Pathology EMQ on Liver and biliary disease

Name: Xu Zhu

Theme: Liver and biliary disease

OPTION LIST

A	Gilbert's syndrome	I	Hepatitis A
B	Wilson's Disease	J	Drug induced acute hepatitis
C	Chronic Hepatitis B	K	Primary biliary cirrhosis
D	Alpha-one antitrypsin deficiency	L	Primary sclerosing cholangitis
E	Gall stones	M	Alcoholic liver disease
F	Haemochromotosis	N	Haemosiderosis
G	Pancreatic cancer	O	Autoimmune hepatitis
H	Hepatocellular carcinoma	P	Cholangiocarcinoma

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. Jaundice with palpable gallbladder.

2. Jaundice following trip abroad. Viral load detected in faece early in infection. IgG antibody after infection has passed.

3. Elevated levels of unconjugated bilirubin. Jaundice likely with fasting. Recessive inheritance. 1 in 20 of the population have the disease.

4. Jaundice with anti-mitochonodrial antibodies detected in blood. Bile duct inflammation on biopsy.

5. Rare inherited disorder. Biopsy of liver shows copper deposition.

ANSWERS