Close
27th February 2025
A 52-year-old lady presents with a 4-month history of weight loss, loss of appetite, and nausea
A 52-year-old lady presents with a 4-month history of weight loss, loss of appetite, and nausea and vomiting. She has a history of diabetes, hypertension and previous breast cancer for which she previously underwent radiotherapy and remains on tamoxifen.
Investigations:
| Haemoglobin | 122 g/L (115-155 g/L) |
| White cell count | 7.4 x 10^9/L (4.0-11.0 x 10^9/L) |
| Platelet count | 360 x 10^9/L (150-400 x 10^9/L) |
| Sodium | 132 mmol/L (137-144 mmol/L) |
| Potassium | 5.0 mmol/L (3.5-5.3 mmol/L) |
| Urea | 10.0 mmol/L (2.5-7.0 mmol/L) |
| Creatinine | 112 μmol/L (60-110 μmol/L) |
| Total bilirubin | 20 μmol/L (1-22 μmol/L) |
| Alanine aminotransferase | 153 U/L (5-35 U/L) |
| Alkaline phosphatase | 720 U/L (45-105 U/L) |
A contrast CT scan of the liver reveals multiple hypoattenuating lesions.
What is the most appropriate next step?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
Complete Guide to Clinical Genetics ST3 Application and Recruitment (2027)
Written by Medibuddy. Last updated: October 2026. Clinical Genetics is
Complete Guide to Clinical Radiology ST3 Application and Recruitment (2027)
Recruitment paused: NHS England is not running Clinical Radiology ST3+ recru
Complete Guide to Paediatric Surgery ST3 Application and Recruitment in United Kingdom (2026)
Written by Medibuddy. Last updated: October 2026. If you’re planning
Take your subscriptions with you
Our mobile app allows you to access your interview and exam question banks wherever you are.
