A 7 year old is noted to have mild icterus. On examination he is found to have moderate splenomegaly. Investigations reveal a conjugated hyperbilirubinemia.
on Thursday, August 4, 2011
 Question Number 0519 Question: A 7 year old is noted to have mild icterus. On examination he is found to have moderate splenomegaly. Investigations reveal a conjugated hyperbilirubinemia. There are normal levels of AST, ALT, albumin, alkaline phosphatase. Tests on the urine reveal an elevated total coproporphyrin excretion of 5 times the normal with 25% being coproporphyrin I. A liver biopsy is normal. A likely diagnosis is a) Rotor's Syndrome b) primary biliary cirrhosis c) Gilbert's Syndrome d) hepatitis B e) hemolysis
|
Labels: MRCP Part 1 MCQ, USMLE 01