Pathology EMQ template.

Name: Monil Karia

Theme: LFTs

 

OPTION LIST

 

A	AFP	I	Albumin
B	ALP and y-GT	J	Ferritin
C	ALP	K	Copper
D	Unconjugated Bilirubin	L	Albumin
E	Conjugated Bilirubin	M	AST and ALT and ALP
F	Anti-mitochondrial antibodies	N	AST/ ALT > ALP/ y-GT
G	AST	O	ALP/GGT>AST/ALT
H	AST AND ALT	P	Prothrombin

 

 

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 25 year old male comes in to see you as he has noticed his ‘skin turns yellow’ after feeling under the weather. He has no other symptoms. You expect this to be raised.

 

2. A 70 year old male complains of bone pain, headaches and hearing loss. LFTs are likely to show raised..

 

3. A 45 year old female patients who suffers from celiac disease is found to have pruritis, xanthelasma and hypersplenism. ALP is high. You also suspect high levels of..

 

4. This 40 year old homeless male is brought into hospital by the ambulance. He is unresponsive and you notice he is slightly jaundiced. LFTs show raised..

 

5. A diabetic patient presents with fatigue and athralgia. Examination shows hepatomegaly. LFTs are insignificant. You order more tests suspecting high levels of..

 

ANSWERS

1. D

2. C

3. F

4. N

5. J