KROK 1 2017 – Question 35 · KROK (Medicine) · Biological Chemistry

A 46-year-old woman suffering from cholelithiasis developed jaundice. Her urine became dark yellow, while feces are light-colored. What substance will be the most increased in concentration in the blood serum in this case?

  1. A. Mesobilirubin
  2. B. Unconjugated bilirubin
  3. C. Urobilinogen
  4. D. Conjugated bilirubin
  5. E. Biliverdine
Hint

Dark urine with pale feces shows that bile is not reaching the intestine; think about which form of the pigment is retained and which form can pass into the urine.

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