Pathology EMQ template.

Name: Devavrata Joshi

Theme: Liver Disease

 

OPTION LIST

 

A	Alcoholic hepatitis	I	N-acetylcysteine
B	Autoimmune hepatitis	J	Non-alcoholic Fatty Liver Disease
C	Caeruloplasmin	K	Paracetamol
D	Ferritin	L	Penicillamine
E	Haemosiderosis	M	Primary biliary cirrhosis
F	Hepatic encephalopathy	N	Thiamine
G	Viral hepatitis	O	Venesection
H	Hereditary Haemochromatosis	P	Wernicke’s encephalopathy

 

 

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 55 year old socialite is brought into A&E by her son following a fall. Her son contradicts her account of events preceding the fall and on examination she has blurred vision. What treatment should she receive?

 

 

2. What is the gold standard treatment in a symptomatic patient with an abnormal HFE gene?

 

 

3. A 55 yr old alcoholic is brought into A&E with RUQ pain and vomiting. Earlier on that day she had been complaining of a severe headache. What treatment should she receive?

 

 

4. A 27 yr old male presenting to his A&E with his girlfriend. She became concerned when she found him on his sofa incoherent, agitated and making involuntary movements. On examination he is found to have Kayser-Fleischer rings. What treatment should he receive?

 

 

5. A 57 yr old male donated his body to science the day before a RTA killed him. Histopathology of his liver showed Mallory hyaline deposits. What is this most indicative of?

 

 

 

ANSWERS

1. N

2. O

3. I

4. L

5. A