A fifty-four year old man with a long history of alcohol abuse now has weight loss, jaundice, and abdominal pain. Conjugated (direct) bilirubin is markedly elevated. Transaminases and amylase are mildly elevated. A CT scan reveals a nodular liver as well as calcification and several cysts in and around the pancreas.There is ill- defined mild enlargement of the head of the pancreas.
The jaundice is most likely due to:
a. decreased reabsorption of bile acids
b. cirrhosis
c. tumor-associated hemolytic anemia
d. stricture of the common bile duct
e. metastatic carcinoma in the liver
AnswerTags:
MCQ, Pathology, Jaundice
Category:
Pathology MCQs
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