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General Medicine · Hepatology
Sample itemWhat laboratory test often rises with hepatocellular injury?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Alanine aminotransferase
The core Hepatology principle makes Alanine aminotransferase the best answer because it directly explains the stated presentation, investigation, or immediate management priority.
Option by option
A. Thyroid-stimulating hormone
Thyroid-stimulating hormone may be relevant in another clinical setting but is not best here.
B. Prothrombin time only
Prothrombin time only does not address the underlying finding or indicated action.
C. Alanine aminotransferase (correct)
Correct. Alanine aminotransferase follows from the crucial clinical clue in the stem.
D. Troponin
Troponin does not fit the requested hepatology conclusion.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.