Pathology EMQ template.

Name:

Candidate number:

Theme: Pituitary

 

OPTION LIST

 

A	Acromegaly	I	MEN Type IIa
B	Diabetes Insipidus	J	MEN Type IIb
C	Cushing’s Disease	K	Nelson’s Syndrome
D	Cushing’s Syndrome	L	Non-functioning pituitary adenoma
E	Gigantism	M	Panhypopituitarism
F	Kallmann Syndrome	N	Prolactinoma
G	Klinefelter Syndrome	O	SIADH
H	MEN Type I	P	Simmond’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 40 year old man presents with polyarthropathy and carpal tunnel syndrome. He is noted to have a kyphosis.

 

2. A 56 year old lady presents to her GP complaining of rapid weight gain, particularly around the face and trunk, and easy bruising. She is sent for a dexamethasone test. Result; no change in cortisol on low dose but inhibition of cortisol on high dose.  

 

3. A 49 year old Haitian man presents with skin hyperpigmentation and muscle weakness. He had an operation in Haiti 6 months ago before moving to the UK but cannot explain why.   

 

4. A 17 year old boy presents with gynecomastia. Blood tests show a low serum testosterone level but high FSH and LH levels. 

 

5. Sodium; 129 mmol/L, urine sodium 39 mmol/l, urine osmolality 407 mmol/kg and plasma osmolality 270 mmol/kg. All other results normal.  

 

ANSWERS

1. A

2. C

3. K

4. G

5. O