QuestionSBA
QuestionChoice
Malaria is accompanied by symptoms such as fevers, headaches, muscle aches, and tiredness. It is not specifically associated with right upper quadrant pain or jaundice.
10007723
d
Malaria
QuestionChoice
Acute infections with schistosomiasis cause itching, fevers, urticaria, arthralgia, cough, and diarrhoea. It would not explain this patient’s jaundice.
10007722
c
Schistosomiasis
QuestionChoice
Hepatitis B is a blood borne viral infection that can be transmitted by sexual contact, contaminated needles, and blood products. The patient has also travelled to an area of high prevalence which makes hepatitis B more likely.
10007720
a
Hepatitis B
QuestionChoice
This is an autosomal recessive condition that causes raised unconjugated bilirubin. It causes episodes of jaundice in response to stress, fasting, infection, or exercise. It does not cause abdominal pain. This, in combination with the acute history and risk factors for hepatitis, makes Gilbert's syndrome an incorrect option.
10007721
b
Gilbert’s syndrome
QuestionChoice
This type of hepatitis is transmitted via a faecal-oral route. It has a longer incubation period than hepatitis A at 3-8 weeks. Hepatitis B is therefore a more likely diagnosis.
10007724
e
Hepatitis E
Concept
Chapter
2693
4039
Hepatitis viruses
Topic
136
Gastroenterology
14091
A 20-year-old female has recently returned from traveling around Asia. She attends the GP with pain in her right upper quadrant that has been troubling her for the last 10 days. She has also noticed some yellowing of her eyes and reports dark urine.

She drinks 1-2 units of alcohol per week and has never smoked. She admits to having unprotected sex whilst traveling.

Which of the following is the most likely diagnosis?
a