In addition to the potential value of the ICT in detecting MHE, the test may be useful in uncovering temporary insults to attention and working memory that may arise in the presence of external stimuli such as music. Listening to music while driving is a pervasive practice and the relationship between background music and driving performance has been studied in the past (Unal et al., 2012; van der Zwaag et al., 2012). However these studies did not specifically address patients with cirrhosis, who are a population at higher risk of traffic accidents. The hypothesis of our study are (1) cirrhotic patients with MHE are expected to have lower ICT scores than patients without MHE and (2) these deficits are expected to worsen in the presence of music, suggesting music as a possible factor that could contribute to impaired attention and working memory, and hence impaired driving ability in cirrhotic patients. To this end, various types of music, including classical and heavy metal, will be used as a means of distracting cirrhotic patients while they are administered the ICT, to determine if there is any effect of listening to music on ICT scores. In addition to the ICT, the Digit Symbol Test, Number Connection Test, Cambridge Prospective Memory Test (CAMPROMPT), Stroop test, Fisk Fatigue Impact Scale and Epworth Sleepiness Scale will also be administered to quantify the degree of HE. While the use of ICT may not be appropriate for definitively predicting driving fitness, it may be valuable in uncovering deficits in attention and memory that arise while listening to music, which may ultimately aid in the counseling and education of patients regarding safe driving practices.