#january2020mccqe1
A 35-year-old man goes to the emergency department because he has developed a severe case of hives. He has never had hives before. Physical examination demonstrates multiple wheals and erythematous patches over his body, which respond to subcutaneous epinephrine. The patient’s sclera are slightly yellow-tinged. Results of the chest and abdomen examination are within normal limits. Screening biochemistry tests demonstrate an AST (SGOT) of 350 U/L and an ALT (SGPT) of 300 U/L. Which of the following is the most likely diagnosis?
(A) Alcoholic cirrhosis
(B) Alpha1-antitrypsin deficiency
(C) Hemochromatosis
(D) Hepatitis A
(E) Hepatitis B
A 35-year-old man goes to the emergency department because he has developed a severe case of hives. He has never had hives before. Physical examination demonstrates multiple wheals and erythematous patches over his body, which respond to subcutaneous epinephrine. The patient’s sclera are slightly yellow-tinged. Results of the chest and abdomen examination are within normal limits. Screening biochemistry tests demonstrate an AST (SGOT) of 350 U/L and an ALT (SGPT) of 300 U/L. Which of the following is the most likely diagnosis?
(A) Alcoholic cirrhosis
(B) Alpha1-antitrypsin deficiency
(C) Hemochromatosis
(D) Hepatitis A
(E) Hepatitis B
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