Pathology EMQ template.

Name: Anil Chopra

Theme: Connective Tissue Disease

 

OPTION LIST

A	Amyloidosis	I	Sarcoidosis
B	Churg-Strauss syndrome	J	Sjogren’s syndrome
C	CREST Syndrome	K	Systemic Lupus Erythematosus­­­
D	Dermatomyositis	L	Takayasu’s arteritis
E	Giant cell arteritis	M	Wegener’s granulomatosis
F	Kawasaki’s disease	N
G	Polyarteritis nodosa	O
H	Rheumatoid Arthritis	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 28 year old man arrives in clinic with discoloured fingers, difficulty swallowing, a thick rash on his toes. Bloods reveal the presence of anti-nuclear and anti-centromere antibodies. What is the diagnosis?

 

2. A 34 year old woman presents to a GP surgery with muscle aches, swollen finger joints and knees. She also has a long-standing cardiac arrhythmia for which she is taking procainamide. She is incredibly anxious as she has miscarried twice now and is trying very hard to have a child. What is the diagnosis?

 

3. A 26 year lady arrives in clinic with knee swelling, shortness of breath, a dry cough and a skin rash. She has a raised CD4 and CD8 count and X-ray reveals a bi-hilar lyphadeopathy What is the diagnosis?

 

4. A 6 year old boy presents to his GP with pyrexia of unknown origin, swelling of nodes in the neck, conjunctivitis and palmar erythema. What is the diagnosis?

 

5. A 45 year old African man who previously had Epstein Barr Virus, presented to clinic with painful constant erection, pink knuckles and "Gottron's papules". What is the diagnosis?

 

ANSWERS

1.  C

2. K

3. I

4. F

5. D