Pathology EMQ template.

Name: Leda Lignos

Candidate number:

Theme: Liver Disease

OPTION LIST

A	Alcoholic Liver Disease	I	Non- alcoholic steato-hepatitis
B	Alpha-1 anti-trypsin	J	Pathological Lying
C	Autoimmune Hepatitis	K	Parkinson’s Disease
D	Early onset Lewy body dementia	L	Primary Biliary Cirrhosis
E	Haemochromatosis	M	Primary Sclerosing Cholangitis
F	Hepatitis A	N	Wilson’s Disease
G	Hepatitis B	O
H	Hepatitis C	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 67-year-old Irish, retired nurse presents complaining of abdominal pain and weight loss. With your thorough history you find out she received anti-D injections during pregnancy. She remembers being vaccinated against one of the hepatitis viruses before starting work.

2. A 45-year-old jolly-looking pub landlord, with a BMI of 30, had severely deranged LFTs on some routine bloods. He was recently diagnoses as a type 2 diabetic, but hasn’t yet started taking his metformin. He swears to you that he doesn’t drink a drop of alcohol.

3. A 29-year-old lady is brought in by her husband who complains of her recent odd behaviour. You quickly notice a golden brown appearance of her eyes and a fine tremor of her right hand.

4. Associated with anti-smooth muscle antibodies.

5. Associated with anti-mitochondrial antibodies.

ANSWERS

1. H

2. I

3. N

4. C

5. L