Pathology EMQ template.

Name:

Candidate number:

Theme: liver and biliary disease

 

OPTION LIST

 

A	Alcoholic hepatitis	I	Primary biliary cirrhosis
B	Alpha-1 antitrypsin deficiency	J	Primary sclerosing cholangitis
C	Autoimmune hepatitis	K	Wilson’s disease
D	Hep A	L
E	Hep B	M
F	Hep C	N
G	Hereditary haemochromatosis	O
H	Non-alcoholic fatty liver disease	P

 

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1.       31 year old non-smoker with emphysema and chronic liver disease.

 

2.       40 year old diabetic man presents with tiredness, arthralgia, ankle swelling and SOB. Blood tests show a raised ferritin and reduced TIBC.

 

3.    A 45 year old lawyer presents with jaundice, pruritus and raised ALP, hx of ascending cholangitis. AMA negative, p-ANCA positive.

 

4.       25 year old female complains of malaise, polyarthritis and mild fever. O/E: palmar erythema, spider naevi, hepatomegaly. Ix show high IgG, anti-smooth muscle and ANA positive.

 

5.       55 year old British man develops jaundice, spider naevi, ascites and splenomegaly. Liver bx demonstrates cirrhosis. He drinks 4 pints of beer a week and denies any recreational drugs. Recalls being involved in a major road traffic accident in 1989.

 

 

 

ANSWERS

1. B

2. G

3. J

4. C

5. F