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Pathology General d5953355

Conjugated hyperbilirubinemia is seen in -a) Rotor's syndb) Dubin Johnson syndc) Gilbert's syndd) Breast milk jaundicee) Crigler Najjar syndrome

A
ac
B
ab
C
ad
D
bc
High-Yield Explanation
Predominantly Unconjugated Hyperbilirubinemia Excess production of bilirubin  Hemolytic anemias Resorption of blood from internal hemorrhage (e.g.,alimentary tract bleeding, hematomas) Ineffective erythropoiesis syndromes (e.g. permicious anemia, thalassemia) Reduced hepatic uptake Drug interference with membrane carrier systems Some cases of Gilbert syndrome Impaired bilirubin conjugation Physiologic jaundice of the newborn (decreased UGT1A1 activity,decreased excretion) Breast milk jaundice (β-glucurondases in milk) Genetic deficiency of UGT1A1 activity (Crigler-Najjar syndrome types I and II) Gilbert syndrome (mixed etiologies) Diffuse hepatocellular disease (e.g. viral or drug-induced hepatitis, cirrhosis) Predominantly conjugated hyperbilirubinemia Deficiency of canalicular membrane transponers (Dubin-Johnson syndrome,Rotor syndrome) Impaired bile flow

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