Card 13 / 33: A 44 year old man is awaiting liver transplantation for chronic hepatitis C induced cirrhosis. He has ascites, esophageal varices, and intermittent problems with hepatic encephalopathy. His recent blood tests are as follows: ALT 76 U/l AST 35 U/l Alkaline phosphatase 105 U/l Total bilirubin 4.5 mg/dl Direct bilirubin 3.8 mg/dl Prothrombin time 20 seconds (INR 1.8) Platelet count 55,000 Albumin 3.2 Which of the following sets of blood tests provides the best assessment of this patients liver synthetic function?
A)
Platelet count and total bilirubin
B)
Prothrombin time and albumin
C)
Prothrombin time and alkaline phosphatase
D)
Prothrombin time and total bilirubin
E)
Albumin and AST
F)
Albumin and ALT
Answer:
B) Prothrombin time and albumin
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Gastrointestinal Pathophysiology Exam 2006
Author:
Dr.Tamsin KnoxProfessor
Tufts University School of Medicine
USA
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