3 Months Of Progressive in Medicine / Internal Medicine — 18yo Child | Hepatology | SMLE Q#17639

SMLE Question #17639

Medicine / Internal Medicine Hepatology

Objective: OBJ-HEP-217

Last updated: February 2026
An 18-year-old girl is brought to a gastroenterology clinic for 3 months of progressive fine tremor of both hands, fatigue, and intermittent right upper-quadrant discomfort. Examination shows mild jaundice and a palpable spleen tip. Slit-lamp examination shows brownish rings at the corneal limbus. Laboratory studies are shown. What is the most appropriate treatment?

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