Board Review Questions of the Week – Liver Disorders

Adam WandermanEM Questions of the Week, Personal Education, Question of the Week

Med-Challenger, Board Review Practice Question, Question of the Week, Quick Quiz

Free liver disorders board review questions sample from Med-Challenger.

Med-Challenger offers liver disorders review along with everything else for diagnosing and treating abdominal disorders and gastrointestinal Disorders with in-depth review questions with detailed explanations. More free liver disorders review questions can be accessed via this week’s Quick Quiz, and via free trial of the following specialty courses:

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This week’s case-based question:


A few hours after ingesting wild mushrooms, an 18-year-old man develops profuse watery diarrhea, vomiting, and abdominal pain. The symptoms abate after hydration; however, 24 hours later, the patient returns with right upper quadrant tenderness and an elevated transaminase level (aspartate transaminase, 234 IU/L; alanine aminotransferase, 301 IU/L). (For a list of normal ranges of these laboratory values, click here.)

The patient’s friend brings in a picture of the mushroom (see Figure).

Figure.

A few days later, the emergency department staff finds out from the weekly mortality report that the patient developed coagulopathy, acidosis, coma, renal failure, and eventually died.

The most likely cause of this patient’s death was which of the following?

Answer Options

gyromitrin toxicity
amatoxin poisoning
coprine toxicity
muscarine toxin poisoning

And the answer is …


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