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Kaplan Qbank USMLE



Author5 Posts
  #1

One week after undergoing an uncomplicated liver transplant for biliary atresia, a 3-year-old boy appears jaundiced. Examination shows scleral icterus. His serum aspartate aminotransferase (AST, GOT) activity has increased to 1300 U/L, and serum alanine aminotransferase (ALT, GPT) activity has increased to 2500 U/L. His serum bilirubin level is 3.5 mg/dL, and serum alkaline phosphatase activity is 100 U/L. Which of the following is the most likely artery responsible for this patient's gastrointestinal symptoms?

A Hepatic

B Ileocolic

C Inferior mesenteric

D Left gastric

E Left gastroepiploic

F Middle colic

G Posterior penetrating

H Right colic

I Right gastroepiploic

J Splenic

K Superior hemorrhoidal

L Superior mesenteric

Please provide some reason for your answer


Edited by ARJ on 11/15/05 - 04:28 AM

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"Live as if you were to die tomorrow. Learn as if you were to live forever." --Mahatma Gandhi

  #2

Just guess: L). Superior mesenteric

Please inform the right answer!


  #3

A Hepatic

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  #4

It is quite obvious to be hepatic artery thrombosis or stenosis following Transplant....

Good Pictures at
http://centerspan.org/pubs/liver/diamond1.htm
http://depts.washington.edu/uwhep/clinicians/live...



___________________
"Live as if you were to die tomorrow. Learn as if you were to live forever." --Mahatma Gandhi

  #5

Scary question, easy answer.raised eyebrow







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