SESAP Questions =============== **Category 4, Items 34–38** 1. Distal splenorenal shunt 2. Hepatic transplantation 3. Portacaval shunt 4. Sugiura–Futagawa procedure 5. Transjugular intrahepatic portosystemic shunt (TIPS) **Item 34.** Patient with portal hypertension and Child’s C liver failure **Item 35.** Patient with portal hypertension and massive ascites awaiting transplantation **Item 36.** Acute Budd–Chiari syndrome **Item 37.** Portal hypertension in patient with extrahepatic portal vein thrombosis and prior splenectomy **Item 38.** Patient with multiple prior variceal hemorrhages complicated by encephalopathy For the 5 items above select the one lettered phrase that is most closely associated with each one. For the critique of Items 34 to 38, see page 465. ## Footnotes * (Reproduced by permission from *SESAP No. 10 1999–2001 Syllabus* Volume 1. For enrolment in the Surgical Education and Self-Assessment Program, please apply to the American College of Surgeons, 633 North St. Clair St., Chicago IL 60611, USA.)