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A patient is admitted to the emergency department (ED) following an overdose of acetaminophen (Tylenol) and is diagnosed with cirrhosis. Which laboratory finding is consistent with the diagnosis?

A.

elevated serum protein hyperproteinemia

B.

decreased serum liver enzymes (ALT).

C.

elevated number of platelets thrombocytosis)

D.

decreased level of clotting factors.

Answer and Explanation

The Correct Answer is D

26. A patient is admitted to the emergency department (ED) following an overdose of acetaminophen (Tylenol) and is diagnosed with cirrhosis. Which laboratory finding is consistent with the diagnosis?

  1. elevated serum protein hyperproteinemia
  2. decreased serum liver enzymes (ALT).
  3. elevated number of platelets thrombocytosis)
  4. decreased level of clotting factors.

Correct answer:

A. Elevated serum protein hyperproteinemia: In cirrhosis, serum protein levels, particularly albumin, are often decreased due to impaired liver synthesis.

B. Decreased serum liver enzymes (ALT): In cirrhosis, liver enzyme levels such as ALT (alanine aminotransferase) are typically elevated due to liver damage and inflammation.

C. Elevated number of platelets (thrombocytosis): Cirrhosis often leads to thrombocytopenia (decreased platelet count) due to splenomegaly and decreased production of thrombopoietin.

D. Decreased level of clotting factors: The liver synthesizes most clotting factors, and in cirrhosis, the production of these factors is impaired, leading to decreased levels and increased bleeding risk.


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Related Questions

Correct Answer is A

Explanation

A. Adherence to a low-fat diet: The patient likely experienced a transient ischemic attack (TIA), which is a warning sign for future strokes. A low-fat diet is recommended to help manage cholesterol and reduce the risk of atherosclerosis and stroke.

B. The administration of clot-busting drugs: Clot-busting drugs (thrombolytics) are used in the acute management of a stroke, but this patient’s symptoms resolved spontaneously, and the focus is on prevention.

C. Reporting any signs of heat or cold intolerance: This is unrelated to the prevention of stroke or management after a TIA.

D. Avoiding red wine and chocolate: While moderation in alcohol and certain foods is generally advised for overall health, this specific recommendation does not address the primary concern of preventing future cerebrovascular events.

Correct Answer is C

Explanation

A. The disease is prevalent in certain geographical locations: This statement is true but does not explain the etiology of MS. Geographic prevalence does not address the underlying cause.

B. There is a well-defined genetic cause: While genetics may play a role in MS, there is no single well-defined genetic cause for the disease.

C. Inflammatory processes are responsible for the signs and symptoms: MS is an autoimmune disease characterized by inflammation and demyelination of the central nervous system, leading to the signs and symptoms of the disease.

D. Ischemic lesions in the brain are responsible for the signs and symptoms: MS is primarily caused by demyelination rather than ischemic lesions.

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