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Exam questionKROK 2Medicine · 2004

A 10-year-old child is sick with chronic viral hepatitis B with marked activity of the process. Total bilirubin - 70 mmol/L, direct - 26 mmol/L, indirect - 44 mmol/L. АSТ - 6,2 mmol/L, АLТ - 4,8 mmol/L. What mechanism underlies the transaminase level increase of this patient?

Answer options

  1. Failure of bilirubin conjugation
  2. Hypersplenism
  3. Cytolysis of hepatocytes
  4. Intrahepatic cholestasis
  5. Failure of the synthetic function of the liver
Correct answer

Cytolysis of hepatocytes

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