Pathology EMQ template.

Name:  Abhishek Bhattacharya

Theme: Cardiac Pathology

 

 

OPTION LIST

 

A	Atrial Myxoma	I	Atrial Septal Defect
B	Myocardial Infarction	J	Ventricular Septal Defect
C	Stable Angina	K	Heart Failure
D	Rheumatic Fever	L
E	Pericarditis	M
F	Subacute Bacterial Endocarditis	N
G	Eisenmenger’s Syndrome	O
H	HOCM	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 54 year old gentleman was referred from his GP and he presents with a history of recent weight loss, fatigue and is febrile.  On examination of his hands, you find small red linear red lesions.

 

 

2. A 15 year old girl returns to her GP after recently been treated for a sore throat, this time complaining of fever, being short of breath and general malaise.  On questioning, you find that these symptoms have been associated with a series of painful elbow and knee joints.

 

 

3. A 57 year old lady presents complaining of palpitations, shortness of breath whilst sitting and relieved whilst supine, and involuntary weight loss.  An echocardiogram displays a polypoid mass attached to the septal wall in the left atrium.

 

 

4. A 42 year old male presents to A&E with sharp chest pain that is relieved by sitting forward.  On examination you find a pericardial rub at the left sternal edge.

 

 

5. A 21 year old semi professional footballer suddenly collapsed during a match and was pronounced dead on the scene.  There is no significant past medical history apart from a previous episode of syncope during a training session.

 

 

 

ANSWERS

1. F

2. D

3. A

4. E

5. H