Pathology EMQ template.

Name: Ted Welman

Theme: Liver Disease

 

OPTION LIST

 

A	Hepatitis A	I	Primary Sclerosing Cholangitis
B	Hepatitis B	J	Wilson’s Syndrome
C	Hepatitis C	K	Hereditary Haemochromocytosis
D	Hepatitis D	L	G6PD Deficiency
E	Hepatitis E	M	Crigler-Najjar Syndrome
F	Non-alcoholic Steatohepatitis	N	α1-Antitrypsin Deficiency
G	HELLP Syndrome	O	Ascending Cholangitis
H	Primary Biliary Cirrhosis	P	Acute Cholecystitis

 

 

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 year old gentleman with a known history of Hepatitis B, presents with an acute episode of jaundice.

 

 

2.  An 18 year old boy presents with jaundice.  He has recently been prescribed anti-malarial prophylaxis for his gap year.

 

 

3. A 32 year old pregnant lady presents with jaundice.  Blood tests reveal a hyperbiliruminaemia, elevated liver enzymes and low platelets.

 

 

4.  A 40 year old gentleman who has recently arrived back from business abroad, presents jaundice.  He also mentions having a flu-like illness for the last week.

 

 

5. A 41 year old lady presents with jaundice and fatigue.  Further tests reveal a positive p-ANCA.

 

 

 

ANSWERS

1. D

2. L

3. G

4. A

5. I