MANAGERIAL ACCOUNTING.The business law case study method can provide deeper information at how gaps exist in its completion, or why one operational plan could be selected over another.

Thus this will help to establish or improve understanding. Important question to ask when choosing the most suitable research design include whether a structured laboratory procedure, under which persons and/or groups involve assigned to an action or control arm, is ideal or even possible? Or if the desire is to get a more conceptual comprehension of a matter? Preferably, the latter is researched using a regulated study approach, whilst both of these can be studied more adequately using qualitative case study approach.

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 these will reduce the pain and improve the chance of a spontaneous release of obstruction without surgical procedure?

Question 47 What is sphincter of Oddi dysfunction?

Question 48 I would like to know: what is the role of lysosomal hydrolases (cathepsin B) in the pathogenesis of acute pancreatitis?

Question 49 What is the role of octreotide in management of acute pancreatitis? Question 50 Why does paralytic ileus occur in pancreatitis?