us-abim MCQ (SBA): End stage liver disease prognostic scoring

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ModerateGastroenterologyEnd stage liver disease prognostic scoringus-abimus-usmle-step-2us-usmle-step-3

A 64-year-old man with a history of heavy alcohol use presents with abdominal distension and lower extremity oedema. Examination reveals jaundice, ascites with shifting dullness, spider angiomas, and palmar erythema. Laboratory tests show albumin 2.6 g/dL, total bilirubin 3.0 mg/dL, INR 1.7, and mild thrombocytopenia. Which scoring system is most appropriate to estimate his short-term mortality and guide timing of liver transplantation referral?

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us-abim MCQ: End stage liver disease prognostic scoring — Answer & Exp