Wilson ALF Diagnostic Ratio — RACP Adult Medicine MCQ
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Correct answer: B — Wilson disease – disproportionately low ALP with high bilirubin
Bilirubin:ALP ratio >2.0 with low ALP is characteristic of Wilsonian ALF. Low ALP reflects zinc-mediated ALP inhibition.
Reference: eTG – 2025; EASL – 2012 – Wilson Disease