Pathology EMQ template

 

YourName: Trishna Gunnoo

YourIdentifier:

Theme: Hypercalcaemia

 

OPTION LIST

 

A	Addison's Disease	I	Primary Hyperparathyroidism
B	Asparagus	J	Sarcoidosis
C	Familial Hypocalciuric Hypercalcaemia	K	Secondary Hyperparathyroidism
D	Lithium	L	Tertiary Hyperparathyroidism
E	Milk Alkali Syndrome	M	Thiazide
F	Multiple Endocrine Neoplasia 1	N	Thyrotoxicosis
G	Multiple Myeloma	O	Vitamin A Intoxication
H	Paget's Disease	P	Vitamin D Intoxication

 

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. Hypercalcaemia is most commonly caused by this disorder.

 

 

2. A 9 year old boy presented to his GP following a few episodes of green urine.  Urinalysis revealed a 24-hour urine calcium measurement of <2mmol/24hr.  Further serum analysis revealed a mildly elevated calcium and PTH. 

 

 

3. A 22 year old female with a long history of depression recently found herself more anxious and nauseous.  Following routine blood tests from the dermatology clinic, she was noted to have hypercalcaemia and mildly elevated cholesterol levels. 

 

4.  A thin 18 year old male who was recently diagnosed by his GP with gastritis, presented acutely to A&E with severe abdominal pain, nausea, vomiting and lethargy.  His blood glucose was found to be low at 3mmol/l.

 

 

5. At the pre-assessment clinic for a total hip replacement, an elderly male is noted to have longstanding fatigue, indigestion and nocturia, sometimes waking up 4 times at night to urinate.

 

 

 

ANSWERS

1. I

2. C

3. O

4. F

5. E