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 54-year-old man is seen in the emergency department for evaluation of abdominal pain and black stool for the past six days. The patient normally drinks 11 beers per day, but his last drink was five days ago due to abdominal pain. The patient is prescribed omeprazole for peptic ulcer disease but does not take this medication. Temperature is 37.2 ºC (99.0 ºF), pulse is 90/min, blood pressure is 122/81 mmHg, and SpO₂ is 100% on room air. On physical examination, the patient has normal mentation and no asterixis. There is mild epigastric and right upper quadrant tenderness to palpation. Digital rectal examination shows black stool in the rectal vault without hematochezia. Hemoglobin is 11.1 g/dL, AST is 175 U/L and ALT is 90 U/L. The patient’s Maddrey discriminant function is calculated as 39. Which of the following is the best next step in management?

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Start oral pentoxifylline

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Start IV lorazepam

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Transfer to a liver transplant center