Gastroenterology Quiz #30: Alcoholic Liver Disease

1. A 45-year-old man with a history of chronic alcohol use presents with jaundice, abdominal distension, and spider angiomas on his chest. Laboratory tests show elevated AST and ALT with AST being significantly higher than ALT. Which of the following is the most likely diagnosis? 

Question 1 of 5

2. A 50-year-old woman with a long history of alcohol abuse is admitted with confusion and asterixis. Her blood work reveals an elevated ammonia level. Which of the following is the most likely cause of her symptoms?

Question 2 of 5

3. A 55-year-old male with a history of alcoholism presents with right upper quadrant pain, fever, and leukocytosis. Imaging studies reveal an abscess within the liver. Which of the following is the most common causative organism of this condition in the setting of alcoholic liver disease? 

Question 3 of 5

4. A 48-year-old man with a history of heavy alcohol use presents with a tender, enlarged liver, and ascites. Serum laboratory tests reveal a low albumin level and prolonged prothrombin time. Which of the following stages of alcoholic liver disease is most consistent with these findings? 

Question 4 of 5

5. A 60-year-old man with a long-standing history of alcohol abuse undergoes a liver biopsy after presenting with malaise and anorexia. The biopsy shows Mallory bodies and neutrophilic infiltration of the liver. Which of the following is the most likely diagnosis? 

Question 5 of 5


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