Another q

Prep for USMLE Forum

» Log in | Register

Forum

Step 1

Match

Prep4USMLE Forum » USMLE Step 1 Forum » Pathology Forum

Another q

Author

13 Posts

virgola82
Forum Guru
avatar

Topics: 85
Posts: 348

05/02/07 - 11:26 AM

Which of the following would most likely be associated with a mixed hyperbilirubinemia with elevation of both direct and indirect bilirubin, elevation of serum transaminases and variable elevation of alk phos?

A. Neonatal hepatitis

B. Stone in common bile duct

C. Sclerosing cholangitis

D. Budd-chiari syndrome

E. Biliary atresia

Edited by virgola82 on 05/02/07 - 04:38 PM

po
Forum Elite

Topics: 39
Posts: 356

05/02/07 - 12:12 PM

my guess A,

could be wrong.

new_n_lost
Politically InCorrect
avatar

Topics: 650
Posts: 6,060

05/02/07 - 12:28 PM

A. Neonatal hepatitis ( Viral) ??

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

Mikeland
Forum Senior
avatar

Topics: 24
Posts: 109

05/02/07 - 02:33 PM

virgola82
Forum Guru
avatar

Topics: 85
Posts: 348

05/02/07 - 04:19 PM

I thought it too when i did it, but Neonatal Hepatits is usually due to idiopathic cholestatic jaundice leading mostly to an increase only in direct bilirubin. So, try again...

Edited by virgola82 on 05/03/07 - 07:49 AM

sss sss
Forum Senior
avatar

Topics: 8
Posts: 203

05/02/07 - 05:42 PM

Addicudo
Forum Guru

Topics: 124
Posts: 608

05/03/07 - 02:51 AM

D

___________________
... Idle hands are the DeVilS play ground ...

Mikeland
Forum Senior
avatar

Topics: 24
Posts: 109

05/03/07 - 09:00 AM

Budd-chiari syndrome (D) after review and double check there are not other alternative......Good Q

virgola82
Forum Guru
avatar

Topics: 85
Posts: 348

05/03/07 - 12:22 PM

Mike, you are right. In fact the other choices in one way or onother are all causes of obstructive type of jaundice leading to direct hyperbilirubinemia more than mixed as it is in Budd-Chiari due to the post-hepatic portal hypertension and liver congestion

Mikeland
Forum Senior
avatar

Topics: 24
Posts: 109

05/03/07 - 10:06 PM

#10

Yes, good Q. Virgola. Do u have another q part II?

new_n_lost
Politically InCorrect
avatar

Topics: 650
Posts: 6,060

05/03/07 - 10:11 PM

#11

virgola82 wrote:
Mike, you are right. In fact the other choices in one way or onother are all causes of obstructive type of jaundice leading to direct hyperbilirubinemia more than mixed as it is in Budd-Chiari due to the post-hepatic portal hypertension and liver congestion

Can u Post the Actual Explanation cos i have a Goljan quote saying that its Viral Hepatits which has a mixed picture. And Goljan cant be wrong. So Can u plz post the actual explanation to the question

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

virgola82
Forum Guru
avatar

Topics: 85
Posts: 348

05/04/07 - 08:48 AM

#12

It strange cos this q is from BSS II whose athours include Goljan.... anyway i have attached the exaplanation. q#65

Attached Files:
162_0001.djvu (27 KB, 14 downloads)

virgola82
Forum Guru
avatar

Topics: 85
Posts: 348

05/04/07 - 08:49 AM

#13

this is the second part

Attached Files:
163_0001.djvu (27 KB, 6 downloads)

You don't have permission to post.