Pathology EMQ template.

Name:

Candidate number:

Theme: Respiratory Disease

 

OPTION LIST

 

A	Adenocarcinoma	I	Mesothelioma
B	Asthma	J	Pneumothorax
C	Bronchiectasis	K	Pulmonary Embolus
D	Chronic Bronchitis	L	Sarcoidosis
E	Cryptogenic Fibrosing Alveolitis	M	Small Cell Carcinoma
F	Emphysema	N	Squamous Cell Carcinoma
G	Extrinsic Allergic Alveolitis	O
H	Large Cell Carcinoma	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 37-year-old lady presents with shortness of breath and a chronic cough. Cytology from her broncho-alveolar lavage sample showed increased lymphocytes and her chest x-ray showed bilateral hilar lymphadenopathy with pulmonary infiltrates.

 

 

2. A 69-year-old retired teacher presents to her GP with a 6 month history of cough, haemoptysis and 5 kg weight loss. Histology showed evidence of glandular differentiation and cytology showed mucin vacuoles.

 

 

3. A 54-year-old builder presents with a 9 month history of cough, haemoptysis and 7 kg weight loss. Histology showed keratinisation and intercellular “prickles”.

 

 

4. A 57-year-old gentleman presents to his GP with gradually worsening dyspnoea and cough. Examination revealed reduced chest expansion, a dull percussion note, reduced breath sounds and fine, late inspiratory crackles.

5. A 45-year-old female office worker presents to A&E with dyspnoea, haemoptysis and sharp, pleuritic chest pains. She has a 50 pack-year smoking history.

 

ANSWERS

1. L

2. A

3. N

4. E

5. K