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Other terms for conjugated bilirubin?

a. Indirect bilirubin
b. Unconjugated bilirubin
c. Delta bilirubin
d. Pre-hepatic bilirubin

1 Answer

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Final answer:

The correct term for conjugated bilirubin is direct bilirubin. It is the water-soluble form of bilirubin that the liver processes and is detected in the Direct Van Den Bergh test, often elevated during obstructive jaundice.

Step-by-step explanation:

The term that corresponds to conjugated bilirubin is direct bilirubin. The other options listed, such as indirect bilirubin, unconjugated bilirubin, delta bilirubin, and pre-hepatic bilirubin, are different forms or related to different stages in bilirubin metabolism, but they are not terms that refer to conjugated bilirubin.

Direct bilirubin refers to bilirubin that has been processed by the liver, where it is conjugated with glucuronic acid, becoming water-soluble. This form of bilirubin reacts with Diazo reagent in the Direct Van Den Bergh test, yielding a purple red color within one minute without the need for alcohol. This type of bilirubin increases in conditions such as obstructive jaundice, where the flow of bile is impeded, resulting in a buildup of conjugated bilirubin that can enter the bloodstream and, potentially, be excreted in urine.

On the other hand, unconjugated bilirubin, often referred to as indirect bilirubin, is not water-soluble and does not directly react with the Diazo reagent unless alcohol is added, which facilitates its reaction in the Indirect Van Den Bergh test. It is mainly increased in conditions like hemolytic jaundice.

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