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21st April 2024

A 28-year-old homeless man is brought into A&E having been found confused and vomiting

A 28-year-old homeless man is brought into A&E having been found confused and vomiting. On examination, he has evidence of asterixis but is not jaundiced. He has no past medical history. Blood tests show bilirubin 18, ALT 1800 and INR 2.4.

Which of the following is most likely to be the cause of his acute liver failure?

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

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