levels
- International Normalized Ratio (INR) for prothrombin time
- Presence and severity of Ascites
- Presence and severity of Hepatic Encephalopathy
Serum Creatinine Exception
The question asks which variable is NOT included in the CTP score. Based on the components listed above:
- Serum bilirubin is included.
- Serum albumin is included.
- INR is included.
- Serum creatinine is NOT a component of the standard CTP score. While important in assessing kidney function, which can be affected by liver disease, it's not part of the CTP calculation itself.
Therefore, Serum creatinine is the variable EXCEPTED from the Child-Turcotte-Pugh score.
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Important Questions from Hepatobiliary & Pancreatic Surgery
'Chain of Lakes' appearance due to sacculation with intervening short strictures of pancreatic duct is seen on:
- Which one of the following statements is NOT correct regarding Pyogenic Liver Abscess?
- Which of the statements regarding Calot's triangle are correct?
1. Common hepatic duct forms the medial boundary of the Calot's triangle
2. Inferior surface of the right lobe of the liver forms the superior boundary of Calot's triangle
3. Right hepatic artery is usually found as a content of the Calot's triangle
4. Cystic duct and medial border of gall bladder forms the lateral border of Calot's triangle
Select the correct answer using the code given below: - CA 19-9 is a tumour marker used for the diagnosis of:
- The Model for End Stage Liver Disease (MELD) score includes which of the following variables ?
1. Serum bilirubin
2. Serum albumin
3. Serum creatinine
4. International Normalised Ratio (INR)
Select the correct answer using the code given below :
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