Hepatobiliary and pancreatic surgery: hepatic adenoma: practice question

A General Surgery 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 Surgery · Hepatobiliary and pancreatic surgery: hepatic adenoma

Sample item

A young woman on long-term oral contraceptives has a 6 cm hepatic adenoma. What is the most appropriate management?

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

The answer and the reasoning

D. Stop the oral contraceptive and resect because of rupture and malignancy risk

Hepatic adenomas are linked to oestrogens and can rupture with haemorrhage, particularly when larger than 5 cm, or rarely undergo malignant change. Treatment is stopping hormones and resection for large or symptomatic lesions.

Option by option

  • A. Liver transplant

    Transplant is not indicated.

  • B. Continue the pill with annual scan

    Continuing risks rupture.

  • C. Start chemotherapy

    Adenoma is not treated by chemotherapy.

  • D. Stop the oral contraceptive and resect because of rupture and malignancy risk (correct)

    Correct. Withdraw oestrogen and resect large lesions.

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 General Surgery question

What is the answer to this General Surgery question?

The best answer is D, Stop the oral contraceptive and resect because of rupture and malignancy risk. Hepatic adenomas are linked to oestrogens and can rupture with haemorrhage, particularly when larger than 5 cm, or rarely undergo malignant change.

Why is "Liver transplant" not the answer?

Transplant is not indicated.

Why is "Continue the pill with annual scan" not the answer?

Continuing risks rupture.

Why is "Start chemotherapy" not the answer?

Adenoma is not treated by chemotherapy.

What concept does this question test?

It tests Hepatobiliary and pancreatic surgery: hepatic adenoma in General Surgery. Treatment is stopping hormones and resection for large or symptomatic lesions.

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 Hepatobiliary and pancreatic surgery: hepatic adenoma?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery 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.