Pathology EMQ template.

Name: Robyn Jacobs

Theme: Liver and Biliary disease

 

OPTION LIST

 

A	Alagille Syndrome	I	Hepatitis C
B	Alcoholic liver disease	J	Hepatocellular carcinoma
C	Budd Chiari Syndrome	K	Non-alcoholic fatty liver disease
D	EBV infection	L	Pancreatitis
E	Gallstones	M	Primary Sclerosing Cholangitis
F	Gilberts Syndrome	N	Progressive familial intrahepatic cholestasis
G	Haemachromatosis	O	Pyogenic liver abcess
H	Hepatitis A	P	Wilsons Disease

 

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 45yo. Publican presents with a history of disturbed sleep and abdominal distension. On examination you notice a flapping tremor and gynaecomastia.

 

 

2. A patient presents after a recent endoscopy of the biliary system with fever, rigors, RUQ tenderness, clay coloured stool and jaundice.

 

 

3. A 1 year old boy presents with pruritus, cholestasis, jaundice and failure to thrive. You have reason to believe that his parents are first cousins.

 

 

4. A man present to your clinic complaining of being tired with a nagging pain over the RUQ area. He has a history of diabetes and a BMI of 32.

 

 

5. A patient with known polycythaemia vera presents with abdominal pain, ascites and hepatomegaly.

 

 

 

ANSWERS

1. B

2. O

3. N

4. K

5. C