Jason went to the doctor with a complaint of a yellowish skin and also yellowish colour in the whites of his eyes (sclera). The doctor ordered the following tests.serum bilirubin      205 micro-mol/Lconjugated bilirubin   7 micro-mol/LAST 18 U/L (ref: 12 - 48)ALT  9 U/L  (3 - 55)ALP  77 U/L (30-130)urine bilirubin negativeWhat do you think is the likely cause?Question 9Select one:a.haemolytic anaemiab.obstructive jaundicec.malariad.hepatitis Ae.gallstone

A 44-year-old man is evaluated for a 6-month history of progressive fatigue and pruritus.  In addition, he has noticed yellowing of the eyes, dark urine, and pale-colored stools.  Vital signs are within normal limits.  Physical examination shows scleral icterus and skin excoriations.  Laboratory results are as follows:Liver function studies    Total protein 8.5 g/dL    Albumin 4 g/dL    Total bilirubin 7.3 mg/dL    Alkaline phosphatase 580 U/L    Aspartate aminotransferase (SGOT) 62 U/L    Alanine aminotransferase (SGPT) 99 U/LMagnetic resonance cholangiopancreatography is shown in the exhibit.  What is the most likely diagnosis for this patient? A.Autoimmune hepatitis B.Choledocholithiasis C.Pancreatic head cancer D.Primary biliary cholangitis E.Primary sclerosing cholangitisProceed To Next Item

Which of the following conditions would be suggested by a jaundiced patient experiencing a marked rise in alkaline phosphatase (ALP), conjugated bilirubin, and a slight rise in alanine aminotransferase (ALT)?

A 21-year-old female from Southeast Asia has been staying with family members in the United States for the last 3 months presents to the emergency department of a local hospital. She reports feeling very tired for the last month, has a poor appetite, and has lost weight. The patient has been feeling somewhat better lately except for a cough that produces a greenish sputum, sometimes specked with blood. With the exception of rales in the left upper lobe, the physical examination is unremarkable and she does not seem to be acutely ill. Laboratory values show a white blood count of 12,000/μL and a hematocrit of 33%. Chest x-ray film reveals an infiltrate in the left upper lobe with a possible cavity. A Gram-stained smear of the sputum shows mixed flora with no dominance. An acid-fast stain reveals many thin rods of pinkish hue. A preliminary diagnosis is made of pulmonary tuberculosis. Sputum is sent to the laboratory for culture. Which drug regimen should be initiated in this patient when treatment is started?Group of answer choicesAmikacin, isoniazid, pyrazinamide, streptomycinCiprofloxacin, isoniazid, linezolid, pretomanidIsoniazid, moxifloxacin, pyrazinamide , rifapentinePyrazinamide, isoniazid, rifampin, streptomycinPyridoxine, pyrazinamide, rifabutin, streptomycin

Following a bacterial (Streptococcal) infection, a 7-year-old girl presents with protein and blood in urine, oedema visible around the eyes (periorbital) and also mild hypertension. These symptoms are most likely to be due to which of the following?Question 4Select one:a.Hemolytic Anaemia due to a mismatched blood transfusionb.A Type IV hypersensitivity reactionc.Post-streptococcal glomerulonephritis.d.Systemic Lupus Erythematosus (SLE)e.Allergic Rhinitis

Sodium 136 mEq/LPotassium 2.6 mEq/LChloride 93 mEq/LBicarbonate 34 mEq/LBlood urea nitrogen 9 mg/dLCreatinine 0.8 mg/dLGlucose 150 mg/dL (non-fasting)Magnesium 0.6 mEq/L Arterial blood gas  pH 7.50  PaO2 95 mmHg  PaCO2 48 mmHg Urine studies show high levels of potassium and chloride, and low levels of calcium. Which of the following conditions would produce similar findings to this patient's disease?