Thursday, 19 November 2015

Two specific tests to diagnose wilson’s disease | PGI Frequently Asked Medical PG topics

Two specific tests to diagnose wilson’s disease are: 
A. KF ring 
B. Liver copper by dry weight of liver < 200 microgm/gm of dry weight 
C. Sr. Ceruloplasmin 
D. 24 hours urine copper after penicillamine 
E. Sr. copper



Ans. A. KF ring ; (C) Sr. Ceruloplasmin 

The diagnosis of wilson’s disease is confirmed by demonstration of either 
(i) Sr. Ceruloplasmin level <20 mg/dl and K.F. ring QI
(ii) Serum ceruloplasmin level <20 mg/dl and a concentration of copper in a liver biopsy sample >200 microgm/gm dry weight. 
In the question, mentioned copper concentration 200 µgm/g dry wt. So, combined A, C will be the best choice.