{"id":126,"date":"2017-04-27T02:14:53","date_gmt":"2017-04-27T02:14:53","guid":{"rendered":"https:\/\/imgmedicaldoctor.com\/?p=126"},"modified":"2025-12-06T19:06:55","modified_gmt":"2025-12-06T19:06:55","slug":"internal-medicine-question-2-for-usmle-mccee-plab-fcps-pdmcmrcp","status":"publish","type":"post","link":"https:\/\/imgmedicaldoctor.com\/?p=126","title":{"rendered":"Internal Medicine Question (2) for USMLE, MCCEE, PLAB, FCPS, PDMC,MRCP&#8230;&#8230;&#8230;"},"content":{"rendered":"<p><script async src=\"\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script><br \/>\n<script>\n  (adsbygoogle = window.adsbygoogle || []).push({\n    google_ad_client: \"ca-pub-2708967997486115\",\n    enable_page_level_ads: true\n  });\n<\/script><\/p>\n<p><script async src=\"\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script><br \/>\n<!-- shorter link --><br \/>\n<ins class=\"adsbygoogle\" style=\"display: inline-block; width: 468px; height: 15px;\" data-ad-client=\"ca-pub-2708967997486115\" data-ad-slot=\"2174551186\"><\/ins><br \/>\n<script>\n(adsbygoogle = window.adsbygoogle || []).push({});\n<\/script><\/p>\n<p class=\"flow-text\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-90\" src=\"https:\/\/imgmedicaldoctor.com\/wp-content\/uploads\/2016\/09\/My_stethoscope-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" \/><\/p>\n<p id=\"question_question\" class=\"flow-text\">A 20-year-old female student presents with a 1-week history of nausea, vomiting, and anorexia. She returned 2 weeks ago from a trip to Guatemala. On physical examination, her temperature was 100.3\u00b0F, clear chest, and she had mild jaundice and a palpable, tender liver. Her CBC was normal, and her liver function tests are as follows: Serum total bilirubin 3.1 mg\/dL. Serum aspartate aminotransferase 1100. Serum alanine aminotransferase 1900. Serum alkaline phosphatase 112. What is the most likely lab test to confirm your diagnosis?<\/p>\n<p class=\"flow-text\">A-\u00a0IgM antibody to hepatitis A virus<\/p>\n<p class=\"flow-text\">B-<span class=\"choice\">\u00a0<\/span>Antibody to hepatitis B surface antigen<\/p>\n<p class=\"flow-text\"><span class=\"choice\">C-\u00a0<\/span>Antibody to hepatitis C virus<\/p>\n<p class=\"flow-text\"><span class=\"choice\">D-\u00a0<\/span>DNA for Epstein-Barr virus<\/p>\n<p class=\"flow-text\"><span class=\"choice\">E-\u00a0<\/span>Serum anti-mitochondrial antibodies<\/p>\n<p class=\"flow-text\"><strong>Answer:\u00a0<\/strong><\/p>\n<p><script async src=\"\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script><br \/>\n<!-- USMLE Responsive --><br \/>\n<ins class=\"adsbygoogle\" style=\"display: block;\" data-ad-client=\"ca-pub-2708967997486115\" data-ad-slot=\"2268670784\" data-ad-format=\"auto\"><\/ins><br \/>\n<script>\n(adsbygoogle = window.adsbygoogle || []).push({});\n<\/script><\/p>\n<p class=\"flow-text\">This patient has typical presentation of hepatitis A virus infection. His recent travel, short incubation period and mode of infection in addition to lab results confirm this diagnosis. The only option that is almost always positive in hepatitis A virus recent infection is IgM antibody to hepatitis A virus.<\/p>\n<p class=\"flow-text\">The correct answer is A<\/p>\n<p><script async src=\"\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script><br \/>\n<!-- USMLE Responsive --><br \/>\n<ins class=\"adsbygoogle\" style=\"display: block;\" data-ad-client=\"ca-pub-2708967997486115\" data-ad-slot=\"2268670784\" data-ad-format=\"auto\"><\/ins><br \/>\n<script>\n(adsbygoogle = window.adsbygoogle || []).push({});\n<\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A 20-year-old female student presents with a 1-week history of nausea, vomiting, and anorexia. She returned 2 weeks ago from a trip to Guatemala. On physical examination, her temperature was 100.3\u00b0F, clear chest, and she had mild jaundice and a palpable, tender liver. Her CBC was normal, and her liver function tests are as follows: &#8230; <a title=\"Internal Medicine Question (2) for USMLE, MCCEE, PLAB, FCPS, PDMC,MRCP&#8230;&#8230;&#8230;\" class=\"read-more\" href=\"https:\/\/imgmedicaldoctor.com\/?p=126\" aria-label=\"Read more about Internal Medicine Question (2) for USMLE, MCCEE, PLAB, FCPS, PDMC,MRCP&#8230;&#8230;&#8230;\">Read more<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[26,30,28,19,20,31],"class_list":["post-126","post","type-post","status-publish","format-standard","hentry","category-internal-medicine","tag-fcps","tag-gastroenterology","tag-internal-medicine","tag-usmle","tag-usmle-step-1","tag-usmle-step-2"],"aioseo_notices":[],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/imgmedicaldoctor.com\/index.php?rest_route=\/wp\/v2\/posts\/126","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/imgmedicaldoctor.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/imgmedicaldoctor.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/imgmedicaldoctor.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/imgmedicaldoctor.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=126"}],"version-history":[{"count":4,"href":"https:\/\/imgmedicaldoctor.com\/index.php?rest_route=\/wp\/v2\/posts\/126\/revisions"}],"predecessor-version":[{"id":329,"href":"https:\/\/imgmedicaldoctor.com\/index.php?rest_route=\/wp\/v2\/posts\/126\/revisions\/329"}],"wp:attachment":[{"href":"https:\/\/imgmedicaldoctor.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=126"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/imgmedicaldoctor.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=126"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/imgmedicaldoctor.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=126"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}