KROK 1 2008 – Question 32 · KROK (Medicine) · Pathophysiology

A patient complains of frequent diarrheas, especially after consumption of rich food, weight loss. Laboratory examination revealed steatorrhea; his feces were hypocholic. What might have caused such condition?

  1. A. Lack of pancreatic phospholipase
  2. B. Unbalanced diet
  3. C. Obturation of biliary tracts
  4. D. Lack of pancreatic lipase
  5. E. Inflammation of mucous membrane of small intestine
Hint

Hypocholic stool means little bile pigment reaches the gut, so consider what is missing for fat emulsification and which finding separates this from a purely digestive-enzyme defect.

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