Pathology EMQ template.

Name:

Candidate number:

Theme:

 

OPTION LIST

 

A	Folate deficiency	I	Vitamin C deficiency
B	Kwashiorkor	J	Vitamin K deficiency
C	Marasmus	K
D	Niacin deficiency	L
E	Thiamine excess	M
F	Vitamin A deficiency	N
G	Vitamin B1 deficiency	O
H	Vitamin B12 deficiency	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 lethargic somalian child with a swollen abdomen, on examination oedematous with an enlarged liver.

 

2. A 60-year-old man with chronic pancreatitis and consequent steatorrhoea presents with recurrent epistaxis and easy bruising on arms and shins.

 

3. A 40-year-old patient known to have a history of chronic alcohol abuse is admitted to hospital with peripheral neuropathy, ataxia and nystagmus.

 

4. A 78-year-old widow surviving on a diet of tea and toast presents with fatigue, aching limbs, bleeding gums and reddish spots surrounding the hair follicles on her shins.

 

5. A 60-year-old homeless man presents with signs of a mixed motor and sensory neuropathy, peripheral oedema, shortness of breath and a raised JVP.

 

ANSWERS

1. B

2. J

3. G

4. I

5. G