Pathology EMQ template.

Name: Qiong Wu

Theme: Viral hepatitis

OPTION LIST

A	Anti-HAV IgG	I	Hepatitis C
B	Anti-HAV IgM	J	Hepatitis D
C	Anti-HBe	K	Hepatitis E
D	Anti-HBs	L
E	HBeAg	M
F	HBsAg	N
G	Hepatitis A	O
H	Hepatitis B	P

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 final year medical student, who has recently returned from her elective in a seaside village in the Far East, presents to A&E complaining of a fever, joint pains and a loss of appetite. Which marker is most likely to be elevated?

2. A 56 year old gentleman, with a past history of intravenous drug use, has been prescribed PEGinterferon-α. Which marker is most likely to be present in the blood?

3. On examination of a liver biopsy of a patient who carries the hepatitis B virus, the histopathologist notes the presence of an incomplete RNA virus. Which hepatic virus is this most likely to be?

4. A first year medical student has recently been vaccinated against hepatitis B virus. She visits her GP for a blood test. Which marker is most likely to be present in the blood?

5. On his elective in Asia, a medical student learns of the death of a pregnant woman who was infected by a hepatic virus. Which virus is the most likely cause?

ANSWERS

1. B

2. F

3. J

4. D

5. K