03-21-2006, 06:38 AM
i think this q had more than enough for discussion,
and i posted the q because i think it has many essential inf. that we sould all know before we sit the exam.
THE CORRECT ANSWER IS : E
and this is the Explination AS IS from the source
A. the pt has hapatitis A.
INcorrect , The pt does not have hepatitis A (else the Anti-HAV igM would be positive)
but the pt HAD hepatitis A.
B. the pt does not have hepatitis B.
INcorrect, The pt may be in Window for hepatitis B studies (an anti-HBc igM should be done)
C. the most probable causeis Hepatitis C .
INcorrect, Assuming that the pt is exaggerating the time since her last IV street drug, then hepatitis B is more likely than C.
D. the most probable cause is Primary biliary cirrhosis
INcorrect, may present with high Bilirubin but the liver transaminase are not this elevated.
and i posted the q because i think it has many essential inf. that we sould all know before we sit the exam.
THE CORRECT ANSWER IS : E
and this is the Explination AS IS from the source
A. the pt has hapatitis A.
INcorrect , The pt does not have hepatitis A (else the Anti-HAV igM would be positive)
but the pt HAD hepatitis A.
B. the pt does not have hepatitis B.
INcorrect, The pt may be in Window for hepatitis B studies (an anti-HBc igM should be done)
C. the most probable causeis Hepatitis C .
INcorrect, Assuming that the pt is exaggerating the time since her last IV street drug, then hepatitis B is more likely than C.
D. the most probable cause is Primary biliary cirrhosis
INcorrect, may present with high Bilirubin but the liver transaminase are not this elevated.