Audio Qbank – HY USMLE Q #395 – Pathology / Internal medicine

A 38-year-old man comes to the physician because of a 4-month history of intermittent dry cough and fever. He’s had a 30-lb (13.6-kg) weight loss during this time. Last year he was diagnosed with anterior uveitis by an ophthalmologist. Physical examination shows no abnormalities. Serum studies show:

ALT                                         80 U/L (NR 5-40)
AST                                        100 U/L (NR 7-56)
ALP                                        200 U/L (NR 50-150)

Which of the following is the most likely explanation for these findings?

Behcet syndrome
Brucellosis
Hodgkin lymphoma
Primary biliary cirrhosis
Sarcoidosis