Pathology EMQ template.

Name: Reuben Bogg

Candidate number:

Theme: Cerebrovascular disease

 

OPTION LIST

 

A	Subarachnoid haemorrhage	I	IC venous thrombosis
B	Meningitis	J	Subdural haemorrhage
C	Extradural haemorrhage	K	R Ant. Cerebral ischemia
D	L Ant. cerebral ischemia	L	Intracerebral haemorrhage
E	Vascular dementia	M
F	L Middle Cerebral ischemia	N
G	Concussion	O
H	R Middle Cerebral ischemia	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 90y old lady is admitted after falling down some steps. She seemed to be improving, but is now becoming increasingly vague. She has had previous admissions for bone fractures.

 

 

2. An 80y old lady has fallen out of bed on the ward. She refuses to lie down and complains of headache. She is on medication for DVT.

 

 

3. A 65y old overweight Indian man complains of a progressively floppy right arm and leg over the past few hours.

 

 

4. A 50y old alcoholic is vomiting and complains of a sudden onset severe headache. He is a smoker and has a history of polycystic kidney disease.

 

 

5. A 75y old man who stopped taking his blood pressure medication few months ago is admitted with an acute severe headache and vomiting. He rapidly loses consciousness and dies. On post-mortem the ventricles are filled with blood and the brain is shifted to the left side.

 

 

 

ANSWERS

1. C

2. J

3. F

4. A

5. L