Alcohol-induced hepatitis Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 25-year-old man is seen in the emergency department for evaluation of abdominal pain. For the past five days, the patient has had a dull ache in the right upper quadrant that does not change with position or eating. The patient has been drinking 13 beers per day for the past three months and his last drink was two days ago. Temperature is 37.0 ºC (98.6 ºF), pulse is 126/min, blood pressure is 155/98 mmHg, and SpO2 is 100% on room air. On physical examination, the patient is tremulous and anxious. Bloodwork is obtained and results are shown below. Abdominal ultrasound shows increased echogenicity and surface nodularity of the liver with patent venous flow into the liver. The gallbladder and pancreas are not well-visualized due to overlying bowel gas. Which of the following is the most likely diagnosis?  

Laboratory Test
Result
White blood cell count  
4.3 cells/mm3   
Hemoglobin
13.3 g/dL  
AST
210 U/L  
ALT
110 U/L  
Total bilirubin  
7.0 mg/dL  
Prothrombin time  
18 seconds  
Lipase
180 U/L (nl: 0-160 U/L)  

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