Gastroenterology and hepatology: hepatocellular adenoma: practice question

A General Medicine 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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General Medicine · Gastroenterology and hepatology: hepatocellular adenoma

Sample item

A 28-year-old woman on long-term combined oral contraceptive pills presents with sudden severe right upper quadrant pain and hypotension. CT shows a 7 cm liver mass with haemorrhage inside and around it. What is the underlying lesion?

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

The answer and the reasoning

B. Hepatocellular adenoma

Hepatocellular adenoma is linked to oestrogen exposure and may rupture or bleed, particularly when it exceeds 5 cm. Management includes stopping hormones, and resection for large lesions. Focal nodular hyperplasia rarely bleeds.

Option by option

  • A. Focal nodular hyperplasia

    Focal nodular hyperplasia rarely bleeds and is not oestrogen driven.

  • B. Hepatocellular adenoma (correct)

    Correct. An oestrogen-related lesion over 5 cm that bleeds is typical of adenoma.

  • C. Cavernous haemangioma

    Haemangiomas rarely rupture spontaneously.

  • D. Hepatic hydatid cyst

    A hydatid cyst occurs after exposure to dogs and sheep and shows daughter cysts.

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.

More General Medicine questions

Questions about this General Medicine question

What is the answer to this General Medicine question?

The best answer is B, Hepatocellular adenoma. Hepatocellular adenoma is linked to oestrogen exposure and may rupture or bleed, particularly when it exceeds 5 cm.

Why is "Focal nodular hyperplasia" not the answer?

Focal nodular hyperplasia rarely bleeds and is not oestrogen driven.

Why is "Cavernous haemangioma" not the answer?

Haemangiomas rarely rupture spontaneously.

Why is "Hepatic hydatid cyst" not the answer?

A hydatid cyst occurs after exposure to dogs and sheep and shows daughter cysts.

What concept does this question test?

It tests Gastroenterology and hepatology: hepatocellular adenoma in General Medicine. Management includes stopping hormones, and resection for large lesions. Focal nodular hyperplasia rarely bleeds.

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 Gastroenterology and hepatology: hepatocellular adenoma?

For each disease know the classic presentation, the best test, and the first-line treatment. Then use the flashcards and the other General Medicine 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.