Pathology EMQ template.

Name: Omar Shaikh

Theme: Liver Disease

 

OPTION LIST

 

A	Acute liver failure	I
B	Biliary tract obstruction	J
C	Gilbert’s Syndrome	K
D	Haemolytic Anaemia	L
E	Hepatocellular Carcinoma	M
F	Hepatocellular inflammation	N
G	Paracetamol overdose	O
H	Short-term alcohol abuse	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 58-year-old man presents to the GP with abdominal pain and jaundice. He has abnormal LFTs with a very high ALT and AST and mildly elevated bilirubin and Alk Phos.  

 

 

2. A 23-year-old man has routine blood tests revealing a raised bilirubin, he is otherwise asymptomatic.

 

 

3. A 42-year-old man presents to A&E with confusion, lethargy and jaundice. His stools and urine are normal in colour. Blood tests show a raised unconjugated bilirubin, LDH, AST and haemoglobin of 8.1g/dl.

 

 

4. A 51-year-old woman presents to A&E with RUQ pain. She has raised Alk Phos and bilirubin. ALT and AST are mildly raised.

 

 

5. An 18-year-old has a raised gamma-glutamyltranspeptidase level after being admitted to A&E following an alcohol binge. LFTs, FBC and U&E are normal.

 

 

 

ANSWERS

1. F

2. C

3. D

4. B

5. H