This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
[{'content': "According to Pugh's classification moderate to severe hepatic insufficiency is managed by ? \nSelect and explain. \nA. Sclerotherapy, B. Conservative, C. Ohotopic liver transplantation, D. Shunt surgery", 'role': 'user'}, {'content': "Answer: C \nExplanation: Ans. is 'c' ie. Ohoptic liver transplantation Child-Pugh's classification is used to assess the status of pt. of liver cirrhosis. A liver cirrhotic pt. having variceal bleeding or ascites can be controlled by shunt surgery only if he falls in ChildPugh's 'A' class (or some pts. of B class). Moderate to severe grade liver insufficiency can only be managed by liver transplantation.", 'role': 'assistant'}]