PAEA Surgery End Of Rotation (EOR) Practice Exam

How is the Child-Turcotte-Pugh score beneficial in clinical practice?

1. It provides a baseline for diagnosing any liver disease

2. It helps in grading the severity of liver disease and guiding treatment

3. It offers predictive outcomes for all types of cancers

4. It is used mainly for kidney disease assessment

The correct answer is: It helps in grading the severity of liver disease and guiding treatment

The Child-Turcotte-Pugh score is specifically designed to assess the severity of chronic liver disease and to guide management decisions. It incorporates clinical criteria such as the presence of hepatic encephalopathy, ascites, bilirubin levels, albumin levels, and prothrombin time. This scoring system classifies patients into different categories (A, B, and C), which reflect the degree of liver function impairment. By grading the severity of liver disease, the Child-Turcotte-Pugh score not only helps in making treatment decisions—such as whether a patient is a candidate for liver transplantation or specific interventions—but also provides prognostic information about the patient's expected survival and potential complications. Hence, this scoring system is invaluable in both clinical decision-making and patient management in cases of liver disease. The other choices do not accurately represent the purpose of the Child-Turcotte-Pugh score. While it is useful in assessing liver disease specifically, it does not serve as a baseline for diagnosing liver conditions, predict outcomes for all cancers, or primarily assess kidney disease.