Pathology EMQ template

YourName: Alexander Walls

YourIdentifier: 00430268

Theme: Viral Hepatitis

OPTION LIST

A	Cirrhosis	I	cytomegalovirus
B	Hepatitis A	J	Fulminant hepatic failure
C	Infectious mononucleosis	K
D	Hepatocellular Carcinoma	L
E	Primary biliary cirrhosis	M
F	Hepatitis B	N
G	Herpes simplex	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 25 year old homosexual man presents with recent jaundice and fever.

2. An old haemophiliac, who used to receive clotting factor concentrate pooled from donors, presents with weight loss, ascites and an ache in the right hypochondrium. On examination a large, irregular liver can be felt.

3. An 18 year old female, who recently arrived back from holiday in south-east Asia, presents with jaundice and an elevated AST.

4. A 35 year old heroin addict presents to A&E after an overdose. The routine blood tests show elevated aminotransferases, especially ALT.

5. An 18 year old girl who has been feeling unwell with mild jaundice and mild abnormalities in liver function tests. She has a positive Paul-Bunnell test.

ANSWERS

1. F

2. D

3. B

4. H

5. C