Rajiv Gandhi University of Health Sciences, Karnataka

Fellowship Examination — 18-Feb-2025

Time: 3 Hours Max. Marks: 100

LIVER TRANSPLANT AND HPB SURGERY - PAPER-II

QP Code: 4226

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Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

Answer All The Questions 10 X 10 = 100 Marks

1. Inborn errors of metabolism needing a liver transplantation
2. Write a note on Genomic characterization of HCC. How does it help in prognostication of the disease?

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3. Steps of implantation for a modified right lobe graft in living donor liver transplantation. Mention the complications that can occur following transplant
4. Perioperative fluid management of liver transplant recipient. Add a note of invasive monitoring of hemodynamics in these patients
5. A 3 month old baby with biliary atresia and failed kasai’s underwent a living donor liver transplantation. Post operatively the baby has high drain output with elevated triglyceride level in the drain fluid. How do you manage the patient next?
6. Post-transplant lymphoproliferative disorders (PTLD)
7. Graft versus host disease

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8. Role of biological immunosuppressive agents following liver transplantation
9. Strategies that can be followed in augmentation of liver remnant for hepatic resection. Add a note on the role of Nuclear scintigraphy
10. Primary biliary cirrhosis: Etiopathogenesis, clinical features and management