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
According to Pugh's classification moderate to severe hepatic insufficiency is managed by ? 
Select and explain. 
A. Sclerotherapy, B. Conservative, C. Ohotopic liver transplantation, D. Shunt surgery
C: Ohotopic liver transplantation
Answer: C: Ohotopic liver transplantation 
Explanation: 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.