Hepatic, Biliary, and Pancreatic Disorders
All except which of the following liver-related changes are physiological in pregnancy?
d. Elevated serum alkaline phosphatase levels
The cytochrome P450 system is altered by which of the following during pregnancy?
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?
b. Hyperemesis gravidarum
c. Acute fatty liver of pregnancy
d. Intrahepatic cholestasis of pregnancy
Which of the following findings can narrow the differential of elevated liver enzymes to exclude intrahepatic cholestasis of pregnancy?
c. Liver biopsy showing bile plugs in the hepatocytes
Which of the following viral infections has been associated with a marked increase in the risk for intrahepatic cholestasis of pregnancy?
d. Human immunodeficiency virus
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?
b. Copper intrauterine device
c. Combination oral contraceptive pills