Medicine · Liver Disease (Cirrhosis, Hepatitis, Autoimmune, Wilson's, Hemochromatosis)

Which of the following parameters is included in the Child-Turcotte-Pugh classification of cirrhosis?

  • A Serum creatinine
  • B Serum albumin
  • C Serum sodium
  • D Patient age
Correct answer: B. Serum albumin

Explanation

The Child-Turcotte-Pugh score comprises five variables scored 1 to 3 each: bilirubin, albumin, prothrombin time or INR, ascites, and encephalopathy. Serum creatinine and serum sodium are components of the MELD score, not Child-Pugh, and age is not part of either score. This distinction is frequently tested because MELD replaced Child-Pugh for transplant allocation precisely to incorporate objective laboratory values such as creatinine.

Reference: Harrison's Principles of Internal Medicine, 21st ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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