Question 29 / 32: 

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

A 60 year old woman has pruritus (itchiness). Her alkaline phosphatase is 450. Total bilirubin, ALT, and AST are normal.
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Explanation:

Typical story for primary biliary cirrhosis. Patients with bile duct obstruction will often have elevations in the Total bilirubin, ALT, and AST.

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Gastrointestinal Pathophysiology Self-Assessment

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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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