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?

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

Normal hepatic vein pressure gradient
Elevated wedged hepatic vein pressure
Elevated free hepatic vein pressure
Elevated hepatic vein pressure gradient
Low wedged hepatic vein pressure

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