Liver Abscess MCQ Quiz | Liver

Welcome to the Liver Abscess MCQ Quiz, specifically designed for MBBS students. This quiz will test your understanding of the etiology, pathophysiology, clinical presentation, diagnosis, and management of both pyogenic and amoebic liver abscesses. With 25 carefully curated questions, this is an excellent tool for self-assessment and exam preparation. Challenge yourself to recall key concepts and clinical pearls. After submitting your answers, you will see your score and a detailed review of each question. You can also download all the questions along with their correct answers in a PDF format for future reference. Good luck!

1. What is the most common causative organism for pyogenic liver abscess in many parts of Asia and now globally?

2. Which is the most common route of infection for pyogenic liver abscesses in adults?

3. The characteristic aspirate from an amoebic liver abscess is often described as:

4. Which of the following is the causative agent of amoebic liver abscess?

5. What is the best initial imaging modality for a patient with a suspected liver abscess?

6. The ‘classic triad’ of symptoms for liver abscess includes fever, jaundice, and:

7. Which laboratory finding is most consistently elevated in patients with a liver abscess?

8. The first-line medical treatment for an uncomplicated amoebic liver abscess is:

9. Standard management for a large pyogenic liver abscess involves percutaneous drainage and:

10. Which lobe of the liver is most commonly affected by both pyogenic and amoebic abscesses?

11. A key finding that helps differentiate amoebic from pyogenic liver abscess upon aspiration is:

12. Portal pyemia, a cause of liver abscess, is most commonly associated with which intra-abdominal condition?

13. After successful treatment of an amoebic liver abscess with metronidazole, what is given to eradicate intraluminal cysts?

14. Which of the following is an absolute indication for drainage of an amoebic liver abscess?

15. The most life-threatening complication of a liver abscess is:

16. Which imaging technique is most sensitive and specific for diagnosing a liver abscess and guiding drainage?

17. A patient with a liver abscess develops sudden dyspnea and right-sided pleuritic chest pain. This most likely indicates:

18. The “double target sign” on ultrasound is a characteristic finding of:

19. Definitive diagnosis of a pyogenic liver abscess is established by:

20. Which condition can sometimes mimic a liver abscess, particularly a necrotic or hemorrhagic tumor?

21. In a patient with a confirmed amoebic liver abscess, where are the trophozoites of E. histolytica most likely to be found?

22. An appropriate empirical antibiotic regimen for a community-acquired pyogenic liver abscess would be:

23. Percutaneous catheter drainage (PCD) is generally preferred over simple needle aspiration for which type of abscess?

Large (>5 cm), viscous, or multiloculated abscesses

24. A major risk factor for developing an amoebic liver abscess is:

25. What is the role of amoebic serology in the diagnosis of an amoebic liver abscess?

It is highly sensitive and specific, being positive in >95% of patients
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