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Exam questionKROK 2Medicine · 2018

A 54-year-old patient complains of weakness, jaundice, itching skin. Disease onset was 1.5 months ago: fever up to 39°C appeared at first, with progressive jaundice developed 2 weeks later. On hospitalization jaundice was severely progressed. Liver cannot be palpated. Gallbladder is enlarged and painless. Blood bilirubin is 190 mcmol/L (accounting mainly for direct bilirubin). Stool is acholic. What is the most likely reason for jaundice in this patient?

Answer options

  1. Mechanical jaundice
  2. Caroli syndrome
  3. Gilbert’s syndrome
  4. Hemolytic jaundice
  5. Hepatocellular jaundice
Correct answer

Mechanical jaundice

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