Gastroenterology MCQ for NEET PG & FMGE

A 58-year-old woman presents with 9 months of jaundice (yellowing of sclera and skin) accompanied by pruritus. Physical examination shows marked jaundice, liver palpable 4 cm below the costal margin (hard consistency, no tenderness), and spleen palpable 5 cm below the costal margin. Primary biliary cirrhosis is suspected. The key diagnostic test to differentiate primary biliary cirrhosis from primary sclerosing cholangitis is:

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