Pathology EMQ template.

Name: Harsh Bhatt             

Theme: Cardiac Pathology

 

OPTION LIST

 

A	Aortic Regurgitation	I	Pericarditis
B	Aortic stenosis	J	Restrictive cardiomyopathy
C	Dilated cardiomyopathy	K
D	Hypertrophic cardiomyopathy	L
E	Infective endocarditis	M
F	Libman-Sacks endocarditis	N
G	Mitral valve prolapse	O
H	Non-bacterial thrombotic endocarditis	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 40 YO gentleman comes in to the hospital routinely for venesection. On this occasion he also complains of S.O.B. on exertion, and a plain-film CXR reveals an enlarged cardiac shadow.

 

2. A 45 YO gentleman has recently moved to the UK from the tropics and comes into hospital with S.O.B. at night. His bloods show a raised eosinophil count for the past year

 

3. A 36 YO lady with known SLE, incidentally found to have a low-grade pan-systolic murmur, is referred to cardiology. Echo shows some small vegetations, and you see focal necrosis on H&E staining.

 

4. A 50 YO lady presents with S.O.B. and chest pain on exertion. O/E you hear a mid-systolic click followed by a late systolic murmur, growing louder when the pt. stands up.

 

5. A mother of a 4 month old baby comes into hospital with a persistently distended abdomen and oedematous legs, without any previous cardiac history.

 

 

 

 

ANSWERS

1. C

2. J

3. F

4. G

5. C