Pathology EMQ template.

Name: Gabriella Yongue

Theme: Liver and Biliary Disease

 

OPTION LIST

 

A	Cholangitis	I	Hepatitis A
B	Non-alcoholic liver disease	J	Hepatitis B
C	Alcoholic cirrhotic liver disease	K	Hepatitis C
D	Primary Biliary Cirrhosis	L	Drug induced hepatitis
E	Autoimmune Hepatitis	M	Hepatocellular carcinoma
F	Gall stones	N	Liver metastases
G	Haemochromatosis	O
H	Wilson’s Disease	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 50 yo man, an ex-footballer, comes into have a liver USS for suspected liver cirrhosis. A micronodule 2mm in size was found. What is the most likely cause?

 

2. A 50yo man, a regular attendee of Alcoholics Anonymous, returns from a business trip to Eastern Europe and presents with 5 day history of nausea and jaundice. Biopsy shows spotty necrosis and mononuclear infiltrates.  What is the most likely diagnosis?

 

3. A young man from Cyprus goes to his regular OPD appointment and mentions that he has been getting abdominal pain and that he can no longer practice the piano because his knuckles hurt. The doctor decides to request a liver biopsy which is the gold standard test for his suspect differential. What is the likely diagnosis?

 

4. A 50 yo sumo wrestler presents with constant RUQ abdominal pain.  The patiient’s liver transaminases or raised. An USS is performed and the radiologist takes a liver biopsy to confirm his findings. What is the most likely diagnosis?

 

5. A 50 yo man, recently diagnosed with T2DM presented with RUQ pain. USS showed dilated bile ducts. What is the most likely diagnosis?

 

 

 

ANSWERS

1. C

2. I

3. G

4. B

5. F