PAEA Surgery End Of Rotation (EOR) Practice Exam

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In terms of liver resection outcomes, what is the significance of a higher Child-Turcotte-Pugh score?

  1. Better surgical outcomes

  2. Higher risk of complications

  3. Lower risk of liver failure

  4. Improved recovery times

The correct answer is: Higher risk of complications

A higher Child-Turcotte-Pugh score indicates a greater degree of liver dysfunction and predicts poorer outcomes following liver resection. This scoring system evaluates the severity of chronic liver disease based on clinical and laboratory parameters, such as bilirubin levels, albumin levels, prothrombin time, ascites, and hepatic encephalopathy. Patients with a higher score are at an increased risk of experiencing complications after surgery, including postoperative liver failure, infection, and overall increased morbidity. Thus, careful evaluation and consideration of the Child-Turcotte-Pugh score are paramount when making surgical decisions regarding patients with liver conditions, as it directly correlates with the likelihood of adverse outcomes. In contrast, a lower Child-Turcotte-Pugh score reflects better liver function, leading to better surgical outcomes, lower risks of complications, and improved recovery times.

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