Pathology EMQ template

 

YourName:

YourIdentifier:

Theme:

 

OPTION LIST

 

A	Type 1- Distal renal tubular acidosis	I	Drip arm
B	Type II- Proximal renal tubular acidosis	J	Fluid Overload
C	Addison’s disease	K
D	Hypokalaemia	L
E	Hyperkalaemia	M
F	Iatrogenic causes	N
G	Cushings syndrome	O
H	Conns syndrome	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. 53 year old man with a 6-week history of tiredness, weight loss and fatigue presents to A & E unconscious. Bloods= glucose- 1.1, K+ is 6.0 and Na+ is 122. He has a PMH of tuberculosis and doctor notices increased skin pigmentation on hands.

 

 

2. 72 year old women with CCF began treatment on thiazide diuretics 2 weeks previously. She presents with muscle weakness and constipation and her ECG shows flattened T waves. Serum K+ is 2.9 and Na+ 130.

 

 

3. 9 yr old boy with rickets presents to his GP with loin pain and haematuria. Blood results- K+ is 2.8, pH blood is 7.0 and he has alkaline urine. 

 

 

4. 44-year old female with increased tiredness, polyuria and nocturia. Her BP IS 140/90, K+ 3.0 and blood glucose is normal.

 

5. Patient has blood taken from drip arm post-op. What are the blood results likely to show?

 

 

ANSWERS

1. C

2. F

3. A

4. H

5. D