Primary biliary cholangitis 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 37-year-old male presents for evaluation of intense pruritus and fatigue over the last 5 weeks. He is a construction worker and has found it difficult to complete tasks due to constant tiredness. He has not been to a physician in over 10 years because of financial concerns. The patient has not had any recent abdominal pain or diarrhea, but has had multiple episodes of bloody diarrhea that self-resolved several years ago. He drinks 2-3 beers on the weekends but does not smoke cigarettes or use illicit substances. His temperature is 37.0°C (98.6°F), pulse is 92/min, respirations are 13/min, and blood pressure is 126/85 mmHg. Physical examination reveals scleral icterus and multiple excoriations over the trunk and arms. There is no tenderness to palpation of the abdomen. Laboratory testing reveals the following:



Which of the following additional findings is likely present in this patient?

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