This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Misc., Subject name: Medicine
Following is test marker of alcohol induced liver injury: 
Select and explain. 
A. Gamma Glutamyl Transferase, B. MCV, C. SGPT/SGOT <2, D. SGOT/SGPT >2
D: SGOT/SGPT >2
Answer: D: SGOT/SGPT >2 
Explanation: Most common chronic liver disease in India is Alcoholic liver disease An SGOT: SGPT ratio>2:1 is suggestive while a ratio >3:1 is highly suggestive of alcoholic liver disease. The AST in alcoholic liver disease is rarely>300 U/L and the SGPT is often normal. A low level of SGPT in the serum is due to an alcohol induced deficiency of pyridoxal phosphate.