Pathology EMQ template.

Name:

Candidate number:

Theme: Lower gastrointestinal disease

 

OPTION LIST

A	Acute diverticulitis	I	Irritable Bowel Syndrome
B	Beriberi	J	Meckel’s diverticulum
C	Carcinoid syndrome	K	Pancreatitis
D	Carcinoma	L	Pellagra
E	Coeliac disease	M	Peutz-Jeghers syndrome
F	Crohn’s disease	N	Primary Biliary Cirrhosis
G	Diverticular disease	O	Ulcerative Colitis
H	Hirschsprung’s disease	P	Whipple’s disease

 

 

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 30 year old male presents with steatorrhoea, abdominal pain and arthritis.  Intestinal biopsy reveals PAS positive macrophages.

 

 

2. A 60 year old patient presents with severe pain in the left iliac fossa accompanied with fever and constipation.  A spiral CT of the lower abdomen shows thickened bowel wall with diverticulae. 

 

 

3. A 51 year old complains of flushing of the face and neck, abdominal pain and watery diarrhoea.  Examination reveals hepatomegaly.

 

 

4. A 25 year old male smoker presents with diarrhoea, abdominal pain and weight loss.  Examination shows a right iliac fossa mass and erythema nodosum.

 

 

5. A 30 year old alcoholic presents with diarrhoea, dementia and dermatitis.

 

ANSWERS

1. P

2. A

3. C

4. F

5. L