Chronic Liver Disease cannot be caused by the following ;Hypersensitivity to halothane anaesthesiaChronic persistent hepatitisPrimary biliary cirrhosisHepatitis A infectionAdministration of sodium valproatePlasma unconjugated bilirubin ;Is water insolubleGives a direct van der bergh reactionIs not bound to proteins in plasmaIs increased in haemolytic anaemiaIs readily transported across the blood-brain barrierPathological processes that may lead to increased urobilinogen in urine include ;Excessive haemolysisLiver damage due to anaemiaLiver damage due to chronic cirrhosisLiver damage due to toxinsBiliary obstruction due to cancer of the head of the pancreas
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Which of the following would NOT likely lead to elevated levels of bilirubin in the blood? (A) $\quad$ Cholangiocarcinoma, a cancer of the bile ducts that can ultimately lead to full occlusion of the duct lumen (B) $\quad$ Autoimmune hemolytic anemia, a disease in which the red blood cells are attacked by antibodies and are lysed (C) $\quad$ Ménétrier's disease, in which rugae thicken and overlying glands lose secretory ability (D) $\quad$ Acetaminophen (Tylenol) overdose, in which the accumulation of toxic metabolites can cause rapid liver failure
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