Pathology EMQ template.

Name: Ee Phui Kew

Theme: Metabolic bone histopathology

 

OPTION LIST

 

A	Osteogenesis imperfecta	I	Ricket’s disease
B	Osteoporosis	J
C	Osteomalacia	K
D	Paget’s disease	L
E	Osteitis fibrosa cystica	M
F	Osteopenia	N
G	Multiple myeloma	O
H	Chondrocalcinosis	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 50 year-old man with end stage renal failure presented with bone pain. Blood test showed hypocalcaemia and hyperphosphataemia. Bone biopsy showed ‘brown cell tumour’.

 

 

2. A 60 year-old post-menopausal woman presented to A&E with colle fracture. A DEXA scan was performed and her T score was -2.1.

 

 

3.  A 30 year-old woman with coeliac disease presented with a 6 month history of worsening back pain and thigh pain. She also finds it difficult to climb upstairs and get up from sitting. X ray showed a horizontal fracture in looser’s zone in her left proximal femur.

 

 

4. A 7 year-old boy presented to A&E with bone fractures 3 times over the last 2 months. On examination, blue tints were noticed on the white of his eyes.

 

 

5. A 55 year-old man presented with back pain which radiates to his thighs. He also had morning stiffness in his shoulder joint. X-ray showed lytic lesions on his lumbar spine and a ‘blade of grass’ lesion on his right femur.

 

 

 

ANSWERS

1. E

2. F

3. C

4. A

5. D