Pathology EMQ template.

Name:

Theme: Diabetes

 

OPTION LIST

 

A	Type I diabetes mellitus	I	Mononeuritis multiplex
B	Type II diabetes mellitus	J	Retinopathy
C	Neurogenic diabetes insipidus	K	Psychogenic polydipsia
D	Nephrogenic diabetes insipidus	L	Impaired glucose tolerance
E	Gliclazide	M	Autonomic neuropathy
F	Insulin	N
G	Metformin	O
H	Vasopressin	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. Concordance in twins is 90% in which type of diabetes mellitus?

 

 

2. A middle aged patient presents with increased thirst and urination. His PMH includes manic depression since late adolescence. What is the most likely diagnosis?

 

 

3. A patient with long standing type 2 diabetes is due to have a radiological investigation requiring i.v. contrast. Which drug could cause a problem if the patient does not stop taking it?

 

 

4. A patient presents with aching right thigh pain, which is worse at night. On examination you notice a slight weakness in the right leg with loss of knee reflex.

 

 

5. A 55 year old male, who has recently been in a very serious car crash presents to his GP complaining of excessive thirst and having to use the bathroom a lot more. The GP notices the gentleman is quite large, with a BMI of 32. His fasting glucose is 5.9 mmol/l.

 

 

 

ANSWERS

1. B

2. D

3. G

4. I

5. C