Audio Qbank – Q136 – A 69F evaluated on a routine physical

 

A 69-year-old woman comes to the physician for a health maintenance examination. Her vitals are: temperature 98.6F, HR 60, RR 12, BP 125/85. BMI is 25. Total cholesterol is 300 mg/dL. Serum creatine kinase and hepatic AST are elevated. She is notably quiet during the examination. Which of the following is the most likely diagnosis?

 

  Autoimmune hepatitis
  Hypothyroidism
  Non-alcoholic steatohepatitis
  Polymyositis
  Primary biliary cirrhosis

 

Cut-to-the-chase Answer (0:46):
HY USMLE Answer (10:39):