Phys Vivas · gastrointestinal
Liver Transplantation — Viva Defence
DCE viva defence for Liver Transplantation.
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Target exams
Liver Transplantation Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Liver Transplantation. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]
Examiner questions
Q1: "What makes this urgent?" [1]
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]
Q2: "What is your first investigation package?" [2]
"I order tests that change management now, not a scattergun panel." [1] [2]
Q3: "Walk me through treatment." [1]
"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]
Q4: "What is the classic trap?" [2]
"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]
Short case
Counsel the patient on the plan, risks and warning symptoms in plain language. [1] [2]
References
- [1]Ma Z, Niu Z, Yu A, Guo Y, et al. Severe hepatotoxicity associated with orlistat: clinical presentation, risk factors and outcomes Front Pharmacol, 2026.PMID 42465996
- [2]Tapia-Villacis S, Prieto J, López M, Medina J Disseminated Phaeohyphomycosis Due to Alternaria alternata in a Liver Transplant Recipient: Successful Treatment With Isavuconazole, a Case Report and Literature Review Case Rep Transplant, 2026.PMID 42465679
- [3]Lee H, Jung KU, Luu M, Kosari K, et al. Perioperative mortality and survival after lymph node excision in hepatocellular carcinoma: a national cancer database propensity score-matched cohort study World J Surg Oncol, 2026.PMID 42464368
- [4]Morales Junior R, Telles JP, Chua NGS, Kunicki PK, et al. Mapping Therapeutic Drug Monitoring Research in Low- and Middle-Income Countries: A Scoping Review (2015-2024) Ther Drug Monit, 2026.PMID 42457203
- [5]You H, Maiwall R, Chen J, Ahn SH, et al. APASL clinical practice guidelines on the management of chronic hepatitis B infection: a 2026 update Hepatol Int, 2026.PMID 42365189
- [6]Perito ER, Chen JK, Danziger-Isakov LA, Desai MS, et al. AASLD AST NASPGHAN Practice Guideline on pediatric liver transplantation: Post-transplant management Liver Transpl, 2026.PMID 42329162
- [7]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [8]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005