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Old 01-26-2015
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Default A question in USMLE on gastroenterology

A 20-year old female student represents with a 1-week history of nausea, vomiting and anorexia. She returned 2-weeks ago from a trip to Guatemala. On physical examination, her temperature was 100.3 F, clear chest and she has mild jaundice and a palpable tender liver. Her CBC was normal and her liver function tests are as follows:

Serum total bilirubin 3.1 mg/dL

Serum aspartate aminotransferase 1100

Serum alanine aminotransferase 1900

Serum alkaline phosphatase 112

What is the most likely lab test to confirm your diagnosis?

A- IgM antibody to hepatitis A virus

B- Antibody to hepatitis B surface antigen

C- Antibody to hepatitis C virus

D- DNA for Epstein-Burr virus

E- Serum anti-mitochondrial antibodies.

Answer : http://medical-usmle.com/?p=603
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