This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Liver, Subject name: Medicine
Pulsatile liver and ascites is found in: 
Select and explain. 
A. TR, B. Critical pulmonary stenosis, C. MR, D. MS
A: TR
Answer: A: TR 
Explanation: . Ans. a. TR Hepatomegaly with systolic pulsations (of the liver} and ascites are typically seen in tricuspid regurgitation.Tricuspid Regurgitation (TR)* The clinical features of TR result primarily from systemic venous congestion and reduction in cardiac output.Typical Physical Examination Findings in Tricuspid Regurgitation* Gross fluid retention:* Significant peripheral edema* Ascites* Pieural effusion* Hepatomegaly with a pulsatile liver (enlarged tender liver with systolic pulsations)* Positive hepatojugular reflux* Dilated jugular veins with prominent 'v' waves and rapid 'y' decent* Blowing holosystolic murmur along lower left sternal margin that increases with inspiration* Prominent RV pulsations (Parasternal heaves) over left parasternal region.