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General Medicine · Hepatology
Sample itemWhich blood test pattern commonly suggests hepatocellular injury?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Raised ALT and AST
Alanine aminotransferase and aspartate aminotransferase rise when hepatocytes are injured, although the clinical context determines the cause.
Option by option
A. Raised ALT and AST (correct)
Correct: transaminase elevation reflects hepatocellular injury.
B. Raised troponin only
Troponin is a marker of myocardial injury.
C. High TSH alone
TSH assesses thyroid axis function.
D. Low haemoglobin alone
Anaemia alone does not localise liver injury.
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.