USMLE step 2 Mcq 204:A 47 year old male with a 25 year history of chronic hepatitis B infection begins to notice weakens and an unexplained weight loss

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Question:
A 47 year old male with a 25 year history of chronic hepatitis B infection begins to notice weakens and an unexplained weight loss. On physical examination, he has a tender, enlarged liver with a palpable mass. Laboratory tests reveal that he has an elevated alpha fetoprotein, elevated serum alkaline phosphatase and a mildly elevated bilirubin. Further diagnostic tests detect a mass in his liver surrounded by smaller nodules. What condition is most likely?

a) pancreatic carcinoma
b) hemochromatosis
c) Laennec's cirrhosis
d) hepatitis A
e) hepatocellular carcinoma


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