Pathology EMQ template.

Name: Sangoh Lee

Candidate number: 450819

Theme: Liver function tests and cases

OPTION LIST

A	AFP	I	PT
B	Albumin	J
C	ALP	K
D	ALT	L
E	APPT	M
F	AST	N
G	Bilirubin	O
H	GGT	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 65 year old obese man was admitted to A&E with shortness of breath and sudden epigastric pain radiating to the left arm. The doctor orders LFTs. Which liver enzyme will be raised?

2. A 45 year old obese lady was admitted to A&E after experiencing an intense pain in the upper abdominal region. Her husband also noted that she turned yellow over the last couple of days. An abdominal ultrasound showed dilated bile ducts. Which enzyme would be markedly raised?

3. LFTs are carried out on a homeless man, brought into A&E unconscious. He smells of alcohol. Which liver enzyme would you find raised?

4. A 65 year old man, known have been an alcoholic came to your clinic because he was turning yellow. He also noticed that his trousers were getting too big for him. Which protein would you find raised in this man?

5. Which protein would be low in a man with sepsis?

ANSWERS

1. F

2. C

3. H

4. A

5. B