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: Medicine
Hepatomegaly with liver pulsation indicates: 
Select and explain. 
A. TR, B. MR, C. Pulmonary hypeension, D. MS
A: TR
Answer: A: TR 
Explanation: Answer is A (Tricuspid Regurgitation) Systolic pulsations of the liver and marked hepatomegaly are characteristic features of Tricuspid Regurgitation. `Hepatic pulsation in Tricuspid Regurgitation are caused by reversed systolic blood flow in the great veins' In about 2/3rd of patients with Tricuspid Regurgitation there is associated systolicpulsations of liver which may be considerably enlarged and tender'