Question

Which of the following is included in the MELD (Model for End-stage Liver Disease) score?

• A. Serum creatinine
• B. Transaminase
• C. Albumin
• D. Alkaline phosphatase

Hint:

MELD uses bilirubin, INR and creatinine; albumin belongs to Child-Pugh.

Answer 1

The Correct Option is A

Step 1: Remember MELD by its three inputs: bilirubin, INR and creatinine. A handy memory aid is that MELD measures how the liver clears bilirubin, how it makes clotting factors (INR) and how the kidneys are coping (creatinine).
Step 2: Run the options against that list. Serum creatinine is on it, so it fits straight away.
Step 3: Transaminase and alkaline phosphatase are enzymes of liver-cell damage and bile stasis; useful clinically but absent from the MELD formula. Albumin is a Child-Pugh variable, and confusing the two scores is the common trap here.
Step 4: Only one option survives the cross-check.
\[\boxed{\text{Serum creatinine}}\]