Hepatocellular carcinoma Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 68-year-old man presents to the hepatology clinic for follow-up of previously diagnosed hepatocellular carcinoma. Past medical history is significant for alcohol use disorder and alcohol-induced cirrhosis. The patient has not had regular follow-up or routine surveillance imaging for years. Current medication includes furosemide, lactulose, and spironolactone. Vital signs are within normal limits. Since the last visit, the patient's weight has been down by 20 lbs. (9 kg). He has jaundice and appears chronically ill. Abdominal examination reveals a firm, distended, and non-tender abdomen with a fluid wave. Computed tomography (CT) imaging shows several large hepatic lesions and metastatic disease in multiple organs. Which of the following is the best next step in management?

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Repeat ultrasound and alpha-fetoprotein in three months

Palliative care discussion

Surgical resection of the hepatic lesions

Chemoembolization of the hepatic lesions

Liver transplantation