Question 12 / 30:  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
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Gastrointestinal Pathophysiology Exam 2006

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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
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