Pathology EMQ template.

Name:

Candidate number:

Theme: Lymphomas

 

OPTION LIST

 

A	Acute Lymphoblastic Leukaemia	I	Lymphocytes
B	Bone Marrow Biopsy	J	Megakaryocytes
C	Burkitt’s Lymphoma	K	Non-Hodgkin’s Lymphoma
D	Chest X-ray	L	Plasma cells
E	Epstein-Barr virus	M	Radiotherapy
F	Gallium scan	N	Reed-Sternberg Cells
G	Hodgkin’s Lymphoma	O	Staging
H	Infectious Mononucleosis	P	Waldenstrom’s Macroglobulinaemia

 

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. 30 year old male accountant complains of tiredness, weight loss and excessive sweating at night. He has had glandular fever in the past. Examination reveals enlarged rubbery cervical lymph nodes. On biopsy the histology is likely to reveal…

 

2. 8 year old African boy, who has recently arrived in the UK, complains of swelling of the left side of the jaw, for several months, which has not responded to repeated courses of antibiotics. On examination, he has a swelling over the left mandible with ulceration. He is also found to be HIV positive. What is the diagnosis?

 

3. Lymphomas are type of malignancy derived from which type of cells?

 

4. What must be done to determine the appropriate treatment of a lymphoma?

 

5. A 45 year old teacher presents with fever and back-ache. On examination she has shortness of breath, and the chest x-ray shows a widened mediastinum. Cell’s resembling ‘Owl’s-eyes’ were NOT found on biopsy, so the diagnosis is likely to be…

 

 

 

ANSWERS

1. N

2. C

3. I

4. O

5. K