Abnormal Liver Blood Tests – Case based exam

National Welsh Standard

Case-based Exam

To assess competence in managing abnormal liver blood tests, candidates are required to complete a summative multiple choice exam. You will have 45 minutes to answer 25 questions. The pass mark is 80%. If you do not meet the assessment criteria, don’t panic! You can resit as many times as you need.

During this exam, you will be assessed against the following learning outcomes: 

    • Understanding which patients require immediate action (admission, urgent referral), which patients may have non-liver causes of their abnormal liver blood tests, and which patients should proceed down the pathway for further investigation.


    • Differentiate between cholestatic and hepatitic abnormalities, and proceed down the corresponding pathway for further investigations.


    • Determine which patients require referral to Hepatology for diagnosis of liver disease, and which patients can be managed in primary care with focus on risk factors for more significant liver disease.

The questions are presented through case studies, and each case study might span a series of questions. See below an example of how this Case Study and Question will sit on a page.

Click ‘Start quiz’ to get started. Your time limit will start immediately and will run continuously until 0:00. If you leave the page and return, the clock will not stop.

Once you have answered all the questions, you will be taken to an exam overview page where you will find your answers marked against the correct answers.

If you do not pass every question, you will be able to resit the exam.

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