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GI good q - letusdoit - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 2 CK (https://www.usmleforum.com/forumdisplay.php?fid=3) +--- Thread: GI good q - letusdoit (/showthread.php?tid=79758) Pages:
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GI good q - letusdoit - ArchivalUser - 03-20-2006 the q is posted AS is form the source. A 45 yr old woman presents with complaints of fever and malaise for 2 wks and jandice for 1 wk. she lives in a poor socioeconomic area. she says she last did IV drug " ayear ago" Blood tests show: ALT 1300 AST 1250 BILIRUBIN 4.5 Anti HAV igG : Positive Anti HAV IgM : negative HBsAg : neg. HBeAg: neg. HBcAg: neg Anti HBs Ag neg which of the following are true? MORE THAN ONE ANSWER MAY BE CORRECT A. the pt has hapatitis A. B. the pt does not have hepatitis B. C. the most probable causeis Hepatitis C . D. the most probable cause is Primary biliary cirrhosis E. None of the above. Good luck 0 - ArchivalUser - 03-20-2006 B 0 - ArchivalUser - 03-20-2006 yes B. She had HAV. 0 - ArchivalUser - 03-20-2006 pt had hepatitis a pt may be in the window period of hepatitis b pt does not have hepatitis c biliary cirrosis is not the cause here as it does not mention alkaline phospotase thanks 0 - ArchivalUser - 03-20-2006 Could the Patient HAVE hepatitis a infection. since chronic infection does not occir so a very high Ig g indicating an ongoing infection ? Any comments. 0 - ArchivalUser - 03-20-2006 Could the ans be ' none of the above'....b'coz 1- pt has HAV IgG antibodies - so pt had hepatitis not 'has' HAV 2 - pt doesn't have hep B - we cant be sure of that as pt in window period will have HBsAG, HBeAg, HBcAg and Anti HBsAg negative 3 - tests for HCV not done - do cant say if pt has hep c 4 - PBC - presents with fatigue and pruritis. Jaundice, hepatomegaly and RUQ pain seen in 10% of pts. Need anti-mitochondrial ab for diagnosis. And they dont usually present with fever. 0 - ArchivalUser - 03-20-2006 it should be "none of the above" and I think this pt might have tumor. 0 - ArchivalUser - 03-20-2006 In the window period core antigen would be present, right? 0 - ArchivalUser - 03-20-2006 NOT HEPB AND SHE HAD HEPA 0 - ArchivalUser - 03-20-2006 I think both A & B are answers. Correct me. |