Question 310 · LEK · Splenic surgery

A 27-year-old male patient treated for alcohol dependence develops symptoms of portal hypertension. On physical examination an enlarged spleen (splenomegaly) is detected. Which of the following would be indicative of hypersplenism?

1) hyperuricemia;
2) leukopenia;
3) thrombocytopenia;
4) hyperaldosteronism; 105 z 117 29.06.2026, 14:15 Centrum Egzaminów Medycznych https://test.cem.edu.pl/pytcem/wyswietl_baza_pdf.php
5) anaemia;
6) hypokalaemia;
7) hypercalcaemia;
8) hyponatremia.
The correct answer is:
  1. A. 1,2,5,6.
  2. B. 2,3,7,8.
  3. C. 2,4,6.
  4. D. 2,3,5.
  5. E. 1,4,6,8.
Hint

Hypersplenism means excessive sequestration and destruction of blood cells by an enlarged spleen.

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