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Question

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 :

The correct answer is
1, 3 and 4

MELD Score Components Explained

The Model for End Stage Liver Disease (MELD) score helps predict short-term mortality in patients with end-stage liver disease. It is calculated using specific laboratory results.

Identifying MELD Score Variables

The standard MELD score is primarily based on three key variables:

  • Serum bilirubin: Measures the level of bilirubin in the blood, indicating liver function.
  • Serum creatinine: Assesses kidney function, which is often affected by liver disease.
  • International Normalized Ratio (INR): Reflects the blood's clotting ability, dependent on liver function.

Excluding Non-MELD Variables

Serum albumin is an important marker for liver health and nutritional status but is not part of the standard MELD score calculation. It was used in the older Child-Pugh score.

Determining the Correct Combination

Based on the components, the MELD score includes:

  • 1. Serum bilirubin
  • 3. Serum creatinine
  • 4. International Normalised Ratio (INR)

Therefore, the correct combination representing the MELD score variables is 1, 3, and 4.

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Important Questions from Hepatobiliary & Pancreatic Surgery

  1. The Child-Turcotte-Pugh (CTP) score for quantifying the severity of chronic liver disease includes all variables EXCEPT:
  2. 'Chain of Lakes' appearance due to sacculation with intervening short strictures of pancreatic duct is seen on:

  3. Which one of the following statements is NOT correct regarding Pyogenic Liver Abscess?
  4. 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:
  5. CA 19-9 is a tumour marker used for the diagnosis of:
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