Pathology EMQ template.

Name:

Candidate number:

Theme: Endocrine disease

 

OPTION LIST

 

A	Acromegaly	I	Polycystic ovarian syndrome
B	Cushing’s disease	J	Primary hyperparathyroidism
C	Cushing’s syndrome	K	Primary hypoparathyroidism
D	Diabetes insipidus	L	Secondary hyperparathyroidism
E	Grave’s disease	M	Struma ovarii
F	Hashimoto’s thyroiditis	N	Tertiary hyperparathyroidism
G	Hyperprolactinaemia	O	Type 1 diabetes mellitus
H	Marfan’s syndrome	P	Type 2 diabetes mellitus

 

 

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 12-year-old girl complains of irregular periods, abnormal hair growth and acne. She has a BMI of 30.

 

 

2. A 41-year-old man recently visited his daughter in Australia, who noticed a change in his facial appearance. On examination he has coarse facial features, prognathism and a prominent supraorbital ridge.

 

 

3. A 37-year-old woman complains of heat intolerance, sweating and irregular periods. On examination she has exopthalmos, proptosis and oedematous swelling above the lateral malleoli.

 

 

4.  A 60-year-old Asian man presents with a three week history of increased urinary frequency, thirst, and weight loss.  

 

 

5. A 43-year-old woman with a history of renal calculi presents with tiredness, and impaired concentration.  

 

 

 

ANSWERS

1. I

2. A

3. E

4. P

5. J