Liver Function Tests

Question 1

Decrease;

Chronic liver disease, cirrhosis

Answer 1

Albumin

Question 2

Increase;

Cirrhosis, extrahepatic biliary obstruction, gallstones, hepatitis, metastatic liver disease, pancreatic carcinoma

Answer 2

ALP (alkaline phosphatase)

Question 3

Increase;

Biliary tract obstruction, hepatitis, hepatocellular carcinoma, obstructive jaundice

Answer 3

ALT (alanine aminotransferase)

Question 4

Increase;

Cirrhosis, fatty liver, hepatitis, metastatic liver disease

Answer 4

AST (aspartate aminotransferase)

Question 5

Increase;

Diffuse liver disease, posthepatic obstruction

Answer 5

gamma-Glutamyl transferase

Question 6

Increase;
Unconjugated (direct) bilirubin: acute hepatocellular disease
Conjugated (indirect) bilirubin: biliary tract obstruction
Total bilirubin: cirrhosis, hepatitis, and other liver cell diseases

Answer 6

Serum bilirubin

Question 7

Prolonged PT: metastasis of the liver and hepatitis

Shortened PT: extrahepatic duct obstruction

Answer 7

PT (prothrombin)

Question 8

Increase;
Hepatocellular carcinoma (hepatoma), hepatoblastoma

Answer 8

AFP (alpha-fetoprotein)

Question 9

Increase;

Cirrhosis, hepatitis, obstructive jaundice

Answer 9

LDH (lactate dehydrogenase)