PAEA Surgery End Of Rotation (EOR) Practice Exam

When assessing a patient with liver disease, what does Class C represent?

1. Minimal dysfunction

2. Moderate dysfunction

3. Severe dysfunction

4. Normal function

The correct answer is: Severe dysfunction

In the context of assessing liver function, especially when using the Child-Pugh classification system, Class C indicates severe dysfunction of the liver. This classification system is often employed to evaluate the prognosis of chronic liver disease and to guide management decisions. Class A represents minimal dysfunction, with relatively preserved liver function. Class B indicates moderate dysfunction, where there are some complications arising from the liver disease but not as severe as in Class C. Class C is characterized by significant impairment of liver function, typically characterized by severe symptoms and complications such as ascites, hepatic encephalopathy, and coagulopathy. This level of dysfunction corresponds to a very poor prognosis and typically suggests the need for more aggressive management, including consideration for liver transplantation. Understanding the significance of Class C is crucial for determining the appropriate care for patients with liver disease, tailoring interventions, and making informed decisions regarding their management plan.