Quiz on liver function tests
Test your knowledge and find the best matches between the following statements and the blood test results in the table. See bottom of this page for the answers.
1. A 30-year old female presents to clinic with fevers, vomiting, lethargy and myalgia for 1 week. There is a mild continuous right upper quadrant ache. She takes no medications or alcohol. Two of her family members have also been similarly unwell.
2. A 51-year old male presents with tense abdominal distension. He drinks 80 units of alcohol per week.
3. A 76-year old male with known prostate cancer presents with back pain.
4. A 16-year old male presents with lethargy and breathlessness.
5. A 41-year old female with biopsy-proven HCV cirrhosis who had successful HCV treatment 2 years ago.
6. A 40-year old female presents with 2 days of colicky right upper quadrant pain and nausea.
|
|
A |
B |
C |
D |
E |
F |
|
Bilirubin (µmol/l) |
12 |
45 |
63 |
34 |
41 |
15 |
|
Alkaline phosphatase (IU/l) |
199 |
338 |
371 |
173 |
49 |
56 |
|
ɣ–glutamyl transpedtidase (IU/l) |
37 |
182 |
451 |
175 |
31 |
39 |
|
Alanine aminotransferase (IU/l) |
18 |
63 |
1976 |
55 |
16 |
31 |
|
Aspartate aminotransferase (IU/l) |
21 |
63 |
1883 |
89 |
17 |
34 |
|
Albumin (g/l) |
35 |
41 |
37 |
22 |
40 |
38 |
|
Globulin (g/l) |
24 |
20 |
27 |
23 |
29 |
20 |
|
Total protein (g/l) |
59 |
61 |
64 |
45 |
69 |
58 |
|
Haemoglobin (g/l) |
136 |
149 |
138 |
115 |
81 |
141 |
|
Mean cell volume (fl) |
98 |
97 |
94 |
108 |
105 |
95 |
|
White cell count (x109/l) |
5.1 |
8.0 |
10.0 |
4.3 |
5.0 |
3.9 |
|
Platelets (x109/l) |
299 |
307 |
400 |
86 |
249 |
237 |
|
Prothrombin time (s) |
11 |
10 |
12 |
15 |
11 |
10 |
|
International normalized ratio |
1.0 |
1.0 |
1.1 |
1.4 |
1.0 |
0.9 |
|
Urea (mg/dl) |
6.5 |
5.9 |
6.4 |
2.0 |
3.5 |
3.8 |
|
Creatinine (µmol/l) |
127 |
109 |
97 |
49 |
67 |
57 |
|
C-reactive protein (mg/l) |
5 |
9 |
30 |
2 |
3 |
1 |
Scroll Down for the Answers.....
Answers to quiz: 1C, 2D, 3A, 4E, 5F, 6B