USMLE Forum Archives - USMLE Step 3 - Raised Alk Phosp
Raised Alk Phosp
harry206 - 05-07-09 07:38
A 53-year-old Asian female comes with complaints of fatigue and weight loss of 4.5kg (10 lbs) within the past four months. She has been an alcoholic for the last 10 years, and she still consumes approximately two bottles of beer daily. She was diagnosed with pulmonary tuberculosis two years ago, for which she took isoniazid and rifampin for two months. She has normal vital signs. The abdominal examination is unremarkable. Her laboratory test results reveal the following:
total bilirubin: 1.0 mg/dl
AST: 35 IU/L
ALT: 40 IU/L
alkaline phosphatase: 400 IU/L
serum albumin: 3.5 mg/dl
PT: 11 seconds
Which of the following is the most likely cause of these findings?
harry206 - 05-07-09 07:38
A 53-year-old Asian female comes with complaints of fatigue and weight loss of 4.5kg (10 lbs) within the past four months. She has been an alcoholic for the last 10 years, and she still consumes approximately two bottles of beer daily. She was diagnosed with pulmonary tuberculosis two years ago, for which she took isoniazid and rifampin for two months. She has normal vital signs. The abdominal examination is unremarkable. Her laboratory test results reveal the following:
total bilirubin: 1.0 mg/dl
AST: 35 IU/L
ALT: 40 IU/L
alkaline phosphatase: 400 IU/L
serum albumin: 3.5 mg/dl
PT: 11 seconds
Which of the following is the most likely cause of these findings?
The correct answer and explanation will be available after you answer.
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#17
Re: Raised Alk Phosp babbu5508 - 07-28-10 05:23 My answer is: e.
complaints of fatigue and weight loss of 4.5kg (10 lbs) within the past four months...raised alp...consumption of alcohol are the key
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