PATHOLOGY MCQ
BILIARY
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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o F presents with RUQ pain x12hours. afebrile, anicteric. WBC 7, AST/ALT 28/32, Alphas 331. bili 3.2. US showed CBD normal, no pericholecystis fluid. murphy’s negative. Which of the following studies should be used to confirm cbd stone preoperatively?
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HIDA
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CT scan
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MRCP
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ERCP
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EUS
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Explanation:
Detailed explanation-1: -An AST/ALT ratio higher than one (where the AST is higher than ALT) means you may have cirrhosis. An AST/ALT ratio higher than 2:1 (where the AST is more than twice as high as the ALT) is a sign of alcoholic liver disease.
Detailed explanation-2: -The AST:ALT ratio is incorporated into a comprehensive NAFLD fibrosis score. A ratio of less than one is suggestive of NAFLD/non-alcoholic steatohepatitis. However, the ratio rises above 1 in 92% of alcoholic liver disease and climbs above 2 in 70% of cases.[ix]
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