#june2020amc1
An asymptomatic 40-year-old male presents for a routine examination and is found to have a total bilirubin level of 1.8 mg/dL (N < 1.0) and an indirect bilirubin level of 1.3 mg/dL. He drinks 3-6 beers/week. An examination and laboratory tests, including a CBC and serum liver enzymes, are within normal limits. Which one of the following is true regarding the diagnosis?
a) The most likely diagnosis is alcoholic liver disease
b) The most likely diagnosis is Dubin-Johnson syndrome
c) The most likely diagnosis is Gilbert syndrome
d) Ultrasonography of the liver and gallbladder are necessary to make a diagnosis
An asymptomatic 40-year-old male presents for a routine examination and is found to have a total bilirubin level of 1.8 mg/dL (N < 1.0) and an indirect bilirubin level of 1.3 mg/dL. He drinks 3-6 beers/week. An examination and laboratory tests, including a CBC and serum liver enzymes, are within normal limits. Which one of the following is true regarding the diagnosis?
a) The most likely diagnosis is alcoholic liver disease
b) The most likely diagnosis is Dubin-Johnson syndrome
c) The most likely diagnosis is Gilbert syndrome
d) Ultrasonography of the liver and gallbladder are necessary to make a diagnosis
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