A 52-year-old Chinese man with chronic hepatitis B presents with abdominal pain and new ascites. Ultrasound of the liver reveals enlarged liver, and portal vein thrombosis. The most likely diagnosis is

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Question 1 of 5

A 52-year-old Chinese man with chronic hepatitis B presents with abdominal pain and new ascites. Ultrasound of the liver reveals enlarged liver, and portal vein thrombosis. The most likely diagnosis is

Correct Answer: B

Rationale: Hepatomegaly, portal vein thrombosis, or new ascites in someone with chronic hepatitis B is hepatocellular carcinoma until proven otherwise. Replication flares do not typically present with pain or hepatomegaly.

Question 2 of 5

In PUD management, what is the role of sucralfate?

Correct Answer: B

Rationale: Sucralfate forms a protective coating over ulcers, shielding them from acid and pepsin, thus aiding healing.

Question 3 of 5

Which of the following is NOT a typical cause of PUD?

Correct Answer: D

Rationale: High dairy intake is not a typical cause of PUD; NSAIDs, H. pylori, and alcohol are well-established contributors to mucosal damage.

Question 4 of 5

Which of the following is an expected outcome of effective PUD management?

Correct Answer: B

Rationale: Eradicating H. pylori, confirmed by follow-up testing, is a key outcome of effective PUD treatment, addressing a primary cause.

Question 5 of 5

Which of the following is a long-term complication of chronic PUD?

Correct Answer: A

Rationale: Chronic PUD can lead to scarring and gastric outlet obstruction, impeding food passage from the stomach.

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