Pathology EMQ template.

Name:

Candidate number:

Theme: Cerebrovascular Disease

 

OPTION LIST

 

A	Transient Ischemic Attack	I	Subarachnoid haemorrhage
B	Cerebellar infarction	J	Cluster Headache
C	Lateral medullary (Wallenberg) syndrome	K	Subdural Haematoma
D	Left-hemisphere infarction	L
E	Right-hemisphere infarction	M
F	Lacunar Stroke	N
G	Transient Ischemic Attack	O
H	Giant Cell Arteritis	P

 

 

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 infarction caused by occlusion of a single penetrating artery.

 

2. A 62 year old man is found at home unable to stand. Initially he has a severe expressive and receptive dysphasia. Two weeks later he is able to communicate, but has a partial hemiparesis affecting his right side.

 

3. A 71 year old lady has ataxia, an intention tremor and dysarthria. She is able to communicate but her speech sounds staccato.

 

4. Usually associated with a vertebral artery occlusion. Ipsilaterally there may be Horners syndrome; contralaterally there may be loss of pain and temperature sensation.

 

5. A 50 year old lady presented to accident and emergency with a severe headache, photophobia and neck stiffness. A CT scan revealed blood in the sulci and ventricles of the brain. She died while in hospital.

 

 

 

ANSWERS

1. F

2. D

3. B

4. C

5. I