PAEA Surgery End Of Rotation (EOR) Practice Exam 2026 - Free Surgery EOR Practice Questions and Study Guide

The Child-Turcotte-Pugh scoring system is a clinical tool used to assess the prognosis of chronic liver disease and cirrhosis. It incorporates various clinical parameters to evaluate the liver's functional status and helps guide management decisions and predict outcomes.

The assessment focuses on five specific factors: bilirubin levels, serum albumin, prothrombin time (or INR), presence and severity of ascites, and the degree of hepatic encephalopathy. Each of these factors reflects critical aspects of liver function and overall health status in patients with liver disease.

Liver size is not one of the parameters included in this scoring system. The scoring system primarily aims to quantify liver function and the body's ability to manage the complications associated with liver impairment, rather than the anatomical characteristics of the liver. Thus, in the context of evaluating liver function and related severity, liver size is not relevant, making it the correct answer in this instance.