1256. A 23-year-old male graduate student presents because of a recent discovery of an elevated bilirubin level. He feels well and has a normal physical examination His chemistry profile is normal except for an elevated bilirubin level. Laboratory studies show a total bilirubin level 4 5umol/L and a direct bilirubin level of 5 umol/L. Which diagnosis you suspect? (中、理解) a Gilberts syndrome B Type 1 Crigler- Najar syndrome c Chronic hemolysis d Rotor syndrome E Dubin-Johnson syndrome 1257. A 20-year-old female presents to the emergency room with jaundice and malaise of I week duration. She had noted dark urine and icteric sclera for several days Her sister had hepatitis several weeks before. The patient is on no medications and has no significant medical history. Her examination is normal except for scleral and cutaneous icterus. She is alert and oriented which of the follmoing test you will select first to confirm the diagnosis? (中、理解) a Hepatitis serologic B B ultrasound to rule out dilated intrahepatic ducts d Ct to rule out malignancy tumors E Test serum albumin to estimate the prognosis 1258.患者男性,40岁,乙型肝炎、肝硬化因反复发生的食管静脉破裂出血以及 顽固性腹水、肝性胸水作为肝移植对象进行评估。为了预防移植后乙型肝 炎复发,下列哪种药物患者需要在移植前使用? (易、记忆) A干扰素-a B胸腺肽 C拉夫米定 D乙肝免疫球蛋白 E大剂量丙种球蛋白 A3型题(1259~1308) 共同题干:(1259~1261) 女性,64岁。胸骨后烧灼感不适2月,常有食物反流,反流物呈酸性,有时出现进食时胸1256．A 23-year-old male graduate student presents because of a recent discovery of an elevated bilirubin level. He feels well and has a normal physical examination. His chemistry profile is normal except for an elevated bilirubin level. Laboratory studies show a total bilirubin level 45umol/L and a direct bilirubin level of 5 umol/L. Which diagnosis you suspect? （中、理解） A Gilbert's syndrome B Type 1 Crigler-Najjar syndrome C Chronic hemolysis D Rotor syndrome E Dubin-Johnson syndrome 1257．A 20-year-old female presents to the emergency room with jaundice and malaise of 1 week duration. She had noted dark urine and icteric sclera for several days. Her sister had hepatitis several weeks before. The patient is on no medications and has no significant medical history. Her examination is normal except for scleral and cutaneous icterus. She is alert and oriented. which of the follmoing test you will select first to confirm the diagnosis? （中、理解） A Hepatitis serological tests B B ultrasound to rule out dilated intrahepatic ducts C Liver biopsy D CT to rule out malignancy tumors E Test serum albumin to estimate the prognosis 1258．患者男性，40 岁，乙型肝炎、肝硬化因反复发生的食管静脉破裂出血以及 顽固性腹水、肝性胸水作为肝移植对象进行评估。为了预防移植后乙型肝 炎复发，下列哪种药物患者需要在移植前使用？ （易、记忆） A 干扰素-α B 胸腺肽 C 拉夫米定 D 乙肝免疫球蛋白 E 大剂量丙种球蛋白 A3 型 题（1259～1308） 共同题干：（1259～1261） 女性，64 岁。胸骨后烧灼感不适 2 月，常有食物反流，反流物呈酸性，有时出现进食时胸