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Author: Laurence Scott Bailen, M.D.

1. Question 1

A 55 year-old man with chronic hepatitis C related cirrhosis presents to the Liver Transplant Clinic for evaluation. He has had a large esophageal variceal bleed in the past and is now bothered by ascites.

Which of the following best characterizes this patient’s circulation?

  1. Low peripheral vascular resistance, low cardiac output, high rate of blood flow to splanchnic circulation

  2. Low peripheral vascular resistance, high cardiac output, high rate of blood flow to the splanchnic circulation

  3. Low peripheral vascular resistance, high cardiac output, low rate of blood flow to the splanchnic circulation

  4. High peripheral vascular resistance, high cardiac output, high rate of blood flow to the splanchnic circulation

  5. High peripheral vascular resistance, low cardiac output, high rate of blood flow to the splanchnic circulation

2. Question 2

A 60 year-old woman with a long-standing history of cirrhosis develops esophageal varices and hepatic encephalopathy. An abdominal ultrasound reveals thrombosis of the portal vein.

Which of the following pressure measurements would you most likely expect to find?

  1. Normal hepatic vein pressure gradient

  2. Elevated wedged hepatic vein pressure

  3. Elevated free hepatic vein pressure

  4. Elevated hepatic vein pressure gradient

  5. Low wedged hepatic vein pressure