NBME 24 Alkaline phosphatase (NBME Answers)

NBME 24 Answers ↦

nbme24/Block 3/Question#6 (26.1 difficulty score)
A 43-year-old woman comes to the physician ...
Alkaline phosphatase🔍
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+8
submitted by lm4(9),

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ni het eecxonri casnr,epa ledalr,dbgla and ievrl tophoaylg tsnoiec of haao,tmp asttar nmeinost atht the ihmeeutlip liinng rliybai tacrt ash nlaakile soeaphstpha os henw tyhe are edamdga it esreslae stih, cnasriigne rmuse lka ho.ps

lilyo Cholestasis will present with elevated conjugated bilirubin, Alkaline phosphatase, GGT. Depending on the cause for cholestasis it can present with pale stools and dark urine. This patient has cholestasis due to choledocolithiasis. Look at FA 2019 page 390. +

sars From what I understand, this could be acute cholangitis (inflammation of the bile duct-charcot triad-hypotension, RUQ pain, jaundice). Biggest risk factor for this is choledocholithiasis. Damage to bile ducts releases ALP and GGT. Thanks +1

+4
submitted by yotsubato(1028),

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ALT adn TAS are emneszy iniwht ayc.ptsoethe hWtuoti thoeypcaet ma,eadg oyu nowt hvae i.vesntoael

klilAaen staahepopsh si spertne ni lla seuitss otgouhuthr the rtenie doby, utb is aipyrlluactr nnaetcctdeor ni eht ir,lev lbei cudt, kei,ynd e,bon tsatelnnii oacmus dan pacltane.

+1
submitted by m-ice(340),

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Tish patietn hsa a solenatlg egldod in teh nmocom beli .dtcu ee,eTrhfor the msrkear msto lleyik ot be eeatledv is oenhgimst morf eth lyiaibr tr,atc the ebst fo icwhh is kalaelni ohpstehsa.pa Three oudcl yotneaptill be laensevtio ni STA and ,ATL tbu tsih is not the OMST kllyei r.awsne cjegnUoatudn burinlibi is ont a ogod nw,easr aeescbu eth rvile nca ltils tajocngeu lal irilni,ubb ti tjsu sha sseius onw icernxteg ttah gcduneojat mo.rf So hte nosma'w UNDEACJGOT bbilirinu si rmeo lilkye ot eb daevtl.ee

+0
submitted by lilyo(72),

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lshasCsotie llwi srpeetn ihwt eleaevdt uajedtognc ,nliiurbib lAnklaie tpeoh,spasah .TGG gieeDdpnn no eth cuase fro csseialtosh ti acn neptrse whti aelp oltsos and rakd u.nrei