This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Anatomy
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: 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 Child-Pugh's 'A' class (or some pts. of B class). Moderate to severe grade liver insufficiency can only be managed by liver transplantation. Ref : CMDT, 2001, p 682