問題詳情

89.56歲男性皮膚及鞏膜泛黃,且有茶色尿及灰白便。下列敘述何者正確?
(A)此病人有溶血性黃疸
(B)若摸到腫大的膽囊,病人肝外膽管阻塞
(C)血中升高的膽紅素主要是非接合型膽紅素
(D)肝癌細胞因為會製造過多膽紅素也特別容易出現此類黃疸

參考答案

答案:B
難度:簡單0.833333
統計:A(3),B(40),C(3),D(0),E(0)

用户評論

Chris】評論

End product of phagocytosing an RBC: unconjugated bilirubin.  When the RBC is broken down, you have hemoglobin, and there is an enzyme that splits heme from globin and the globin is broken into aa’s and therefore goes to the aa pool. Then, takes the heme, splits it open, and saves the Fe. Now you have protoporphyrin, and spit it out; end result is unconjugated bilirubin in the macrophage within the spleen.  Then, the macrophage spits out the unconjugated bilirubin into blood stream (which is insoluble b/c it’s unconjugated).   The unconjugated bilirubin then binds albumin and goes to the ...