Pathology EMQ template.

Name:

Candidate number:

Theme: Multiple Myeloma

 

OPTION LIST

 

A	Plasmacyoma	I	Acute renal failure
B	Non-secretary myeloma	J	Hypercalcaemia
C	Renal stones	K	Amyloidosis
D	Myocardial infarction	L	Lytic lesions
E	MGUS	M	Metastases
F	COPD	N	Light chain myeloma
G	Anaemia	O
H	Chronic renal failure	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 70 year old patient presents with renal failure, hypercalcaemia and anaemia. Tests are negative for serum and urine paraproteins.

 

2. A 68 year old gentleman with recurrent fractures and infections is found to have high paraproteins in his urine. During your night on call he gets increasingly ill and goes into shock.

 

3. A 75 year old patient is found to have a high IgM level, though is otherwise healthy. 

 

4. A 70 year old gentleman is found to have a ‘pepper pot’ skull on radiography. A month later he develops severe abdominal pain and passes a kidney stone. 

 

5. A 69 year old gentleman with myeloma presents to his GP feeling tired and short of breath.

 

ANSWERS

1. B

2. I

3. E

4. J

5. G