15th February 2025

You interview a 20-year-old patient who has been admitted to the hospital with new-onset psychosis.

You interview a 20-year-old patient who has been admitted to the hospital with new-onset psychosis. His family state that he has been feeling increasingly anxious and paranoid recently, and “not like himself”. On examination, you notice he has increased muscle tone and cogwheel rigidity, spider angiomata and ascites, and brown rings around each iris. Initial blood tests show deranged LFTs, so you order further tests. What might these show?

Select the SINGLE most appropriate option from the list below. Select ONE option only.