The presence of bilirubin in the urine without urobilinogen suggests (A) Obstructive jaundice (B) Hemolytic jaundice (C) Pernicious anemia (D) Damage to the hepatic parenchyma

1 Answer

Answer :

Answer : A

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Description : Increased urobilinogen in urine and absence of bilirubin in the urine suggests (A) Obstructive jaundice (B) Hemolytic jaundice (C) Viral hepatitis (D) Toxic jaundice

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Description : A mixture of conjugated and unconjugated bilirubin is found in the circulation in (A) Hemolytic jaundice (B) Hepatic jaundice (C) Obstructive jaundice (D) Post hepatic jaundice

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Description : Immediate direct Vanden Bergh reaction indicates (A) Hemolytic jaundice (B) Hepatic jaundice (C) Obstructive jaundice (D) Megalobastic anemia

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Description : In obstructive jaundice, urine shows (A) Absence of bile pigments and urobilinogen (B) Presence of bile pigments and urobilinogen (C) Absence of bile pigments and presence of urobilinogen (D) Presence of bile pigments and absence of urobilinogen

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Description : A complete absence of fecal urobilinogen is strongly suggestive of (A) Obstruction of bile duct (B) Hemolytic jaundice (C) Intrahepatic cholestasis (D) Malignant obstructive disease

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Description : An increase in serum unconjugated bilirubin occurs in (A) Hemolytic jaundice (B) Obstructive jaundice (C) Nephritis (D) Glomerulonephritis

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Description : Fecal stercobilinogen is increased in (A) Hemolytic jaundice (B) Hepatic jaundice (C) Viral hepatitis (D) Obstructive jaundice

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Description : A jaundice in which serum alanine transaminase and alkaline phosphatase are normal is (A) Hepatic jaundice (B) Hemolytic jaundice (C) Parenchymatous jaundice (D) Obstructive Jaundice

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Description : Serum LDL has been found to be increased in (A) Obstructive jaundice (B) Hepatic jaundice (C) Hemolytic jaundice (D) Malabsorption syndrome

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Description : Bile pigments are absent and urobilinogen increased in urine in (A) Haemolytic jaundice (B) Hepatocellular jaundice (C) Obstructive jaundice (D) Rotor’s syndrome

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Description : Bile pigments are present and urobilinogen absent in urine in (A) Haemolytic jaundice (B) Hepatocellular jaundice (C) Obstructive jaundice (D) Crigler-Najjar syndrome

Last Answer : Answer : C

Description : All the following statements about obstructive jaundice are true except (A) Conjugated bilirubin in serum is normal (B) Total bilirubin in serum is raised (C) Bile salts are present in urine (D) Serum alkaline phosphatase is raised

Last Answer : Answer : A

Description : In hemolytic jaundice, bilirubin in urine is (A) Usually absent (B) Usually present (C) Increased very much (D) Very low

Last Answer : Answer : A

Description : Bile pigments are not present in urine in (A) Haemolytic jaundice (B) Hepatic jaundice (C) Obstructive jaundice (D) Rotor’s syndrome

Last Answer : Answer : A

Description : In haemolytic jaundice, urine shows (A) Absence of bile pigments and urobilinogen (B) Presence of bile pigments and urobilinogen (C) Absence of bile pigments and presence of urobilinogen (D) Presence of bile pigments and absence of urobilinogen FATS AND FATTY ACID METABOLISM 91

Last Answer : Answer : C

Description : In obstructive jaundice, faecal urobilinogen is (A) Absent (B) Decreased (C) Increased (D) Normal

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Description : Fecal urobilinogen is decreased in (A) Obstruction of biliary duct (B) Hemolytic jaundice (C) Excess fat intake (D) Low fat intake

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Description : Fecal urobilinogen is increased in (A) Hemolytic jaundice (B) Obstruction of biliary duct (C) Extrahepatic gall stones (D) Enlarged lymphnodes

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Description : The pH of gastric juice become low in (A) Hemolytic anemia (B) Pernicious anemia (C) Both (A) and (B) (D) None of these

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Description : If results of the serum bilirubin, serum ALP, LDH and AST determinations suggest obstructive jaundice, the best confirmatory test would be the estimation of (A) Serum ALT (B) Serum 5’ nucleotidase (C) Serum Pseudo cholinesterase (D) None of these

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Description : In obstructive jaundice, urinary bilirubin is (A) Absent (B) Increased (C) Present (D) Present in small amount

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Description : All the following statements about obstructive jaundice are true except (A) Prothrombin time may be prolonged due to impaired absorption of vitamin K (B) Serum alkaline phosphatase may be raised ... systemic circulation due to biliary obstruction (D) There is no defect in conjugation of bilirubin

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Description : In hemolytic jaundice, the urinary bilirubin is (A) Normal (B) Absent (C) More than normal (D) Small amount is present

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Description : One of the causes of hemolytic jaundice is (A) G-6 phosphatase deficiency (B) Increased conjugated bilirubin (C) Glucokinase deficiency (D) Phosphoglucomutase deficiency

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Description : Serum alkaline phosphatase is greatly increased in (A) Haemolytic jaundice (B) Hepatic jaundice (C) Obstructive jaundice (D) None of these

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Description : kernicterus can occur in (A) Haemolytic jaundice (B) Hepatic jaundice (C) Obstructive jaundice (D) All of these

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Description : Which type of jaundice in adults is the result of increased destruction of red blood cells? a) Hemolytic Hemolytic jaundice results because, although the liver is functioning normally, it cannot ... is the result of liver disease. d) Non-obstructive Non-obstructive jaundice occurs with hepatitis.

Last Answer : a) Hemolytic Hemolytic jaundice results because, although the liver is functioning normally, it cannot excrete the bilirubin as quickly as it is formed.

Description : In pernicious anemia, Urine contains high amounts of (A) Methyl malonic acid(B) FIGLU (C) VMA (D) 5 HIAA

Last Answer : Answer : A

Description : Pre- hepatic jaundice occurs because of (A) Increased haemolysis (B) Liver damage (C) Biliary obstruction (D) None of these

Last Answer : Answer : A

Description : The Fe containing pigments is (A) Haematoidin (B) Bilirubin (C) Hemasiderin (D) Urobilinogen

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Description : Lesch-Nyhan syndrome, the sex linked, recessive absence of HGPRTase, may lead to (A) Compulsive self destructive behaviour with elevated levels of urate in serum (B) Hypouricemia due to liver damage (C) Failure to thrive and megaloblastic anemia (D) Protein intolerance and hepatic encephalopathy

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Description : Presence of stones in gall bladder cause (a) Failure of kidney (b) Dysentry (c) Obstructive jaundice (d) Anaemia

Last Answer : (c) Obstructive jaundice

Description : Excess intake of cobalt for longer periods leads to (A) Polycythemia (B) Megaloblastic anemia (C) Pernicious anemia (D) Microcytic anemia

Last Answer : Answer : A

Description : Taurinuria may be encountered in (A) Pernicious anemia (B) Beriberi (C) Pellegra (D) Folate deficiency

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Description : Pyridoxine deficiency leads to (A) Megaloblastic anemia (B) Aplastic anemia (C) Hypochromic microcytic anemia (D) Pernicious anemia

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Description : Deficiency of Iron leads to (A) Megaloblastic anemia (B) Aplastic anemia (C) Pernicious anemia (D) Hypochromic microcytic anemia

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Description : A deficiency of folate leads to (A) Megaloblastic anemia (B) Aplastic anemia (C) Pernicious anemia (D) Hypochromic microcytic anemia

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Description : This abnormal metabolite may be responsible for the neurological manifestation of pernicious anemia. (A) Taurine (B) Methyl malonic acid (C) Xanthurenic acid (D) Phenyl pyruvic acid

Last Answer : Answer : B

Description : A deficiency of vitamin B12 causes (A) Cheliosis (B) Beriberi (C) Pernicious anemia (D) Scurvy

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Description : A deficiency of Iron leads to (A) Megaloblastic anemia (B) Aplastic anemia (C) Pernicious anemia (D) Hypochromic microcytic anemia

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Description : A deficiency of folate leads to (A) Megaloblastic anemia (B) Aplastic anemia (C) Pernicious anemia (D) Hypochromic microcytic anemia

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Description : This abnormal metabolite may be responsible for the neurological manifestation of pernicious anemia: (A) Taurine (B) Methyl malonic acid (C) Xantherunic acid (D) Phenyl pyruvic acid

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Description : Deficiency of Vitamin A causes (A) Xeropthalmia (B) Hypoprothrombinemia (C) Megaloblastic anemia (D) Pernicious anemia

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Description : The active transport system for hepatic uptake of bilirubin is congenitally defective in (A) Gilbert’s disease (B) Crigler-Najjar syndrome (C) Rotor’s syndrome (D) Dubin-Johnson syndrome

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Description : Which enzyme estimation will be helpful in differentiating the elevated serum ALP found in obstructive jaundice as well as bone disorders? (A) Serum AST (B) Serum ALT (C) Serum LDH (D) Serum γ-GT

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Description : Patients with hepatocellular jaundice, as compared to those with purely obstructive jaundice tend to have (A) Lower serum ALP, LDH and AST activity (B) Lower serum ALP, Higher LDH and AST activity (C) Higher serum ALP, LDH and AST activity (D) Higher serum ALP, Lower LDH and AST activity

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Description : Hypocholesterolemia is found in (A) Thyrotoxicosis (B) Diabetes mellitus (C) Obstructive jaundice (D) Nephrotic syndrome

Last Answer : Answer : A

Description : Galactose intolerance can occur in (A) Haemolytic jaundice (B) Hepatocellular jaundice (C) Obstructive jaundice (D) None of these

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Description : Serum albumin may be decreased in (A) Haemolytic jaundice (B) Hepatocellular jaundice (C) Obstructive jaundice (D) All of these

Last Answer : Answer : B

Description : Hypocholesterolaemia can occur in (A) Hyperthyroidism (B) Nephrotic syndrome (C) Obstructive jaundice (D) Diabetes mellitus FATS AND FATTY ACID METABOLISM 89

Last Answer : Answer : A