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Kaplan Qbank USMLE



Author9 Posts
  #1

question

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  #2

I think Answer- D

estrogen has cholestatic effect.

In cholestasis, GGT and alkalne phosphatase are increased.
In this case GGT is increased. Alk phosp is high normal.

Alcohol, acetaminophen and NSAIDS causes hepatotoxicity

  #3

shaking head


  #4

B (elevated MCV, GGT, and to some degree the history: kids to college, husband being busy on the job, etc. Check CDT for confirmation)

  #5

nod

  #6

D- Estrogen effect

As with alcoholic hepatitis, ASL/ALT is 2 folds or more, this case is about 1.

___________________
Nothing is impossible.

  #7

B.

  #8

Especially beacsue of high GGT, the answer is B, Alcohol.

  #9

Increased GGT, high MCV = B







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