Pathology EMQ

Name:

Theme: Genitourinary disease 2

 

OPTION LIST

 

A	Simple UTI	I	Cortical Adenoma
B	Complicated UTI	J	Oncocytoma
C	Acute Pyelonephritis	K	Hamartoma
D	Chronic Pyelonephritis	L	Renal Cell Carcinoma
E	Urolithiasis	M	Wilm’s Tumour
F	Pyonephrosis	N	Transitional Cell Carcinoma
G	Renal Infarction	O	Squamous Cell Carcinoma
H	Diffuse Cortical Necrosis	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 24 year old lady presents to her GP complaining of increased frequency of micturition, dysuria and lower abdominal pain. 

 

2. A 53 year old gentleman from Egypt has recently moved to the UK with his family.  He presented to the GP surgery following 3 episodes of painless haematuria associated with frequency and urgency.  PMHx – patient was treated with praziquantel 3 years ago for a trematode infection. 

 

3. A 78 year old gentleman presented to his GP following multiple episodes of haematuria.  He also described feeling feverish, 3kg weight loss and some disturbances in his vision which he described as ‘like looking through a wet car windscreen’.

 

4. A 3 year old boy is brought to clinic by his very anxious mother who recently noticed a lump in his abdomen when washing him in the bath and when questioned said that she thought his urine has become more ‘pink’ in colour.

 

5. A 64 year old man with type 2 diabetes and hypertension presented to his GP with a 3 day history severe flank pain, fevers and dysuria.  The GP performs a urine dipstick test which reveals pyuria. 

 

 

 

ANSWERS

1. A

2. O

3. L

4. M

5. C