Hepatobiliary Disease USMLE Step 1 Practice Question
A 49-year-old man with a 20-year history of alcohol use presents with bulky, foul-smelling stools, progressive weight loss, and easy bruising. Vital signs show BP 128/76, HR 88, RR 16, temperature 37°C, SpO2 98%. Laboratory studies reveal fecal elastase <200 μg/g, prothrombin time 18 seconds, and albumin 2.8 g/dL. Abdominal ultrasound demonstrates normal liver echotexture. Which of the following is the most likely underlying diagnosis?
Answer choices
- ACeliac disease
- BChronic pancreatitisCorrect answer
- CGilbert syndrome
- DLactase deficiency
- EUlcerative colitis
- FPrimary biliary cirrhosis
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