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Hepatic, Biliary, and Pancreatic Disorders
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All except which of the following liver-related changes are physiological in pregnancy?
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d. Elevated serum alkaline phosphatase levels
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The cytochrome P450 system is altered by which of the following during pregnancy?
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Which of the following pregnancy-related complications has the capacity to demonstrate the most prominent alterations of normal hepatic, renal, hematological, and coagulation laboratory studies?
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b. Hyperemesis gravidarum
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c. Acute fatty liver of pregnancy
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d. Intrahepatic cholestasis of pregnancy
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Which of the following findings can narrow the differential of elevated liver enzymes to exclude intrahepatic cholestasis of pregnancy?
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c. Liver biopsy showing bile plugs in the hepatocytes
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Which of the following viral infections has been associated with a marked increase in the risk for intrahepatic cholestasis of pregnancy?
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d. Human immunodeficiency virus
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A 27-year-old multigravida comes to you for her postpartum visit. Both of her pregnancies were complicated by intrahepatic cholestasis of pregnancy. She desires another child in about 2 years. Which of the following methods of contraception do you recommend?
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b. Copper intrauterine device
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c. Combination oral contraceptive pills
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