Question 30 / 32: 

Which of the following most likely explains the patients liver function tests?

A 35 year man is admitted to the ICU obtunded. He was found by family members on the floor of his apartment unconscious. An abdominal ultrasound is normal. The ALT is 11,000 and the AST is 8,050. The total bilirubin and alkaline phophatase are normal. Hepatitis A IgM is negative. Hepatitis B core IgM is negative. Hepatitis C antibody and Hepatitis C RNA levels are undetectable. Ceruloplasmin is normal.
<< First < Previous Flashcard Next > Last >>
Explanation:

Given negative viral studies, acetaminophen overdose is most likely. Autoimmune hepatitis would be other possibility but this is more common in women.

Assessment Home Page
https://www.jobilize.com/gastrointestinal-pathophysiology-mcq-assessment-by-dr-laurence-bailen

Gastrointestinal Pathophysiology Self-Assessment

Author:

Access: Public

Attribution:  Laurence Scott Bailen, Tamsin Knox, Paul Abourjaily, Fredric D. Gordon,Marshall Kaplan,Andrew G. Plaut. PPY 222 Gastrointestinal Pathophysiology, Spring 2007. (Tufts University OpenCourseWare), http://ocw.tufts.edu/Course/47 (Accessed 3 May, 2014). License: Creative Commons BY-NC-SA
Ask
Yasser Ibrahim
Start Quiz
Copy and paste the following HTML code into your website or blog.
<iframe src="https://www.jobilize.com/embed/gastrointestinal-pathophysiology-mcq-assessment-by-dr-laurence-bailen" width="600" height="600" frameborder="0" marginwidth="0" marginheight="0" scrolling="yes" style="border:1px solid #CCC; border-width:1px 1px 0; margin-bottom:5px" allowfullscreen webkitallowfullscreen mozallowfullscreen> </iframe>