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Bilirubin
(Single Best Answer) Question 1: The one measurement of fetal maturity that is not affected by a 'bloody tap' during amniocentesis is ?
A) L / S ratio
B) Phosphatidyl glycerol
C) alpha - fetoprotein
D) Bilirubin as measured by ∆ OD 450
Answer (Select an option above to get the answer):
(Single Best Answer) Question 2: A 50-year old lady presented with history of pain upper abdomen, nausea, and decreased appetite for 5 days. She had undergone cholecystectomy 2 years back. Her bilirubin was 10 mg/dl, SGOT 900 IU/l SGPT 700 IU/l and serum alkaline phosphatase was 280 IU/l. What is the most likely diagnosis ?
A) Acute pancreatitis
B) Acute cholangitis
C) Acute viral hepatitis
D) Posterior penetration of peptic ulcer
Answer (Select an option above to get the answer):
(Single Best Answer) Question 3: A 25-year old farmer presented with history of high grade fever for 7 days and altered sensorium for 2 days. On examination, he was comatosed and had conjunctival hemorrhage. Urgent investigations showed a hemoglobin of 11 gm/dl, serum bilirubin 8 mg/dl and urea 78 mg/dl. Peripheral blood smear was negative for malarial parasite. What is the most likely diagnosis ?
A) Brucellosis
B) Weil's disease
C) Acute viral hepatitis
D) Q fever
Answer (Select an option above to get the answer):
(Single Best Answer) Question 4: Heme is converted to bilirubin mainly in ?
A) Kidney
B) Liver
C) Spleen
D) Bone Marrow
Answer (Select an option above to get the answer):
(Single Best Answer) Question 5: Which one of the following serum levels would help in distinguishing an acute liver disease from chronic liver disease ?
A) Aminotransferase
B) Alkaline phosphatase
C) Bilirubin
D) Albumin
Answer (Select an option above to get the answer):
(Single Best Answer) Question 6: The conjugation of bilirubin to glucuronic acid in the liver ?
A) Converts a hydrophilic compound to a hydrophobic one
B) Converts a hydrophobic compound to a hydrophilic one
C) Enables the bilirubin molecule to cross the cell membrane
D) Is increased during neonatal jaundice
Answer (Select an option above to get the answer):
(Single Best Answer) Question 7: Which mechanism in phototherapy is chiefly responsible for reduction in serum bilirubin ?
A) Photo-oxidation
B) Photo-isomerization
C) Structural isomerization
D) Conjugation
Answer (Select an option above to get the answer):
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