Pathology EMQ template.

Name:

Candidate number:

Theme: Calcium Handling

 

OPTION LIST

 

A	Ca–3; PTH-10; Pi-0.7; Alk Phos-70	I	Ca–16; PTH-1.6; Pi-1; Alk Phos-450
B	Ca–1.7; PTH-0.6; Pi-0.3; Alk Phos-100	J
C	Ca-2;PTH-7.9;Pi-0.5; Alk Phos-100	K
D	Ca-2;PTH-7.9;Pi-0.5; Alk Phos-20	L
E	Ca–2.6; PTH-4; Pi-1; Alk Phos-400	M
F	Ca–1.7; PTH-0.6; Pi-1.7; Alk Phos-100	N
G	Ca–2.5; PTH-1.6; Pi-2; Alk Phos-70	O
H	Ca–2.5; PTH-1.6; Pi-1; Alk Phos-70	P

 

Normal Ranges

Ca- 2.2-2.6

PTH- 1.3-7.7

Phosphate- 0.8-1.2

Alkaline Phosphatase- 30-150

 

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.  An elderly lady with a t-score of -2.7

 

 

2.  A 60 year old man who has become deaf recently and feels weak.

 

 

3. A lady has had her thyroid gland removed recently.  On neurological examination she has increased reflexes.

 

 

4. A young boy has bowed legs

 

 

5. An USS of the neck of a man shows a parathyroid adenoma.  He has been having awful stomach pains and also has passed a renal stone.

 

 

 

ANSWERS

1. H

2. E

3. F

4. C

5. A