問題詳情

6.一位病人發現其小便像濃茶,至醫院就醫時,醫師也在身體診察中確認其皮膚及鞏膜有泛黃現象,小便檢驗發現bilirubin(3+)。下列各項檢查或檢驗,何者最不具診斷效益?
(A)腹部超音波檢查
(B)抽血檢驗bilirubin(total)及bilirubin(direct),觀察二者之關聯
(C)抽血檢驗amylase和lipase
(D)抽血檢驗alkaline phosphatase及γ-glutamyl transpeptidase(γ-GT)

參考答案

答案:C
難度:適中0.5
統計:A(0),B(0),C(0),D(0),E(0)

用户評論

霸氣阿宏】評論

For clinical purposes, serum bilirubin is fractionated to classify hyperbilirubinemia into one of two major categories●Plasma elevation of predominantly unconjugated (indirect) bilirubin. This may be due to the overproduction of bilirubin, impaired bilirubin uptake by the liver, or abnormalities of bilirubin conjugation (algorithm 1).●Plasma elevation of both unconjugated and conjugated (direct) bilirubin. This may be due to hepatocellular disease, impaired canalicular excretion of bilirubin, or biliary obstruction (algorithm 2). This is often referred to as conjugated hyperbilirubinemia, ev...