UW q ID 367

[MudPhud20XX]

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A 32 yr old man comes to the clinic due to several months of fatigue and weight loss. The patient has no significant past medical hx. He drinks 1 or 2 alcoholic beverages daily and has used illicit intravenous drugs in the past. He is sexually active with his girlfriend. The patient has a maternal aunt with hypothyroidism, but his family hx is oterwise unremarkable. His temp is 36.7C, bp is 110/70, pulse is 65, and rr is 18. Physical exam is normal. A liver biopsy is obtained, and light microscopy reveals large hepatocytes filled with finely granular, homogeneous, pale pink cytoplasm. Which of the following is the most likely diagnosis?

A. alcoholic steatohepatitis
B. hemochromatosis
C. hep B infection
D. hep C infection
E. nonalcoholic steatohepatitis

 

[Jabbed]

Clinical presentation is ambiguous, but "ground glass hepatocyte" points to hep B.

 

[MudPhud20XX]

Clinical presentation is ambiguous, but "ground glass hepatocyte" points to hep B.

Thanks, I chose A. Ground glass hepatocytes, does pathoma talk about this? I can't find this infor from FA.

 

[Jabbed]

Thanks, I chose A. Ground glass hepatocytes, does pathoma talk about this? I can't find this infor from FA.

I believe so, but I can't confirm as I don't have my copy on me.

 

[scoKraz4]

How long have you been studying for this test?? I've seen you posting for a lonnnng time about questions.