KROK 1 2017 – Question 53 · KROK (Medicine) · Biological Chemistry

A patient with jaundice has high total bilirubin that is mainly indirect (unconjugated), high concentration of stercobilin in the feces and urine. The level of direct (conjugated) bilirubin in the blood plasma is normal. What type of jaundice can be suspected?

  1. A. Gilbert’s disease
  2. B. Hemolytic
  3. C. Parenchymal (hepatic)
  4. D. Neonatal
  5. E. Mechanical
Hint

Compare which bilirubin fraction is raised with what happens to the pigment products in the gut and urine, and ask at which point of the bilirubin pathway the excess arises.

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