PAEA Surgery End Of Rotation (EOR) Practice Exam

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What are common symptoms of hepatocellular carcinoma?

  1. Chest pain and cough

  2. Dull RUQ pain and weight loss

  3. Fever and headache

  4. Abdominal pain and diarrhea

The correct answer is: Dull RUQ pain and weight loss

Hepatocellular carcinoma, a primary liver cancer, often presents with symptoms that reflect its location and the effects it has on liver function and overall health. Dull right upper quadrant (RUQ) pain is commonly experienced due to the tumor's growth and pressure on surrounding structures. Additionally, significant weight loss can occur because the cancer often leads to metabolic changes and decreased appetite. This combination of dull RUQ pain and weight loss aligns closely with the typical presentation of hepatocellular carcinoma. In contrast, the other options do not represent the most common symptoms associated with this type of cancer. While chest pain and cough may suggest respiratory or pleural issues, they are not characteristic of liver cancer. Fever and headache are more generalized symptoms that can be associated with various infections or other systemic illnesses but are not specific to hepatocellular carcinoma. Abdominal pain and diarrhea might indicate gastrointestinal disturbances but are not typically the hallmark symptoms of liver cancer. Thus, the correct choice highlights the specific and relevant presenting symptoms linked to this malignancy.