The Child-Pugh-Turcotte (CTP) score assesses liver function and surgical risk in patients with cirrhosis. Which set of parameters is included in the CTP score?
- A Bilirubin, albumin, prothrombin time (INR), ascites, hepatic encephalopathy ✓
- B Bilirubin, creatinine, INR, sodium, aetiology of cirrhosis
- C ALT, AST, albumin, prothrombin time, presence of varices
- D AFP, bilirubin, platelet count, MELD score, ascites
Correct answer: A. Bilirubin, albumin, prothrombin time (INR), ascites, hepatic encephalopathy
Explanation
The Child-Pugh score includes 5 parameters each scored 1–3: serum bilirubin, serum albumin, prothrombin time (or INR), degree of ascites, and degree of hepatic encephalopathy. Total scores of 5–6 = Child A (well-compensated), 7–9 = Child B (significant functional compromise), 10–15 = Child C (decompensated). MELD score uses bilirubin, creatinine, INR, and sodium, which corresponds to option B (the MELD-Na components), not CTP.
Reference: Bailey & Love's Short Practice of Surgery, 27th ed.
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