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Pathology Practice MCQs

Browse 15,526 high-yield clinical questions in Pathology. Includes detailed explanations, options, and topic tags.

#4410 Liver & Biliary Tract

A 63-year-old man with a 30-year history of alcohol abuse notes hematemesis for the past day. On examination, he has ascites, mild jaundice, and an enlarged spleen. He also has gynecomastia, spider telangiectasias of the skin, and testicular atrophy. Rectal examination indicates prominent hemorrhoids and a normal-sized prostate. An emergent upper endoscopy shows dilated, bleeding submucosal vessels in the esophagus. Laboratory studies show total protein, 5.9 g/ dL; albumin, 3.2 g/dL; AST, 137 U/L; ALT, 108 U/L; total bilirubin, 5.4 mg/d; prothrombin time, 20 seconds; ammonia, 76 mmol/L; and hematocrit, 21%. Which of the following pathologic findings in his liver is most likely to explain the hematemesis?

#4432 Nervous system

After recovering from a viral respiratory tract infection, a 23-year-old female presents with weakness in her distal extremities that rapidly ascends to involve proximal muscles. Physical examination reveals absent deep tendon reflexes, and a lumbar puncture reveals the CSF protein to be increased, but very few cells are present. A biopsy of a peripheral nerve reveals inflammation and demyelination (radiculoneuropathy). What is the best diagnosis?

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