Jaundice 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 57-year-old man comes to his primary care PA for evaluation of abdominal pain and fatigue. His symptoms began 4 months ago and have progressively worsened. In addition, he reports a 5 kg (11 lb) unintentional weight loss since symptom onset. The patient often wakes up at night drenched in sweat. Past medical history is notable for peripheral vascular disease and alcohol use disorder. The patient has a 40-pack-year smoking history. Physical examination shows jaundice and scleral icterus. Abdominal pain is most prominent in the epigastric region. Laboratory testing reveals the following findings:  

Laboratory value  
Result
Total bilirubin  
5.2 mg/dL (reference range: 0.1-1 mg/dL)  
Conjugated bilirubin  
4.6 mg/dL (reference range: 0.0-0.3 mg/dL)  
Alkaline phosphatase  
96 U/L (reference range: 20-70 U/L)  
Aspartate transaminase  
110 U/L (reference range: 8-40 U/L)  
Alanine transaminase  
112 U/L (reference range: 8-40 U/L)  
Lipase*  
95 U/L (reference range: 10-140 U/L)  
*Normal range: 12-70 U/L  

Which of the following additional findings will be most likely present on this patient’s physical examination?  

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