Pathology EMQ – Liver and Biliary diseases
Name: Bob Yang
Candidate number:
Theme: Liver and Biliary disease
OPTION LIST
|
A |
Alcohol Excess |
I |
Wilson’s disease |
|
B |
Alpha 1 antitrypsin deficiency |
J |
|
|
C |
Budd-Chiari syndrome |
K |
|
|
D |
Chronic Hep B |
L |
|
|
E |
Cystic fibrosis |
M |
|
|
F |
Gilbert’s syndrome |
N |
|
|
G |
Primary biliary cirrhosis |
O |
|
|
H |
Sclerosing cholangitis |
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 mother brings into her GP clinic her 7 year old child who has been getting episodes of steatorrhoea. He has also been going to the toilet more often and always wanting to drink water. His past medical history reveals he had meconium ileus at birth.
2. A 19 year old man comes into A&E vomiting, aggressive and confused. His friends say there were streaks of blood in his blood and that they had been out celebrating a friend’s birthday earlier.
3. A 25 year old painter comes into clinic with slightly elevated bilirubin from a screening blood test. All other liver tests were normal.
4. A 48 year old lady comes into clinic with severe pruritus. She is not jaundiced. On examination you find hepatosplenomegaly and blood tests reveal raised serum ALP. Antimitochondrial antibodies are also present.
5. A 72 year old woman comes presents to A&E with confusion and malaise. She appears feverish, her urine is found to be dark and she has scratch marks all over her body. Blood results show a leucocytosis with raised serum bilirubin and ALP.
ANSWERS
|
1. E |
2. A |
3. F |
4. G |