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14000 Surgery

Which of the following statement is false

APrimary biliary cholangitis involves only intrahepatic.
BPrimary biliary cholangitis is associated with rheumatoid arthritis
CPrimary sclerosing cholangitis is seen in males > females
DPrimary sclerosing cholangitis involves only extrahepatic.
Surgery
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14003 Surgery

A 35-year-old woman is evaluated for jaundice in an emergency depament. For several days, the patient has had mild flu-like symptoms of anorexia, nausea and vomiting, fatigue, low-grade fever, and malaise. This morning, she noted that her urine was brown in color, and she has also developed moderate, steady, pain of the right upper quadrant of her abdomen. She has not had any similar episodes in the past. On physical examination, the patient is noted to be jaundiced and to have an enlarged, tender liver. Blood chemistry studies are notable for alanine aminotransferase (ALT) of 15,000 mIU/L, aspaate aminotransferase (AST) of 11,000 mIU/L, and alkaline phosphatase of 100 U/L. Which of the following is the most likely diagnosis?

AAcute hepatitis
BChronic hepatitis
CGallstone disease
DHepatic cirrhosis
Surgery
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