Name: Vernon McGeoch

Theme: LFTs

OPTION LIST

A	Wilsons disease	I	AIH
B	ALD	J	PSC
C	HCC	K	Hepatitis C
D	Cholangiocarcinoma	L	Paracetemol OD
E	Budd Chiari Syndrome	M	Haemochromatosis
F	Hepatitis B	N	PBC
G	Warfarin therapy	O	Pregnancy
H	Gilberts syndrome	P	Hepatitis A

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 37yo lady with chronic hep C has a rising AFP

2. A 20yo gentleman who complains that his ‘eyes go yellow on occasion’ has a raised bilirubin. No other symptoms

3. A 40yo lady with fatigue, pruritus, jaundice and xanthoma. LFTs show elevated GGT and ALP. Antimitochondrial antibody also present

4. A 50yo gentleman with raised AST, ALT, ALP, GGT and a low albumin. AST:ALT ratio is 2.3

5. A 19yo gentleman has just returned to England from Thailand, complains of fever and tiredness over the last 8 days increasing ‘yellowing’ in the last 2 days. He has a raised ALT, AST, ALP and bilirubin. IGM antibodies present

ANSWERS

1. C

2. H

3. N

4. B

5. P