Gastroenterology Education and CPD for trainees and specialists

1. A 55 year old man with established cirrhosis underwent a six monthly surveillance ultrasound scan (USS). It showed a suspicious focal liver lesion. A subsequent contrast enhanced CT scan of abdomen confirmed a 2.5 cms focal lesion in the liver. AFP was raised at 200 ng/ml. A previous AFP and USS were normal 6 months earlier. What is the most appropriate next step?

1. Ultrasound guided liver biopsy
2. PET scan
3. Liver transplant referral
4. Repeat scan in 6 weeks
5. Repeat AFP in 6 weeks

2. A 60 year old man with established cirrhosis had a surveillance ultrasound scan (USS). It showed a 2 cms focal liver lesion. AFP levels were normal. What is the most appropriate next step?

1. Repeat AFP at 6 weeks
2. Ultrasound guided liver biopsy
3. Repeat USS at 6 weeks
4. Contrast enhanced CT scan
5. Liver transplant referral

3. Surveillance for Hepatocellular cancer is recommended in high risk patients with cirrhosis. All the following patients are considered to be high risk except one:

1. Males and females with established cirrhosis due to hepatitis B or C
2. Males and females with established cirrhosis due to genetic haemochromatosis
3. Males with alcohol related cirrhosis.
4. Males with cirrhosis due to primary biliary cirrhosis
5. Males and females with cirrhosis due to primary sclerosing cholangitis

4. A 40 year old Chinese man with cirrhosis due to hepatitis C is worried about the risk of hepatocellular cancer (HCC) after reading a newspaper report. He seeks an earlier outpatient appointment to discuss the risks. The risk of Hepatocellular cancer in him is:

1. 0.1% per year
2. 1 % per year
3. 3-5% per year
4. 7-9% per year
5. > 10% per year

Gastroenterology training and education

MCQ On Hepatocellular cancer

Help in the growth of the Gastrotraining community by submitting your MCQ.

Submit a MCQ

MCQs