Pathology EMQ template.

Name: Kush Bhatt

Candidate number: 00468388

Theme: Cerebrovascular Disease

 

OPTION LIST

 

A	Middle cerebral artery stroke	I	Berry Anuerysm
B	Lacunar Infarct	J	Charcot – Bouchard Anuerysm
C	Transient Ischaemic Attack	K	Subdural Haematoma
D	Temporal Arteritis	L	Vein of Galen aneurismal malformations
E	Wallenberg Syndrome	M	Diabetic neuropathy
F	Epidural Haematoma	N	Anterior cerebral artery stroke
G	Moya Moya Disease	O	Brainstem Infarct
H	Sub Arachnoid Haemorrhage	P	Marchiafava – Bignami syndrome

 

 

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 patient presents with difficulty in swallowing, it is noted that he has slurred speech and drooping of his left eyelid. In addition he has a burn mark on his right hand, which he has no recollection of happening

 

2. A Japanese girl presents to A&E after falling down with no recollection of it happening, she injures her jaw. A X ray is taken and incidentally shows ‘puffs of smoke’ appearance around the skull.

 

3. A 2 month old baby presents with signs of heart failure, bruits are heard over the anterior fontanelle. Cranial ultrasound is used for diagnosis.

 

4. 60 year old woman presents to A&E with severe headaches, vomiting and photophobia. A lumbar puncture reveals xanthochromia.

 

5. A 55 year old obese man presents to his GP with repeated episodes where he cannot move his left leg, they have been getting more frequent and lasting longer and the longest has lasted 4 hours.

 

 

 

 

ANSWERS

1. E

2. G

3. L

4. H

5. C