Liver imaging: TIPS: practice question

A Radiology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Radiology · Liver imaging: TIPS

Sample item

A patient with cirrhosis has recurrent variceal bleeding despite endoscopic therapy. Which interventional radiology procedure reduces portal pressure?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Transjugular intrahepatic portosystemic shunt

TIPS creates a stent channel between a hepatic vein and the portal vein through the liver, which diverts portal blood to the systemic circulation. Its risks include hepatic encephalopathy and shunt stenosis.

Option by option

  • A. Percutaneous biliary drainage

    Biliary drainage relieves obstructive jaundice.

  • B. Transjugular intrahepatic portosystemic shunt (correct)

    Correct. TIPS decompresses the portal system.

  • C. Hepatic artery chemoembolisation

    Chemoembolisation treats hepatocellular carcinoma.

  • D. IVC filter placement

    An IVC filter prevents pulmonary embolism.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Radiology question

What is the answer to this Radiology question?

The best answer is B, Transjugular intrahepatic portosystemic shunt. TIPS creates a stent channel between a hepatic vein and the portal vein through the liver, which diverts portal blood to the systemic circulation.

Why is "Percutaneous biliary drainage" not the answer?

Biliary drainage relieves obstructive jaundice.

Why is "Hepatic artery chemoembolisation" not the answer?

Chemoembolisation treats hepatocellular carcinoma.

Why is "IVC filter placement" not the answer?

An IVC filter prevents pulmonary embolism.

What concept does this question test?

It tests Liver imaging: TIPS in Radiology. Its risks include hepatic encephalopathy and shunt stenosis.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Liver imaging: TIPS?

Learn signs with the image, and the disease they point to. Then use the flashcards and the other Radiology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.