Pathology EMQ template.

Name:

Candidate number:

Theme: Sodium Handling- Hyponatraemia

 

OPTION LIST

 

A	Addison’s disease	I	Crohn’s disease
B	SIADH	J	Cystic fibrosis
C	Vincristine	K	Ileus
D	Carbamazapine	L	Cirrhosis
E	Psychogenic polydipsia	M	Dietary
F	Acute tubular necrosis	N	Gliclazide
G	Ecstasy	O	Ulcerative colitis
H	Cerebral salt-wasting	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 35-year-old female known to the psychiatry team, is seen at an outpatient appointment. She had recently been sleeping 2 hours per night as she was preparing a business plan to “topple Tesco” single handedly. Routine blood tests reveal a sodium of 128 mmol/L.

 

2.    A 30-year-old male visits his GP for a check up. He has had a long history of respiratory tract infections and examination reveals clubbing of his fingers. Blood tests reveal a low sodium.

 

3.    Blood tests for a patient being treated with chemotherapy reveal a sodium of 125 mmol/L. The original blood film at presentation shows evidence of Reed-Sternberg cells.

 

4.    A 45-year-old female presents to her GP complaining of bloody diarrhoea. Referral to a gastroenterologist uncovers “skip-lesions” on endoscopy. Serum sodium is 126 mmol/L.

 

5.    A 56-year-old smoker presents to A&E with vomiting and confusion. The patient’s wife says he has lost a significant amount of weight over the past month. Blood tests reveal a sodium of 120 mmol/L.

 

ANSWERS

1. D

2. J

3. C

4. I

5. B