Pathology EMQ template.

Name: Natasha Sharman                                

Candidate number:

Theme: Viral Hepatitis

 

OPTION LIST

 

A	CMV	I	Hepatitis G
B	Dengue	J
C	EBV	K
D	Hepatitis A	L
E	Hepatitis B	M
F	Hepatitis C	N
G	Hepatitis D	O
H	Hepatitis E	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. An 18 year old student returns from their gap year where they worked in a school in Nepal. A month after returning they go to their doctor complaining of lethargy and malaise. A week later they develop jaundice. They recovered without treatment before the start of university 2 months later.

 

2. A 16 year old boy presents to his GP with a 3 week history of malaise and fatigue. In the last week he has noticed jaundice and fever. A blood count and film revealed a lymphocytosis with atypical lymphocytes. Paul-Bunnell test is positive.

 

3. A 30 year old Thai lady with a 5 year history of liver cirrhosis presents to her GP with weight loss. Her mother is known to have had active infection with a dsDNA virus at the time of her birth in Thailand. Hepatocellular carcinoma is found.

 

4. A pregnant Indian lady returns to her family pig farm in India for a wedding. On her return she became jaundiced, developed ascites and abdominal pain. She was admitted to hospital but her condition worsened. She became confused and increasingly drowsy and despite supportive treatment died 3 weeks after admission.

5. A 36 year old man gives blood. He is rung the next day by the Blood Service and told that antibodies to a ssRNA virus had been found. He claims that he has never been jaundiced but admits to using intravenous drugs in his teens. Scan of his liver reveals early cirrhotic changes.

 

 

ANSWERS

1. D

2. C

3. E

4. H

5. F