Pathology EMQ template.

Name: Anika Choraria

Candidate number: 00467218

Theme:

 

OPTION LIST

 

A	Acute Pancreatitis	I	Pancreatic endocrine tumour
B	Annular pancreas	J	Type I Diabetes Mellitus
C	Chronic Pancreatitis	K	Type II Diabetes Mellitus
D	Ectopic pancreas	L
E	Gallstones	M
F	Pancreas Divisum	N
G	Pancreatic Carcinoma	O
H	Pancreatic cystic tumour	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. A 50 year old smoker presents to GP with history of worsening epigastric pain radiating through to his back. Histology of the pancreas shows marked fibrosis and loss of exocrine tissue.

 

 

2. 35 yr old woman presents with slight abdominal pain. ERCP shows failure of fusions of dorsal and ventral pancreatic buds.

 

 

3. A 39 yr old alcoholic presents to A+E with severe epigastric pain radiating to the back with fever and signs of shock. Plasma amylase is raised.

 

 

4. A 65 yr old man presents with jaundice and mild upper abdominal pain. Genetic studies have found activating mutations of KRAS.

 

 

5. A teenager presents with nausea, vomiting, abdominal pain and deep breathing. Blood glucose is raised and urine is positive for ketones.  

 

 

 

ANSWERS

1.  C

2. F

3. A

4. G

5. J