Question 1

A patient has an elevated indirect bilirubin. Which condition may be causing this symptom?&#10;A) Alcoholic cirrhosis&#10;B) Cholelithiasis&#10;C) Hemolytic anemia&#10;D) Viral hepatitis

Accepted Answer

Hemolytic anemia is a condition where red blood cells are destroyed faster than they can be produced, leading to an elevated indirect bilirubin level. Alcoholic cirrhosis, cholelithiasis, and viral hepatitis are not typically associated with an elevated indirect bilirubin level.

Question 2

A patient presenting with jaundice has a bilirubin testing that reveals elevated direct bilirubin. Which subsequent testing may help determine the cause of these findings? (Select all that apply.)&#10;A) Complete blood count&#10;B) Liver function tests&#10;C) Renal function tests&#10;D) Serologic viral tests&#10;E) Serum iron and ferritin

Accepted Answer

B, D, E

Question 3

A patient diagnosed with jaundice has bright orange urine. What is a likely cause of this jaundice?&#10;A) Bile duct obstruction&#10;B) Blood transfusion reaction&#10;C) Defective erythropoiesis&#10;D) Sickle cell anemia

Accepted Answer

Bright orange urine is a sign of conjugated bilirubin in the urine. This suggests that the cause of the jaundice is likely a blockage in the bile duct, preventing conjugated bilirubin from being excreted through the intestines and instead leading to its excretion through the urine. Blood transfusion reaction, defective erythropoiesis, and sickle cell anemia would not typically cause bright orange urine.

Deck 122: Jaundice