managerial accounting.But what is an organization? It's a deliberate arrangement of people to accomplish some specific purpose. Your college or university is an organization; so are fraternities and sororities, government departments, churches, Facebook, your neighborhood grocery store, the United Way, the St. Louis Cardinals baseball team, and the Mayo Clinic. All are considered organizations and have three common characteristics. First, an organization has a distinct purpose. Second, each organization is composed of people. Third, all organizations develop some deliberate structure within which members do their work. That structure may be open and flexible, with no specific job duties or strict adherence to explicit job arrangements.

Question 37 Flapping tremors: why do we get flapping tremors and no other types of tremor in liver failure? What is their mechanism and in which other conditions do they occur?

Question 38 In a patient with liver cell failure, can there be resting and action tremors or parkinsonian features if it is confirmed that the patient does not have Wilson's disease?

Question 39 Does the absence of any cirrhosis of the liver, together with normal liver enzymes, in a 9-year-old boy complaining of chorea of a 5-year duration, exclude Wilson's disease?

Question 40 Can Wilson's disease be excluded in a patient complaining of movement disorder for over 2 years, when there is an absence of cirrhotic liver change?

Question 41 What drugs cause Budd-Chiari syndrome?

Question 42 I recently saw a patient with pyrexia of unknown origin (PUO). He was not particularly unwell and not jaundiced. But 1 week later he was found to have a liver abscess on ultrasound. How can one make the diagnosis earlier?

Question 43 What is the most recent management of HCC (hepatocellular carcinoma)? What is radiofrequency ablation? What is its role in the management of HCC and its prognosis?

Question 44 How do you differentiate haemorrhagic ascitic fluid due to malignancy and accidental rupture of blood vessel while withdrawing the fluid?

Question 45 Is there any place for the medical treatment of gallstones with ursodeoxycholic acid?

Question 46 In a case of common bile duct stones, where it is acknowledged that spontaneous passage within 24 hours is observed in approximately 50% of patients provided the stone is small, and that in these cases there is no need for a sphincterotomy, is the use of antispasmodics, e.g. Buscopan (active ingredient hyoscine-N-butylbromide), recommended? Surely