Pathology EMQ template.

Name:         

Candidate number:

Theme: Liver Function Tests and Cases

 

OPTION LIST

A	Cholesterol	I	Platelets
B	ALT	J	PT
C	Albumin	K	Creatine Kinase
D	AST	L	Amylase
E	Alkaline Phosphatase	M
F	Acid Phosphatase	N
G	Triglyceride	O
H	Bilirubin	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. A 20 year old female has just returned from her summer backpacking trip to Thailand. She is jaundiced and on examination you notice some mild hepatomegaly. Which liver enzyme will be most markedly raised?

 

2. A 57 year old female presents with jaundice and lethargy. She has a history of rheumatoid arthritis. An ultrasound of the liver shows undilated ducts. An LFT screen was performed – what enzyme would be most altered?

 

3. A G.P. presents to casualty with marked jaundice and swollen abdomen. He is not as well dressed as you would have imagined and is chewing gum.

 

4. A 3 year old boy who has just arrived in the UK as a refugee from the Ivory Coast is examined in a clinic. It is noticed that his belly sticks out significantly and he is very irritable. A very low reading was found for what in his blood tests?

 

5. A 70 year old man presents to his G.P. owing to experiencing erectile dysfunction. He also complains of some lower back pain. What enzyme would be raised?

 

 

 

ANSWERS

1. B

2. E

3. D

4. C

5. F